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Follow-up talks between UMCNL and LAD about Chapter 15 of the cao

UMCNL and the Dutch Association of Salaried Doctors (Landelijke vereniging van Artsen in Dienstverband, LAD) have been discussing Chapter 15 of the UMC cao in recent months. This chapter concerns the working conditions of the academic medical specialists. UMCNL and the LAD had agreed in the Cao UMC 2024-2025 to hold talks during the period of the current cao about the possibilities for modernising these working conditions.

Healthcare of the future

The current agreements on working conditions for medical specialists in the UMCs are based on the situation in 1999. The composition and circumstances of that professional group have changed in the meantime and are expected to continue changing in the future. In addition, the continuity of care is coming under pressure. That is why both the LAD and UMCNL want to come to new agreements that will better align with the changed world inside and outside the UMCs.

Heading towards cao negotiations

During their exploratory discussions, UMCNL and the LAD were inspired by the sessions organised in 2024 with various focus groups consisting of academic medical specialists and the jointly organised Work conference in December 2024. The following topics were covered in the exploratory discussions:

  • Working hours
  • Leave
  • Generational policy
  • Shifts
  • Type of work
  • Participation

The intention is to incorporate new agreements about Chapter 15 in a new, integral cao agreement. The LAD and UMCNL will individually determine their own input for the cao negotiations. And of course they will also consult their own members. As usual, the members of the LAD, just like members of other unions and the UMCs, will vote on the proposed new cao at the end of the negotiations.

Starting on 1 January 2026

Along with the agreement to hold talks, other agreements were made in the Cao UMC 2024-2025 that should take effect on 1 January 2026:

  • Raising the age limit for working shifts to 62 (according to the gradation scheme specified in Article 15.13 of the cao).
  • The associated change in the average weekly working hours.
  • The possibility to voluntarily stop working shifts from the age of 59.

The talks held in the past few months between UMCNL and the LAD have produced a sound exploration of the steps needed to ensure modern, future-proof working conditions for academic medical specialists. They will be continued in the autumn as part of the cao negotiations.


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