The labor conflict between the unions and the Ministry of Health over the restructuring of out-of-hospital emergencies in the Community of Madrid continues to stall, although the horizon for the Ayuso government seems to be clearing up on some fronts. After the preliminary agreement reached on Monday by Amyts, UGT, CCOO, Csit and Satse with the administration, the organizations have consulted their bases on Tuesday. The result has been to shoot and while some choose to call off the strike, scheduled for this day but finally postponed until Friday, the Amyts union has been in favor of continuing.
The message that asks for volunteers for the Primary Care emergencies in Madrid: “I am ashamed of others”
It has been the bases of this organization who have shown the greatest opposition to the improvements agreed upon with respect to the latest plan of the Ministry, alleging that it does not correct the care burden that reopening the Primary Care Emergency Services (SUAP) closed by the pandemic without equipping them will entail. of the staff there at the time. It is the only union that is committed to maintaining the strike call, while from Csit they ask for “a reasonable solution for health centers”.
As it is a joint call and no longer has the support of the five unions that supported it, it must be called off, and a new one registered, which may be effective within ten days, according to Amyts sources. Meanwhile, the Ministry has proposed to the union organizations two months to negotiate this structuring on reality, after launching the out-of-hospital emergency services this Thursday.
In Amyts, the majority union in the group, they have considered that the doctors “weigh more the cons” than the pros in the preliminary agreement reached with the Ministry of Health. “They still cannot understand that 78 devices can be opened with 40 staff”, has transferred its general secretary Ángela Hernández. These professionals, she has said, “believe that they are already carrying a huge burden of care and do not see themselves increasing that burden even more.” “It is not that they do not see it for themselves, for their work, above all they are not willing to lower the quality of care that is given to the people of Madrid,” the spokeswoman justified after an assembly held on Tuesday.
Before the vote, Amyts had valued that the regional government has given in on some important claims, such as maintaining the type of working day, that the guards were also voluntary for SAR personnel or that these professionals were attached to A health center. However, she already warned that the pre-agreement “is less definitive in the sense of the overload that doctors may feel.”
In Workers’ Commissions, however, the affiliated men and women have ratified “unanimously” the preliminary agreement reached between the strike committee and the health administration. “It includes the red lines that our affiliation established for us, such as the calculation of the working day, the provisional assignment, voluntary mobility or the release of the guards, as well as establishing that the Primary Care health centers maintain their activity and its schedule ”, has expressed the union spokesman for the Health area in Madrid, Sergio Fernández.
“The bases have given their approval”, the Secretary of Health of the UGT Public Services of Madrid, Julián Ordoñez, agreed on the consultation of this organization. “Consider the red lines that we had set for ourselves and tomorrow, which is the signing of the agreement, depending on what happens during that process, we already have the support of our bases and we are in a position to endorse it,” he explained in conversation with elDiario .it is
In his case, he points out that the improvements made to the Ministry with respect to the initial proposal. Keep the days, be assigned to a center or that the guards are volunteers. However, from UGT they indicate that the two months of transition to the new model, agreed with the administration, will serve to see “if these conditions do not spoil things on the other hand.” Ordoñez refers to the number of additional voluntary days that are going to be necessary and that could make Primary Care limp if, for example, to cover the payroll of those volunteers that the system needs, the assistance load of other workers increases.
“The fundamental problem is one, it is the lack of professionals. The real agreement would be for them to put on the table everything necessary to bring the professionals, whether they are working conditions, economic conditions or whatever, so that they have a more attractive setting and those who have left come back and those who have left do not leave. they are,” says Ordóñez.
The Satse nursing union, another of those who had called for the strike, has called off after approving “by an absolute majority” of those who have come to its headquarters on Tuesday the measures agreed with the Ministry at the Sectorial Table the previous day. In this case, the consultation was open to both affiliates and non-affiliates, who have agreed to “endorse the aforementioned agreement and continue with the negotiations to adequately develop the reorganization plan agreed by the Community of Madrid.”
As explained by the nurse and member of the strike committee for Satse, Juan Hervás, the pre-agreement includes measures that they considered “non-negotiable”, but leaves others pending to be addressed in the coming weeks. The commitment of the Ministry, he has said, is the “detailed study of the coverage that is necessary in terms of schedules, staff and professionals to be able to provide adequate assistance to citizens in these 24-hour health care centers” .
Csit Unión Profesional, for its part, has clarified that they will support the dismissal “if there is a reasonable solution for health centers.” “The general feeling is that there are a couple of issues that are not clarified” so a solution must be found before “generating problems where there are none”, has indicated the secretary of the Health Area, Rosa Vicente, according to Europe Press.
Ayuso’s plan for the reopening of the 37 SUAPs that closed in March 2020 and that offered emergency services at night and on weekends has been changing in June. First, it announced that it would reopen 17, but only 10 with a doctor, after trying to undermine its usefulness in care. After the social response between the health centers, which the president has called “electoral headquarters”, she rectified and affirmed that she would activate everything as soon as she had a chance.
Now, after imposing on the unions present at the Health Sector Board a plan for their restructuring and strike through, the Ministry has given in to some of their requests and has given itself a margin of two months to analyze how its plan works. But in the background, the usual lament sounds: there is a lack of doctors in the Primary Care of public health in Madrid.