Increasing the income of public sector employees has been and remains one of the priorities of the state's social policy. Among them are medical workers. Will there be an increase in the salaries of doctors in 2018? Should we expect a real increase in income or only alignment with the inflation rate? How are the May Decrees of the President being implemented in this part? All answers are in our article.
5 years ago Russian President Vladimir Putin in his May decrees he set a strategic task:
To bring the level of salaries of doctors in 2018 to 200% of the average for the region. For nursing staff, the bar is set at 100%.
According to the authorities, already in the current 2017, in a number of regions and territories of the country, the income of medical personnel approached the mark of 180% of the regional average. Olga Golodets, who is responsible in the government for the social direction, pleased with the message that the money for the implementation of this project was programmed in the budget. Physicians can only improve the quality of services, receiving a decent remuneration for their work.
An important component of this process is the equipping of the country's medical institutions with high-tech modern equipment. I am glad, as Vladimir Putin emphasizes, that about 60% of such high-precision equipment is produced in Russia, some of them are made at defense plants as part of conversion programs.
Moreover, it really now comes to remote regions. For example, in the Arkhangelsk region, complex vascular operations are performed, including stenting by the endovascular method, that is, a stent is placed on large vessels without incisions, through a puncture in one of the large arteries. And recently, in the same place, in the city hospital of Arkhangelsk, a donor kidney transplant was performed for the first time.
The first problem lies on the surface - the economic difficulties of the country lead to a shortage of finance, this is the first brake on the way to increase the salaries of doctors in 2018.
Therefore, the issue is partially resolved through “optimization”, but simply through the reduction of staff and consolidation, and even the closure of branches.
In the five and a half years that have passed since the announcement of the Decrees, 90,000 health workers have lost their jobs. And the process will certainly continue in the coming years.
The remaining employees have to take on the increased workload. It's no secret that many doctors and nurses, orderlies work for one and a half rates, plus night shifts. But even these "surplus profits" are partially eaten up by inflation, the growth of retail prices and tariffs for various services.
At the end of October, an obstetrician-gynecologist who worked at the Angarsk Perinatal Center died. She was on duty for at least 24 hours, many sources reported that her "working day" lasted 30 hours without a break. The body could not withstand the load, especially since this was far from the first long-term duty of a responsible qualified employee of the maternity hospital.
If the salary grows from time to time, then it is quite possible to lose bonuses and other allowances: here, how the authorities will look.
It is important that depending on the region, the level of wages can vary markedly. Both capitals have the opportunity 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 far from always so prosperous.
If the country's leadership sets the task of leveling these levels, then the authorities of the capital are trying to preserve the privileges of Moscow Aesculapius. Recently, Moscow Mayor Sergei Sobyanin announced that in 2017-2018 the salaries of employees of medical institutions in Moscow will be raised by 40% compared to 2016. In absolute terms, it will be 120 thousand rubles a month in 2018, the mayor promised. The mayor also called on health officials to monitor the workload of doctors.
With Muscovites, everything is clear. And on average across the country, if the task set by President Putin is fulfilled, by the end of 2018, doctors should have a salary of 90 thousand rubles. But there is one big trick here:
Starting from 2017, the income of not only state healthcare institutions, but also private sector companies is added to the common “piggy bank”. Add to this the regional "scissors" and the picture becomes even more confusing.
Now officially they already call the average salary of doctors 47 thousand rubles. In private clinics today, the "average" cosmetologist or specialist of a different profile has 90 thousand. A municipal therapist in Ingushetia can count on only 23,000 a month, while in the Yamalo-Nenets and Chukotka Autonomous Okrugs it reaches 110,000 (including northern allowances).
Nurses are content with a salary of 20 thousand, and also on average. In a number of regions of the country, a decrease in the salaries of medical personnel was noted in the first half of 2017 - these are Ingushetia, Adygea, Dagestan, the Jewish Autonomy, the Arkhangelsk Region and the Nenets District.
25 regions showed an increase, but for a very small amount, say, in Altai it is plus 53 rubles per month. And somewhere even less. The disproportions are especially visible against the background of the incomes of Western doctors. In terms of our money:
In October 2017, the salaries of medical workers were indexed by 5.5%. Deputy Prime Minister Olga Golodets hopes that in 2018 the implementation of the May Decrees of the President will be fully implemented. They are otherwise called Program for the development of social guarantees».
Some experts express doubts that the May Decrees can be implemented as early as next year.. But the Deputy Prime Minister is more optimistic. Golodets recalls that more than 670 billion rubles have been allocated from the state treasury for the implementation of the project. If we compare the financing of the medical industry in terms of salaries this year and next year, then optimism looks justified. In 2018, two times more funds will be sent to different regions of the country than a year earlier. In this regard, the prospects for a tangible increase in the salaries of doctors in 2018 look real.
Colleague echoes and Minister of Finance. Anton Siluanov foresees an improvement in the situation in public sector in general in the near future:
Real wages are projected to rise by 4.1 percent next year. This is also due to the fact that we are increasing salaries and payments in the public sector.
80 billion rubles will come from the budget in 2018 to the medical industry specifically to increase wages. This was announced by the head of the Ministry of Labor of the Russian Federation Maxim Topilin. In part, the growth of salaries in healthcare is possible due to such a factor as the per capita standard. In 2018, it will increase by 21.7%, which will amount to 333.2 billion rubles in total. This standard can be described as the amount of funds allocated per year per person attached to a particular medical institution, according to the system of mandatory health insurance.
News feeds are full of headlines about the increase wages doctors in the near future, and the salary of doctors 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. January 1, 2018 was named the end point of the transformations.
It's time to figure out what the amount will be in monetary terms on happy January 1, which made such an increase possible, and whether there are any pitfalls in this process.
The salary increase program is designed for a five-year period. It was published on May 7, 2012, and since then, according to statistics, average salary healthcare workers is growing relentlessly. Percentage increase:
According to the Deputy Prime Minister Russian Federation Olga Golodets, the plan is being implemented, and the state budget has already allocated money for its implementation. The forthcoming elections in the Russian Federation can also become a guarantor of such an increase.
In 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 wage, salaries are taken into account not only public institutions but also private clinics. 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, already now the average gynecologists and cosmetologists in private clinics receive their 90 thousand, but a full-time municipal therapist receives no more than 40,000.
There is a huge difference in the amounts and by region, so according to the Russian statistical office, in Ingushetia, doctors receive 23 thousand, in the capital - 81,000, and the Aesculapians of the Yamalo-Nenets and Chukotka Autonomous Okrugs live most freely on 110 thousand rubles. Note that the long-awaited salary increase for physicians in 2018 is unlikely to affect the last regions, a 3% decrease in growth dynamics is already observed.
To raise the salaries of state employees, a lot of money is needed, and they need to be taken from somewhere. There has been no obvious economic leap in recent years, but a wave of cuts has taken place. During the implementation of the "May Plan" 90,000 medical workers were fired. The remaining doctors often took one and a half rates, 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 in parallel there is an increase in the level of inflation, and over these five years, prices in stores have been growing like mushrooms after rain. So 5 - 7% salary growth allows specialists to simply stay afloat.
According to the latest news, the promised 200% increase is carried over to an indefinite date, but the government promises that the year does not change. Increases are planned, but during 2018, but what officials guarantee is maintaining the achieved level throughout 2019.
In the priorities of the authorities Russian state Much attention is traditionally paid to the state of the domestic health care industry. To date, important aspects of the official policy in this direction are considered to be an increase in spending on the technical equipment of medical institutions, as well as an increase in the remuneration of health workers. The acquisition of high-tech equipment that meets modern standards, the renewal of inventory and the repair of premises in medical organizations, the provision of clinics and hospitals with new furniture, auxiliary devices and tools, medicines and medicines, consumables and other necessary components - all these activities are actively financed today from the budget. A separate issue is the increase in salaries for doctors in 2018 in Russia. The latest news unequivocally testifies to the intentions of the Government of the Russian Federation to implement in the very near future a set of measures aimed at increasing cash payments to doctors and other representatives of medical personnel.
Indeed, the plans of the country's leadership provide for a tangible increase in wages for healthcare workers in the Russian Federation. For example, the remuneration of nurses will double (by 100%) with a focus on the average salary for the medical staff of the corresponding group in each specific region. For the salaries of doctors - healthcare workers of the highest category - a threefold increase (by 200%) is planned relative to the average salary in the medical field for each specific subject of the Federation. Thus, in order to assess the scale of the expected increase in cash payments to doctors and other medical staff (middle, junior), the salary level that was in effect for these categories of health workers by the end of 2017 should be raised by the appropriate percentage.
Meanwhile, it should be noted that the increase in wages announced for 2018 for workers in Russian medicine will most likely be carried out gradually and take into account the specifics of a particular subject of the Russian Federation. Presidential Decrees of 2012 provide that the coming of 2019 should be marked by the following positive changes that directly relate to the field of public health:
Of course, all of these measures listed above currently require significant funding. This circumstance causes an increase in the priority of public spending on medicine in the structure Russian budget. It should be noted that from 2012 to 2017, inclusive, cash payments to all categories of medical personnel have been steadily increasing, as evidenced by statistics. It should be noted that the percentage of this increase has also increased over the years.
Russian healthcare workers, of course, are asking questions about the prospects for growth in their wages directly in 2019. The trends of past years and recent statements by representatives of the authorities indicate that the amount of monetary allowance for doctors will still be increased. The largest percentage The increase, as before, will be typical for the salaries of doctors (200%). Middle and junior medical staff will receive 100% more in 2019 than in the previous 2017.
Of course, in different regions of the Russian Federation, the amounts of increased cash payments to medical workers will differ, since the average salaries of medical staff differ significantly depending on the specific region.
In order to assess the prospects for a possible increase in salaries in the medical industry of the Russian Federation, one should start from those guidelines that were outlined by the Government of the Russian Federation in the very first days of 2017. So, minimum size monetary allowance should be in general for the Russian Federation by the onset of 2019:
It is emphasized that these salaries determine the minimum wages for doctors in 2019. In other words, you can't pay less. According to the information of the relevant ministry in charge of the healthcare sector in the Government of the Russian Federation, when determining these benchmarks, information on the average salary in 2016, 36,700 rubles, is taken as the base. It turns out that junior medical staff should be paid a salary corresponding to the average minimum.
If we consider the salaries accrued to nurses and doctors during previous years, then it should be noted that by the end of 2016 and the beginning of the second half of 2017, the salaries of health workers had increased by about 180%. Applying the averaged approach, it can be argued that such dynamics of cash payments is very significant for the realities of the Russian Federation. Such an increase corresponds to the instructions of the President of the Russian Federation, formulated, as you know, back in 2012. It was stated then that the size of the monetary allowance of medical workers should be twice as much as the amount of wages in other areas of activity. This statement emphasized the awareness of the complexity and importance of the work of physicians, who are actually responsible for maintaining the health and life of the population of the Russian Federation.
So 2019, all things considered regulations and declarations of state officials, should become a period of another increase in cash payments to Russian doctors, as previously planned. This measure will effectively contribute to the improvement of medical care for the Russian population, and will also allow to adequately improve the standard of living of domestic healthcare workers.
Most importantly, the previously announced salary increase should apply to health workers of all categories - both junior and middle-level personnel, and doctors.
A separate aspect is the proper motivation of today's medical students to ensure that after completing their many years of study, they still carry out labor activities in the domestic field of health care, without leaving the ranks of Russian medical workers due to insufficient financial allowance. Physicians should be paid at a decent level, working conditions should be conducive to attracting young personnel to this area who seek to work in medicine by vocation.
Previously, there was a serious problem when a health worker who wanted to earn more was forced to work with significant overtime, that is, take more shifts, rates, and so on. Naturally, this did not affect his physical and moral condition in the best way. The fatigue of doctors and nurses does not at all favor high-quality treatment, which negatively affects the overall health situation in the Russian Federation.
The so-called may decrees, issued and published by the head of state in 2012, prescribe to exclude situations in which medical workers, consciously guided by the desire to receive an increased amount of monetary remuneration, work longer and more than they are provided for by the norms established in the Russian Federation. In other words, the practice of excessive overwork in the medical industry should be abandoned - they should be replaced by a sufficient amount of monetary allowance provided to domestic healthcare workers.
2018 is the latest in a long-term plan to improve the living standards of teachers and doctors, which was called for in the so-called May 2012 Decrees. In the new year, the incomes of medical workers should exceed the average salaries in the region in which the physician lives, twice. For this, in particular, a decisive increase in the salaries of doctors in January is planned. The salary of doctors from January 1, 2018 - what is the latest news from the government about by what percentage will the income of medical workers increase after indexation.
Those who have even half-heartedly observed all these years what is happening around the so-called May decrees know that a variety of tricks of the authorities were used to achieve them. In 2018, of course, there can be no talk of real performance and the achievement by the average salary of a doctor of a two-fold excess over the average salary in the region in which he lives.
One of the clearest examples that directly affects medicine. For paramedical personnel, that is, orderlies and nurses, as well as junior nurses, according to May decrees, the goal was to bring their income to the level of the average salary in the region. The goal is definitely correct. However, in some regions, a simple step was invented - the nursing staff was reduced, but the workers were not fired, but transferred to the positions of technical personnel. At the same time, their salaries turned out to be even lower than before.
For example, in Sverdlovsk region most hospitals did just that, and the nurse, who received 17 thousand rubles a month, began to receive 12 thousand, and her annual leave was more than halved - from 60 working days to 29 calendar days. This situation is proved not only by the stories of the workers themselves, but also by documents - in job descriptions janitors were included the duties of an orderly.
In principle, even officials do not deny such a situation. The Minister of Health of the same Sverdlovsk Region directly said that by 2018 the junior medical staff would be cut four times. In large and seemingly wealthy St. Petersburg, there is a similar story - the authorities directly announced that they laid off half of the junior medical workers, transferring some of them to the category of technical workers, with the same goal - saving the salary fund and distributing money in favor of the remaining medical workers to perform May decrees.
Thus, it was formally promised that medical workers would live better, but in fact many began to live even worse.
Although officials, most likely, will be able to bring the necessary indicators to the required level, and on the eve of the presidential election, President Putin will report that his decrees of 2012 have been implemented, which means that he has done an excellent job with his duties and has the right to lead the country again.
The above example of how the medical staff was treated is just one of many examples of statistical fraud. Journalists also wrote about more global work with numbers, when the average salaries in the regions were artificially restrained, and the average salaries of doctors were artificially increased. Including, for example, due to the inclusion in the calculation of income of doctors from private clinics, who most often receive more than their counterparts from state medical institutions.
Judging by the latest news that comes from the government, the percentage of salary indexation for doctors will indeed turn out to be quite good in 2018. Finance Minister Anton Siluanov called the percentage of indexation for state employees included in the May decrees at 23%.
This is significantly more than the 4% indexation percentage that most other state employees expected in 2018, from the police and the army to the officials themselves.
In the autumn of 2017, the Minister of Health Veronika Skvortsova reported on how much medical workers in Russia receive. According to her, in the first half of 2017, health workers in Russia received on average per month:
Such data were announced at the congress “Russian Health Care Today: Problems and Solutions”.
According to the portal Trud.Com, the income of doctors in Russia is much more modest than in the minister's report. According to portal analysts, the average salary of a doctor in 2017 was 30-35 thousand rubles a month.
One of the most demanded tasks is to improve wages for deserving professions this year. Are we expecting a salary increase in 2018 in Russia, what last news and statements were mentioned on the Runet, which can help to make the most objective overview of the problem and answer this question. Who will receive higher profits?
First of all, it is worth considering the statements of our President. In them, he proposes to index the salaries of state employees who were not affected by the changes announced in the May Decrees, which were created about six years ago. An order has already been issued to the heads of all regions, which clearly states that funds should be found in order to increase salaries and compensate for the current lack of budgets. Who will be lucky enough to join the ranks of those who will receive an increase in their wages?
First, it should be noted that a worthy salary increase for doctors is planned in 2018 in Russia: the latest news says that doctors will finally start earning decent money, commensurate with the efforts expended, but when exactly will the increase occur? The increase in salary should take effect from the first month of the year and will be equal to approximately two average incomes in the Russian Federation. This statement was made by Olga Golodets, who holds the post of Deputy Prime Minister of the Government. She promises that the minimum wage in 2018 will be improved with money put in the country's federal budget.
Olga Golodets, Deputy Prime Minister of the Government of the Russian Federation
In addition to doctors, I would like to touch upon such an issue as the increase in salaries for nurses in 2018 in Russia: what is the latest news about this profession? They have a lot in common with doctors, but there are differences. For example, if the salary increase for doctors reaches two hundred percent of the average salary, then for nurses it will reach one hundred percent of the average salary, official sources say. In addition, physicians should be warned not to be too deceived, since the concept of “average salary” is not at all what it is in reality. The salary differentiation of nurses is more striking than that of physicians. This is the result of an unequal attitude to the work of doctors.
In addition to doctors, teachers can also expect a salary increase. Their salary can rise to the same level as doctors. But, unlike doctors, the salary increase will not take place from the beginning of the year, but only in October, to be more precise, by Teacher's Day. Teachers' income will be increased by 200% compared to salaries six years ago.
Initially, the increase was planned to be made gradually, but due to the crisis, which began four years ago, it became impossible to increase the salaries of teachers. It is still not clear until the end whether they will be able to fulfill the promise this year, given the large-scale deficit federal budget. It is impossible to answer this question unambiguously. But, despite this, teachers need not worry, the increase in their salaries will take place completely in line with the general level of inflation. As a rule, this is somewhere around 6%, teachers will have such an allowance very soon.
And one more thing. If we finally analyze the topic with doctors, then what kind of salary increase for doctors in 2018 in Russia can we expect, what other fresh news is there on this topic? The government has repeatedly dealt with such a question as the younger generation entering medical institutes. Students must be motivated to work in their specialty. Therefore, if wages are raised by high level, the working conditions will become more favorable and attractive.
During recent years programs were developed, the purpose of which was to replenish the budget for health care. Compulsory health insurance contributions should be raised to twenty-one per cent to improve health care provision. Then there will be money for the latest equipment, and it will be possible to increase the wages of medical workers, which applies to both doctors and nurses. In addition, there was a rumor that an amount of 450 billion rubles was reserved to increase the salaries of doctors.
Now about the police officers. These structures have been forced to undergo various reforms over the years, such as changing their name from militia to police. In addition, internal optimization was carried out, which affected the number of units. These changes must have had some kind of impact on the income of employees.
According to our President, the salary of law enforcement officers is doubled already this year. The Ministry of Finance only confirms the words of Vladimir Vladimirovich Putin, but there is no exact data on the size of the increase in salaries yet. If we take into account the May decrees of the President, then employees are guaranteed a 160% increase in salaries compared to salaries that were almost six years ago. All benefits and surcharges will remain at the previous level.
Looking at the current economic situation, it should be noted that it is unlikely that it will be possible to implement those changes that have been conceived for a long time. But law enforcement officers can be consoled by such information that in any case there will be an annual increase total amount salaries by 5.6%, and salary by 8%.
And the latest news about the increase in doctors' salaries in 2018 in Russia, a list of interesting facts about the salaries of medical workers:
In Moscow, doctors receive 90,100 rubles.
This is where you can finish the review of the topic “increasing salaries for doctors in 2018 in Russia latest news” and now you can move on.
To determine the current income of civil servants, a special system will be used that reveals the performance of an individual civil servant. Legislative project in favor of doubling the salaries of officials. But this increase, as a result, will carry some of the responsibilities prescribed in employment contract, which each official will be required to sign in order to receive an increase in his salary. Will be carried out to identify the level of how effective the work of an official. And if the tasks set are not fulfilled, then in this case it will entail a cut in wages and deprivation of allowances.
In order to increase wages, it is necessary to have sources for this. The Ministry of Finance is actively working on this, which offers such ways to find the missing funds, such as:
