Draft decree, extraordinary measures to strengthen the health service
2020-03-06T23:08:38.423Z
Possibility of recruiting postgraduate and retired doctors, extraordinary recruitment of general practitioners, but also the possibility of requisitioning hotels to host quarantined people, creating temporary health facilities, and involving private health. These are just some of the extraordinary measures present in the draft decree for the enhancement of the Ssn dealing with the coronavirus emergency. GENERAL MEDICINE For the duration of the epidemiological emergency from Covid-19, the doctor enrolled in the training course in general medicine is allowed to establish a fixed-term conventional relationship with the national health service ", reads the text." For the duration of the epidemiological emergency from Covid-19 qualified medical and surgical graduates, even during their enrollment in specialization courses or specific training courses in general medicine, can take on temporary or replacement assignments for general practitioners affiliated with the National Health Service and be enrolled in the lists of the medical guard and tourist medical guard and employed until the end of the duration of the state of emergency. In the event of taking on a temporary assignment that involves an assignment of more than 650 patients, the granting of the scholarship is suspended ". RECRUITED SPECIALISTS AND PENSION DOCTORS" The companies and entities of the National Health Service, until continue the state of emergency, they can confer, self-employment assignments, including coordinated and continuous collaboration, lasting no more than 6 months, extendable due to the persistence of the state of emergency to nurses, socio-health operators and specialist doctors, under anesthesia , resuscitation, intensive care and pain therapy, respiratory diseases, infectious and tropical diseases, emergency emergency medicine, internal medicine, diseases of the cardiovascular system, radiodiagnostics, hygiene and preventive medicine and equivalent specializations as well as to specialist doctors, enrolled to the last and penultimate year of the same specialization schools " ure are foreseen "in order to meet the extraordinary and urgent needs deriving from the spread of Covid-19 and to guarantee the essential levels of assistance as well as to ensure on the whole national territory an increase in the number of beds for intensive and sub-intensive therapy necessary to the care of patients affected by the aforementioned virus ". To strengthen the National Health Service, "having verified the impossibility of hiring personnel", it will also be possible "to assign self-employment assignments, with a duration of no more than 6 months, and in any case within the end of the state of emergency, to medical and nursing staff, retired, even if not registered in the competent professional register as a result of retirement ". TEMPORARY HEALTH AREAS We have learned about tensile structures for the pre-triage of patients with suspected symptoms of Covid-19. Now in the draft decree-law for the strengthening of the Health Service, ad hoc measures are envisaged to allow autonomous regions and provinces to "activate, even in derogation from the authorization and accreditation requirements, even temporary health areas both inside and outside the external to public and private hospitalization, care, reception and assistance facilities for the management of the Covid-19 emergency, until the end of the state of emergency ". The accreditation requirements "do not apply to hospitalization and care facilities for the duration of the state of emergency". The construction works strictly necessary to make the structures suitable for reception and assistance "can be carried out in derogation of the provisions of Presidential Decree 380 of 2001, of regional laws, of regulatory plans and of local building regulations. Work can be started at the same time as the presentation of the application or the report of the start of activity at the competent Municipality. The provision also applies to hospitals, university polyclinics, scientific hospitalization and treatment institutions, accredited and authorized structures ". PREFECTS CAN REQUIRE HOTELS FOR QUARENTENA Hotels can also be requisitioned to host quarantined people for Covid-19. The draft, in possession of the Adnkronos Salute, establishes that "the territorially competent prefect, after consulting the territorially competent prevention department, can requisition suitable hotel structures to host people under medical surveillance and fiduciary isolation or permanently at home where they cannot be implemented. at the home of the person concerned ". INCENTIVES FOR THE PRODUCTION OF MASKS AND DEVICES "In order to ensure the production and supply of medical devices and personal protective equipment and at market conditions, in relation to their inadequate availability in the emergency period Covid-19, the National Agency for "attraction of investments and the development of a spa company - Invitalia spa is authorized to provide loans through grants and management grants, as well as subsidized loans, to companies producing these devices". For the implementation of these measures "an expense of € 50 million is authorized - says the draft - in favor of Invitalia spa". Invitalia, within 5 days from the entry into force of this provision, in agreement with the Department of Civil Protection, defines and activates the measure referred to in paragraph 1, as well as specific provisions to ensure its management. The draft also provides for simplification measures for the purchase of medical devices. EMPLOYEES OF THE MINISTRY OF HEALTH STAFF "The Ministry of Health is authorized to hire 40 units of medical health managers, 18 units of veterinary health managers and 29 units of non-managerial staff". And "to meet the charges, the expenditure of € 4,304,000 is authorized for the year 2020 and € 8,608,000 from the year 2021". The staff will be "to be assigned to the peripheral offices located in the Regions of Liguria, Piedmont, Lombardy, Veneto, Friuli Venezia Giulia and Emila Romagna, by means of a corresponding increase in the places foreseen in the competition procedures", says the text. "For the same purposes, the Ministry of Health is also authorized to hire, on a regional basis, 30 units of non-managerial staff, with the professional profile of an administrative officer through voluntary mobility or the use of suitable candidates in bankruptcy rankings in force at public administrations The staff of the Ministry of Health has increased correspondingly by 58 units of health managers and 59 units of non-managerial staff belonging to area III ". POSSIBLE TO ENTER INTO CONTRACTS WITH PRIVATE STRUCTURES The Regions, the autonomous provinces of Trento and Bolzano and the healthcare companies are authorized to enter into contracts with non-accredited private structures, provided they are authorized ".
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06 March 2020Possibility of recruiting postgraduate and retired doctors, extraordinary recruitment of general practitioners, but also the possibility of requisitioning hotels to host quarantined people, creating temporary health facilities, and involving private health. These are just some of the extraordinary measures present in the draft decree for the enhancement of the Ssn dealing with the coronavirus emergency. GENERAL MEDICINE For the duration of the epidemiological emergency from Covid-19, the doctor enrolled in the training course in general medicine is allowed to establish a fixed-term conventional relationship with the national health service ", reads the text." For the duration of the epidemiological emergency from Covid-19 qualified medical and surgical graduates, even during their enrollment in specialization courses or specific training courses in general medicine, can take on temporary or replacement assignments for general practitioners affiliated with the Service national health and be registered in the lists of the medical guard and tourist medical guard and occupied until the end of the duration of the state of emergency. In the event of taking on a temporary assignment that involves an assignment of more than 650 assisted persons, the scholarship is suspended ". RECRUITED SPECIALISTS AND RETIRED DOCTORS "Until the state of emergency continues, companies and entities of the National Health Service may assign autonomous work assignments, including coordinated and continuous collaboration, lasting no more than 6 months, which may be extended due to the persistent state of emergency to nurses, socio-health workers and specialist doctors, in anesthesia, resuscitation, intensive and pain therapy, respiratory diseases, infectious and tropical diseases, emergency emergency medicine, internal medicine, diseases of the cardiovascular system, radiodiagnostics, hygiene and preventive medicine and equivalent specializations as well as to specializing doctors, enrolled in the last and penultimate year of the same specialization schools ". The measures are envisaged "in order to meet the extraordinary and urgent needs deriving from the spread of Covid-19 and to guarantee the essential levels of assistance, as well as to ensure an increase in the number of beds for intensive and sub-intensive care throughout the country. necessary for the care of patients affected by the aforementioned virus ". To strengthen the National Health Service, "having verified the impossibility of hiring personnel", it will also be possible "to assign self-employment assignments, with a duration of no more than 6 months, and in any case within the end of the state of emergency, to medical and nursing staff, retired, even if not registered in the competent professional register as a result of retirement ". TEMPORARY HEALTH AREAS We learned about the pre-triage tensile structures of patients with suspected Covid-19 symptoms. Now in the draft decree-law for the strengthening of the Health Service, ad hoc measures are envisaged to allow autonomous regions and provinces to "activate, even in derogation from the authorization and accreditation requirements, even temporary health areas both inside and outside the external to public and private hospitalization, care, reception and assistance facilities for the management of the Covid-19 emergency, until the end of the state of emergency ". The accreditation requirements "do not apply to hospitalization and care facilities for the duration of the state of emergency". The construction works strictly necessary to make the structures suitable for reception and assistance "can be carried out in derogation of the provisions of Presidential Decree 380 of 2001, of regional laws, of regulatory plans and of local building regulations. Work can be started at the same time as the presentation of the application or the report of the start of activity at the competent Municipality. The provision also applies to hospitals, university polyclinics, scientific hospitalization and treatment institutions, accredited and authorized structures ". PREFECTS CAN REQUIRE HOTELS FOR QUARENTENA Hotels may also be requisitioned to host quarantined people for Covid-19. The draft, in possession of the Adnkronos Salute, establishes that "the territorially competent prefect, after consulting the territorially competent prevention department, can requisition suitable hotel structures to host people under medical surveillance and fiduciary isolation or permanently at home where they cannot be implemented. at the home of the person concerned ". INCENTIVES FOR PRODUCTION OF MASKS AND DEVICES "In order to ensure the production and supply of medical devices and personal protective equipment and at market conditions, in relation to their inadequate availability in the Covid-19 emergency period, the National Agency for the Attraction of Investments and the business development - Invitalia spa is authorized to provide loans through grants and management grants, as well as subsidized loans, to companies producing these devices ". For the implementation of these measures "an expense of € 50 million is authorized - says the draft - in favor of Invitalia spa". Invitalia, within 5 days from the entry into force of this provision, in agreement with the Department of Civil Protection, defines and activates the measure referred to in paragraph 1, as well as specific provisions to ensure its management. The draft also provides for simplification measures for the purchase of medical devices. EMPLOYEES OF THE MINISTRY OF HEALTH STAFF "The Ministry of Health is authorized to hire 40 units of medical health managers, 18 units of veterinary health managers and 29 units of non-managerial staff." And "to meet the charges, the expenditure of € 4,304,000 is authorized for the year 2020 and € 8,608,000 from the year 2021". The staff will be "to be assigned to the peripheral offices located in the Regions of Liguria, Piedmont, Lombardy, Veneto, Friuli Venezia Giulia and Emila Romagna, by means of a corresponding increase in the places foreseen in the competition procedures", says the text. "For the same purposes, the Ministry of Health is also authorized to hire, on a regional basis, 30 units of non-managerial staff, with the professional profile of an administrative officer through voluntary mobility or the use of suitable candidates in bankruptcy rankings in force at public administrations The staff of the Ministry of Health has increased correspondingly by 58 units of health managers and 59 units of non-managerial staff belonging to area III ". POSSIBLE TO ENTER INTO CONTRACTS WITH PRIVATE STRUCTURES The Regions, the autonomous provinces of Trento and Bolzano and the healthcare companies are authorized to enter into contracts with non-accredited private structures, provided they are authorized ".
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