“An rconstructive union“: like this Health Secretary and Primary Care Manager defined last week’s meeting. But behind the words differences remain on the way the service is managed and tensions continue to smolder, for example on expectations for personal reasons and holidays, legitimate after months of intense work but to be authorized only if compatible with service needs. In light of the critical issues and the absence of medical personnel, they would therefore have been denied expectations for personal reasons, thereby creating some discontent.
Other sore point would concern the substitutions, not required by law in both cases, but authorized in the past, with affiliated doctors ready to take the place of those on the staff. About a year ago, under the law, every replacement was suspended.
Net of the tense climate, however, the first solutions take shape: to stop the emergency in medical service and primary care, also in the light of two doctors in the odor of retirement, it is a Delegated Decree is ready per 3-month renewable assignments up to a maximum of nine, without the obligation of specialization. To resolve in the long term, a international announcement – which will expire on August 15 – for permanent recruitment of doctors. It also seems that a doctor at the hospital gave his own willingness to move to primary care.
The Secretariat would have expressed the need for ascertain what the actual workloads in primary care are in order to relieve any administrative tasks to the nursing staff. We also think about the possibility of removing the management from Azzurro and moving it to the health center of Serravalle so that doctors can support the work of colleagues if necessary. In the list of possible interventions, in addition to automated switchboard, me too’implementation of IT procedures. It would also have been proposed to provide that the service of Medical guard is covered by every ISS doctor.