The Federal Government says it will begin implementing an agreement it signed with Nigerian Medical Association (NMA) on Monday in efforts to end the indefinite strike embarked upon by the National Association of Resident Doctors (NARD).
Labour and employment minister Chris Ngige said on Saturday at the continuation of a meeting of all concerned stakeholders he summoned at the instance of President Muhammadu Buhari that the move was aimed at resolving the doctors’ strike.
The meeting, which started at about 2pm on Friday, spilled over into Saturday when the medical doctors maintained that they would not shift ground unless the government attended to their demands.
Ngige, who addressed journalists before the meeting went into a closed-door session, said they had reached agreements the previous night on all the 12 disputed issues, adding that implementation would start from the next working day (Monday).
Unpaid house officers
Speaking on the issue of non-payment of some house officers, the Minister said NARD is expected to submit the list of the affected 114 officers for further verification and when confirmed that they are genuine, and their IPPIS particulars and BVN are in order, they would be paid in September with the outstanding arrears.
He added that an agreement was reached on the Residency Training Fund outstanding for 2020 and 2021, after the Budget Office had explained that N617, 429, 121 was the outstanding to be paid in the 2020 [budget].
“There are reconciliations to be done here because the 2020 [budget] was done with some errors. Some people who are not supposed to benefit from the fund got money and because of that, the number of genuine people that were not paid also came to that quantum of persons.
“So, reconciliation is being done and some monies are being returned. We have given a timeline for this reconciliation to be done.
“And for the 2021, the money approved by Government is N4.802B. This money like I said earlier was contained in the 2021 Supplementary Budget, which the President signed on the eve of his departure to UK for the meeting and medical check-up.
“So, between that time and now, it became a money law. The funds have now been sourced and it has gotten from the CBN to the Budget Office where we expect it to be processed in one week as undertaken by the Government side,” Ngige said.
The minister disclosed that the meeting agreed that by next Friday, August 27, residents in institutions would have started getting their money, with each receiving about N542,000.
Working conditions are difficult for doctors in Nigeria forcing many of them abroad
Minimum wage cuts
He noted that the issue of consequential adjustment on National Minimum wage cuts across the health and educational sectors, which were both affected by the projection of N160 billion done in 2019, but which fell short of the people that were to benefit from this.
“The meeting agreed that we need to let this matter. Therefore, the Budget Office of the Federation should start from the 2021 service vote to start paying. And if we have any leftovers, we roll it into the 2022.
“Coming to hazard allowance, everybody agreed that the discussion is still ongoing and therefore government wants to finish it up. We agreed with NMA position to us that they don’t want to discuss holistically anymore as an association and that they have their own peculiarities that are not same with other health workers.
“We are going to do two meetings, one for NMA and affiliates and one for JOHESU. But we are taking the meetings concurrently so that we don’t run into troubled quarters. We are starting next weeks,” he said.
According to him, the meeting equally noted that the non-payment of skipping allowance cuts across the entire health sector and therefore agreed that it was going to be handled holistically, while awaiting the court judgment on the matter.
He said the NMA has been directed to submit a written position on the controversial withdrawal of NYSC doctors and house officers from the scheme of service to point out the anomaly in the circular, for onward transmission to Head of Service of the Federation.
The Head of Service is look at the inputs given by NMA to the circular and process it to either the Council of Establishment or handle it administratively, if the issues are not such of fundamental nature to further clarify it, adding that a two-month timeline has been set for this.
“We also agreed on the migration of doctors on GFMIS from some university teaching hospitals, like University College Hospital Ibadan, University of Calabar Teaching Hospital and University of Port Harcourt Teaching Hospital which have recruited doctors on GFMIS and were unable to pay them when GFMIS was tampered with.
“We can resume when we verify those people. They can be there until the recruitment is perfected in order to migrate them to IPPIS. In this wise, the Head of Service has granted waiver and revalidation of old waiver for University of Port Harcourt and waivers for University College Ibadan and Calabar but this is not without reprimand for CMDS who have flouted government regulations by recruiting people into the service without fulfilling the requirements of circular on this.
”We also have issue of hazard allowances for doctors in government hospitals that did not benefit from that 2020 payment. The Federal Ministry of Health has compiled a list and we said that the list should be forwarded back again to the Federal Ministry of Finance. For doctors in University Clinics and the rest of them, we said they should route their own through the Federal Ministry of Education, their parent Ministry and Employer.
Removing doctors in academia from CONMESS
“On the controversial issue of NSIWC circular, removing doctors in academia from CONMESS and also doctors who are doubling as honorary consultants/lecturers from CONMESS to CONUAS, we have even before their request treated one leg of it by obeying the court order already gotten by them and in spirit of dialogue, we said further discussions should continue with NSIWC.
“NMA has undertaken that they should tell the two members and their association to do an out of court settlement by withdrawing the matter from the industrial court until we finish the negotiation. We gave a time for negotiation.
”We have empanelled a committee with NMA leading including NSIWC, Federal Ministry of Health, Federal Ministry of labour and others in the team. The first inaugural meeting is Tuesday August 31st, we are hopeful that this meeting will give us suggestion on how to resolve the matter.
State domestication of residency training
“On the issues relating to states, there is no way the Federal Government will start pulling the states on the issue of domestication of Medical Residency Training Programme by their various Houses of Assembly and Government and issue of Medical Training Residency Fund. We also have the issue of Non-payment of COVID-19 allowances by some state governments and consequential minimum wage adjustments.
“We have before now made contact with the Governors Forum on these matters and the onus is now on us as the Ministry of Labour to talk to the Governors Forum and impress on them on the need for this to be done. The Medical Residency Training and accompanying Fund is already in the Act which the Federal Government has signed.
”We will impress it on them as part of strengthening the health system so that we are not starved of specialist doctors. There is an urgent need for them to adopt that. This will also help us to stem the issue of brain drain. The Federal Government cannot employ everybody. We want state governments to pay more attention to secondary and tertiary health.”
