Nigerian doctors insist strike continues as govt, NMA sign MoU

The leadership of the National Association of Resident Doctors (NARD) has denied that it has called off its 20-day-old industrial action, saying only its parent body- Nigerian Medical Association (NMA) “signed a memorandum of understanding (MoU) with the government on Saturday”.

The union made the clarification following a statement issued by the ministry of labour and employment on Saturday, indicating an end to the strike.

The ministry’s statement, which was signed by its spokesperson, Charles Akpan, noted that the warring parties had reached agreements on all the 12 disputed issues.

PREMIUM TIMES had earlier reported that a meeting of all concerned parties in the lingering crisis including the leaderships of NMA, NARD, Medical and Dental Consultants Association of Nigeria (MDCAN), Association of Medical Doctors in the Academics, and the representatives of government, which started in the afternoon on Friday had dragged till early Saturday morning when a break was announced before it continued on Saturday afternoon.

According to the statement the federal government pledged to commence the implementation of the contents of its MoU on Monday.

The labour minister, Chris Ngige, said that regarding regarding the issue of non-payment of some house officers, NARD is expected to submit the list of the affected 114 officers for further verification and that 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 said an agreement was reached on the Residency Training Fund outstanding for 2020 and 2021, noting that the Budget Office of the Federation had explained that N617,429,121 was the outstanding to be paid in the 2020.

The minister said; “There are reconciliations to be done here because the 2020 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 money is being returned. We have given a timeline for this reconciliation to be done.

“And for 2021, the money approved by the government is N4.802 billion. This money, as I said earlier, was contained in the 2021 Supplementary Budget, which the President signed on the eve of his departure to the 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.”

Mr Ngige added 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.

He noted 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.

Despite acknowledging that progress was made during the marathon meeting, the NARD leadership said it was not a party to the agreement reached with the NMA.

The NARD president, Uyilawa Okhuaihesuyi, had responded late Saturday night to what it described as rumour on the suspension of the industrial action via a message shared on the Whatsapp platform of its ‘stakeholders’.

A copy of the message obtained by this newspaper indicated that both the striking doctors and the government representatives disagreed on the implementation of “no work, no pay,” rule by the Nigerian government.

The message reads in part; “Good evening, distinguish colleagues. After almost a two-day marathon and issues discussed in-depth, we insisted on the heinous no work no pay and the government side says they have already instituted that and can’t revert.

“The strike continues as he that is down needs fear no fall.

“Please note that NMA is signing, not NARD.”

Mr Okhuaihesuyi appealed to his members to remain resolute, suggesting that many Nigerians in need of medical attention at the tertiary facilities may have to endure harder times.

Meanwhile, a copy of the statement issued by the labour ministry is reproduced below:

Doctors Strike: FG commences implementation of MOU with NMA on Monday

In a bid to end the indefinite strike of the National Association of Resident Doctors (NARD), the Federal Government says it will commence the implementation of its Memorandum of Understanding (MOU) with the Nigerian Medical Association (NMA) on Monday.

The Minister of Labour and Employment, Senator Chris Ngige said this on Saturday while making opening remarks at the continuation of an all-stakeholder meeting he summoned at the instance of President Muhammadu Buhari, aimed at resolving the doctors strike. The meeting had earlier started at about 2pm on Friday and adjourned in the early hours of Saturday before reconvening in the afternoon.

Ngige, who addressed journalists before the meeting went into 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).

Regarding 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 said 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.

“There are reconciliations to be done here because the 2020 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 money is being returned. We have given a timeline for this reconciliation to be done.

“And for 2021, the money approved by the 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 the 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 added 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.

He noted the issue of consequential adjustment on National Minimum wage cuts across the health and educational sectors, which were both affected by the projection of N160B 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 2022.”

“Coming to hazard allowance, everybody agreed that the discussion is still ongoing and therefore the government wants to finish it up. We agreed with the NMA’s position that they don’t want to discuss holistically anymore as an association and that they have their own peculiarities that are not the 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 week. “

Ngige said 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 withdrawing 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, who will 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 an 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.

“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 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 inaugu,ral meeting is Tuesday August 31st, we are hopeful that this meeting will give us suggestions on how to resolve the matter.”

“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 Governor’sact 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 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.”

Signed;

Charles Akpan,

Deputy Director Press,

Federal Ministry of Labour and Employment