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OSAKIDETZA AGREEMENT
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Osakidetza will present a proposal for an agreement on Monday containing improvements to the guards and salaries system

The Medical Union of the Basque Country has welcomed the proposal, although it maintains the indefinite strike planned for September, since there is no agreement with the Ministry of Health on its own Statutory Framework.

BARAKALDO (BIZKAIA), 14/01/2026.- Numerosos profesionales de la medicina se han concentrado este miércoles frente al Hospital de Cruces en Barakaldo (Bizkaia) en el marco de las movilizaciones convocadas en varias comunidades contra el Estatuto Marco. EFE/ Miguel Toña
Medical protest at Cruces Hospital. Photo: Efe.

Osakidetza will bring to the Sectoral Health Bureau on Monday a proposal for an agreement for the medical team, which envisages a new model of guards, improvements in breaks and salary increases of up to EUR 300 per month .

This initiative isthe result of bilateral meetings with the Medical Union of the Basque Country (ESS), with the aim of improving the working conditions of medical staff, in a context in which it has the support of the union, which they consider to be a significant step forward but insufficient to meet their demands.

Health Counselor Alberto Martínez has argued that the current organizational model of health work must evolve in order to adapt to the new needs of the system, and that Osakidetza is prepared to mitigate some aspects that are causing conflict with doctors.

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Thus, the proposal includes recognition of the hardship of guards, revision of the bookkeeping system, measures to facilitate conciliation, equalization of different levels of care and progressive improvement of pay for the activities of guards.

Despite the positive assessment of the agreement, the Medical Union has maintained the call for an indefinite strike scheduled for September due to the lack of agreement with the Ministry of Health to negotiate its own Framework of Suspension for the medical profession, a process that the Basque Government continues to pursue through its own negotiating channel in the field of Basque health.

Keys to the proposed agreement

  • Guarantee the bookkeeping of on-site guards and localized overnight guards from 22:00, which shall be regarded as actual working hours and shall in no case be recoverable.
  • Take the Friday, Saturday and Eve booklets 25 days after the guard.
  • Extraordinary reserves of accumulated care.
  • Introduction of the Fixed Productivity Supplement in the calculation of the hourly price of guards, exclusively for medical personnel, updating the annual pay tables and recording a progressive increase to 38% of the guard price by 2028.
  • Gradually reducing the age of exemption from care to 50 by 2030.
  • The option of not working on the morning of the day of the guard during the week (recovering that normal day in the afternoon) or choosing to start the weekend watch at 2 "half-guards" of 12 hours.
  • A salary increase of EUR 300 per month from 1 July 2027 is planned for all doctors in Osakidetza.

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