Monday, May 29, 2023

Andalusia agrees with unions to remove primary care from tariff order and refurbish 12,000 potential toilets

During the sixth meeting of the Technical Committee, the Andalusian Health Service (SAS) and the CSIF, CCOO, UGT and SATSE unions have reached an agreement in principle on primary care, which allows, among other issues, to withdraw this level of care from the order. considers taking. The pricing and renewal by September of 12,000 final contracts, whose contracts expire in June, opens up an area of ​​negotiation on its stabilisation. In this way, the mobilizations to be held in front of health centers throughout Andalusia have been canceled for this Thursday, until the signing of the final text of the agreement that should be approved on May 22 at the table of the health sector.

However, the Andalusian Medical Union (SMA), which has not ratified the technical committee’s agreement this Wednesday, has said that it will “continue with the mobilization as long as necessary”, and has insisted on other claims The Beach Administration needs to “implement the schedule limit agreement in all centers in Andalusia” and consider “salary parity between the family physician and the primary care physician.”

In addition, in the technical table, in which an agreement has also been reached on the modification of the professional career model, according to the CCOO, it has been agreed that Andalusia will dedicate at least 25% of the budget to public health. Andalusia’s system for primary care, as well as the progressive reduction of the maximum quota of 1,300 health cards in family doctors and nursing – with the aim of reducing them to 1,200 over five years – and 900 cards in paediatrics.

The extent of the agenda for all professionals has also been agreed upon. With immediate effect, the schedule has been reduced to 35 appointments for family doctor and 25 for paediatrics, including all consultations, while for the rest of the categories – nursing, physiotherapy, social worker, X-ray technician – A technical table to determine how many appointments his agenda narrows down.

Similarly, the agreement envisages updating difficult-to-cover positions (PDCs) in regional hospitals and both basic health sectors and primary care facilities, including social work areas (ZTS) and special isolation, among other issues . Staffing increased by 411 administrative staff, one per basic area or health centre, with the aim of reducing the bureaucratic burden of consultations.

The staffing will include 411 posts of Community Specialist Nurses; It will increase rehabilitation staff, as well as school nurse staff, to 411 posts; EIR proposals that meet their expertise will be improved; Podiatrists will be included in the SAS staff; The terms and remuneration of Mobile and Mobility Equipment (SUAP) will be equated to 061; o Staffing of mental health teams in primary care will be increased.

Similarly, unions have reported that an agreement has been reached to improve the professional career of all SAS employees, including facilitating access to higher levels for all categories, the UGT indicated in a press release, while The CCOO specified that there would be “a two-pronged approach: one career only for time worked – with a reduction in the amount currently charged at each career level – and the other, by an assessment process, at each level”. Retaining the present remuneration”.

This double agreement comes after six meetings of the Primary Care Technical Committee, the last on 2 May, a meeting which ended without agreement after nearly ten hours of meeting, although the CSIF, CCOO and UGT unions did not resume. Done, then “give a margin of confidence” to mobilization health. Finally, they resumed their protests last Thursday in front of health centers after a “silence” from the health administration at the time they called for measures to improve primary care at the negotiating table. were proposed, the protests which have finally been called off this week.

“Satisfaction” of the unions

On behalf of the unions, the spokesman for the Union of Health and Social-Health Sectors of CCOO Andalucía, Luis González, stressed that this agreement for primary care “achieves important improvements in the operation of our health service and for workers”.

At the same time, he said, “also on professional careers we have reached a good agreement, which will allow thousands of workers to access it in a very easy way, sometimes only for the services rendered, and that the old SAS The employees will have an automatic hike of 15% in their salary”, he specified.

On the other hand, the Secretary of the Health Sector, Social Health Services and Dependencies of Employees of Public Services (FeSP) of the UGT Andalucía, Antonio Macías, has shown his “satisfaction” with the preliminary agreement, in which “the objectives established from the beginning are met “, that is, “eliminating the possibility of any privatization of primary care, a global agreement that will improve this level of care and all its categories, as well as improve patients’ access to the center”.

However, he added that “we will be vigilant about the compliance of all aspects of the dialogue, as our main objective is quality public health, which is only possible by achieving reforms that impact professionals and citizens,” he indicated. is from UGT.

On behalf of CSIF-A, the President of the Health Sector, Victorino Girella, has also expressed his satisfaction for having reached an agreement in principle that “incorporates many of the proposals that we have brought to the table”; In addition, a return to the pricing order of the part that reflects the privatization of Primary “gives us great satisfaction because it was one of our red lines.”

“And not only the inclusion of the workforce, which has been a major hurdle for us as well, but also the professional career model has improved, made more flexible and allows all professional categories to reach any level,” They said. This.

Similarly, the nursing union, Satse, has expressed satisfaction with part of the pricing order, as “it is one of the red lines marked by this union organization with a view to signing a global agreement for the reform of primary care in Andalusia”. was”, stressing that the latest text proposed by the administration “largely reflects” its claims.

He also valued the “negotiating spirit shown by the Health Administration in recent weeks to incorporate the proposals of trade union organizations”.

SMA: “The document is a toast to the sun”

On the other hand, Rafael Carrasco, president of the SMA, said that on this Wednesday’s table the administration “presented once again the same document that we had already rejected on several occasions, especially for not solving the problem”. Reason. Shortage of doctors and not providing solution in this regard”. “This document lacks a budget report, it suffers from a complete lack of specificity in the proposals, and we believe that it is a toast to the sun that will not improve the situation of primary care in Andalusia at all,” he concluded.

Nation World News Desk
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