Italy signs national healthcare contract for 592,000 workers, nurses get 240-euro monthly raise
The Italian government and trade unions signed the 2025-2027 collective labour agreement for the national healthcare sector, covering 592,638 staff. Nurses will receive an average monthly increase of 240 euros gross, with arrears reaching 2,300 euros.
ARAN and trade unions signed the draft National Labour Contract 2025-27 for the healthcare sector on 29 July 2026, renewing conditions for 592,638 employees of the National Health Service. The agreement covers nursing, technical-health, rehabilitation, prevention, administrative and support services staff.
Pay rises and arrears
The contract sets an average monthly increase of 209 euros gross, rising to 240 euros for nurses. Arrears calculated to 31 October 2026 average 1,226 euros for the whole sector and 2,300 euros for nursing personnel. The overall three-year increase amounts to 7.76%, with the nursing increase topping 8%.
Extra resources for nurses and emergency staff
The 2025 Budget Law allocated permanent resources of 1,537 million euros to the healthcare sector from 1 January 2027, with progressive increments already starting from 1 January 2025 and 2026. Additional funds target specific categories: 445 million euros for a nursing specificity allowance, 193 million for a patient care allowance and 35 million for personnel working in emergency departments. The emergency services allowance rises by another 100 euros.
- Overall
- 209 EUR/month
- Nurses
- 240 EUR/month
- Nursing specificity allowance
- 445 million EUR
- Patient care allowance
- 193 million EUR
- Emergency services personnel
- 35 million EUR
Minister Zangrillo's comment
Minister for Public Administration Paolo Zangrillo said the government completed the entire 2025-27 public employment round with this renewal, coming only nine months after the previous contract.
Those who care for the country deserve care. We renewed the healthcare sector contract 2025/2027, just nine months after the last renewal, confirming that those who take care of citizens every day deserve attention and concrete recognition.
Zangrillo added that valorising healthcare staff strengthens one of the country’s most precious pillars and that continuity of contracts has become a structural commitment of the government.
Next steps
The draft agreement will now be sent to the relevant control bodies for certification of its economic and financial compatibility. Definitive signing will follow a positive outcome of that procedure.
