Will the salaries of federal service doctors be raised? Latest current news about medical salaries

It is important that depending on the region, the level of remuneration may vary significantly. Both capitals have the ability to maintain the level of income of doctors and other workers in the field at a decent level, but in other regions of the country things are not always as good. If the country's leadership sets the task of leveling these levels, then the capital authorities are trying to preserve the privileges of Moscow doctors. Recently, Moscow Mayor Sergei Sobyanin announced that in 2017-2018, salaries of employees of Moscow medical institutions will be raised by 40% compared to 2016. In absolute figures, it will be 120 thousand rubles per month in 2018, the mayor promised. The mayor also called on health officials to monitor the workload of doctors. What do we have in reality today? Everything is clear with Muscovites.

Increasing salaries for doctors in 2018: plans and realities

How to live? Dmitry Nikolaenko →Sat, 01/20/2018 — 22:54 #7 Having received my first salary as a resuscitation doctor in 1994, everything became clear to me, with my prospects and the prospects of my family, but since it was a pity to leave the profession, and I love my work, I had to master a parallel non-medical business and create my own office, while also remaining on the stand in a state-owned enterprise! An income of about 500 rubles a month seems to me to be quite commonplace, go for it colleagues and don’t expect handouts!) E-lena→ Wed, 01/24/2018 — 16:15 #8 Salaries are not being increased! The rate remains minimal! But there is a system of additional payments... and they throw you a bone before the elections so that you can take it away at any time. Everything is at the discretion of local authorities. And they believe that people should be treated by hungry doctors and nurses.

Increase in salaries for doctors in 2018

Cool, isn't it?? Alina7777777777…→Sat, 01/13/2018 — 22:03 #3 and at my work, a doctor received 12 thousand and a nurse received 18,600. Olga →Fri, 03/09/2018 — 00:31 #4 Envy is a great force! Let’s give the nurses a job the Inquisition.
Elena_ 2018→Tue, 16/01/2018 — 18:35 #5 As always, lies!! I also received 20 thousand for December at 1.5 rates. Since 1990 I have been working in my specialty, the highest category.
Mira→Fri, 01/19/2018 — 17:17 #6 Today is 01/19/2018. They force me to write an application for transfer from nurses to cleaners.
All benefits, harmfulness and 14 days leave are removed. And the salary does not need to be increased, as the government promised! It’s a deception! We graduated as nurses six months ago. Now with the same amount of work for a lower salary.

The unpleasant truth about increasing doctors' salaries in 2018

It was previously noted that the base salary for doctors increased by 3 thousand rubles, while junior medical staff's salaries were increased by 2 thousand rubles, and for average medical staff - by 600 rubles. People, however, are indignant that in practice the increase that occurred was stolen by constantly growing inflation, when prices for basic goods and services in our country are growing very quickly.

Attention

The assurances of the federal authorities about priority tasks in terms of fulfilling previously assumed obligations are also striking. In this context, doctors are not left out of the list. They are promised a constant improvement in living conditions through higher wages.

Average salary in the hospital: doctors and nurses will divide the money of nurses

As a result, the authorities plan to achieve the following ratio:

1. Doctors' salaries should be twice the regional average.
2. The remuneration of junior and mid-level medical staff should correspond to the average salary in the region.

The budget for next year provides for MHIF revenues at the level of 1.89 trillion rubles. At the same time, the fund’s expenses will exceed 1.99 trillion. In such conditions, the targeted increase in medical salaries in 2018 is under threat, the Accounts Chamber warns.

In addition to the planned deficit, the fund's real expenses will be higher by 43.1 billion rubles, which will call into question the future indexation of income.

Salary of doctors 2018, increase for medical doctors, workers

This year, the government implemented two stages of indexation of doctors’ salaries:

• by 7.5% at the beginning of the year;
• up to 180% of the regional average from October 1 (for middle and junior medical staff this figure should be 90% and 80%, respectively).

Previously, representatives of the Ministry of Health noted structural problems of the current insurance system, which could interfere with the targeted increase in the salaries of doctors from January 1, 2018. In search of the necessary resources The government planned to attract resources for the planned increase in wages for health workers from three sources:

1. MHIF funds (including support from the federal budget).
2. Regional finance.
3. Internal optimization (staff reduction, sale of property, etc.).

The revenue portion of the Compulsory Medical Insurance Fund is generated from insurance premiums, the Ministry of Health emphasizes.

When will salaries and wages for doctors be increased in 2017 and by how much?

Important

Internal optimization did not bring the expected savings in financial resources (officials planned to finance up to 30% of future salary increases from this source). The number of personnel has decreased by only 5-7%, and the plan for the sale of property is systematically not being implemented.

Analysts believe that the planned increase in salaries of public sector employees (including doctors) in 2018 will lead to a significant increase in the budget deficit. As a result, much will depend on the dynamics of the oil market, which forms the lion's share of state treasury revenues. Oil factor Increase in oil prices to 60-65 dollars per barrel.

Salaries for doctors in 2018

The medical profession cannot be compared with others, given the important role that doctors play in the life of modern people. It would seem that representatives of this profession should be as well off as possible.

But in reality the picture looks much less optimistic. Doctors are constantly trying to figure out when and by how much their salaries will be increased. Based on the latest news, we can state that in the foreseeable future, namely in 2018, doctors should not count on any major changes in terms of real wage growth. The corresponding disappointing conclusions can be drawn by analyzing the draft budget of the Federal Compulsory Medical Insurance Fund for the next year. The Ministry of Health did not hide the fact that there is simply no money to increase doctors’ salaries.

In 2018, there will be another increase in the salaries of doctors, which will ensure the implementation of the May presidential decrees. Officials note that next year’s budget provides resources for indexing the salaries of medical staff.

However, experts believe that imbalances in the current compulsory insurance system may jeopardize the implementation of the authorities’ ambitious plans. Content

• 1 Increase for health workers
• 2 Finding the necessary resources
• 3 Oil factor

Increase for health workers In 2018, the goals set out in the May decrees will be achieved. In particular, the salary of medical staff will reach the target level, representatives of the Compulsory Medical Insurance Fund emphasize.
Let's imagine what these sources might be:

1. Direct funds from the Compulsory Health Insurance Fund. Most likely, it will be he who will take the main cut, since he serves as the main target medical fund.
2. Additional subsidies from the federal budget.

   Increasing salaries for doctors is a very public image measure for the country's leadership before the elections, so infusions of assistance from other budget sources are guaranteed.

3. Funds of the subjects of the federation. In the context of sanctions and crisis, there has been a steady tendency to delegate part of the costs from the federal to the regional level.

   It is unlikely that the share of wage financing will bypass the budgets of the constituent entities.

4. Optimization.

Is it true that salaries for health workers will be increased from July 1

The MHIF was able to form a reserve of financial resources, which will be used for future increases. However, in the future, the authorities will have to choose one of the alternatives:

• adjust contributions to the Compulsory Medical Insurance Fund, which will provide the fund with the necessary resources;
• increase transfers from the state treasury.

Some regions cannot cope with the planned rate of salary increases, which forces local authorities to turn to the federal center for help.

Experts from the Health Foundation also emphasize that in many regions of the federation the target indicators for 2016-2017 have not been achieved, which casts doubt on future salary increases. Local budgets should provide 30% of future increases in wages for medical personnel, experts say.

And on average across the country, if the task set by President Putin is completed, by the end of 2018 doctors should have a salary of 90 thousand rubles. But there is one big trick: Starting from 2017, the income of not only state healthcare institutions, but also private sector owners is added to the common “piggy bank”.

Add to this regional “scissors” - and the picture becomes even more confusing. Now officially the average salary for doctors is 47 thousand rubles.

In private clinics today, the “average” cosmetologist or other specialist has 90 thousand. A municipal therapist in Ingushetia can count on only 23 thousand per month, but in the Yamalo-Nenets and Chukotka Autonomous Okrug it reaches 110 thousand (including northern allowances).

Nurses are content with a salary of 20 thousand, and also on average.

The salary of doctors is one of the hot topics discussed in society today, because, despite the importance and demand of this profession, the salaries of health workers remain quite low, and even the government’s promise to raise the salary of doctors from January 1, 2019, as evidenced by the latest news, cannot stop the outflow of personnel.

Should we expect the situation to improve, and what will doctors’ salaries be next year? We offer you to understand the problems of financing and the features of calculating the salary plans of a health worker.

Relevance of the problem

Of course, the problem of low wages is relevant for many areas dependent on government funding. But the salaries of doctors require special attention from the leadership of the Russian Federation in 2019, because the path from a medical university applicant to a highly qualified specialist in the field of medicine is very long and today there is an acute shortage of personnel in public medical institutions in the country. Experienced doctors are looking for more lucrative jobs in private clinics and abroad, while young people are in no hurry to apply to medical universities, clearly understanding that after difficult and lengthy training they will be faced with responsible and difficult work with low pay.

There is a way out, and it lies in reform, part of which is a new decent salary for doctors, designed to bring a tangible improvement in the well-being of doctors already in 2019, as well as other measures aimed at increasing the prestige of the profession.

Doctor's payroll

The salary of a health worker, as in many other areas, consists of the following components:

• salary;
• additional payment for labor intensity;
• allowances for length of service and category;
• regional allowances and compensatory surcharges, calculated taking into account correction factors adopted for a number of regions of the Russian Federation;
• bonuses, night shifts, overtime, etc.

In this case, only the first parameter is subject to indexation – the rate (basic salary), while the size of the variable component of a doctor’s real income in many government institutions drops sharply, as noted by the doctors themselves.

Of course, if we take the statistics of large medical centers in Moscow, St. Petersburg and other Russian megacities, the percentage of personnel outflow will not be large, but nationwide, over the last 5 years, more than 90,000 specialists have left medicine, which confirms that the problem exists and requires an immediate solution.

Previous attempts at reform

This is not the first time that talk about increasing the income of health workers has come up. According to the “May decrees” signed by the president 5 years ago, by 2017 doctors’ incomes should have reached a record 180% of the average income in the region, and by 2018 – all 200%. And, although most doctors did not feel a real increase in income, beautiful figures appeared in the industry’s reporting documents confirming the implementation of the reform.

In real life, doctors were faced with the so-called “optimization”, in which the following occurred:

• job cuts;
• unification of sections and entire departments;
• increasing overtime hours and the number of night shifts.

Thus, the workload on the doctor has significantly increased, which naturally does not contribute to improving the quality of the specialist’s work, and income, at best, has increased slightly or remained at the same level. At the same time, for doctors who remained working as before, their income remained approximately within the following range:

• 27,000 – 35,000 rubles for doctors;
• about 20,000 rubles for junior and mid-level medical staff.

Of course, there are also regions in which the salaries of doctors can truly be called decent. These include Moscow, St. Petersburg, Sakhalin and Khanty-Mansiysk Okrug. The highest incomes, reaching 117,000 rubles per month, were recorded in Chukotka.

What to expect in 2019?

Talk that the salaries of doctors should increase significantly in 2019 in accordance with the same “May decrees” gives hope, but the latest news in the economic sphere suggests that the chosen path will not be simple and easy. Negative events such as a drop in oil prices and the imposition of economic sanctions undermine the country’s economy, but the financing of the medical sector is fully borne by the budget. It must be remembered that the planned increase in payments to employees of state medical institutions will require an additional 95.5 billion rubles from the budget by 2019, and another 170 billion by 2020.

Naturally, no one canceled indexation and from January 1, 2019, doctors’ salaries will be increased by 5.5%, which will not even cover the projected increase in prices for various groups of goods.

It is difficult to say whether the promise of a significant salary increase will be realized. Most likely, this law will add to the list of projects that are destined to remain only on paper, and by the beginning of the new calendar year there will be a list of amendments that will push back the fulfillment of the promise to more distant dates. And how I would like this assumption to be wrong...

The profession of a medical worker is one of the most responsible, therefore it is precisely such workers who should receive an adequate income for their work. If a doctor is forced to constantly take extra hours, look for part-time work, or work part-time in a private clinic, then he is unable to provide high-quality medical care for a long time. The doctor simply gets tired of the overwhelming amount of work, which is why doctors need to be paid a decent salary. So what will the salary of doctors be in 2019, will it really be increased or will we have to be content with indexation this time.

Games with salary part and working hours

Some medical workers are joking about the salary cut after the latest increase. According to documents, wages have increased, but in reality they have remained the same at best. This effect was achieved due to a simultaneous increase in salary while reducing the variable part of the salary, as well as the redistribution of bonuses and incentives. As a result, salaries actually became higher, but in fact some of the medical workers ended up losing.

We should not forget that the reported increase in doctors’ salaries was partly due to an increase in workload. As the number of working hours and night/weekend/holiday shifts increased, wages also increased. At the same time, there was a slight reduction in staff to ensure there was enough work for everyone. Within one institution, the number of employees who left is small, but throughout the country, about 90 thousand employees of government medical organizations moved to commercial clinics or other work.

Declared 180% and actual salaries

The idea was correct; it was assumed that by 2017, doctors’ salaries would reach 180% of the regional average. By 2018, the figure was supposed to reach 200%, while for middle and junior medical personnel the salary is planned to be 100 percent relative to the regional average.

The same 180-200% may actually be real numbers in all reports and statistics. Just don’t forget that in fact, a salary that is 2 times the average for your region of residence in rubles can be quite modest. In addition, the crisis situation in the country has affected the incomes of workers in all areas, which in some cases has led to a drop in their salaries. As a result, the average salary also fell, so most of the 180% figure appeared without a real increase in the income of doctors. That is, their payments were not increased as much as the regional averages dropped. At the same time, we should not forget about manipulations with the increase in salary without an actual increase in wages.

The salaries themselves are not at all as high as many people think. Official statistics are far from being as accurate, especially in terms of reflecting the income of citizens. In fact, most medical workers receive a salary of about 20-35 thousand rubles. Moreover, the smaller figure is the income of junior and mid-level personnel, and the doctors themselves receive a little more. This does not mean that almost all doctors have a salary of 35,000 rubles; they still need to “work up” to such payments. However, there are those who receive more than 50 thousand rubles.

According to statistics for 2017, quite low salaries for doctors with all sorts of additional payments were recorded in a number of regions. For example, we can consider 5 regions and republics in order of increasing income:

1. Kalmykia - 27.3 thousand rubles.
2. North Ossetia - 28 thousand rubles.
3. Ulyanovskaya - 30 t.r.
4. Penza - 33.4 thousand rubles.
5. Samara - 35 t.r.

At the same time, in the capital, a simple therapist can easily earn over 60 thousand, and if we take the average income of doctors in some regions, including the Moscow region, the amounts are quite large. As an example, we can consider the average salary of doctors in both capitals, Chukotka and Khanty-Mansi Autonomous Okrug - the amount is about 117 thousand rubles. At the same time, many will immediately say that such amounts are indecently large, while other doctors are paid 30 thousand rubles. The unevenness of salaries is actually present, but still does not reach such values ​​- the size of average incomes is influenced by the accruals of chief doctors, neurosurgeons and other highly paid specialists.

Planned salary increases and real budget possibilities

Several years ago, the so-called “May Decrees” appeared. In accordance with these orders, the salaries of medical workers should increase over a long period of time by an indecently large amount of interest. Initially, it was planned to systematically increase the income of doctors to a respectable amount, so convincing that doctors would not have to take on many part-time jobs while maintaining a high standard of living.

It is clear even to people far from the economic sphere that money for the salaries of health workers in government institutions comes from the budget. After an endless stream of crisis events and such a rapid drop in the price of oil, significantly less money began to flow into the budget. If the situation had been short-lived, the problems could have been avoided, but the price of oil remained low for too long, so many forecasts were not destined to come true.

In order to implement the planned increase in doctors’ salaries in 2019, it is necessary to find “free” 95.5 billion rubles in the budget. A similar measure in 2020 will require another 170 billion rubles. There is a law, but there is no money to implement it, and for quite objective reasons. The issue of increasing doctors' salaries is stuck; the law stipulates an increase, but there is a high probability that additional regulations will appear that will postpone the implementation of the plan to a later date. At the same time, no one forbids hoping that the situation will urgently improve, large revenues will begin to flow into the budget, and wages will increase in the previously promised periods.

Every year, in accordance with the program defined in Russia, salaries for medical workers are increased. The actions taken by the government are aimed at increasing the level of prosperity. It is planned to increase salaries for doctors in 2018 in accordance with plans implemented over the past 5 years.

The program to increase the salaries of medical workers was reflected in the “May Decrees” of the Russian President, promulgated as part of the 2012 election campaign. The head of state intended to increase the income of doctors by 200% in comparison with average salaries in the regions. Salaries of medical personnel should increase by 100%.

The current situation is due to an increase in the real income of doctors by 180% in comparison with the average earnings of citizens in certain regions and territories. The government has the necessary resources to further implement the program in 2018.

Healthcare reform – what are the difficulties?

Despite obvious successes in the healthcare sector, the industry faces a number of difficulties during reform. The implementation of the “May Decrees” is complicated by external factors, expressed in a number of unfriendly countries. The emerging economic crisis against this background is leading to a budget deficit and the increase in doctors’ salaries in 2018 is in question.

They strive to achieve the assigned tasks through personnel optimization. They are reducing the number of medical workers, closing some departments, shifting the duties to other employees. The total number of doctors in the country has decreased by 90,000 people since 2012. People remaining on work shifts work at 1.5 times the rate, additionally taking night shifts.

Income of doctors - what does it consist of?

The current income of employees of medical institutions consists of several components:

• coefficients of subjects of the Russian Federation;
• allowances are accrued depending on the length of service and category of the employee;
• additional payments - depend on the complexity of the duties performed and the intensity of work;
• basic salary.

Salary increase for doctors in 2018 – what will it be?

What the salary increase for doctors will be in 2018 depends on the region of the country. The mayor of Moscow promised to increase doctors’ incomes by 40%, raising real salaries to 120,000 rubles. per month. At the same time, health officials will monitor the workload of doctors. The implementation of the “May Decrees” implies an increase in wages by the end of the year to 90,000 rubles. When making calculations, it is necessary to take into account related factors that allow us to assess the real picture of the level of income of industry workers:

• the calculation of the average salary is carried out taking into account the income of not only doctors working in government institutions, but also people working in private clinics;
• difference in regional coefficients;
• calculating the average salary does not reflect the real income of specific people.

For example, the average income of medical workers is 47,000. Employees of private cosmetology clinics can receive up to 90,000, and municipal therapists in the republics of the North Caucasus live on 23,000 rubles per month. Thanks to the “northern” bonuses, employees of medical institutions in the Chukotka Autonomous Okrug receive up to 110,000 monthly. Nurses earn an average of 20,000, but many actually live on 13,000 a month.

These are the trends for the first half of 2017:

• decline in real incomes in certain regions of the country;
• insignificant growth in 25 federal subjects;
• decrease in real incomes taking into account current inflation rates.

The government indexed the salaries of doctors at the end of 2017 by 5.5%, that is, by the amount of inflation (see).

What will doctors' salaries be in 2018: latest news

What will the salaries of doctors be in 2018 in the latest news, said Deputy Prime Minister Golodets. The member of the government hoped for the full implementation of the “May Decrees” in accordance with the social program currently being implemented to improve the well-being of citizens. It is planned to allocate 670 billion from the state budget for the implementation of the program. It is planned to inject twice as much money into the industry compared to 2017.

The Ministry of Finance plans to increase real incomes of the population in 2018 by 4.1%. It is planned to allocate 80 billion from the budget for medicine, only to increase salaries. It is planned to increase the per capita standard by 21.7%, for which more than 333 billion will be allocated from the budget. The standard reflects the amount of funds allocated for each employee assigned to a specific medical institution for 1 year.

The government’s assurances are encouraging; all that remains is to wait for their implementation and compare income growth with real inflation.

News feeds are full of headlines about increases in wages for doctors in the near future, and doctors’ salaries in 2018 should increase by 200%. This topic was raised back in 2012, when Vladimir Putin, who holds the post of Prime Minister, presented a strategy to increase the salaries of healthcare workers. The end point of the transformation is January 1, 2018.

It’s time to figure out what the amount in monetary terms will be on lucky January 1, which made such an increase possible, and whether there are any pitfalls in this process.

Salary increase program

The wage increase program is designed for a five-year period. It was published on May 7, 2012, and since then, according to statistics, the average salary of health workers has been growing steadily. Increases in percentage:

• The average salary increased by 24% in 2013;
• another 13% in 2014;
• an increase of 17% in 2015;
• as of October 1, 2017, payments should increase by 180% of the starting average salary in 2012;
• January 1, 2018 – the coveted 200% for doctors and 100% for medical staff.

According to the forecasts of Deputy Prime Minister of the Russian Federation Olga Golodets, the plan is being implemented, and the money for its implementation has already been allocated to the state budget. The upcoming elections in the Russian Federation can also become a guarantor of such an increase.

Real numbers and average salary calculation

According to government reports and forecasts, the implementation of the plan is in full swing, so in 2018, doctors should receive approximately 90 thousand rubles, but there is one caveat - this is the average salary.

Since 2017, when calculating the average salary, the salaries of not only government institutions, but also private clinics are taken into account. In addition, data from all regions of the country are taken into account. So it turns out that with an average amount of 45 thousand rubles, the average gynecologist and cosmetologist in private clinics already receive their 90 thousand, but a full-time municipal therapist receives no more than 40,000.

There is a huge difference in the amounts by region, for example, according to the Russian statistical office, doctors in Ingushetia receive 23 thousand, in the capital - 81,000, and doctors of the Yamalo-Nenets and Chukotka Autonomous Okrug live the most comfortably on just 110 thousand rubles. Please note that the latter regions are unlikely to be affected by the long-awaited increase in medical salaries in 2018; a 3% decrease in growth dynamics is already observed.

Pitfalls of health care reforms

To increase the salaries of public sector employees, a lot of money is needed, and it needs to be taken from somewhere. There has been no obvious economic leap in recent years, but there has been a wave of layoffs. During the implementation of the “May plan”, 90 thousand health workers were fired. The remaining doctors often took one and a half times the rate, thus independently increasing their income. Not everything is transparent with the salaries of those who continue to fulfill the Hippocratic oath. There are increases, but at the same time there is also an increase in the level of inflation, and over these five years prices in stores have been rising like mushrooms after rain. So 5 - 7% salary growth allows specialists to simply stay afloat.

What to expect for doctors in 2018

According to the latest news, the promised 200% increase is postponed to an unspecified date, but the government promises that the year will not change. Increases are planned, but throughout 2018, but what officials guarantee is maintaining the achieved level throughout 2019.