The Community of Madrid declares Nursing a deficit category
In an unprecedented move, the Government of the Community of Madrid has decided to declare the profession of Nursing as a deficit category. This decision, announced by the Department of Health, aims to address a structural crisis that has led to an alarming shortage of professionals in the sector. According to the Official College of Nursing of Madrid (CODEM), it is estimated that around 11,000 nurses are needed to maintain adequate standards in the Madrid Health Service (Sermas).
The declaration is not just an administrative change; it is expected to activate legal mechanisms that facilitate significant labour improvements. The Health Minister, Fátima Matute, has indicated that economic incentives will be implemented, including an increase in pay for overtime and specific supplements for those professionals working in rural areas.
Additionally, a review of the summer hiring policy is being considered. The aim is to make these contracts more attractive to prevent graduates from opting for other autonomous communities or even for health services abroad. This measure is urgent, as according to the union Satse, the current pool is exhausted and could jeopardise coverage during critical periods such as Holy Week.
Aside from the focus on stabilising staffing levels, another significant advancement is the creation of the role of Clinical Research Nurse. This new role is designed for both general and specialist nurses and aims to integrate scientific evidence into daily practices. CODEM considers this step crucial for modernising the healthcare system and enhancing professional leadership.
Despite the positive climate among authorities and sector representatives, demands persist that go beyond the regional competency scope. A historic claim is the professional reclassification to group A1, argued by the educational level required and the clinical responsibilities assumed by nurses. Fátima Matute has expressed her willingness to consider these requests; however, she has reminded that any modification regarding professional groups depends exclusively on the State.
As demand increases due to an ageing population and chronic diseases, professionals insist that critical decisions cannot be postponed if adequate care for all citizens is to be guaranteed.




