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Surgical waiting lists grow with Puigdemont

The ATE crash plan manages to reduce delays for outpatient and medical testing

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Surgical waiting lists grow with Puigdemont

The arrival of Carles Puigdemont to Govern and change of counselor — Toni ate, formerly from PSC but now linked to ERC's orbit — offered a more progressive look at social policies. They ate, more vehemently and politically than ir predecessor — Boi Ruiz had a technical profile, lacked a party card and did not like open political conflict — he entered government ensuring that waiting lists would be terminated with independence. "I need 1 billion to reduce list to a minimum wait, null." The safest way to dispose of se 1 billion is independence, "he said in Parlament in February 2016.

The scenario that had left her predecessor, however, was nothing rosy. With operating atres with a half-gas, closed plants and a template tapering year after year, waiting lists did not stop growing since Mas entered government. In 2011, Tech was touched with 193,879 people waiting for surgery only. At least anor 125,132 people were waiting to undergo a diagnostic test. In this computation patients waiting to visit specialist are missing, some data that never transcended.

With that panorama on table — December 2015, just before entering government, re were 160,804 people waiting for an operation, 145,503 for a medical test and 656,924 to visit specialist — new health counselor had to deploy a plan Shock to contain dilated waiting lists. With an injection of about 50 million euros, ate wanted to reduce 50% average waiting time for diagnostic tests and for first visits to specialist and lower surgical waiting list 10% in 18 months of legislature ahead.

However, shock plan has not been effective and ate has not reached objectives proposed, although it has reduced delays, especially in external consultations and diagnostic tests. The surgical waiting list, however, has not stopped growing.

According to latest available data from Department of Health, October 2017, re are 119,648 patients waiting for an average of 69 days to undergo a diagnostic test. Anor 467,793 people expect 121 days of average for a visit in external consultations and, in addition, 170,490 patients — 10,000 more than in December of 2015 — wait to be operated. Workers and unions also warn that Catalans have to wait up to three weeks, in some cases, to visit ir GP (Salud stipulated a maximum term of 48 hours). They expected to lower list in summer and release beds in winter but y have found that y have not been able to carry it out because re were no people to operate. With se precarious contracts y make, professionals do not want to come, "notes Josep Maria Puig, secretary general of Medical de Catalunya, majority in Catalan health.

Learn More
  • They ate subordinated to secession to end waiting lists
  • They ate out of public network of hospitals to two private clinics

In addition to waiting lists, y ate dedicated beginning of ir mandate to wash face of a department beseted by suspicions of privatization and fear of more cuts. In this line, new counselor announced "Great Deprivatization of health system" by removing a private hospital with profit motive from public network. He also promised great plans to restructure primary care and hospital emergencies, usually saturated. And he also announced creation of a state structure, which he lacked, according to him, for Department of Health to function as a ministry: Catalan Agency for medicine and sanitary products.

In end, however, much of ads of ate were left in air, at least, to date. The Catalan medicine agency doesn't work. The plans promised and deployed on role in primary care or emergencies have not yet been translated into clinical practice. Nor has all lost staff been incorporated into system — although precariousness has improved with a work stabilization plan — and, in short, cuts in Artur Mas's government have not been completely reversed. In fact, y ate acknowledged that with budgets of 2017 had managed to reverse only one third of cuts.

During his government, new counselor also had bitter confrontations with Ministry of Health. For example, with regard to conflict of prescription nurse: According to a royal decree applied at Christmas 2015, nurses could not use or dispense some drugs that need a prescription without a doctor's express permission. They ate royal decree because it left nurses in a legal limbo, according to him, and launched an autonomic ordinance to circumvent state rule. Before it entered into force, however, new Minister of Health, Dolors Montserrat, corrected state standard after an agreement between representatives of nurses and doctors.

In its last appearance before central Government applied article 155 of Constitution and dismissed Govern, y ate warned that ministry would also resort to anor rule in conflict, law of universal health, which gave entry Free to public health all citizens and thus circumvented royal Decree 16/2012 of central government that glared free universal access to system.


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