In the decision, published in the Official Gazette of Castilla-La Mancha in its Thursday edition, and compiled by Europa Press, it was established that in order to determine the minimum services, the relevant time extension of the call of four days was taken into account, which, sequential with the previous weekend, the holiday and another subsequent weekend, makes a total 9 theoretical days without normal activity.
Thus, it sets a minimum level of services at 100% in some units taking into account the specific nature of the assistance provided 25% in the regular primary care setting and 33% in hospitals And a complementary specialist, in both cases with the fraction rounded to the nearest integer and a minimum of 1 individual and the same number of local guard personnel established in the usual manner, which will serve as a guarantee of appropriate health care in extraordinary emergencies that cannot be borne by the personnel available at that time.
Specifically, in primary care and out-of-hospital emergencies, urgent care will be guaranteed in each core area with 100% staff vacation planned. The Health Response Service (CCU) will provide 100% of services, in the same way as the Autonomous Transplant Coordination Unit in Castilla-La Mancha.
The rest of the primary care centers will have 25% staff on non-holidays.
Hospitals
In hospital and specialized care centres, the minimum services will be 33% of staff on non-holiday days to provide normal activity ensuring minimum continuity in diagnosis, treatment, discharge and other management of health centres.
However, emergency services and vital units; The dialysis, radiation oncology, assisted reproduction and fertility units will provide at least 100% services. The Hematology Day Hospital will also do this.
The system of service provision and rewards for employees who are assigned minimum service, where applicable, in an on-call system, whether in person or locally, will be that corresponding to a non-holiday day, days affected by a strike call having that character.
Companies or entities that, through indirect management, implement services owned by the Health Service of Castilla-La Mancha in relation to health care, must ensure the effective delivery of services under the same conditions specified for the Sescam Centres.