- The seven NILs invariably require implementation. Our willingness to cooperate, materials provided and information on the most pressing problems of health care have not been used. This short, but still giving the opportunity to implement these demands, time of Minister Sójka's activity we evaluate simply negatively," assesses the actions of the Minister of Health, President of the Supreme Medical Council Lukasz Jankowski.
Lukasz Jankowski: The Minister of Health did not pass the test
Published Oct. 16, 2023 08:44
fot. MZ
The so-called NIL Seven are changes to be implemented in health care, which, in the opinion of the Medical Association, require special attention and immediate response. The chamber demanded the following measures. Below is a list of them, along with NIL's comments:
Abolish unlawfully imposed limits on prescriptions issued by doctors. Urgently set standards for teleprescribing preventing the operation of so-called prescribing machines.
- A team of experts representing all circles including pharmacists and doctors has been formed at the ministry to develop new, transparent and simple rules for prescribing and filling prescriptions for all stakeholders in the system, especially patients.
- In the systems managed by the e-Health Center, limits on prescribing within the so-called "white list" of establishments have been lifted.
- Still lacking is a strategy - a roadmap - for the complete elimination of limits.
- Teleportation standards have not been introduced.
- Receptacles continue to work
Conduct an internal audit at the Ministry of Health and the Ministry's subordinate entity, the e-Health Center, on the e-safety of medical data, and promptly disclose the results of this audit to the public.
- So far, no information has been disclosed about the ongoing inspection.
Withdrawing support for opening new medical faculties without a positive opinion from the Polish Accreditation Commission and adequate teaching facilities. Withdrawal of the decision to increase enrollment in so-called new medical schools.
- No action has been taken in this regard, and there is even a tendency to increase support for the opening of new medical faculties.
Immediately discontinue the issuance of so-called conditional licenses and approvals to practice as doctors and dentists for a specific range of professional activities. The only document authorizing work in our profession in Poland must remain the Right to Practice.
- No action has been taken in this regard. Doctors from abroad can still take up medical jobs in Poland without nostrification of their diploma and adequate verification of their competence and knowledge of the Polish language.
Transfer of funds to regional funds to implement funding changes in dentistry.
- Public funds have been transferred for dental surplus - more here: NIL - Implementation of the 5th point of the "NIL seven". A minimum of 140 million for dental overcontracting
Immediately introduce automation of the reimbursement process and remove the obligation on doctors to determine the level of reimbursement.
- A special Team for prescribing and filling prescriptions for finished and prescription drugs has been established.
- Changes to the reimbursement law continue to cause controversy and chaos for medics.
Urgent analysis of individual cases of financial penalties imposed on physicians by the National Health Fund for so-called undue reimbursement and waiver of their enforcement in cases where there was a medical indication for prescribing a particular preparation.
- Despite the materials provided, the letter from the national consultant in support of doctors punished for so-called undue reimbursement, many discussions, meetings and debate in the Polish Senate, no action has been taken in this regard.
