Care Initiative: Impediments from Impractical Guidelines, Ensuring Adequate Funding

12.11.2026 | from H+ Ihre Spitäler

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H+ Ihre Spitäler
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12.11.2026, Bern - H+ Your Hospitals critically assesses some decisions by the Council of States' Committee for Social Security and Health (SGK-S) regarding the second stage of the care initiative. In particular, the reduction of the weekly maximum working hours endangers flexible working time models and, consequently, attractive working conditions. Additionally, H+ demands a complete and forward-looking financing of the additional costs from the very beginning. Otherwise, the financial pressure on hospitals and clinics, as well as the burden on nursing staff, is threatened to increase further. H+ urges the Council of States to amend the proposal accordingly.


H+ explicitly advocates for better working conditions in nursing. Hospitals and clinics are already investing heavily in attractive working conditions, flexible working models, and the compatibility of work and personal life. The reduction of the weekly maximum working hours from 50 to 45 hours, as decided by the SGK-S, significantly restricts flexibility in duty planning to the detriment of nursing staff and complicates individual working time models. For example, nurses could no longer work several days in a row for extended time off afterward, even though this is in line with the needs of many nurses. Short- term assignments during staff shortages would also become more challenging. Instead of improving the compatibility of work and personal life, this could lead to less flexible working hours and high additional costs for hospitals and clinics.

Binding transitional financing for care provision essential

Although the commission stipulates that the additional costs should be covered by tariffs in the long run, H+ insists that the financing of the additional costs be fully and prospectively ensured from the outset. A prospective financing is necessary to ensure that the additional funds are available in time. Otherwise, hospitals and clinics would have to bear the additional costs themselves. This would further increase the financial pressure on the already heavily burdened institutions and could directly impact the nursing staff. Ultimately, patients would also suffer if less time and resources were available for their care and support. Thus, there is a threat of the care initiative failing to achieve its original goal: to sustainably improve working conditions in nursing and ensure high-quality care.

H+ demands practicable solutions

H+ calls for an implementation of the care initiative that meets the needs of nursing staff, functions in the everyday life of hospitals, and is above all fully financed from the start. Only in this way can working conditions be sustainably improved and the care of patients ensured. To ensure practical solutions, the increased involvement of hospitals and clinics, which have to implement the care initiative, is essential.

Press contact:
Anne-Geneviève Bütikofer, Director
Tel.: 031 335 11 63
E-Mail: medien@hplus.ch

Editor's note: Image rights belong to the respective publisher. Image rights: H+ Ihre Spitäler


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H+ Ihre Spitäler


As the national association of all Swiss hospitals, clinics, nursing, and rehabilitation facilities, we represent the interests of our members as service providers and employers on political, economic, legal, and ethical levels. The promotion of the well-being of the individuals entrusted to us forms the basis of our work.

We capture and represent the interests of our members in politics and negotiation bodies at the national level as a partner of authorities, institutions, professional groups, and other healthcare organizations.

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Source: H+ Ihre Spitäler, Press release

Original article published on: Pflegeinitiative: praxisferne Vorgaben verhindern, genügende Finanzierung sichern