“They are finishing up a liquid administration of Madrid’s well being, placing the foxes within the care of the chickens”, they denounce in AMYTS Enrique Ruiz Escudero qualifies his statements and says that there isn’t any change within the mannequin, however reasonably an “enchancment plan” within the absence of pros”All teams are necessary and all of us have issues, not simply docs”, they are saying within the nursing union SATSE
In full negotiation with the docs of major care on strike, the statements of the Health Minister of the Community of Madrid haven’t sat nicely with the medical associations. Enrique Ruiz Escudero opted on Thursday for a major care mannequin primarily based on nursing, the place professionals have extra powers, can run well being facilities and even prescribe medicines. A change in mannequin that raises sure questions: if that is the proposal within the Community of Madrid, will this even be the mannequin for all of Spain if the PP wins the overall elections?
For the nursing unions it could be their factor. “It is time to place an finish to a medical-centric mannequin”, they underline from SATSE. Although for medical organizations, all that is the affirmation that the Government of Isabel Díaz Ayuso doesn’t imagine within the direct administration of public well being. ” It has put the foxes within the care of the chickens”, they point out from AMYTS. What occurs with the Ministry of Health is that it doesn’t know the way to face the strike and for that reason “it tries to confront docs with nurses”, they interpret in SEMG.
It was in an act with PP militants when Enrique Ruiz Escudero “mirrored” on the necessity for change. As Manuel Viejo revealed in El País, the counselor assured that the well being downside was the mannequin. A mannequin “thought within the eighties, with sure derivatives of a mannequin that got here from the Cuban well being mannequin, which had its cause for being, however now has to evolve.” “In the UK, the Primary Care mannequin is a pure nursing mannequin and right here we’re evolving in direction of that mannequin for logical causes”. “With digital well being, it will likely be doable to exchange loads of what face-to-face work is, which might be necessary, and, above all, that it’s a mannequin with that idea of liquid well being. You now not must have the affected person within the hospital, it’s important to resolve it in individual or remotely ”, assured Ruiz Escudero.
Counseling vs. Ministry, docs vs. nurses?
Is the first care mannequin proposed by the PP within the Community of Madrid a mannequin primarily based on nursing? “No”, sources from the Ministry guarantee NIUS. The counselor himself certified his phrases on Friday and what on Thursday was a “mannequin change” grew to become an “enchancment plan”. There isn’t any discuss of a change in mannequin as a result of “logically the nurse can not exchange the work of the physician,” argued Escudero. What has been being performed for years is “a plan to enhance major care” to reply to a “very clear planning downside”. There are not any docs in Spain and “we’ve got to adapt to this case,” the well being officer reiterated on Friday. “The function of nursing inside major care is unquestionable and now, on account of poor planning by the Ministry of Health, we’re seeing a scarcity of household and group docs,” he snapped.
Accusations to which the Ministry of Health doesn’t reply as a result of “we don’t reply opinions, however we do present information: there’s an agreed major care plan for which this Government has allotted 1,000 million euros”, sources from the crew of the Minister Carolina Darias. An Executive who has carried out the biggest supply of MIR positions in historical past, they bear in mind.
The concerns of the medical unions: “politicization and post-truth discourse”
At AMYTS, the medical union that’s main the protests within the Community of Madrid, “they deduce a number of issues” from Escudero’s act on Thursday with PP militants. “One of them is that they really take note of a mannequin change that they don’t end explaining, however what’s truthful for professionals and for residents can be for them to do it intimately, particularly as elections strategy,” says the overall secretary of AMYTS, Angela Hernandez.
According to Francisco José Sáez Martínez, head of the administration work group of the Spanish Society of General and Family Physicians (SEMG), interesting to the British mannequin to speak a few nursing-based system reveals that the Madrid Health Minister not solely They are unaware of how healthcare works within the United Kingdom – the place the determine of the physician continues to play a key function – however they’re additionally unaware of how major care works in their very own group. “That’s why he does not wish to meet with the strike committee,” says the SEMG spokesman.
This is the issue of many administration officers, explains Francisco José Sáez to NIUS, who, since they’ve non-public insurance coverage, have no idea how major care works in public well being and the follow-up that’s performed on the affected person. A major care mannequin that, recalled from AMYTS, has the assist of a WHO that recommends that 20% of well being spending be allotted to major care as a result of having the identical household physician over time means:
A lower in emergency care. Less hospital admissions. An enhance in hope and high quality of life. “Politics and liquid administration of Madrid administration”
The medical unions accuse the Ministry of Health of the Community of Madrid of sowing “a discourse of post-truth and politicization.” “They speak about liquid well being, I believe they’re making a liquid coverage and a liquid administration of Madrid’s well being during which they’ve put the foxes within the care of the chickens. They don’t imagine within the direct administration of public well being and from the Treasury they’ve turned off the faucet in order that the system is step by step being strangled”, asserts Ángela Hernández, from AMYTS.
What must be performed, say the docs, is to take care of the standard of the Spanish well being system and discover out if the rulers are dedicated to this mannequin or to others marked by revenue. Each class has its perform and all are vital. Trying to exchange the competencies of 1 class with one other will be enticing for managers -since much less price range must be invested within the wage of a nurse than in that of a doctor-, however it’s dangerous. “In a number of years you might additionally see that it’s important to make investments much less price range in a nursing assistant or a paramedic,” warns Dr. Hernández.
Changing the mannequin and empowering nursing
The SATSE nursing union disagrees. “The proposal of the Minister of Health is right, it’s time for nursing to have the burden that corresponds to it,” says Teresa Galindo, basic secretary of the SATSE union within the Community of Madrid. “The mannequin should be modified and never solely in Madrid, nursing should be empowered in order that they are often middle administrators and might prescribe drugs, as a result of the present mannequin may be very medical-centric and doesn’t work,” Teresa Galindo instructed NIUS. .
The actuality, the nurse acknowledges, is that teamwork must be performed for the nice of the affected person, however “there are discrepancies.” “You have to take a seat down with good well being managers and professionals and see what are the wants of an more and more growing older inhabitants and with a major enhance in chronically in poor health sufferers. The major care mannequin should be reformulated. All teams are necessary and important and We all have issues, not simply the docs,” claims the SATSE Madrid spokesperson.
Some claims that the Spanish Society of General and Family Physicians considers lawful, though, Francisco José Sáez Martínez factors out, one factor is the authentic declare of a union that tries to equate the wage class of nurses with that of docs, and one other it is actuality. And actuality, says Dr. Sáez, reveals that nurses refuse to imagine obligations for which they haven’t been skilled as a result of they don’t seem to be a part of their occupation.