The Association of Medical Specialists (AMS) has raised serious concerns over the proposed reduction in extra duty, public holiday, and Sunday payment rates for medical officers in the 2025 Budget. In a press release dated February 20, 2025, AMS highlighted that these changes would undervalue the essential after-hours work that ensures an uninterrupted health service. While AMS has opted not to take trade union (TU) action at this moment, the association acknowledges the justification for such measures by doctors’ unions.
Beyond this immediate issue, AMS has expressed deep frustration over the government's failure to address longstanding demands affecting state-sector medical specialists. The continued exclusion of specialists from transport allowances granted to parallel-grade officers has caused significant hardship, particularly for those working in remote areas. Additionally, the current extra duty payment system does not recognize mandatory off-site work, placing an unfair burden on specialists who must remain available after hours. AMS urges authorities to implement a fixed allowance to cover these duties and to revise the Disturbance and Availability components of the DAT allowance to reflect the high qualifications required for specialization. The association also calls for appropriate remuneration for the substantial non-clinical workload specialists undertake, such as teaching and committee participation, to prevent further brain drain and ensure the sustainability of Sri Lanka’s healthcare system.
The press release is below
