The Government continues in talks with the autonomous communities so that the new agreement for the accreditation of centers for the elderly can go ahead. According to calculations made by the Ministry of Social Rights, which is directed by Ione Belarra, this initiative will lead to the creation of 34,294 jobs in the national dependency system. “Specifically, 21,071 jobs in residences progressively until December 2029 and 13,223 jobs in day centers, in December 2023”, according to sources from Social Rights.
The Government does not obtain the support of the communities to reform the model of residences for the elderly
The last draft presented by Social Rights to reform the nursing home model did not go ahead in the Interterritorial Council held at the end of May. Communities governed by the PP and the PSOE, as well as Catalonia and Euskadi, expressed their doubts about this project.
The document, which is still being prepared, establishes the standards that accredited residences must meet. It is about a minimum of human, material, equipment and quality resources that must govern the future of centers for the elderly. In the last proposal presented by Social Rights to the autonomous communities, it is committed to limiting the capacity of the new residences to 75, 90 or 120 places depending on the location of the center. Of course, these limits will not apply to care resources that are already built.
The Ministry of Belarra is committed to transforming the care model and, therefore, they foresee that each user has “a personal plan of care and support that collects their preferences”. In the documents that have been exchanged between the autonomous communities and the central government, it has also been proposed to give the centers a margin of three years so that their users receive “care free of restraints”. In this way, Social Rights advocates contemplating the “total and safe suppression” of the immobilization of the elderly by this means, which can only be used “exceptionally” and in a protocolized manner.
The minimum ratios, highly criticized by relatives of users and workers, is another of the points that this agreement intends to modify. As of today, the Ministry plans that in the centers that care for the elderly there are three direct care professionals for every seven users and in residences for people with disabilities, one professional for every two residents. These figures will have to be reached in 2029, so public and concerted centers still have seven years to reach these ratios.
For its part, in day centers, the proportion will be one first-level direct care professional for every seven users, lowering that ratio to one worker for every five people in the event that users have disabilities. With these forecasts, the Ministry has estimated that by 2029 more than 34,000 jobs will be created.
The Ministry of Social Rights values the economic injection made by the Government. In a document distributed to the media, they point out that the financing of the unit “in 2020 amounted to 1,528 million euros, in 2021 the figure doubled, reaching 3,086 million and in 2022 3,864 million have been budgeted.” In addition, by 2023 they indicate that “the upward trend” will be maintained with “an increase of at least another 600 million euros for the minimum level of protection and agreed level”.