National health professionals reserve - fixed-term contracts for other self-employed health professionals

Coronavirus / Covid-19

In the context of the organisation of the health system during the Covid-19 pandemic, a self-employed general practitioner or a person practising a health profession in a self-employed capacity were given the possibility to conclude a fixed-term contract in order to work as an employee of the state from 4 April until 29 May 2020.

This option is now closed.

Further details about the duty lines and the general organisation of the health-care system during the Covid-19 pandemic can be found here.

Persons concerned

In order to constitute a health professionals reserve and be able to cope with a possible shortage of health professionals, the state was offering the option of a fixed-term contract as an employee of the state in return for 16 hours' availability per week to the holders of a licence to practise in the following professions:

  • veterinary surgeons;
  • psychotherapists;
  • qualified and graduate nurses;
  • physiotherapists;
  • medical masseurs;
  • chiropodists;
  • psychomotricity therapists;
  • speech therapists;
  • osteopaths;
  • dieticians;
  • occupational therapists;
  • midwives.

Procedure for other health professionals to conclude a fixed-term contract as an employee of the state


To be able to take up this option, the health professional must hold a licence to practise his/her profession issued by the member of the Luxembourg Government with responsibility for health.

These fixed-term contracts are for health professionals currently in private practise who, for the duration of their fixed-term contract as an employee of the state, do not have another contractual relationship as a salaried worker with a monthly workload of more than 50 %. This also applies to parental leave in excess of 50 %.


Fixed-term contracts may be concluded from 4 April 2020 onwards. The contracts will run until 29 May 2020.
The last day for concluding a fixed-term contract was 3 May 2020.
It should be noted that the contract takes effect on the day after signature, on condition that the licence to practise is valid. If a licence has lapsed, the health professional will be informed that the fixed-term contract will not take effect.

Example: A health professional goes through the procedure on 5 April 2020, and signs and sends on the application the same day. If his/her licence to practice is valid and the application countersigned by the Minister for Health, the contract takes effect on 6 April 2020. The contract will in all cases remain valid until 29 May 2020.


The workload laid down in the contract corresponds to 16 hours per week, i.e. a minimal workload of 40 %.

If necessary, and if both parties are agreed, the number of work hours may be increased and even reach a workload of 100 % (full-time position).

The tasks required of a professional working in the reserve may be different from those normally carried out.

The contract stipulates that "in addition to the care services provided for under their own professional attributions and due to the state of crisis, the employee may be temporarily assigned to administrative, logistical, and stretcher-bearing tasks, as well as participation in basic care for patients or residents such as communication, feeding and hydration, mobilisation, hygiene and comfort care."

Health professionals who opted for the contract as an employee of the state may continue working in private practice beyond their availability for the national health professionals reserve provided that the state has authorised the performance of an ancillary activity (see the FAQ). It should be emphasised that in principle acts carried out in private practice during their availability for the national health professionals reserve are not enforceable on the CNS but are remunerated under the contract as an employee of the state. Acts performed beyond their acts performed as employees of the state shall be remunerated in accordance with the applicable nomenclature.


Depending on their profession, the amounts of the basic remuneration for health professionals are as follows:

Healthcare professions Monthly remuneration (40 % workload)
Veterinary surgeons EUR 4,050
EUR 4,050
Graduate nurses
EUR 3,592
Nurses EUR 3,324
Physiotherapists EUR 3,592
Medical masseurs EUR 3,324
Chiropodists EUR 3,592
Psychomotricity therapists EUR 3,592
Speech therapists EUR 3,324
Osteopaths EUR 3,592
Dieticians EUR 3,324
Occupational therapists EUR 3,592
Midwives EUR 3,324
Health professionals will also receive:
  • an allowance for meals amounting to EUR 204 net, calculated pro rata on the basis of a 40 % workload;
  • as appropriate, a family allowance amounting to EUR 554, calculated pro rata on the basis of a 40 % workload;
  • the proportion of the end-of-year bonus corresponding to the duration of the fixed-term contract.


Take a look at the FAQ section for answers to any questions you may have.

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