FIQ (Fédération Interprofessionnelle de la santé du Québec)

Local Nego

For more information on the last provincial negotiations

The forced merger of institutions disrupted the organization of the Quebec public health network and the creation of the CISSSs and CIUSSSs means unions have to renegotiate the local provisions in the collective agreement. So what’s the challenge for local negotiations? To standardize work conditions across institutions with differing realities, cultures and practices, and to take this opportunity to put new provincial gains for FIQ members into practice.


  • Local negotiations in the health sector are governed by a legal framework that includes the Labour Code and recent laws on which the health reform is based.
  • Due to the merging of institutions, the 26 local matters need to be renegotiated for the CISSSs and CIUSSSs within 18 months of the date of their accreditation. In an institution that wasn’t merged, local negotiations are consensus-based and not subject to a deadline.
  • Because of the 18-month deadline, the local negotiations structure needs to be set up quickly and include a local negotiating committee with a specific role.
  • The parties can call on a mediator-arbitrator to make the final decision on the content of the local provisions applicable in the CISSSs and CIUSSSs.
  • To avoid entering into a second round of negotiations before 2020, local parties should take the Letter of Understanding No. 6 into account right away (target for full-time position). It is one example of a provincial gain that needs to be integrated into the framework of the local provisions, and will have a significant impact on FIQ members in the current local negotiations.