“Nursing Up”, negotiation for the renewal of the Healthcare contract: ARAN for now “postponed” on the draft contractual order. Judgment suspended, to avoid the risk of implementing a system of rules like Chinese boxes.
It is necessary to clarify what career evolutions will really be up to nurses, finally placed in a “contractual role”, from which however it seems difficult to emerge.
The beautiful Penelope he wove the web by day, which appeared in the sunlight, in the eyes of the suitors, now ready to be completed.
Then, at night, the wife of the wanderer Ulysses undid it, in the dark, away from prying eyes, literally sending the previous hours’ work to be blessed.
With the result that the final goal of completing the canvas was transformed into a chimera.
We nurses in front of the new proposal by Aran, relating to the reconstruction of the legal system, with a classification system for personnel in the health sector which provides for a grouping into three different roles, namely:
– ROLE of Nursing staff and health professions
– ROLE of administrative staff
– ROLE of the Social Healthcare Staff
right now we feel anything but satisfied!
We truly feel, like someone who is concretely afraid of finding themselves for the umpteenth time, despite their efforts, struggles, battles, facing a dangerously unfinished job!
Ma we want to explain to public opinion, to the press, the reasons for our well-founded perplexities.
Apparently, a decisive step forward seems to have been taken compared to the inaction of the previous weeks.
It is true, in fact, that with this proposal Aran demonstrates that it wants to accept the “contractual role” destined for nursing and health personnel, but all of this is not enough for us.
No problem with that fin.
However, when the dazzling lights eventually give way to the serene analysis of the facts, when the clouds clear, all the criticalities of a structure that seems to us like a dangerous Chinese box emerge, or rather with the risk of being sadly emptied. from those contents we have been fighting for since time immemorial.
Preliminarily, we underline that only a month ago our press release, firm and determined, with which we denounced the proposal made by ARAN, in the general silence of the other unions, of the creation of three contractual areas on the model of the central functions sector, with nurses, as usual, huddled together with officials and other administrative qualifications.
We strongly opposed it right away!
Finally, we have used every tool in our possession, to solicit the public delegation, we have involved the press and sensitized politics at all levels until now when, in fact, ARAN has finally accepted our request to create, among others, a “DEDICATED” contractual role to the nursing profession and other health professions.
Regarding the classification of the three different roles mentioned above, further details emerge in the document.
Professionals belonging to the same contractual bed (role) should have a specific career path within a classification system, but here the conditional is a must if the detailed document is not studied in depth.
This system is made up of 5 areas, in which the personnel who will pass through the current categories will be practically placed towards their respective roles.
AREAS
A. A) Auxiliary Operators Area
B. B) Operators area
C. C) Assistants’ area
D. D) Area of health professionals and officials
E. E) Area of highly qualified personnel
The areas “should” describe homogeneous levels of professional skills necessary to carry out the different work activities pertaining to the operators who are placed there.
For nurses and other health professions, a specific reference is made to the regulatory provisions of specific competence and to Law No. 42/1999.
Nurses and other health professions should therefore be placed, WITHIN THE SPECIFIC “HEALTH ROLE OF NURSING STAFF AND OTHER HEALTH PROFESSIONALS” – AREA OF HEALTH PROFESSIONALS AND OFFICIALS.
Above this area, there is only the “area of highly qualified personnel”.
We do not forget, here we begin the painful notes, the fact that Minister Brunetta had provided for this highly qualified area for all sectors of the public sector, but that in the end, despite our heartfelt appeals to see the nurses inserted immediately, it will sadly remain empty in waiting for still unclear career progression mechanisms envisaged by the new contract.
According to the new draft, the possession of specific characteristics has repercussions on the salary, and therefore on the attribution of contractual institutions, to the personnel of the roles indicated above (excluding the highly qualified one).
For nurses and colleagues from other health professions, this salary would include:
Attendance allowance
Nursing allowance and protection of the sick
Specific allowances
Possible assignment
Any differentials
Tabular
WHAT WE DON’T LIKE ABOUT THE NEW ARAN PROPOSAL
– We strongly contest the system hypothesized in the draft, which speaks of possible progress between areas. In fact, this system, if on the one hand it would allow employees coming from the A / B / C areas to move to the upper area, would create a disparity treatment, irremediably harassing the nurses and the staff of the health role, who are already located in area D, who would be prevented from evolving towards a higher area, since only the “High Qualification Area” exists above area D , a special area whose access is regulated separately, and potentially concerns the personnel of all roles.
What does all this mean?
It seems to us that, with this hypothesis, in the end the nurses will be placed in an area from which it will not be possible to advance except, but this seems only in residual and selected cases, towards the highly qualified area, while the staff of the others areas could easily advance from a lower to a higher area (see operators area to assistants area).
And certainly nurses from the area of health professionals cannot go back, God forbid!
So where would the turning point that we have been waiting for for some time consist?
REWARD SENIORITY OF SERVICE – It is necessary to identify a mechanism that enhances length of service, as is already the case for doctors, by attributing a specific economic differential as all the employees concerned progress through their years of service.
The draft foresees something like this, but limits the steps to the availability of resources of the companies, and therefore to a certain number of employees, to preventive selection of personnel.
For this reason, this does not mean enhancing seniority, in this context there cannot and must not be inequalities between employees with similar length of service.
Valuing experience means dealing with the same standard “with all employees” who can demonstrate that they have worked with professionalism, competence, and without disciplinary disputes by the Entity.
NURSING SPECIFICITY INDEMNITY: NO ONE DARE TO INSTRUMENTALIZE IT!
In the ARAN draft, in the questionable attempt to pass a self-styled will to enhance nurses and other health professions, nothing less than an entire article dedicated to the specific nursing allowance is provided, and it is argued that this allowance serves the recognition and enhancement of skills.
No gentlemen!
The enhancement and “contractual” recognition of nursing skills “have yet to arrive.”
We got the indemnity, it is ours by law, but it will arrive only after the signing of the new contract!
Nobody dares, therefore, pivoting on the latter, giving it further value (further smoke in the eyes) and inflating it, then exploit the situation to make it appear better than it is.
The contractual enhancement of nurses represents an obligatory path, a sine qua non, a fundamental step for the reconstruction of Italian healthcare.
But the nursing allowance is due by right and is already ours, so no one dares to put it into play to make it appear as an epochal concession, perhaps taking the merits of having granted it to us!
ASSIGNMENTS
There are many doubts, even on the system of assignments, from the incomprehensible exclusions of part-time staff to the provision of allowances that reabsorb overtime, except in the case of availability, to the provision of Master’s Degrees even where they would not be needed.
We are studying the document sent to us by ARAN, and the matter is quite complex.
We will do it with our usual method, ready as we are, of course, to challenge and fight, with a profound critical sense, every aspect that does not convince us and, vice versa, ready to relaunch without delay those profiles that, in our opinion, deserve more or different attention and insights.