Family doctors. Here is the new proposal from the Regions for the transition to addiction. But negotiations with the ministry are still at a standstill

by LF

In the request made by the Regions, it is requested that a passage be included in the law on which the Ministry of Health is working to allow the “recruitment of employees to guarantee the primary care activities to be carried out within the homes of the community”. But the negotiation with the government is not yet unblocked. The crux of the clause which would allow the ministry to intervene if the negotiations with the MMG of Sisac could not succeed.

February 11th – “The Regions and Autonomous Provinces, through the organs of the regional health service, can recruit employees to guarantee the primary care activities to be carried out within the homes of the community, within the current limits of personnel expenditure accumulated with the final expenses as at 31.12.2021 for the purchase of health services for basic medicine“.

This is the request put in black on white by the Regions and transmitted to the Government so that this approach is included in the measure of reorganization of territorial medicine on which the Ministry of Health is working. In essence, the regions ask that, alongside the figure of the contracted family doctor, they can be hired as employees of the doctors to work in the houses of the community.

At the moment, however, negotiations are still at a standstill and what the minister is learning Hope he would not have much appreciated the request to open up the possibility of hiring dependent doctors in the Community Houses.

As we have already written in recent weeks, however, the pressure, especially from the Campania region, is strong, which also complains that the whole issue of the dispute does not fall within the competence of the national government and is contrary to the intention to include in the law a replacement intervention of the minister in charge of health in the event of disagreement with the general practitioners within Sisac to define the agreement.

A point on which also Veneto, the public administration of Bolzano and also Puglia seem to converge which denounces as the new role proposal for mmg (weekly schedule of 38 hours and more or less half in the study and half in community houses and district services) does not substantially alter the status quo.

On the other hand (Lombardy, Piedmont, Emilia-Romagna and Sardinia in particular), if they do not entirely agree with the ministerial proposal, they think rather that an agreement must be reached in order not to risk losing the resources of the PNR (7 billion for the territory) and that in any case, if this is the case, this proposal nevertheless represents a good starting point to reverse the status quo.

LF

February 11, 2022
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