Agreement historical in public health in Andalusia. The Commission and professional unions closed their doors yesterday a stock market pact which replaces a model already reported in 2013 as obsolete and which was patched during these twelve years for lack of … of consensus. More than a decade later, the agreement was reached unexpectedly after another meeting of the sector council which ended in surprising white smoke. “This is confirmation of the start of a new stage in the SAS”» proclaimed the advisor Antonio Sanz, which contained euphoria in an urgent appeal to the media to explain the details of this new agreement.
The pact allows accelerate the hiring of health professionals, with one more bag transparentsafe, predictable (you know where you are and where you are going) and fair. The layout is as follows: has a direct and positive impact on doctors, nurses and workers in the public system, offers orderly and coherent solutions to management teams and must lead to a best service for user. These are the keys to an agreement that seems vital to start solving the main problem of citizens.
Historic agreement twelve years later
The current SAS exchange model was approved in 2005 and came into effect in 2008. Already in 2013, the Andalusian government itselfduring the socialist era, denounced had become “obsolete”which did not meet the needs or adapt to what the system demanded. Since then we have walked in a maze of “complexity, exceptions and fixes”, entangling the skein until it forms an impenetrable bag that has held up for several years.
“The operation generated insecurity and a very high administrative burden. “This has generated recruitment problems and sometimes the flight of professionals,” recognizes advisor Antonio Sanz, who capitalized on this agreement after the failure of the negotiations of his two predecessors.
Agility in recruiting
This typical health system of the last century had been overwhelmed, not in absolute paralysis, but in an extreme situation. to slow down Due to the complexity of this bag, excessive scale and complexity. And this delayed the hiring of professionals for cover vacancies, sick leave, to cover summer vacation (it is during the summer season that the results should be seen).
“This new agreement provides a single, open and predictable bag. The feeling of opaque and uneven bags that existed before is no more,” says the advisor. The rules are now clear and common, with regular updates. (every year, September 30) without having to start from scratch. “Each professional will know where he is, his score”, a photograph of the precise moment and “what he must do to move up” in this bag.
This provides “more agility”. “You gain speed in hiring, for sick leave, emergencies, and without giving up guarantees.”
MIRs enter the stock market directly
The figure of the MIR (resident internal physician) and his nursing counterpart, the RIEacquires with this agreement a guarantee of access to the system which was inexplicably complicated for him after having completed his training. These new specialists had to register once their residency was completed and wait for the stock listing to be updated. This meant long waits or being excluded because the merit threshold was old, and therefore some went to other communities and other countries, where they were not counted for later return.
With the pact, doctors enter the stock market directly the day after the end of the residency and are classified by level. This is a measure “so that health professionals never want to leave Andalusia again. And also, those who are absent and who today can think of returning.”
It is also will be able to cover sooner the vacancies, with this updated bag, and necessary positions can be filled.
More guarantees, more fairness, more transparency
With this new bag, accessible data is now provided to improve the monitoring of each professional. “It highlights where there were too many gray areas,” Reports Antonio Sanz. The SAS has more than 300,000 professionals who needed more guarantees, more fairness and more transparency. There will be a list of candidates ranked and ranked by score (the bag) and another with all registered candidates with self-score and professional merits (the census), as indicated by the UGT.
THE availability of centers and contract types four times a year and a much more controlled execution of offers will be launched and in which it will be difficult for the candidate not to be informed. The merit scale will be 80 points for professional experience, 70 points for training and up to 50 points for approved OPEs (Public Employment Offers). The system is better organized without renouncing the principles of equality, merit and ability.
Unanimity and support in the unions
Antonio Sanz arrives at the Ministry of Health at the moment when the breast cancer screening crisis erupts. He found the unions “in the streets”, with demonstrations for this error which marked a before and after in the government of Juanma Moreno. He obtained that the five majority professional unions (Satse, SMA-F, Csif, Comisiones Obreras and UGT) unanimously support this pact. Absolute consensus in times of polarization turbulence.
The popular politician wanted to expressly thank “the effort, the dialogue and the shared responsibility of the trade union organizations and the technical team of the Andalusian Health Service”, stressing that “this was a complex negotiation, but necessary to ensure stability and improve the functioning of the SAS”. We all made progress and reached a historic agreement. “This is confirmation of the start of a new stage.”
The unions recognized that Sanz had achieved what his predecessors had simply failed to achieve. “by political will”recognizing that what they were asking for “above all improves the system. “Everyone wins,” he emphasizes. Antonio Macías, of the UGT. They highlight the negotiating role of deputy directors.
Preventing toilet leaks, attracting those who have left
One of the main objectives of the Council is prevent the flight of doctors and nurses to other regions and foreign countries. They recognize that there is a certain shortage of qualified professionals, and many of those trained in Andalusia take their talent and abilities abroad. The agreement includes measures “so that health professionals never want to leave Andalusia again. And also, those who are absent and who today can think of returning. These ‘immigrants’ are a large part of the solution in this research.”
One of the novelties is that until now, public sector professionals, to obtain results, had to pass the exam. “Now you score even if you didn’t succeed”. This will encourage access to public employment. The motivation of the professional is essential, admits Antonio Sanz. “And it’s an incentive for young people, knowing that their efforts are recognized. Appearing for the OPE opens more doors for you, because even if you don’t pass, it will give you points for the ranking.
Facilities for management teams for planning
Having this transparent, updated and agile bag is essential for management teams of hospitals and health centers. This clarity and reduced administrative burden allows for greater planning capacity and less improvisation. With more continuous action and more efficient use of public resources.
This agreement “offers a real response” to the shortage of professionals, avoiding spontaneous responses. “We are managing this shortage with these rules. We do not look away; We manage it with clear rules, avoiding improvisations in the centers», concludes Sanz.
Professionals, managers, users. The direction of this road. “Andalusian public health step forward with a clear objective: that the SAS works better every day, for those who work there and for those who trust it.
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