The government plans to introduce a new pay system for health workers no earlier than 2023. This follows from the materials for the meeting of the working group of the tripartite commission on labor relations (government, trade unions and employers), at which pilot projects of the Ministry of Labor in the health sector were discussed. The department plans to launch them in November 2021 and, based on their results, will propose to the government to update the wage system and sources of wage increases. The goal is to transform the payment system so as to eliminate the emergence of a shortage of doctors in certain regions and make it more transparent.
The Ministry of Labor has developed a pilot project to introduce new principles of remuneration for health workers. The draft resolution of the department was presented at the last meeting of the working group of the Russian Trilateral Commission for the Regulation of Social and Labor Relations.
As follows from this document, the department will conduct a pilot in seven Russian regions – Yakutia, Belgorod, Kurgan, Omsk, Orenburg, Tambov regions and Sevastopol. It will start in November 2021 and run until March 2022. During this period, employees of regional hospitals and clinics will receive salaries calculated according to new principles.
So, their salaries will be calculated taking into account two new values - the coefficient of differentiation of salaries depending on the position of the employee and the coefficient of economic development of the region. At the same time, the size of salaries cannot be less than the current level.
Marina Maslova, the head of the department of remuneration, labor relations and social partnership of the Ministry of Labor, explained to the meeting participants that the department will create methods for calculating these coefficients by August this year. “Our task is with the help of these coefficients to equalize the situation with the salaries of medical workers in order to avoid a shortage of specialties in one region and their overabundance in another. However, they will not be completely equal in different regions, ”she said.
According to preliminary calculations of the department, regional coefficients for the country may differ several times: if a coefficient of 3 is proposed for Moscow, and 2.5 for St. Petersburg, then for the regions it will be equal to 1.
As the trade unions of medical workers participating in the meeting told Kommersant, it is these calculations of the ministry that raise the most questions.
“The Labor Code clearly states that there should be no discrimination of wages on the basis of geography with an equal amount of work,” says Mikhail Androchnikov, adviser to the head of the FNPR medical workers’ trade union. According to him, the trade union hopes to take part in creating a methodology for calculating regional coefficients and aims to reduce the differentiation of wages by region. As the head of the trade union Action, which is part of the Confederation of Labor of Russia, Andrei Konoval, notes, the Ministry of Labor has not yet presented a methodology for calculating the coefficient of official salaries. “Now in many hospitals there is a huge difference between the salary of the head of the hospital and his subordinate. It is not yet clear how the Ministry of Labor plans to deal with this problem, ”he stressed. Also, according to Andrei Konoval, the department has not yet specified from what minimum indicator they will calculate the size of salaries. “We believe that it is necessary to take the average labor income for the region, the minimum wage or the median income as a basis,” he notes.
As follows from the government decree, the Ministry of Labor plans to summarize the pilot’s results by the end of June 2022. By the same date, the department will prepare a decree introducing a new system of remuneration for the entire health care sector and establishing the source of its funding. Based on this, it can be assumed that a full-scale transition to the new payment principles will take place no earlier than the beginning of 2023.