The Nigerian Medical Association (NMA) has noted with concern recent statements and insinuations credited to the Trade Union Congress (TUC) and the Nigeria Labour Congress (NLC) alleging that there was an “upgrade” of the Consolidated Medical Salary Structure (CONMESS) in 2014.
The NMA wishes to unequivocally clarify that there was no upg
rade of CONMESS whatsoever as falsely claimed. What occurred was a correction of a long-standing error and distortion in the application of the CONMESS framework, which had persisted despite clear approvals and established public service guidelines. This corrective action merely restored CONMESS to its rightful and previously approved position. By every objective, technical, and administrative definition, a correction of an anomaly does not amount to an upgrade.
The attempt to portray this correction as preferential treatment is therefore misleading and inaccurate, and risks creating unnecessary tension within the health sector. Such narratives are capable of fuelling avoidable inter-professional discord at a time when unity and collaboration are critically needed to address the deep-seated and systemic challenges confronting Nigeria’s health system.
The NMA is particularly concerned about the adversarial tone and issuance of public ultimatums on a matter that requires careful verification, technical understanding, and institutional engagement. We urge the TUC and NLC to exercise caution, restraint, and responsibility in their public communications, especially on sensitive salary structure issues, so as not to misinform workers or the general public.
Furthermore, the NMA calls on the Federal Government of Nigeria to remain focused on the ongoing Collective Bargaining Agreement (CBA) process as the appropriate, lawful, and structured platform for addressing remuneration, welfare, and industrial concerns within the health sector. The CBA framework offers a unique opportunity for holistic, inclusive, and sustainable solutions, with all relevant stakeholders adequately represented.
In addition, the NMA emphasizes the urgent need for government to rationalise the health workforce in a manner that prioritises efficiency, service delivery, and patient outcomes. Greater policy attention should be directed towards retaining, strengthening and incentivizing frontline clinical workers particularly doctors and nurses, who bear primary responsibility for direct patient care and clinical decision-making.
A significant proportion of ancillary and support services, many of which fall outside core clinical functions, can be more efficiently provided through structured outsourcing arrangements. Such an approach would reduce redundancy, optimise limited resources, improve value for money, and ultimately enhance the quality and responsiveness of healthcare services delivered to Nigerians.
Fragmented interventions, selective narratives, or responses driven by pressure rather than due process will not deliver lasting industrial harmony. What the health sector requires is comprehensive engagement, good-faith negotiations, respect for existing agreements, and adherence to clearly defined professional roles and responsibilities.
The Nigerian Medical Association remains committed to constructive dialogue, transparency, and inter-professional harmony, and will continue to engage responsibly with government and labour institutions in the overall interest of healthcare workers and the Nigerian people.
(Signed)
Dr. Mannir Bature
National Publicity Secretary
Nigerian Medical Association

The National Executive Council meeting of the Nigerian Medical Association (NMA) was held at the June 12 Cultural center, Abeokuta, Ogun State between the 1st to 5th December 2025. The theme of the Conference and Meeting was “Beyond Crosswords: Unlocking Health System Potential Through Partnerships”. The sub-theme was “Caring for the Caregivers: Doctors’ Welfare and Mental Resilience in a Broken System”.
The National Executive Council Meeting was heralded by courtesy calls on the Vice Chancellor, Olabisi Onabanjo University (OOU), Prof. Adedeji Agboola, the wife of the wife of the General Overseer of the Redeemed Christian Church of God (RCCG), Pastor Mrs. Folu Adeboye, and the Medical Director of the Redeemers Health Village, Dr. Adedamola Dada. The Association also had a successful medical, surgical and Radiological outreach at the Idowa Ijebu, where multiple indigent patients were attended and free ultra sound scans were conducted.
The Opening Ceremony, which held under the distinguished chairmanship of the Chairman of Ace Medical Clinics Limited, Dr. Oluwole Kukoyi, featured an impressive array of dignitaries. In attendance was the Honourable Minister of State for Health, ably represented by the Medical Director of the Federal Medical Centre, Abeokuta, Dr. (Mrs.) Sarah Ibiyemi; the Executive Governor of Ogun State, represented by the Commissioner for Health, Dr. Tomi Coker; and the Executive Governor of Kwara State, represented by the Commissioner for Health, Dr. (Mrs.) Amina Ibrahim El-Imam.
Also present were the Dagburewe of Idowa, HRH Oba Alayeluwa Barr. Sikiru Kayode Adefuape Okuribido; the Olowu of Owu Kingdom, HRM Oba Professor Saka Adelola Matemilola; a past President of the National Postgraduate Medical College, Prof. Akin Osibogun; the Chairman of Coleman Cables and Wires and Asiwaju of Remo Kingdom, Asiwaju Onafowokan; and the Registrar of the Medical and Dental Council of Nigeria, Dr. Fatima Kyari.
The theme lecture was delivered by a former Commissioner for Health in Ogun State, Dr. Babatunde Ipaye, while the sub-theme session featured three seasoned medical experts: Prof. Olayinka Atilola, Dr. Zainab Mairami, and Dr. Yusuf Quudus.
The open ceremony also featured awards presentation to notable dignitaries, amongst whom were Dr Ali Gombe a former Minister of State Health, under the General Abubakar Abdulsalami regime, Prof Akin Osibogun, renowned Public health expert and the former Chief Medical Director (CMD) of the Lagos University Teaching Hospital LUTH, Idi Araba Lagos and Dr Aisha Shehu Adamu, the current Medical Director of the Federal Medical Centre, Jalingo. A post houmous award of the Fellow of the Nigerian Medical Association (FNMA) was given to late Prof. Jibril Aminu, former Vice Chancellor of the University of Maiduguri and also a former Minister of Education and Minister of Petroleum and Mineral Resources.
In his opening remarks, the President warmly welcomed members to the meeting and provided a brief, yet comprehensive account of the efforts undertaken by the National Officers Committee (NOC) over the past few months. He highlighted the Committee’s sustained commitment to improving members’ welfare, as well as its constructive engagements with the Government and relevant agencies on issues affecting the medical profession. The President expressed deep appreciation for the unwavering support he has received from all members of the NEC and appealed for continued collaboration, emphasizing that strengthened support for the NOC is essential to further advance the welfare and professional well-being of Nigerian doctors
OBSERVATIONS
RESOLUTIONS
APPRECIATION
The Nigerian Medical Association expresses its sincere appreciation and is immensely grateful to the following personalities for various roles and support before, during and after the meeting:
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On Monday, 1st September 2025, the leadership of the Nigerian Medical Association (NMA), led by its President, Prof. Bala Mohammed Audu, paid a courtesy visit to the President and Commander-in-Chief of the Armed Forces of the Federal Republic of Nigeria, His Excellency Bola Ahmed Tinubu, GCFR, at his official r
esidence in Abuja.
During the visit, Prof. Audu commended President Tinubu for his visionary healthcare reform agenda and assured him of the unwavering support of Nigerian doctors in driving transformative change in the health sector. He further expressed appreciation for the President’s prompt interventions in maintaining industrial harmony within the sector while also urging for the timely and full implementation of agreements already reached with the Association.
The NMA President particularly lauded the approval for the constitution of the Collective Bargaining Agreement (CBA), describing it as a milestone that will not only improve the welfare of healthcare workers but also help address the growing challenge of brain drain, popularly known as the “Japa” syndrome. On behalf of all Nigerian doctors, Prof. Audu presented a customized plaque as a mark of honor and appreciation to the President.

In his response, President Tinubu reaffirmed his resolve to deliver far-reaching reforms that will strengthen the nation’s healthcare system for the benefit of all Nigerians.
Dr Mannir Bature
National Publicity Secretary