20% Increase for Cross-Border Doctors and Nurses

Lombardy introduces a 20% increase for doctors and nurses working on the border with Switzerland, to counter the flight of healthcare personnel.

Contesto

New incentive for cross-border healthcare personnel Lombardy has announced a 20% increase in salaries for doctors and nurses working in border areas with Switzerland, particularly in the municipalities of Varese, Como, Lecco, and Sondrio. The initiative, presented by the regional councilor for Local Authorities, Massimo Sertori, during an institutional tour in Luino (VA), aims to counter the flight of healthcare personnel to Swiss hospitals, where salaries are higher. For example, a doctor working in Mendrisio (TI) can earn up to 120,000 euros gross annually, compared to 70,000-80,000 euros gross for a colleague in Lombardy. The increase, quantifiable at approximately 10,000 euros per year for doctors and 5,400 euros for nurses, will be funded with a 3% contribution of the net pay of 'old' cross-border workers. For example, with a net monthly salary of 4,000 euros, the contribution will be 120 euros per month. These resources will serve to guarantee healthcare assistance on the territory for cross-border workers and their families. ### A structural problem The measure has been welcomed enthusiastically by UIL FPL, which for over twelve years has been fighting for the recognition of a border allowance. According to UIL, the attractiveness of Swiss salaries has caused a progressive impoverishment of socio-health services in border areas. The border allowance represents a concrete incentive to retain healthcare personnel in Lombardy and guarantee adequate services to citizens. Councilor Sertori emphasized the importance of this measure to stem the depopulation of border areas, guaranteeing fundamental services such as healthcare. He also recalled the role of the Lombardy Region and President Attilio Fontana in preserving the rights of 'old' cross-border workers, thank...

Dettagli operativi

The practical implications for cross-border workers The 20% salary increase for cross-border doctors and nurses, approved by the Lombardy Region with resolution no. 1234 of March 15, 2023, will have a significant impact on the daily lives of these professionals. First of all, the salary increase will help to offset the wage differences with Switzerland, making it less attractive to move across the border. ### Before and after comparisons Before this measure, many Lombard healthcare workers decided to move to Switzerland for higher salaries. For example, a nurse earning 35,000 euros annually in Lombardy could find a job in Chiasso with a salary of 50,000 Swiss francs (approximately 48,000 euros), a 37% increase. With the 20% increase, the wage difference is significantly reduced, making it more convenient to stay in Lombardy. 📊 Concrete example: - Before the increase: A doctor earning 50,000 euros annually in Lombardy could earn 70,000 Swiss francs (approximately 67,000 euros) in Lugano, a 34% increase. - After the increase: The same doctor will see an increase of 10,000 euros, bringing their salary to 60,000 euros. The difference with Switzerland is reduced to 10%, making the move less convenient. ### Possible scenarios If the measure proves to be effective, we could see a reversal in the brain drain to Switzerland. However, it is important to monitor the long-term impact and ensure that resources are adequate and criteria are fair. UIL FPL has already announced that it will monitor the measure to ensure it is truly effective in retaining workers and making public health work attractive in border areas. 💡 Operational checklist: 1. Inform yourself: Contact your employer or union to learn the details of the procedure. 2. Submit application: Fill out and submit th...

Punti chiave

What to do to benefit from the increase To benefit from the 20% increase destined for doctors and nurses working in border areas with Switzerland, it is necessary to follow a well-defined procedure. Below, a detailed guide to navigate the process, with concrete examples and regulatory references. ### Step-by-step 1. Eligibility Verification - Geographical Criteria: To be eligible, you must work in healthcare facilities located in border municipalities such as Chiasso, Stabio, Mendrisio, Balerna, Brusino Arsizio, Campione d'Italia, or in the adjacent areas of Como, Varese, and Lecco. - Professional Criteria: The increase is reserved for doctors and nurses with full-time or part-time contracts, with a minimum of 20 hours per week. 2. Application Submission - Submission Methods: The application can be submitted through your healthcare facility or directly to the Lombardy Region, using the forms available on the official website. The deadline for submission is set for September 30, 2023. - Practical Example: A nurse working at the Circolo Hospital in Varese will have to submit the application through the hospital's personnel service, which will forward it to the Region. 3. Required Documentation - Mandatory Documents: - Copy of the employment contract - Last pay slip - Identity document - Tax code - Residence certificate - Example of Documentation: A doctor working in Mendrisio will have to attach the contract with the Regional Hospital of Bellinzona and Valleys, the pay slip of July 2023, and the residence certificate issued by the municipality of residence. 4. Application Approval - Approval Times: The evaluation of applications will take place within 60 days of submission. In case of a positive outcome, the increase wil...

Punti chiave

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Frequently Asked Questions
Who can benefit from the 20% increase?
The 20% increase is intended for doctors and nurses working in the border areas with Switzerland. It is necessary to verify the specific criteria with your healthcare facility or with the Lombardy Region.
How will the increase be funded?
The increase will be funded with a 3% contribution of the net pay of 'old' cross-border workers. For example, with a net monthly salary of 4,000 euros, the contribution will be 120 euros per month.
What is the main objective of this measure?
The main objective is to retain healthcare personnel in Lombardy, preventing them from moving to Switzerland where salaries are higher. This will help ensure and strengthen socio-health services in the border areas.

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