Increase payments to doctors demanded in Russia
New payments to doctors were introduced on December 31 by Government Decree No. 2568. According to the trade union of healthcare workers of the Russian Federation, since then it has already received many requests to clarify the rules of its application, so the authorities need to issue methodological recommendations. In particular, they should prescribe that benefits are not subject to personal income tax, and the employer should be responsible for their delay under article 236 of the Labor Code, according to the organization.
In addition, it is necessary to clarify whether employees with employment characteristics, such as employees of inter-district hospitals organized from central district and district hospitals, receiving in emergency rooms and women's consultations, as well as personnel of ambulance crews, its inpatient departments, disaster medicine centers, are entitled to payments. The circle of recipients, according to the union, should also include ambulance drivers. The Action trade union, in turn, also proposed to include anesthesiologists and call-taking nurses in the list.
The Trade Union of Health Workers indicated that when calculating the amount of payment to employees, district coefficients should be taken into account, for example, coefficients for work in special climatic conditions. According to Kommersant, the government was going to apply this mechanism, but it is not spelled out in the published version of the resolution. The Action trade union considered it necessary to calculate payments based on the actual hours worked on external and internal part-time, overtime hours and work on weekends and non-working holidays.
Representatives of the Ministry of Health confirmed the receipt of letters to the publication and stressed that some proposals "have already been accepted into work." The department explained the absence of hospital staff in large cities and ambulance drivers in the list of recipients of payments by the fact that the benefits are "a measure of social support for workers in medical organizations," and not new approaches to the formation of a system of remuneration for doctors.
The introduction of new surcharges for medical workers from 2023 was announced by Russian President Vladimir Putin in December 2022, and in January the corresponding decree was signed by Prime Minister Mikhail Mishustin. It was assumed that funds could be credited after the settlement of technical issues in the first quarter, retroactively from January 1. Payments will range from 4.5 thousand to 18.5 thousand rubles, among the recipients — more than 1 million people (in total, 2.5 million people are employed in the industry).