The Minister of Health, Marciano Gómez, announced this Thursday that he had already given the order to begin the specifications for the maintenance of services in order to have “everything ready” in case the competent audit concludes that the procedure for reversing costs must be followed. Departments of Dénia and Manises – whose contracts expire in 2024 – initiated by the Botànic. However, he stressed that “all options are on the table.”
If these departments return to direct management, these specifications would affect services such as logistics, security, patient nutrition, laundry, equipment and infrastructure maintenance, medical gases or electricity, contracted out to companies specializing in the areas public administration, according to ministry sources.
Gómez, during his appearance in Les Corts to explain the main lines of work of his department in the legislature, stressed that “they will not stop” because “we have been delayed by four months due to the elections”.
In this sense he has emphasized: “I say, I said and I will say that each of the possibilities is open; I say, I said and I will say that I will not rush my decision, as was the case with the turnaround in Torrevieja that led to serious health problems, regardless of whether it was well or badly received; and I say, I said and I will say that if it is extended it will be for a verifiable year,” he stressed.
The opposition has demanded during the debate that the City Council clarify what the future of the management of these departments will be and in this context, Gómez has criticized them for only dealing with these departments when they have five million Valencian goes.
“The citizens of Dénia and Manises must be calm because they will have the best possible health care, because the debate is not about public or private health care, but about well-managed or poorly managed health care.” “My service is like Coca-Cola , zero-zero ideology.”
During the debate, the opposition groups asked the City Council to clarify the future of the departments of Dénia (Alicante) and Manises (Valencia), to say whether the audit was a “pretext” not to “undo it” and to clarify whether he or Alberto de Rosa is in charge, meaning the president of the Ribera Group. “Marciano Gómez governs the department, but I will not engage in any debate that is not based on rigor,” replied the councilor.
Likewise, PSPV and Compromós criticized that the first “carcinogenic measure” of the Consell was to allow smoking on terraces again and that the City Council alluded to “freedom” and Gómez declared that they lifted the ban to comply with the law and opened would have until re-implementation if this is agreed in the Interterritorial Council.
GLOBAL TRANSFORMATION
On the other hand, Gómez committed in his speech to “carry out a global transformation of the system that cannot be achieved overnight” in order to achieve public health that is universal and free but “more effective, efficient, sustainable and effective” is that excellence matters”: “We will radically change the paradigm. The first thing on our value scale will be health, over numbers or lists.”
Gómez has stressed that he is taking on the greatest challenge of his career, namely the transition from a “reactive to a proactive prevention structure” in a climate of “open, sincere, friendly and constructive” dialogue with all factions and social forces. “Health is sick and I hope you will help me heal it,” he urged the opposition.
This “comprehensive paradigm shift” – a moment for “courageous people, for people whose pulse does not tremble when making decisions,” he noted – will be adopted by the 2024-2027 Strategy, which will adapt to the results of the authorship.
This reformulation will therefore include the approval “without complexes” of a new portfolio of “avant-garde, accessible and equitable” services, a reorganization of an “outdated and unproductive” health card and a new socio-health department to respond to, among other things, the increase chronic patients and the aging of the population.
However, he predicts that these changes will be “very complicated” since “a certainly worrying panorama has been identified for the management of the Botànic with “significant gaps and major inefficiencies” and he alluded to “the bills in the drawer” that they have noted. Likewise, it will review already signed plans such as the 35-hour agreement “in the middle of the primary campaign so as not to seriously affect the rights of citizens and to satisfy the rights of workers.”
Gómez has emphasized that the goal is to optimize patient care. For this reason, a General Directorate of Primary Care was created to allow access to the system “as quickly as possible” and obtain a “quick and accurate” diagnosis – his “personal” battle, as he emphasized – procedures are being streamlined. Diagnostic tests.
In order to reduce the waiting lists for surgical procedures – which have increased to 112,083 patients, 38,616 more than those recognized – the measures will also be prioritized according to severity and he has assured that the criterion will be “always hygienic and never statistical”.
In this sense, he recalled that in recent years, due to a “self-aggrandizing policy”, the settlement of transfers to the private sector has tripled to 30.6 million, but the delay “does not decrease”. For this reason he calls for “a radical change in strategy”. Likewise, positive incentives are strengthened to “reward the best and earn more.” “The work is done in the afternoon when it is finished in the morning, not what was not done in the morning,” he noted.
NEW INFRASTRUCTURE PLAN AND SOCIO-HEALTH OFFICE
Likewise, an infrastructure plan will be implemented that will include not only the construction of new infrastructures, but also the maintenance and renovation of the existing infrastructures, which have left “a poisoned legacy” of the Botànic Castellón, with the new Arnau Hospital and the General Hospital, which is being built , but with “master plans and data”.
In addition, a socio-health office will be created to improve the care of chronic and multipathological people with a transversal profile, coordination between the health structure and the social service structure will be improved, and a new regional mental health and addiction plan will be approved.
One of the novelties is the cross-sectoral approach “One Health” in public health, which recognizes a link between human health, animal health and the environment, in order to respond to the problems of “globalization or climate change in line with the objectives of the 2030 agenda” .
Another priority is to promote innovation and research, personalized and precise medicine and gender equality policies with a second plan, as well as the prevention of gender-based violence by updating protocols and in particular sexual assault protocols. and promoting mechanisms that promote ongoing education, teaching, innovation and research in hospital care.
