It will be harder to get raises for nurses in POZ clinics
Published July 29, 2022 10:34
Without consultation, substantive talks and dialogue with the other party, in the 21st century, a public institution - monopoly, unilaterally changes the content of the contract with POZ representatives, introducing a 90-day notice period. What does it mean? Counseling centers may have difficulties in meeting the promised staff, mainly nurses, pay rises, while patients will still be denied access to the extended primary care services promised from July 1.
Just a few days ago, the medical community broke up after the recommendation of the Agency for Health Technology Assessment and Tariffs, which unfairly lowered the valuation of services in primary health care, setting the capitalization rate to increase by 6.26%, while the increase in all health care services was allocated to in total 22.4%. Meanwhile, the loudly announced increases for medical staff, mainly for nurses, but also a wider package of benefits for patients under primary health care, may turn out to be a fiction. The termination of contracts - without consultation with the community, in a unilateral manner and contrary to the basic principles of cooperation, was changed by the National Health Fund from 45 to 90 days. Doctors massively disagree with this approach, sending annexes to contracts with a crossed out proposal of 90 days for the previously functioning period .
- It is hard to believe that today - with galloping inflation, war in a neighboring country, another wave of pandemic and the dramatically declining quality of life of Poles, especially those from small towns, Poles are deprived of their dignity. Nurses, who are a key element in the functioning of the clinic, may not receive the long-awaited raises and mass layoffs will begin in a moment, but what is even more incomprehensible - patients will not be able to take advantage of the pompously announced extension of healthcare services. We cannot understand what runs the National Health Fund, but also Mr. Niedzielski Minister, who do everything not to keep the promises made to Poles. This is surprising, all the more so that next year we have elections and it would be good to fulfill at least some of the promises, because these are promises for an ordinary Pole who in many places has difficult access to medical care - says Jacek Krajewski, president of the Federation Agreement Zielona Góra.
For the last 7 years, there have been no premises or temptations to change the notice period. It did not bother any previous Minister of Health or the National Health Fund. In the face of the changes announced as part of the extension of services in POZ, including the introduction of coordination, it is difficult to understand that when physicians are put in further duties, they are simultaneously deprived of the basic right to consult or submit any counter-offer to the NHF's proposal. Due to significant opposition from the community, the National Health Fund may suspend payments, which means that it is impossible to implement the entrusted budget.
- I am shocked at the confusion with the annexes. First, Minister Adam Niedzielski declares in the media funds for an increase in salaries for the clinic staff and additional diagnostics, and then he blocks the transfer of money by unilaterally changing the notice period. It's really hard for me to understand why the patients and staff of our clinics are to be hostages. " - says Anna Osowska, doctor of" Our Clinic "in Sępopol, president of the Warmia and Mazury Association of Employers' Doctors, Zielona Góra Agreement.
Will the National Health Fund, together with the Minister of Health, withdraw an incomprehensible, undecided step, which is intended only to humiliate nurses and doctors, in the face of considerable opposition from the environment, but also in the face of breaking the good principles of cooperation to improve the quality of health care and patient well-being and patients? The coming days will show whether we still live in a right and just country.
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