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Rsa, one out of three empty beds for fear of the virus

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The ASL: “The elderly accept to enter only now that vaccinations are at 98-99%.” Employment alert from trade unions

IVREA. The entrances to the RSA are only now starting to be unlocked together with the vaccinations, while on the front of the visits of relatives, to the embrace rooms, the structures are flanking with the arrival of summer additional moments in which the meetings take place outdoors , in the gardens of relevance, in the presence of an operator and staying at a distance. A slow return to normal for the Canavese RSAs after a dramatic year?

This is the hope even if there is more than one reason not to give in to easy optimisms. Francesco Sciarra (Uiltucs Uil Ivrea) starts from a figure to explain the fears for the future of the occupation. 30-40% of unused places. On average, one in three beds is empty due to deaths and elderly people withdrawn from families in the worst times since the beginning of the health emergency last year. “In Canavese we have about forty structures – explains Sciarra – apart from the four private ones, the others have agreements with the ASL between former foundations and former private structures. We go from about twenty operators for the smallest ones up to RSA with about fifty operators: to understand the organization we have to think of a hotel where you have from kitchens to cleaning, administrators and then nurses, Oss, physiotherapists, entertainers. 95% of employees are outsourced ». Most of the RSAs “used social safety nets for permanent employees”, others chose not to renew fixed-term contracts. “What alarms us is that with Covid 30-40% of the beds have remained empty, and nevertheless we have seen some resistance from the ASL to unblock waiting lists. Or at least, so until a few days ago: in the course of the last meetings with the Prefecture and the Metropolitan City, some realities have hinted that as soon as the layoffs stop there will be reductions in personnel, this I believe has produced that trend reversal now sees us record the first entries for example to Strambino and Agliè. Finally. Even if it is too early to sing victory ». In completely private retirement homes the guest pays the fee, in those with agreements the guest pays the share relating to the catering, while the ASL touches the health part which roughly corresponds to 60% of the fee. “With the Covid protocol the ASL has blocked the turnover – he repeats in Sciarra – So it has been since June 2020. Now the vaccination plan is moving forward, and the ASL seems to be widening the mesh”.

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Giuseppe Gulino, head of the Covid-19 territorial area in Asl / To4: «Let’s start by saying that from March to June and then from October to December the entrances to the net of the free Covid structures were blocked. After the emergency we have adopted rules of entry with molecular swab and stay in the filter area for 14 days in reality free Covid, while in the others only if with a special Covid nucleus and with dedicated staff. It is a bit of an urban legend that the ASL has frozen the entrances ». With guests currently vaccinated at 98-99% (and staff at 90%), “to unblock the situation is rather a different approach on the part of the elderly: before they were afraid and did not enter, now they trust”. The insertions are examined by the Geriatric Assessment Unit on the three degrees of urgency, non-urgency, postponable insertion. “Today we have an average waiting time of 13 days, from December onwards just half of the 200 eligible subjects entered due to a wrong perception that is finally changing”.

The ASL / To4 is also mapping the expressions of interest with respect to the open RSA project. This is an expansion of the socio-health offer to those who are not self-sufficient, based on an innovative concept: the person can decide whether to use a residential facility or whether to use services at home. Gulino again: “As of now there is little availability due to the fact that the RSA should cut off personnel”. –

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