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January 16 – Vision and pragmatism to get to a Covenant Health stringent commitments with concrete. All with a strengthening of control by the Ministry of Health. To accompany those in difficulty towards rehabilitation.
This is the line of action – decided today during the first meeting of 2014, on the Tiber Ripa – Health and regions that will carry forward to close by return mail the new Covenant of health. An agreement will be defined starting from the end of October on the regional boards such as technical ministerial and regional return to work together at a fast pace. The objective is to close early, before triggering the “cleaver” Cottarelli and the spending review which could call into question the appropriations for health care. A hot place, this, on which Lorenzin has been clear in reaffirming the willingness of the Government to put on the plate 2 billion more for the ticket, provided, however, that the negotiations on the pact for health closes early, just to ensure that the games are made elsewhere.
“The meeting went very well – said the Minister of Health , Beatrice Lorenzin – we met with the select committee and we agree on two points that must be the new Covenant: must have vision and pragmatism. Vision is to have the ambition of leading a project planning of the NHS that can withstand the challenges of the current and coming years. The first challenge is that of cross-border healthcare, the second is the sustainability of the NHS in the face of economic crisis and the demographic problem in an aging population that is changing its requirements for health. “
As for pragmatism, the minister recalled that the previous pacts were implemented to 40-50%, “This is why it must be a concrete pact with stringent commitments by the regions in accordance with the Government to do the things that were said . So even with a system of verification and monitoring. “
And again, showed Lorenzin” is also shown by all the need for a strengthening of control by the Ministry of Health on the health aspects on the Lea, the scientific coordination and prevention. I am very happy with this request, because it gives us also the opportunity to meet the new requirements epidemiological we have in the country. There will be a very tight schedule, the chapters are ten and then there will be ten rounds we calendarizzando. We believe we can end up in a very short time. “
Regard to the issues addressed in the Covenant,” the most important elements of land and other reorganization of the hospital network, they understand how to deal with the cost-sharing in the future, the staff and the release of the turnover, and the update mechanism of repayment plans as well as had been imagined in the past few years. We have addressed the issue of domestic spending – has finally announced the minister – that is, to clearly quantify the resources that can be recovered by savings and invest them identify where in the next few years. “
In short, the Ministry and Regions always seem to be more cohesive in wanting to pursue a course of action that does not put in the national healthcare system.
So much so that, as explained by Luke Coletto the commissioner of Veneto and coordinator of regional councilors for Health, at the end of the meeting “The strengthening of control by the ministry,” the need for which has emerged this morning, it is grim in the “power to intervene, especially in economic matters” and to “provide better support those who is struggling towards rehabilitation. “
” I do not see it as an abuse of Title V – specify Coletto – but rather as a co-management to improve the situation. The question, therefore, I think you put it in economic terms, especially in regions where there are excessive imbalances and any kind of intervention on the part of the commissioners, continue on this road exacerbates the financial statements and does not allow a recovery by the Regions in keeping with the times ” .
In essence, “There is a willingness to work together more importantly, to a greater extent than it has until now. That said, it is not that federalism health has done wrong, because there are active regions, but some fail and therefore a strong intervention of the Government would also be desirable to resolve certain situations. We have a very tight schedule, we will see as early as next week. “
But of course there was talk of resources. As we confirmed the commissioner of Tuscany Louis Brown : “The minister has reaffirmed its commitment to fund the health fund with $ 2 billion in 2014 resulting from the failure to introduce more of the tickets. Though, he warned, and we agree with her, that we must act quickly to close the Covenant. Pena is a risk that the spending review arrivals before narrowing the resources at our disposal. “
The end of February is the maximum period that Regions and ministry are given to close. Even if you hope to be able to succeed even before.
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