"He writes," Stability Pact ", read" Plan of Reorganization Hospital. " And 'that's the reason for the urgent reorganization of Health involving Puglia, albeit minimally, even the city hospital.
In a concise and certainly not limited to the Associations' Pandora's Box, "" Ethics and Politics "," Free Democrats "and" Circle Sandro Pertini "trying to make a reflection on recent events involving the Trani hospital.
Associations note that the Finance Act provides that the regions that did not comply with the internal stability pact it access to additional financing only after signing the agreement on the repayment plan.
Apulia Region, despite having observed all the other formalities required by the verification of the basic level of assistance (LEA) and the table of inspection at the Ministry of Economy did not have access to the accrual for the additional financing from the state because of one performance consisting of failure to respect the stability pact.
E 'precisely in the context on the "recovery plan" that is part of the reorganization the hospital network of Puglia. Established an obligation on behalf of the Puglia Region of a repayment plan, the quantification of the amount has been recalculated to 450 million euros based on the projections of cost increases recorded over the last three years.
The calculation is imposed by the Ministry, who also held that the jurisdiction of the three-year recovery plan includes the year 2010 and, therefore, the Plan runs out at 31.12.2012.
The plan of reorganization of the hospital network contributes around 135 million euro.
By this date, the structural cuts must have been effective. In the absence of signing of the repayment plan is to cut the sum of cash and accrual for 2010 amounted to 500 million euros.
Asl Bt But how does it help?
And how does the hospital in Trani?
The objective stated in the Plan of Reorganization "is to achieve by 2012 a grant of 3.05 beds for acute (pl) per 1,000 inhabitants. The index should reach 3.2 in 2010.
In this case, the ASL of the Sixth Province with a population of just under 400 000 inhabitants, without the necessary approximations, should have a budget of approximately 1200 bp. During first, to 31.12.2010, the Presidio hospital Bisceglie-Trani should "lose" a total of about 40 pl acute.
But the small number of "deaths" we do not take away your worries, since the lines along which identify the criteria to be followed in the implementation of the reshaping and rationalization of the hospital also include mergers and disconnection of individual units (UU.OO.) in hospitals that are not intended to transactions closing / conversion taking into account a number of factors including: the absence of manager and severe staff shortages, the employment rate pl of registered away in the last 2-3 years, the rate of appropriateness of organizational structure observed in the last 2-3 years, and finally the number of beds well below the minimum standard.
It 'obvious that this does not make us sleep better.
But the question which we can not answer is: what happened to the hospital only "Bisceglie-Trani"?
This new structure, in fact, in view of the efficiency of regional health expenditure, with particular reference to the lower cost of managing a single hospital complex, which otherwise would produce economies should be sought in the later and more "disabled".
Trani, Bisceglie Hospital serves a catchment area of \u200b\u200babout 110 000 inhabitants in winter and rises to almost 170 000 in the summer. The aim is clearly to defend and improve the existing levels of care in both cities.
The network of three hospitals of excellence in the triangle-Canosa-Minervino Andria, Barletta, Bisceglie, Trani, complementary to these specialties and geographical location, it seems the only viable solution in accordance with the difficult combination of economic efficiency and quality of services offered to citizens.
Since 2007 the garrison hospital in Bisceglie single-Trani made on the two existing complexes is a juridical and administrative consolidated.
What has been lacking in the meantime is the realization of a hospital only when the transformation of the current two city hospitals despite being already provided by the Local Implementation Plan (Pal) since 2008.
In essence this is to provide for the construction of the new hospital in Bisceglie, Trani after detection by the two civic administrations, of the land on which to realize the new structure with the adoption of all necessary administrative actions.
Construction the new hospital would be partially self-financing with the private sale of their urban areas and consequent variations to allow construction of homes.
But then we still do not understand: what or who prevents you from moving toward the realization of the hospital only Bisceglie-Trani?
What are the interests that give force to the inertia with respect to the necessary actions to put in place?
As ever, occurred despite reminders from the Puglia Region of the Department of Health, were not made the necessary steps?
In a recent Board Town has approved with urgency and complacency (declared or inferred) a variant of the opposition planning to give "space" to cement insulted Trani. What or who prevents the city council to discuss single hospital?
Tranese citizens deserve and expect answers.
On completion of the hospital complex single-Trani, Bisceglie, which would increase the level of assistance to citizens of the two cities, the answer can only be one: start by our mayor and his council, in consultation with the administration City of Bisceglie, of all actions and proceedings necessary to identify the ground on which to render the new hospital and provision of appropriate options for urban renderene feasible implementation.
Associations will continue to ensure that the policy will soon provide answers to questions but also to instances of protection they receive from many places at the Civic Administration.
Free Democrats
Circle Sandro Pertini
Ethics and Politics
The Pandora's Box
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