Hospital establishments

As this information is not intended to be exhaustive, readers should refer to the Collective Bargaining Agreement for further details.

Since this document is informative in nature, only the officially published legal texts and Collective Bargaining Agreement are authoritative.

Term of validity of the Collective Bargaining Agreement

The Collective Bargaining Agreement of the Luxembourg Hospital Federation (the “CCT-FHL”) as amended in accordance with the agreement protocol dated 26 March 2026, is concluded for a fixed term expiring on 31 December 2027 (Article 8 of the protocol dated 26 March 2026).

In the absence of the conclusion of a new collective bargaining agreement by that date, the CCT-FHL shall be tacitly renewed from year to year, unless terminated by one of the signatory parties, in compliance with the formal requirements and notice periods provided for by the applicable legal provisions and by the agreement itself.

Scope in terms of staff and facilities

The collective labor agreement governs the working conditions and remuneration of all employees under a labor contract in:

  • A Luxembourgish or foreign establishment or part of an establishment falling under the scope of the law of March 8 regarding hospital establishments and hospital planning.

  • Employees covered by the "Collective labor agreement for employees of the Thermal and Health Center of Mondorf-les-Bains" are excluded from the scope of this collective agreement as long as these employees remain under that agreement's scope.

  • A Luxembourgish or foreign establishment or part of an establishment that is a member of the "Fédération des Hôpitaux Luxembourgeois asbl" [FHL].

  • Establishments that will join the Fédération des Hôpitaux Luxembourgeois after the signing of this agreement.

  • The admission of new members to FHL will be conditioned on their adherence to the agreements reached during negotiations between social partners concerning employees of these various establishments, except for any potential incompatibilities arising directly from the status of the employees involved (e.g., state civil servants, state employees, municipal civil servants, municipal employees, employees under the scope of the collective agreement for state workers, or under a municipal collective agreement). The implementing regulation related to the provisions of this paragraph is annexed to this collective labor agreement (Article 1).

  • A Luxembourgish or foreign entity, regardless of its legal form, with the goal of resource pooling within a structure, whose sole purpose is to provide medical services, care services, or hospital services for one or more hospital establishments falling under the scope of the law on hospital establishments.

  • Employees of the Fédération des Hôpitaux Luxembourgeois asbl.
  • Employees of the Centre de Formation Professionnelle Continue DeWidong asbl. And
  • Employees of the Centrale nationale d’achat et de logistique (with the exception of public sector employees), in accordance with the provisions of the Law of 3 December 2025 establishing the public institution “Centrale nationale d’achat et de logistique”.

Remuneration

Salary and value of index point (Article 13)

 

Calculation of supplements for night work, Sunday work and work on official holidays

(Article 17)

 

The hourly wage is defined in accordance with the following formula:

  • MS = Basic monthly salary;
  • FS = Family allowance supplement;
  • OC = Allowance for on-call duty;
  • ST = sum total of the above three items (MS + FS + OC);
  • TMWT = Theoretical monthly working time in force.

ST/TMWT = HW (hourly wage)

Theoretical monthly working time: 164.35 hours

 

Night
(extends from 10:00 p.m. to 6:00 a.m. the following day)  

For each hour worked at night, employees shall be entitled to their standard hourly wage plus a supplement of 20 %.

  • Supplement formula: HW x NH x 0.2 = EUR X.

Sunday

For each hour worked on a Sunday, employees shall be entitled to their standard hourly wage plus a supplement of 70 %.

  • Uplift formula: HW x SH x 1.7 = EUR X

If the hours worked on a Sunday are compensated for by a corresponding rest period during the week, a supplement of 70 % shall be due:

  • Supplement formula: HW x SH x 0.7 = EUR X

Public holidays

Working on public holidays shall grant entitlement to supplements for working on public holidays.

The employee shall also be entitled to:

  • remuneration for the hours actually worked,
  • an uplift of 100 % for the hours worked

 

  • Uplift formula: HW x HH x 2 = EUR X

If the public holiday worked falls on a Sunday, the uplifts are cumulative:

  • Uplift formula: HW x HH x 2.7 = EUR X

If the hours worked on an public holiday are compensated for by a corresponding paid rest period during the week, only the 100 % supplement on the remuneration for the hours actually worked shall be due:

  • Supplement formula: HW x HH x 1 = EUR X

If the hours worked on an public holiday that falls on a Sunday are compensated for by a rest period corresponding to a paid working day during the week, only the 170 % supplement on the remuneration for the hours actually worked shall be due:

  • Supplement formula: HW x HH x 1.7 = EUR X

If the hours worked on an public  holiday that falls on a Sunday are compensated for by a rest period corresponding to 2 paid working days during the week, only the 70 % supplement on the remuneration for the hours actually worked shall be due:

  • Supplement formula: HW x HH x 0.7 = EUR X

Remuneration for overtime (Article 18)

The following formula shall be applied: HW x OT x 1.5 = EUR X

End-of-year bonus (Article 19)

The employee shall receive an end-of-year bonus, payable with the salary for December.

The amount of this bonus shall be equal to 100 % of the basic salary due for the month of December.

An employee whose employment starts during the course of a year shall receive the same number of twelfths of the established percentage of the basic salary for December as the number of months they have worked since their employment started.

An employee whose employment ends during the course of a year for reasons other than those entailing dismissal for serious professional misconduct shall receive the same number of twelfths of the established percentage of their final monthly salary as the number of months they have worked during the year.

Entitlement to the end-of-year bonus arises only after a minimum of 3 months’ work carried out during the year in question in FHL member establishments.

Implementing Regulation of 5 July 2001 approved by the Joint Committee provided for in the Collective Bargaining Agreement for employees employed in Luxembourgish hospital establishments (Annex 5)

Applicable to the holiday pay and bonus payment entitlement

  • GENERAL RULE
    • Must have worked at least 3 months during the year
    • Only whole months worked will be taken into account
  • EXCEPTION TO THE 3-MONTH LENGTH OF SERVICE REQUIREMENT:
    • In the event of a change of employer within the FHL, the full length of service will be taken into account for the holiday pay and bonus payment entitlement, provided that the total period worked is at least 3 months.
  • PAY DATE FOR THE HOLIDAY PAY AND BONUS PAYMENT:
    • GENERAL RULE:
      • The holiday pay and bonus payment will be paid at the end of June.
      • However, there are exceptions.

One-off bonus and default interest


(Point 2 of the interim agreement protocol dated 10 July 2025)

All employees under contract and included in the employer’s workforce between 1 July 2023 and 31 December 2024 shall be eligible for the bonuses.

These bonuses shall be calculated as follows:

– For the year 2023: a bonus corresponding to 1.38% of the gross annual salary for 2023;

– For the year 2024: a bonus corresponding to 2.37% of the gross annual salary for 2024.

Any income of an extraordinary nature shall be expressly excluded from the calculation of the one-off bonuses referred to in this protocol, including in particular severance payments, settlement indemnities, or any other exceptional items.

The one-off bonus relating to the year 2023 shall also be excluded from the calculation basis of the one-off bonus relating to the year 2024.

The corresponding default interest shall be calculated on the basis of the average of the main refinancing rate set by the European Central Bank, for the period from 1 January 2023 to 31 December 2023 inclusive in respect of the 2023 bonus, and from 1 January 2024 to 31 December 2024 inclusive in respect of the 2024 bonus.

The parties agree to apply this annual average of the main refinancing rate at the time of settlement of the one-off bonuses relating to the years 2023 and 2024, which amount to 3.80% and 4.13% respectively.

The bonus and the corresponding default interest shall be calculated as follows:

For 2023

Gross salary 2023 X 0,0138 = one-off bonus (OB)

OB X 0,038 = default interest (DI)

Amount payable: OB+DI

For 2024

Gross salary 2024 X 0,0237 = one-off bonus (OB)

OB X 0,0413 = default interest (DI)

   Amount payable: OB+DI

Total amount payable : OB+DI (2023) + OB+DI (2024)

These bonuses, together with the corresponding default interest, shall be paid no later than October, together with the salary statement for the month of September or with the salary advance for the month of October 2025, for employees who have not changed employer.

Employees who left the employer as from 1 July 2023 shall be entitled to these bonuses. They shall be contacted by their former employer and must apply to the latter to obtain payment no later than 30 November 2025.

Employees undertake to request from the Administration des Contributions Directes an additional tax withholding card for the period covered by the bonus, which shall be made available to the employer via the dedicated online platform.

The request must mandatorily be accompanied by bank account details in IBAN format.

These bonuses shall be paid to them no later than with the salary statement for December 2025.

Linear distribution of 1.5% of the CBA envelope


(Point 4 of the interim agreement protocol dated 10 July 2025)

  • The parties agree that an amount equivalent to 1.5% of the CBA envelope of 2.37% shall be distributed on a linear basis to employees under contract and forming part of the employer’s workforce as at the date of signature of this agreement protocol. For this purpose, an increase of 1.5% in the index point value shall be applied retroactively as from 1 January 2025.
  • The amount corresponding to this increase shall be paid no later than September, together with the salary statement for the month of August or with the salary advance for the month of September 2025, for employees who have not changed employer. The balance corresponding to the period from January to August 2025 shall be paid in a single instalment together with the salary statement for the month of August or the salary advance for September 2025.
  • Any income of an extraordinary nature already paid by the employer prior to September 2025 shall be expressly excluded from this linear increase, including, in particular, severance payments, settlement indemnities or any other exceptional items.
  • Employees who left their employer as from 1 January 2025 shall retain entitlement to this linear increase, and the former employer shall inform them accordingly no later than 30 September 2025. For this purpose, they undertake to request from the Administration des Contributions Directes an additional tax withholding card, which shall be made available to the employer via the dedicated online platform. The request must mandatorily be accompanied by bank account details in IBAN format. The corresponding amount shall be paid no later than with the salary statement for November 2025.
  • The remaining volume of the CBA envelope is estimated at 0.85%.
  • Allocation of the remaining volume of the 2025 CBA envelope
(Point 6 of the interim agreement protocol dated 10 July 2025)
  • It is agreed that, in the absence of the signature of a second agreement protocol by 31 December 2025 at the latest, the remaining portion of the 2025 CBA envelope, i.e. 0.85%, shall be paid to employees covered by the CCT-FHL in February 2026, in the form of a one-off bonus without default interest.
  • This bonus shall be calculated as follows: gross annual salary for 2025 multiplied by 0.85%.
  • Allocation of the remaining volume of the 2025 CBA envelope
(Point 2 of the agreement protocol dated 26 March 2026
  • All employees under contract and included in the employer’s workforce between 1 January 2025 and 31 December 2025 were entitled to a one-off bonus corresponding to the remaining portion of the 2025 CBA envelope, i.e. 0.85%. This bonus was paid to them in February 2026 pursuant to Article 6 of the interim agreement protocol.
  • Employees who left the employer between 1 January 2025 and 31 December 2025 are also entitled to this bonus. They shall be contacted by their former employer, who shall invite them to submit, no later than 31 July 2026, a request for payment of said bonus. Employees shall also be invited to request from the Administration des Contributions Directes an additional tax withholding card for the period covered by the bonus, which shall be made available to the employer via the dedicated online platform. The request must mandatorily be accompanied by bank account details in IBAN format. The bonus shall be paid to them no later than September 2026. This bonus shall be calculated as follows: gross annual salary for 2025 multiplied by 0.85%.
  • Any income of an extraordinary nature shall be expressly excluded from the calculation basis of the one-off bonuses referred to in this protocol, including in particular severance payments, settlement indemnities, or any other exceptional items. The one-off bonuses relating to the years 2023 and 2024 shall also be excluded from the calculation basis of the one-off bonus relating to the year 2025. Any amounts corresponding to this bonus which, for any reason whatsoever, cannot be paid to the employees concerned within the deadlines and under the conditions set out above, shall be fully allocated to the next additional bonus provided for under Article 20bis of the CCT-FHL.

Allocation of the volume of the 2025 CBA bis envelope

(Point 3 of the agreement protocol dated 26 March 2026)

  • In accordance with Article 28 of the CCT-FHL, it is agreed between the parties that the total volume of the 2025 CBA bis envelope shall be paid out in the form of a one-off bonus without default interest.
  • All employees under contract and included in the employer’s workforce between 1 January 2025 and 31 December 2025 shall be eligible for the bonuses.
  • This bonus shall be calculated as follows: 2.94% of the gross annual salary for 2025.
  • Any income of an extraordinary nature shall be expressly excluded from the calculation basis of the one-off bonuses referred to in this protocol, including in particular severance payments, settlement indemnities, or any other exceptional items. The one-off bonuses relating to the years 2023 and 2024 shall also be excluded from the calculation basis of the one-off bonus relating to the year 2025.
  • This bonus shall be paid no later than with the salary for May 2026 for employees who have not changed employer.
  • Employees who left the employer between 1 January 2025 and 31 December 2025 inclusive shall also be entitled to this bonus. They shall be contacted by their former employer, who shall invite them to submit, no later than 31 July 2026, a request for payment of said bonus. Employees shall also be invited to request from the Administration des Contributions Directes an additional tax withholding card for the period covered by the bonus, which shall be made available to the employer via the dedicated online platform. The request must mandatorily be accompanied by bank account details in IBAN format. The bonus shall be paid to them no later than September 2026. Any amounts corresponding to this bonus which, for any reason whatsoever, cannot be paid to the employees concerned within the deadlines and under the conditions set out above, shall be fully allocated to the next additional bonus provided for under Article 20bis of the CCT-FHL.

Revaluation of the index point value

(Point 4.7 of the agreement protocol dated 26 March 2026)

  • The parties agree to allocate the remaining portion of the 2026 CBA bis envelope, i.e. 0.69%, to the revaluation of the index point value.
  • The index point value shall be revalued retroactively as from 1 January 2026 and shall be taken into account in the calculation of salaries no later than May 2026, for employees who have not changed employer.
  • The pro rata share of any remaining portion of the 2026 CBA bis envelope corresponding to the period from January to July 2026 shall be paid in a single instalment no later than with the salary for May 2026.
  • Any income of an extraordinary nature already paid by the employer prior to July 2026 shall be expressly excluded from this linear increase, including, in particular, severance payments, settlement indemnities or any other exceptional items.
  • Employees who left their employer between 1 January 2026 and 31 July 2026 shall retain entitlement to this linear increase, and the former employer shall inform them accordingly no later than 31 July 2026. The corresponding amount shall be paid no later than with the salary statement for September 2026.

Other elements of remuneration

Clothing allowance (Article 22)

The clothing allowance shall be EUR 3.7184 per month (index 100)

Value of benefits in kind (Article 23)

BENEFIT

VALUE IN EUR

Breakfast

0.75

Main lunchtime or evening meal

2.80

Lunchtime or evening meal consisting of a simple snack

1.25

Accommodation per month in a single room*

24.7894 to 111.5521

Accommodation per month in a room with two or more beds

16.9559 to 61.9734

Monthly price for full board in a single room

112.9532 to 205.7516

Monthly price for full board in a room with two or more beds

112.9532 to 156.1729

Working time

The standard working time is established as:

  • 7.6 hours per day and
  • Spread over 5 working days (Article 5A).

Breakdown of working time (Article 5B)

By way of derogation from ordinary law, the basic calculation shall be made over a monthly reference period.

Each year the Joint Committee shall perform the calculation:

Type of calculation

Applicable calculation

Examples

Calculation of gross annual working time

The gross annual working time (grossat) is obtained by multiplying the number of days in the year (d), minus the number of Saturdays (sa) and the number of Sundays (su), with the normal gross daily working time (7.6).

 

For year n:

grossat(n) = (d(n) - sa(n) - su(n)) x 7.6

For 2015:

Grossat(2015) = (365 - 52 - 52) x 7.6 = 1983.6.

Calculation of semi-net annual working time and conversion of official holidays and customary public holidays into days of standard leave not assigned to a specific calendar date

For the purposes of defining semi-net annual working time (seminetgrossat), four customary public holidays and six official holidays are converted into days of standard leave not assigned to a specific calendar date. For the definition of semi-net annual working time, only five official holidays will be taken into account.

The semi-net annual working time is calculated by reducing the gross annual working time by the number of official holidays and non-converted customary public holidays multiplied by the normal gross daily working time.

For year n:

seminetgrossat(n) = grossat(n) - (4 x 7.6)

For 2015:

seminetgrossat(2015) = 1983.6 - (4 x 7.6) = 1953.2.

Calculation of the average monthly reference period

The average monthly reference period (avMRP) is obtained by dividing the semi-net annual working time by 12.

For year n:

avMRP(n) = seminetgrossat(n) / 12

Example for 2015: avMRP(2015) = 1953.2 / 12 = 162.77.

Calculation of the minimum monthly reference period and the maximum reference period

The minimum monthly reference period (minMRP) is determined by reducing the average monthly reference period by 10 %. The maximum monthly reference period (maxMRP) is determined by increasing the average monthly reference period by 10 %.

 

Partial hours longer than a half hour are considered full hours

For year n:

  • minMRP(n) = avMRP(n) - (avMRP(n) x 10 %).
  • maxMRP(n) = avMRP(n) + (avMRP(n) x 10 %).

 

Example for 2015:

  • minMRP(2015) = 162.7 - (162.7 x 10 %) = 146.5 - rounded to 146
  • maxMRP(2015) = 162.7 + (162.7 x 10 %) = 179

 

 

Monthly reference periods and the procedure for their implementation (Article 5C)

Four possible types of monthly references:

  • National monthly reference periods (NMRPs): At national level, the Joint Committee will adopt the national monthly reference periods before 31 March of the year preceding their entry into force.
  • Local monthly reference periods (LMRPs)
  • Monthly reference periods at service level (MRPSs)
  • Individualised monthly reference periods (IMRPs)

Entry into force is identical for the LMRPs, MRPSs and IMRPs, specifically:

  • Adjustments may be made to the monthly reference periods defined at national level at local level (LMRP) or per service (MRPS). In addition, with the aim of setting up
  • Cyclical planning systems: it is possible to define planning procedures for a group of employees that break down the boundaries of the monthly reference periods defined locally (LMRPs) or per service (MRPSs) to create individualised monthly reference periods (IMRPs). These different adaptations may be performed only on the basis of written agreements between the management of the establishment in question and the staff delegation concerned and must comply with the three limits laid down above. The delegation may be assisted by the trade unions which are signatories to the Agreement. The agreements shall be notified to the Joint Committee for a compliance check by 30 September of the year preceding the entry into force.

WORK PLAN (Article 6)

Organisation of work plans of services and/or units (OWPDs) (Article 6.1)

Changes shall be made to the OWPDs in accordance with the procedure laid down in the Collective Bargaining Agreement, failing which the OWPDs in force shall remain applicable.

Flexible working time (Article 6B)

The practical procedures for flexible working time are to be laid down in an internal regulation by agreement between the staff delegation and the management of each establishment.

Maximum number of days worked per year (theoretical number of working days) (Article 6.3)

Maximum number of days per year

Calculation

Examples

This theoretical number of working days is the maximum number of working days that an employee may be required to work.

Reduce the number of days (d) in the year by the number of Saturdays (sa), the number of Sundays (su) and the number of official holidays not converted (4).

For year n, maxd(n) = d(n) - sa(n) - su(n) - 4

 

Example for 2015: maxd(2015) = 365 - 52 - 52 - 4 = 257

 

Publication deadline and minimum duration of an initial work plan (Article 6.4.1)

  • Publication deadline: 20 calendar days before its entry into force (Point 7 of the interim agreement protocol dated 10 July 2025).
  • Minimum duration of an initial work plan: At least 1 calendar month

Monthly reference period and initial work plan (Article 6.5)

The predetermined monthly reference periods shall accurately determine the number of working hours in the initial work plan:

  • Exceeding or falling short of this number shall be possible under the conditions laid down in the Agreement.
  • An initial work plan that has been drawn up may be subject to one or more amendments that have become necessary to ensure that the services concerned have the necessary staffing levels for the proper functioning of the services.
  • Changes to the initial work plan may be agreed between the management and the staff delegation in cases of force majeure

Overtime and remuneration thereof (Article 7)

 

Example/explanations

Overtime:

The hours actually worked at the place of work exceed the daily working time laid down in the initial plan.

  • A change notified to the employee within a period of less than 120 hours (5 days) prior to them actually working shall be regarded as exceeding the daily figures of the initial work plan. If it relates to a working day on which no work was initially planned, it is understood that the entirety of the actual working time shall be considered as exceeding the daily figures of the initial work plan. However, a change notified to the employee 120 hours (5 days) or more prior to them actually working shall not be regarded as exceeding the daily figures of the initial work plan. Simply shifting the work schedule, without exceeding it, shall not give rise to any uplift.
  • Working hours that exceed the monthly number of hours defined in the initial work plan.
  • The hours actually worked as part of the on-call service.

Uplift of overtime hours worked

  • Each hour worked shall be uplifted by 50 % (not applicable in the case of exceeding the daily figures due to personal convenience)
  • An official statement of overtime will be provided to the employee on a monthly basis.
  • If the total number of hours worked for the reference period is less than the normal working time due to personal convenience, this difference will be carried forward to the period immediately following and deducted before application of the coefficient for the remuneration of overtime.

Compensation for overtime and the uplift thereof

 

Credit for Overtime Hours (CHS)

Each hour of overtime worked, along with any applicable premium, is recorded in the employee's CHS (Overtime Credit).

As of January 1, 2022, all hours credited to the "employer's overtime credit" will be transferred to the "employee's overtime credit." After this, the "employer's overtime credit" will no longer be used. The employee has control over this overtime credit. If the service's operational needs permit, the employee will be compensated with time off at an agreed-upon date. The employee may use their overtime credit in hours, half-days, or full days. The status of the overtime credit will be communicated to the employee on a monthly basis.

On October 1 of each year, the employee may transfer all or part of the overtime hours from their CHS to the "Employee Hours Deposit" (DHS) as outlined in Article 7.3.2.a) of this agreement.

By October 31 of each year, the employer will automatically pay for all hours exceeding 38 hours that are not deposited in the DHS, as defined in Article 18 of this collective agreement.

Employee Hours Deposit (DHS)

The Employee Hours Deposit (DHS) allows employees to accumulate overtime hours at their request. Only employees with a permanent contract (CDI) may contribute to the DHS. The DHS is capped at 900 hours per employee, regardless of the employee's work schedule. This cap cannot be exceeded. The DHS is accumulated and used in hours. The employee cannot be compelled to contribute to the DHS against their will. The employer must implement a system that ensures accurate and detailed record-keeping of the DHS for each employee. The status of the DHS will be communicated to the employee on a monthly basis.

Using the Employee Hours Deposit (DHS)

The employee can use the DHS by requesting it in hours, half-days, or full days. To use the DHS, the employee must submit a written request to their employer within the following timeframes based on the requested absence period:

  • 3 months for an absence greater than 1 month but less than or equal to 3 months
  • 6 months for an absence longer than 3 months

The employee delegation and management, following the decision-making processes outlined by the Labor Code, can define the procedures for requests involving DHS usage of less than or equal to 1 month, as well as the process in case of refusal, and the procedures for changing the employee's service assignment following the use of DHS. Within 1 month of receiving the request, the employer will grant or refuse the employee's DHS request in writing for requests exceeding 1 month.

The employer may refuse the use of the DHS for the following reasons:

  • Service needs
  • Justified requests from other employees

The employee has the right, upon completion of the DHS usage, to their conventional entitlements, occupation rate, and a position corresponding to their professional qualifications. Reintegration into a managerial or staff position, or in the service of their previous assignment, can only be guaranteed as far as possible. If the employee falls ill during the recovery period for the DHS hours, the hours corresponding to the illness (with a medical certificate) will be re-credited to the DHS. If extraordinary leave occurs during the employee's DHS usage period, the hours covered by the extraordinary leave will also be re-credited to the DHS. DHS usage hours are considered actual working time for determining the employee's annual leave and the rights and obligations arising from the employee's seniority.

In the case of termination, resignation, retirement, death, or mutual agreement to end the employment contract, the employer will pay for all DHS hours, as defined in Article 18 of this collective agreement.  

 

On-call service (Article 8)

Staff delegation opinion > Employer draws up a list of the posts required for the on-call service and indicates the availability threshold required > Transmission of the list to the staff delegate > > Subsequently, the employer may amend the threshold, providing 4 weeks’ notice and following the aforementioned procedure.

Availability threshold

Presence of the employee in the establishment/on site within a certain period of time following the call

Allowances

Basic hourly rate of the on-call allowance = EUR 0.8552 index 100

 

Present in the establishment within 10 minutes of the call

Basic hourly on-call duty rate x 125 %

 

Present in the establishment within 30 minutes of the call

Basic hourly on-call duty rate x 100 %

 

Present in the establishment within 60 minutes of the call

Basic hourly on-call duty rate x 50 %

 

Present in the establishment within 240 minutes of the call

Basic hourly on-call duty rate x 25 %

 

Specific day (cumulative allowances):

Night time (between 18.00 and 08.00)

Sunday work (from 06.00 on the Sunday to 06.00 on the Monday)

Official holiday (from 06.00 to 06.00 the following day)

Daily rate, in addition to the accessibility allowance:

+20 %

+70 %

+100 %

The supplements granted are cumulative.  


From January 1, 2024, the availability threshold 1 is abolished.

Personnel assigned to a concierge service and benefiting from service accommodation are not subject to this on-call service.

Employees who have reached the age of 50 can be exempted from on-call service, provided that the service organization permits it.

On-call service at a distance (article 8.3.2)

For employees performing on-call service remotely, the hourly rate corresponds to the basic "on-call" rate multiplied by 100%.

They are entitled to the same supplements as employees performing on-site on-call service. The granted supplements are cumulative.

If the value of the index point defined in Article 13 of this agreement changes, the hourly rates for the above allowances will be adjusted proportionally.

The working hours worked by employees during the on-call service are subject to the supplements outlined in this agreement.

COMPENSATORY REST DAYS FOR INTERVENTIONS DURING ON-CALL SERVICE ON SITE OR REMOTELY

For each period of 365 hours of on-call service, the employee is entitled to one compensatory rest day. On-call hours (on-site or remotely) are accumulated in permanent accounting.

For each block of 32 hours effectively worked during the on-call service, excluding travel time, the employee is entitled to one compensatory rest day. However, the rest resulting from this provision is limited to 6 days per year.

Compensatory rest days for on-call service should be scheduled by mutual agreement between the employee and the direct supervisor, within the calendar year to which they relate, if possible. The compensation for these rest days is based on the base salary.

ACCOUNTING OF ON-CALL HOURS

  • Travel allowance for intervention on-site: For any intervention during on-call service that requires the employee to travel from their home to the site, a one-hour allowance is accounted for the round trip.
  • For on-call service requiring an intervention on-site: Each half-hour of actual work started on-site is considered as a half-hour worked for the accounting of actual working hours. The employee assigned to on-call service may request free accommodation for sleeping purposes within the existing facilities of the establishment.
  • For on-call service with intervention at a distance: Each half-hour of actual work started remotely is considered as a half-hour worked for the accounting of actual working hours.

Statutory and standard breaks and rest periods (Article 9)

Intermittent working time (shift splits)

  • Work with successive teams: may not be split by a period of unpaid time except for meals taken at the cafeteria at the employee’s initiative.
  • Other work patterns: a shift split may be no shorter than 1 hour and no longer than 2 hours.

Only one shift split per day is permitted. Exceptions to these principles remain possible in accordance with the Agreement.

Breaks

Simple snack breaks not exceeding 15 minutes will not be deducted from the calculation of working time if the employee works at least 5 hours consecutively. The staff delegation may draw up or negotiate internal rules on breaks in each establishment with management.

Continuous rest period per working day

14 hours of continuous rest per working day

Uninterrupted rest period per week

Each employee shall be entitled to an uninterrupted rest period of 44 hours per week. Employees who have not been able to take that rest will be entitled to 1 additional day of leave for each complete period of 8 weeks, whether successive or not, during which the uninterrupted rest of 44 hours per week is not granted.

Compensatory rest for night work

Employees shall be entitled to 1 day of paid rest for every 160 hours of night work. The hours for which the supplement for night work is paid shall be taken into account.

Principle of a free weekend every 15 days (Article 10)

The free weekend extends over a period of 2 consecutive days off, from 06:00 Saturday morning to 06:00 Tuesday morning.  

General principle

26 free weekends per year; in exchange, employees may be required to work 26 weekends per year.

For each period of three weekends worked that exceeds the number of 26 weekends, the employee shall be entitled to 1 additional day of standard leave:

(to be taken in the year following the reference year; if they are not converted into leave days, they cannot be taken in the following year)

29 weekends worked per year

1 additional day of standard leave

32 weekends worked per year

a second additional day of standard leave

35 weekends worked per year

a third additional day of standard leave

And so on...

Exception: the case of prolonged illness, which is understood as the employee’s absence from the workplace due to illness for a period of more than 2 consecutive weeks. For each period of 2 additional consecutive weeks beyond that initial period of 2 weeks, the entitlement to free weekends shall be reduced by one unit, while the number of weekends which a worker may be required to work shall also be reduced by one.

Right to leave (Article 11)

Principle

 

26 statutory days

With exceptions for people aged 50 and over

Contractual days of leave

10 days comprising four customary public holidays and six statutory public shall be converted into days of contractual leave not assigned to a specific calendar date.

Extraordinary leave

Article L.233-16 of the Labor Code.

Special leave on social grounds

  • Maximum of 5 times the normal daily gross working hours per year. It is divisible.
  • In the case of part-time work, this duration is prorated.
  • The employee is entitled to social leave according to the following exhaustive list:
  • Events directly related to the employee requesting social leave:
    • Judicial summons (personal matters)
    • Examinations related to studies
    • Major incidents (e.g. fire at home).
  • Events related to a person with a first-degree family relationship to the employee (child, father, mother) or a direct relationship (partner/spouse) where the employee's assistance and extraordinary intervention are essential:
    • Care and assistance in case of illness or accident
    • Medical visits, surgeries, and therapeutic sessions
    • Major issues related to a child's education (medical-psychopedagogical interventions).
  • The request must also specify the start and duration of the period for which social leave is being requested. In duly justified cases, the commission may grant an extension for submitting the required supporting documents.
  • In the case of employee abuse, sanctions are provided for by the collective agreement.

Unpaid leave

Unpaid leave may be granted in accordance with the Collective Bargaining Agreement:

  • Following maternity leave, adoption leave or first parental leave
  • For specific reasons
  • Without specific reasons

 

As from 1 January 2026, the reference number of hours used as the basis for calculating statutory and contractual annual leave shall be eight (8) hours per day of leave (Article 4.2 of the agreement protocol dated 26 March 2026).

Each employee under the age of 50 shall, as from 2026, have an annual leave entitlement set at 288 hours, corresponding to 36 days of statutory and contractual leave, to be taken in accordance with the applicable procedures.

Each employee aged over 50 and under 55 shall, as from 2026, have an annual leave entitlement set at 304 hours, corresponding to 38 days of statutory and contractual leave, to be taken in accordance with the applicable procedures.

Each employee aged 55 and over shall, as from 2026, have an annual leave entitlement set at 312 hours, corresponding to 39 days of statutory and contractual leave, to be taken in accordance with the applicable procedures.

As from 2026, one day of statutory or contractual annual leave shall correspond to eight (8) hours of leave for a full-time equivalent (1 FTE).

This measure shall apply exclusively as from 1 January 2026 and shall have no retroactive effect for previous years. Statutory and contractual annual leave accrued prior to 2026, as well as leave carried over into 2026, shall remain subject to a reference value of seven point six (7.6) hours per day.

This provision shall have no impact on any other types of leave (e.g. special leave, social leave or compensatory rest for night work).

The adjustment of statutory and contractual annual leave balances shall be implemented no later than May 2026.

Special adjustments (Article 12)

The Collective Bargaining Agreement lays down the procedures for part-time work and the possibility of taking unpaid leave in this case.

Contract termination

Notice period in the event of termination of the employment contract (Article 4)

In accordance with the provisions of the Labour Code.

Health, safety and hygiene

Obligations of employees (Article 24)

Employees must:

  • strictly observe the planned working hours;
  • conscientiously carry out the duties and responsibilities entrusted to them;
  • follow instructions issued by their superiors;
  • practise their occupation in accordance with the provisions imposed on them by the Act of 26 March 1992 on the performance and revaluation of certain healthcare occupations and by the applicable regulations;
  • be subject to strict observance of professional secrecy.

Acceptance of any employment outside the hospital establishment shall be subject to the written consent of the management, with the person concerned and the staff delegation being able to provide their opinions prior to any decision.

Other elements (including sector-specific provisions)

Seniority Bonus (Article 44)

The provisions of Article 14.2 related to the seniority bonus cannot prejudice the acquired rights of employees in service before December 31, 1990.  

Transitional measures (Article 44-45)

  • CHANGE OF CAREER BRACKET AS OF 1 OCTOBER 2017
    • The concept of a notional career starting age shall be abolished for recruitments with effect from 1 October 2017.
    • For employees in service on 30 September 2017 and still in service as of 1 October 2017, this abolition shall have no effect – it will not result in a career bracket recalculation.
    • The anniversary date for biennial periods has not been changed with the introduction of new career brackets.
    • People who, on 30 September 2017, receive a bonus on the basis of Article 15B or 15C of the coordinated text of the FHL CBA of December 2014 and who are still in service as of 1 October 2017, will retain their bonus provided that the sum of the former basic career bracket plus the bonus is more favourable than the new career bracket. Otherwise, the bonus may be cancelled.
    • All employees in service on 30 September 2017 and still in service as of 1 October 2017 will be reclassified in the new career brackets applicable from 1 October 2017. Employees will be classified in the new career brackets as follows:

General rules

  • In principle, employees will be classified in the new career bracket scale at the value level immediately above the point value of the level reached on 1 October 2017. Thus, employees who would have had a biennial period date in October on the basis of their former career bracket will first benefit from the biennial period date before being classified in the new career bracket.
  • For university career brackets now classified in CA10 or CS10, classification should be to the value level equal in points or the level immediately above.
  • For employees who have reached the level with the final (end of career) biennial period in their former career bracket, the number of levels spent at the end of career stage in the former career bracket will be added to the level obtained in accordance with the rule on classification to the level immediately above.
  • A table showing the matching of levels as at 1 October 2017, in application of both the above general rules and the following specific rules, is annexed to this text (Annex 5b).
Specific rules  
  • For the revalued old careers (OU1, ES1, ES2 (except for educators), ES3, ES4) and considering the significant difference between the new grids and the old grids, the respective new career grids will be reduced fictively on a transitional basis for the purpose of determining the level in the new career by one or more levels. Employees concerned will be classified in the new career at the level immediately higher than the point value of the level reached on October 1, 2017, increased by a biennial adjustment.
  • Employees who were in service on September 30, 2017, and remained in service on October 1, 2017, and classified in career EA2, will exceptionally be classified in career CA3bis. The career grid will, however, stop at 268 points at the end of the career. It is included in the "Transitional Career Grids" table (Appendix 4.1bis).

Point 4.3 of the agreement protocol dated 26 March 2026 abolishes the transitional career level CA3bis as from 1 January 2026.

  • Each employee in service on September 30, 2017, and still in service on October 1, 2017, will receive an updated "career sheet" with their October 2017 pay slip for information.
  • The signatory parties are aware that the new careers have a different progression compared to the old careers. In principle, the new careers will at least match the cumulative income of the old careers over a full professional life of 38 years, except in the case referred to in point b) under specific rules above. The signatory parties have identified cases where the cumulative income, during the progression of certain careers, may be lower than in the old career.
  • It may happen that an employee in service on September 30, 2017, and still in service on October 1, 2017, reaches an age where they will not be able to access more favorable levels even though they have already reached retirement age or early retirement pension. The following is agreed to ensure that the employees concerned do not suffer a loss. It is expressly agreed that voluntary early retirements are not included: For each individual employee whose calculated cumulative difference between the old career and the new career at the time of their retirement age shows a negative balance, the employee is entitled to an individual monthly supplement to compensate for the loss due to the classification in the new career starting from October 1, 2017. In this case, the right to the individual monthly supplement arises from the first month in which a negative difference is observed in the cumulative difference between the old career and the new career. The individual monthly supplement corresponds to the difference between the number of points in the old career and the number of points in the new career for the given level. The amount of the individual monthly supplement is determined by multiplying the number of points as defined in the previous paragraph by the value of the index point as defined in Article 13 at the time when the individual monthly supplement is due. The individual monthly supplement is paid each month as long as the number of points in the new career is lower than the number of points in the old career for the relevant level, and if applicable, until the end of the employment contract.
  • All of the hours counters for each employee will be frozen as of September 30, 2017, and valued at the corresponding hourly rate. Each employee will receive a statement of these hours on September 30, 2017, generally with their September 2017 salary statement.
    These counters include:
    • Credits for overtime hours (CHE/CHS)
    • Rest days (for on-call duties, worked on-call hours, compensation for night work, failure to meet the number of free weekends, failure to meet the uninterrupted weekly rest period)

By mutual agreement between the employer and the employee, these counters may be paid by calculating them using the hourly rate applied on September 30, 2017.

If these hours are compensated with time off, the hourly rate at the time of recovery will be applied.

In the case of termination of employment after October 1, 2017, any carried-over leave from previous years and any unpaid leave due until September 30, 2017, may be paid by calculating them using the values applied before the revaluation measures came into effect on October 1, 2017.  

Specific Rules for the Period from October 1, 2017, to September 30, 2019  

Employees hired in the CS4 or CS8 career levels, with a start date between October 1, 2017, and September 30, 2018, will be recruited based on the CS4bis or CS8bis careers.

These careers correspond to the CS4 and CS8 careers, respectively, reduced by two levels. Employees hired in the CS4 or CS8 career levels, with a start date between October 1, 2018, and September 30, 2019, will be recruited based on the CS4ter or CS8ter careers.

These careers correspond to the CS4 and CS8 careers, respectively, reduced by one level. The progression of these "bis" and "ter" careers is presented in the "Transitional Career Grids" table in Appendix 4.1bis.

Point 4.3 of the agreement protocol dated 26 March 2026 abolishes the transitional career levels CS4bis, CS4ter, CS8bis et CS8ter as from 1 January 2026.

 

Career Change as of January 1, 2022 (Article 46)

  • The anniversary date for the biennial deadlines remains unchanged with the introduction of the new careers.
  • All employees in service as of January 1, 2022, will be reclassified into the new careers applicable from January 1, 2022.
  • The classification into the new careers will be as follows:
    • As a general rule, employees will be classified into the new career grid at the step immediately higher than the point value of the step reached as of January 1, 2022. Therefore, employees who would have had a biennial in January based on their old career will first benefit from the biennial before being classified into the new career.
    • For university careers now classified as CA10 or CS10, the classification will be at the step with an equal or immediately higher point value.
    • For employees who reached the step with the last biennial (end of career) in their old career, the number of steps passed at the end of the old career will be added to the step obtained according to the rule of classification to the immediately higher step.
    • A table outlining the matching of steps as of January 1, 2022, according to both the general rules above and the specific rules below, is attached to this document (Annex 4.3).
    • Each employee in service as of January 1, 2022, will receive an updated "career sheet" with their salary slip for December 2022 at the latest.

Revaluation of CA/CS2, CA3, and CA/CS4 Careers (Article 48)

Each step of the CA/CS2, CA3, and CA/CS4 careers will be increased by 5 index points. This measure applies as of January 1, 2022, with no retroactive effect.

Revaluation of Medical Physics Experts (Point 3 of the interim agreement protocol dated 10 July 2025)

A monthly allowance of 30 points (at the value of the index point of the CCT-FHL in force) shall be granted to Medical Physics Experts accredited by the Ministry. This measure shall apply retroactively as from 1 January 2025.

Revaluation of career schemes CA 5 and CA/CS 6 (Point 4.4 of the agreement protocol dated 26 March 2026)

As from 1 January 2026, without retroactive effect, each employee classified in career schemes CA 5 and CA/CS 6 shall benefit from an increase equivalent to six (6) index points. The anniversary date of biennial step advancements shall remain unchanged.

This increase shall be applied on a linear basis across all grades within career schemes CA 5 and CA/CS 6.

The adjustment of the career schemes shall be implemented no later than May 2026.

Career Change for Pharmacy Technicians (Article 49)

Pharmacy technicians will be reclassified into the CA/CS6 career. This measure applies as of January 1, 2022, with no retroactive effect.

Specific Rules Regarding Physiotherapists with a Master’s Degree or Equivalent (Article 50)

Employees with a Master's degree in massage-physiotherapy, totaling a minimum of 300 ECTS credits, or with a higher education qualification equivalent to a Master's degree in massage-physiotherapy certified by the Ministry of Higher Education and Research, who were in service on December 31, 2021, and remain in service on January 1, 2022, will be reclassified into the CS10 career according to the general rules outlined above. This measure applies from January 1, 2022, with no retroactive effect. The parties encourage employees who do not meet the above conditions to pursue validation of prior learning and experience.

Specific Rules for Specialized Nurses (Article 51)

From January 1, 2022, the years of specialization following the general nursing education recognized in Luxembourg will entitle employees to a 100% bonus for the training time, provided that it does not exceed the standard training duration specified by the country of the qualification, as recognized in Luxembourg. This measure applies from January 1, 2022, with no retroactive effect on the salary received, to all current employees working under CHT FHL and to future employees. The general rules outlined above apply.

Recognition of seniority as at 1 January 2026 (Point 4.3 of the agreement protocol dated 26 March 2026)

  • Employees reclassified as at 1 October 2017 into the final career schemes (Annex 4.1 of the CCT-FHL 2022-2024)
    Employees in service as at 1 January 2026 whose career was recalculated as at 1 October 2017 in accordance with Article 45.1 of the CCT-FHL and who were classified in the current career schemes shall benefit from full recognition of their seniority on the basis of their situation as at 30 September 2017, without retroactive effect prior to 1 January 2026.
  • Employees reclassified as at 1 January 2022 in accordance with Articles 46, 47, 49 and 50 of the CCT-FHL
    Employees in service as at 1 January 2026 who changed career schemes as at 1 January 2022 in accordance with the above-mentioned provisions of the CCT-FHL shall be reclassified at the same grade level in their new career scheme, without loss of seniority and without retroactive effect prior to 1 January 2026. The other provisions introduced by the CCT-FHL 2022 shall remain unaffected and shall continue to apply.
  • Employees classified in a transitional career scheme
    Employees in service as at 1 January 2026 who, as from 1 October 2017, were classified in a transitional career scheme, namely CA3bis, CS4bis, CS4ter, CS8bis or CS8ter, shall be reclassified into the career scheme corresponding to their professional profile.
    Upon such reclassification as at 1 January 2026, the seniority acquired shall be fully recognised and credited on the basis of their situation as at 31 December 2025, without retroactive effect prior to 1 January 2026.
  • Measures strictly in favour of employees
    Employees in service as at 1 January 2026 who are reclassified in accordance with the rules set out above shall benefit exclusively from favourable adjustments.
  • Implementation
    The adjustment of seniority and the abolition of transitional career schemes shall be implemented no later than December 2026, with retroactive effect as from 1 January 2026.

Revision of Article 31 of the CCT-FHL – Association for Continuing Vocational Training in the Hospital Sector (Article 5 of the agreement protocol dated 26 March 2026)

Article 31 of the CCT-FHL shall be replaced as follows: “ARTICLE 31 – ASSOCIATION FOR CONTINUING VOCATIONAL TRAINING IN THE HOSPITAL SECTOR”.

 

It is agreed between the contracting parties to establish an Association for Continuing Vocational Training in the hospital sector, to be known as the Centre de Formation Professionnelle Continue DeWidong, in abbreviated form CFPC DeWidong asbl. The decision-making powers of the association, as well as the composition of its board of directors, shall operate on the basis of parity between the FHL on the one hand and the trade union organisations signatory to this collective bargaining agreement on the other hand.

 

The financing of the association shall be ensured through:

  1. an annual social contribution, deducted as part of the employer’s share, for each employee contractually benefiting from the provisions of the CCT-FHL, amounting to 0.05% of their annual contributory remuneration;
  2. an annual contribution from the FHL amounting to 0.05% of the total annual contributory payroll of employees contractually benefiting from the provisions of the CCT-FHL within the member establishments of the FHL.

Annexes

  • In addition to Article 2, paragraph 3 of this agreement, reference is made to the implementing regulations of Annex 1.
  • In addition to Article 4 of this agreement, reference is made to Annex 2.
  • In addition to Articles 11.2.1 and 11.2.2 of this agreement, reference is made to Annex 3.
  • In addition to Article 15 of this agreement, reference is made to the classifications and grids in Annex 4.
  • In addition to Article 19 of this agreement, reference is made to the regulations in Annex 5.
  • In addition to Article 21 of this agreement, reference is made to the regulations in Annex 6.
  • In addition to Article 14.2 of this agreement, reference is made to the regulations in Annex 7.  

CLASSIFICATION SCALE (Annex 4 – Article 15 from 1 October 2017)

CA1

Manual worker without a diploma. Former career brackets classified in OU1.0 and OU2.0

CA2/CS2

Employee without a diploma. Former career brackets classified in EA1.0, EA2.0 and OU3

CA3

Employee who has completed the third year of secondary or technical secondary education and has at least 2 years’ professional experience with a manual skills certificate (certificat de capacité manuelle – CCM), a preliminary technical and vocational certificate (certificat d'initiation technique et professionnelle – CITP) or a vocational capacity certificate (certificat de capacité professionnelle – CCP). Former career brackets classified in OU4.0 and EA 2.1

CA4/CS4

Employee holding a vocational skills certificate (certificat d'aptitude technique et professionnelle – CATP), a professional skills certificate (certificat d’aptitude professionnelle – CAP) or a vocational aptitude diploma (diplôme d’aptitude professionnelle – DAP). Employee who has completed the fifth year of secondary education. Employee with a general secondary school leaving certificate (certificat de fin d'études de l'enseignement moyen). Employee who has completed 5 years of secondary technical education in the technical or technician regime. Former career brackets classified in FA3.0 and ES1.0. Persons classified elsewhere in the former career bracket scale but holding a vocational diploma (diplôme d’aptitude professionnelle – DAP).

CA5

Employee holding a master craftsman’s certificate (brevet de maîtrise). Employee holding a technician’s diploma (diplôme de technicien) (technician regime in secondary technical education). Former career brackets classified in EA3.1

CA6/CS6

Employee holding a secondary school leaving certificate (certificat de fin d'études secondaires) or a technical secondary school leaving certificate (certificat de fin d'études secondaires techniques) and engineer-technicians. Former career brackets classified in EA4.0 and teacher

CA7

Employee holding a higher technician’s certificate (brevet de technicien supérieur – BTS): nurse, laboratory medical technical assistant, administrative BTS.

CA8/CS8

Employee with a specialised higher technician’s certificate (Brevet de technicien supérieur spécialisé – BTSS): medical technical radiology assistant, medical technical surgery assistant, psychiatric nurse, paediatric nurse, anaesthesia and resuscitation nurse and midwife

CA9

Employee with a bachelor’s degree. Former career brackets classified in EA5.0. Former career brackets classified in ES5.0: graduate teacher, graduate hospital nurse, laboratory technician, dietician, occupational therapist, psychomotor therapist, social hygiene assistant, social assistant, speech therapist and physiotherapist

CA10/CS10

Employee with a master’s degree (Bac + 5/6 years of higher education)

 

Classification Grid (Annex 4bis – Article 15 from January 1, 2022)

CA2/CS2
 

Employees without a diploma from previous careers classified in EA1.O, EA2.0, OU3, CA1.

CA3
 

Employees who have completed the 5th year of secondary school or the 9th year of technical secondary school and have at least 2 years of professional experience. Employees holding a CCM, CITP, or CCP (professional qualification certificate) from previous careers classified in OU4.0 and EA 2.1.

CA4/CS4

Employees holding a CATP, CAP, or DAP. Employees who have completed the 3rd year of secondary school. Employees holding the certificate of completion of general education or secondary technical education. Employees who have completed 5 years of technical secondary education under the technical or technician scheme from previous careers classified in EA3.0, ES1.0. Individuals classified elsewhere in the previous career but holding a DAP.

CA5
 

Employees with a Master’s Certificate or Technician diploma (technical secondary education). Previous careers classified in EA3.1.

CA6/CS6
 

Employees holding the certificate of completion of secondary school or technical secondary school, as well as engineer-technician. Previous careers classified in EA4.0, educator, and pharmacy assistant.

CA7
 

Employees with a Higher Technician Certificate (BTS): nurses, medical laboratory assistants, administrative BTS.

CA8/CS8
 

Employees with a Specialized Higher Technician Certificate (BTSS): medical radiology assistant, medical surgical assistant, psychiatric nurse, pediatric nurse, anesthesiology and resuscitation nurse, midwife.

CA9
 

Employees with a Bachelor’s degree. Previous careers classified in EA5.0, previous careers classified in ES5.0: graduate educator, graduate hospital nurse, laboratory technician, dietitian, occupational therapist, psychomotor therapist, social hygiene assistant, social worker, speech therapist, physiotherapist.

CA10/CS10
 

Employees with a Master’s degree (Bac +5/6), including physiotherapists with a Master’s degree (300 ECTS) or an equivalent higher education qualification in massage-physiotherapy certified by the Ministry of Higher Education and Research.

 

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