The remuneration under collective agreement 51 is based on a precise calculation mechanism, but multiplying the coefficient by the value of the point is no longer sufficient to reflect the reality of a payslip. Since the Ségur revaluations and the addition of fixed supplements, the “off-grid” portion weighs as much as the grid itself. Accurately measuring your CCN 51 salary in 2026 requires breaking down each line, not just waiting for the next value of the point.
Value of the CCN 51 point: comparative table of recent developments
The CCN 51 point is set by a salary amendment subject to ministerial approval. Each modification results from negotiations between FEHAP and trade unions, with no automatic link to the index point of the public hospital service.
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| Effective Date | Point Value | Change |
|---|---|---|
| Before July 2022 | 4.447 € | Historical value |
| July 1, 2022 | 4.580 € | +3 % (employer recommendation) |
| January 1, 2026 | 4.568 € | +2 % (amendment n°2025-04, December 2025) |
The key figure for 2026: the value of the CCN 51 point is set at 4.568 € according to amendment n°2025-04. Some specialized sources mention a rounding to 4.58 €. The discrepancy is due to how establishments apply the amount (rounded to the next cent or the exact value of the amendment).
To delve deeper into the mechanisms of bonuses and seniority recovery that complement this calculation, a detailed file on the value of the CCN 51 point in 2026 lists the elements to check on your payslip.
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Gross salary CCN 51: why the coefficient alone is no longer enough
The basic formula remains simple: job coefficient multiplied by the value of the point. A coefficient of 477 (nursing assistant, for example) gives a gross base salary of 477 x 4.568 = 2,178.94 € gross monthly. The mechanics seem clear.
The problem is that this base now represents only a fraction of the actual salary. Several supplements are systematically added:
- CCN 51 seniority bonus: 1 % per year, capped at 30 %. After 15 years in the same establishment, this bonus adds 15 % to the base salary, which is over 300 € gross on a median coefficient.
- The index treatment supplement (CTS) from the Ségur de la santé represents about 238 € gross per month (183 € net) for eligible professionals. This amount is fixed, independent of the coefficient.
- Compensations for night work, Sundays, and public holidays, varying according to establishments and the actual schedule of the employee.
An employee with the same coefficient can therefore earn several hundred euros more or less than a colleague, depending on their seniority and eligibility for the Ségur CTS.
Comparison with the public hospital service in 2026
The index point of the public hospital service (FPH) remains set at 4.92278 € in 2026, with no revaluation announced. This stability in the public sector creates an increasing gap with the non-profit private sector, but the direct reading of the two point values is misleading.
The grids do not function in the same way. In FPH, remuneration follows indexed scales with regulated transition durations. In CCN 51, the coefficient is linked to the position, and progression depends on the seniority bonus (1 % per year). However, the Ségur CTS applies in both sectors, which reduces the real gap on the fixed portion.
What the gross gap between the two points hides
A nurse at the beginning of their career in the public sector receives a higher indexed salary than their counterpart in CCN 51, thanks to a higher point. After ten years, the CCN 51 seniority bonus (10 % of the base salary) and any more favorable establishment agreements can reverse the trend. The net gap depends as much on seniority as on the point itself.
Check your CCN 51 salary: lines to verify on the payslip
The payslip of a CCN 51 employee contains specific lines that deserve careful re-reading, especially during hiring or a job change.
Seniority recovery upon entry
The agreement provides for partial or total recovery of seniority acquired in a similar position. This recovery directly conditions the rate of the seniority bonus from the first month. An oversight in seniority recovery can cost several tens of net euros each month, accumulated over the entire duration of the contract.
Application of the correct coefficient
Each profession has its own coefficient. A category shift (from caregiver to educator, for example) changes the coefficient without the employee always being clearly informed. Check that the coefficient listed on your contract corresponds to the actual job description and the current collective agreement grid.
Presence of the Ségur CTS
The Ségur supplement must appear on a separate line. Its absence on the payslip does not always indicate an error: some administrative or logistical positions are not eligible. All caregivers and paramedics are entitled to it since its generalization.
The value of the CCN 51 point at 4.568 € in 2026 is just one of the parameters of the actual salary. The seniority bonus, the Ségur CTS, and the recovery of seniority upon hiring significantly modify the final amount. Comparing your payslip line by line with the collective agreement grid remains the only reliable way to ensure that your remuneration corresponds to what the agreement stipulates.