The Community of Madrid improvises a new system while bringing order to the chaos generated by the restructuring of out-of-hospital emergencies. Of the 80 24-hour health centers that the president has been bragging about for days, 37 will not have a doctor. In exchange, these points will have two nurses and a video consultation system with a doctor, as reported by the Ministry of Health on Monday.
The doctors’ strike begins due to the chaos of the emergency room in Madrid: “Ayuso, with the toilets you commit an abuse”
In this way, and “until the negotiations are redirected [con los sindicatos] and the current situation”, only 46 fixed points will have medical and nursing staff. This had been the commitment of Isabel Díaz Ayuso for the 80 points and that, for the moment, and despite affirming last week that they work “at full capacity”, she has not been able to fulfill.
As indicated by the Ministry, “devices with doctors have been prioritized after a detailed analysis of the activity that these centers have, the proximity to another point or hospital emergency, the concentration of the population and the geographical dispersion of the municipality to which they provide service”. Something that contrasts with the declarations of the person in charge of the branch, Enrique Ruiz Escudero, who on Friday assured that the plan had not been able to be evaluated due to “the attitude of permanent boycott on the part of the left”.
This announcement comes on the same day that an indefinite strike of toilets affected by the restructuring of the emergency department begins. They are, mainly, the professionals of the 41 Rural Care Services (SAR), with whom the Ministry also wanted to cover the reopening of the old Primary Care Emergency Services (SUAP), closed in March 2020 with the arrival of the pandemic.
The news has fallen like a jug of cold water at the gates of the Madrid Ministry of Health, where a group of toilets demonstrated this morning. Ángel Bayo, who is a doctor at the SAR in Arganda del Rey, found out right there that his center was one of those left without a doctor and his future was up in the air. With his next workday on Thursday, he doesn’t know what’s going to happen to him. “I am waiting for communication to know my new destination, schedule and day. I expect anything ”, he explained, while warning of the cut in care in rural areas. In the center of it, for example, there were eight doctors. With the restructuring of out-of-hospital emergencies that began on October 27, six remained. With the umpteenth change of the Ministry, the neighbors will be attended by video call.
Centers without a face-to-face doctor
The 34 devices that will be attended by nursing staff and guards and who must resort to interconsultation by video call with a doctor from the same care area if required are those of Avenida de Portugal (Latina), Barajas (Barajas), Carabanchel (Carabanchel), Doctor Esquerdo (Salamanca), Fuencarral (Fuencarral-El Pardo), Baltic Sea (Hortaleza), Orcasitas (Usera) and Pavones (Moratalaz), Aranjuez, Arganda del Rey, Cerro del Aire (Majadahonda), Chinchón, Collado Station (Collado Villalba), Colmenar Viejo, El Escorial, Fuente el Saz, Jaime Vera (Coslada), La Fortuna (Leganés), Las Rozas, Manzanares el Real, Moralzarzal, Morata de Tajuña, Móstoles, Paracuellos de Jarama, Parla, Perales del Rio (Getafe), Pozuelo, Ramón y Cajal (Alcorcón), San Agustín del Guadalix, Torrelaguna, Torrelodones, Valdemoro, Velilla de San Antonio and Villaviciosa de Odón.
As indicated by the Ministry, “nurses who need to establish an interconsultation will do so with a doctor from their own care management.” To do this, “professionals will be provided with 160 technical teams, which have already been acquired, for the establishment of video calls, two for each healthcare point, which will begin to be implemented this week.”
According to the Workers’ Commissions, one of the organizations that distanced itself last Friday from the pact with the Community of Madrid that prevented the indefinite strike from starting on October 28, due to the “total breach of the commitments made”, the new plan “increases the healthcare risk and contributes to further unraveling the skein and chaos into which Primary Care has been plunged in our region”. “Emergency health care needs face-to-face care, since there must be a physical examination, which is a fundamental part of the treatment and diagnosis of diseases, and in patient care. Therefore, face-to-face care is required in all emergencies, without excuses, ”they claim in a statement.