The Honourable Kathy Dunderdale,
Premier of Newfoundland and Labrador, announced today that the
Provincial Government has successfully reached a tentative
agreement with the Newfoundland and Labrador Medical Association
(NLMA). Premier Dunderdale was joined by the Honourable Tom
Marshall, Minister of Finance and President of Treasury Board;
the Honourable Jerome Kennedy, Minister of Health and Community
Services; and Dr. Patrick O�Shea, President of the NLMA, at a
news conference to make the announcement.
"I am very pleased that we have now
reached a tentative agreement with the NLMA," said Premier
Dunderdale. "This agreement will significantly add to our
existing initiatives to further strengthen physician recruitment
and retention in all areas of our province, while recognizing
physicians for their commitment and dedication. I am fully
confident that this agreement is, most importantly, in the
interest of the people of our province and of Newfoundland and
Labrador�s doctors."
The new four-year agreement provides
an additional $87.7 million to the annual physician services
budget, an increase of approximately 26 per cent, which will
result in all fee-for-service physicians and salaried general
practitioners being paid at Atlantic parity, and all salaried
specialists receiving the increase provided to oncologists and
pathologists in 2008. As well, increases are allowed for in the
agreement to help physicians maintain Atlantic parity during the
remainder of the agreement. In addition, the agreement allows
for a one-time investment of approximately $12 million for
physician retention. As part of this agreement, 13 of the 14
salaried specialists who had submitted resignations have now
withdrawn them and will remain in their current positions. The
tentative agreement includes the following:
- 100 per cent Atlantic parity for fee-for-service
physicians fully implemented as of October 1, 2010 with a
six per cent maintenance factor effective in year four of
the agreement;
- Approximately $3.2 million to provide
retention bonuses for rural fee-for-service specialists and
general practitioners;
- $570,000 to be added to the current
retention bonus payment policy for salaried physicians
working in Labrador in recognition of remoteness;
- Salaried specialists will receive the
increase provided to oncologists and pathologists in 2008,
fully implemented as of October 1, 2010 and a one-time
retention payment of eight per cent to be paid out at the
end of the agreement;
- Salaried general practitioners to receive
100 per cent of Atlantic parity fully implemented as of
October 1, 2010, with a six per cent maintenance factor as
of October 1, 2012, and a one-time retention payment of
eight per cent to be paid out at the end of the agreement;
- Oncologists and pathologists to receive a
one-time retention payment of eight per cent to be paid at
the end of the agreement;
- 100 per cent Atlantic parity for on-site
emergency department coverage, fully implemented as of
October 1, 2010 with a six per cent maintenance factor
effective in year four of the agreement;
- Salaried university physicians with a
full-time appointment to have an increase in their clinical
payment from 0.8 full-time equivalents (FTEs) to 0.85 FTEs
as of April 1, 2011 and further increased to 0.9 FTEs as of
April 1, 2012;
- An increase of $4 million to the on-call
budget to be phased in over the last three years of the
agreement. Both parties have agreed to conduct a mutual
review of the current provincial on-call program; and,
- $2.3 million to change the current model
of payment for off-site emergency department coverage in
rural Newfoundland and Labrador.
"The process leading up to this
agreement was an arduous one and I am pleased to have reached
this point of resolution," said Minister Marshall. "This
agreement strikes a good balance between managing the public
treasury responsibly and providing a deal that acknowledges the
important work of physicians, which was a key objective for
government throughout the process."
The four-year tentative agreement with
the NLMA will cover the term from October 1, 2009 to September
30, 2013. The parties to this agreement will work towards a
framework for binding arbitration for future contract
negotiations.
"This agreement is a good one and I
know it will generate even more success in our efforts to
recruit and retain physicians throughout our province," said
Minister Kennedy. "Now that this agreement has been reached, I
look forward to continued dialogue with the NLMA on meeting the
health care needs of our residents."
"I am extremely pleased that
government is committing the resources we need to attract new
doctors to our province and keep them here," said Dr. O�Shea.
"Our board of directors, in recommending acceptance of this
offer to our members, is indicating that we feel this is a fair
agreement. It is good for physicians and, most importantly, it
is good for the people of Newfoundland and Labrador. I believe
this tentative agreement is a foundation we can use to rebuild a
relationship that has been strained over the past two years. We
look forward to working more closely with government in the
coming year as we continue to address the needs of our
patients."
Video of News Conference (wmv format)
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