Maneuver 2021, the Chamber approves. Half-satisfied nurses

Maneuver 2021, the measures planned for Health

Montecitorio’s first green light had come with the vote of confidence on December 23 (the Budget law approved by 314 votes in favor, 230 against and 2 abstentions). The process ended in the Chamber on Sunday, December 27 with the final vote: 298 votes in favor, 125 against and 8 abstentions. Now the text will go to the Senate for examination, for what should only be a formal approval of the measures, given the very tight deadlines.

Among the main measures for health: the increase of one billion in the Health Fund, the confirmation of the 2 billion more for the construction of medical care, the allocation of 5 million per year from 2021 for the assistance to children suffering from oncological diseases, the green light for vaccines at the pharmacy, (even those against Covid), new Fund for Caregivers and neonatal diagnostic tests, creation of a Fund for Alzheimer’s and dementias. Further, specific measures for staff.

Specific nursing allowance as of January 1, 2021

It has sparked much discussion since its appearance on first draft of the Budget Law 2021, starting with the figures on the plate, going through the possibility that it would act as an “ATM” for all other health professions.

Article 74 of the Budget Law, which establishes thespecific nursing allowance – remained unchanged: With the purpose of recognizing and enhancing the specific competencies and activities they carry out, nursing personnel hired by companies and agencies of the National Health Service are recognized, within the framework of national collective bargaining for the 2019-2021 triennium related to the health sector , within the limits of ‘Global Gross Annual Amount of € 335 million, a specific nursing allowance to be paid to the aforementioned staff with effect from January 1, 2021 as part of the base salary.

The planned expenditure is 335 million euros from the year 2021 that will be allocated to national collective bargaining. For coverage, the level of financing of the standard national health needs to which the State contributes is applied.

Maneuver 2021, nurses half satisfied

Half-satisfied nurses, therefore why The approval of the specific nursing allocation with the allocation of 335 million is a first step that, however, must be closely followed by another, that ofgreater increase in allocated resources, writes the National Federation of Orders of Nursing Professions (Fnopi) in a note.

In fact, we are still too far from the 500 million euros allocated annually, again with the Budget Law 2021, to increase by 27% the exclusivity allocation for managers of the medical, veterinary and health sectors that operate with relationships exclusive work in the facilities of the Service. national health

Subsidy for the protection of the sick and health promotion

What did not convince other health professionals of the solution of the specific nursing subsidy was the exclusion mechanism against it. On this question, the final text establishes asubsidy for the protection of the sick and health promotion in favor of a large audience of public health professionals.

If, within the limits of the total gross annual amount of 100 million euros that will be recognized with effect from January 1, 2021 as part of the basic remuneration in order to Promote the contribution of competencies and the specific role in activities directly aimed at protecting the patient and promoting health, to employees of companies and bodies of the National Health Service belonging to the health professions of rehabilitation, prevention, technical-health and Midwife, both to the profession of social worker and to the socio-sanitary workers.

The definition of the measure and the discipline of compensation is left to national collective bargaining and it is expected that the burdens derived from the implementation of the aforementioned provisions, equal to 100 million euros per year from the year 2021 to be allocated to national collective bargaining, the level of funding of the standard national health needs to which the State contributes applies, which has increased accordingly from 2021.

Recruitment for an anti-Covid vaccination plan

Loans for contracting related to the vaccination plan against Covid-19 for which the commissioner Arcuri has banned expressions of interest directed at nurses, doctors and health aides. They can be contracted – on a fixed term for a period of nine months for employment agencies (identified in accordance with paragraph 460, art. 80) – 3,000 doctors and 12,000 nurses and health aides in order to ensure rapid and comprehensive service for the administration of vaccines against SARS-CoV-2.

It is specified that these contracts They do not give the right to access the roles of the regional health service, nor to the establishment of an employment relationship of any kind with the same service.

Will be allowed experimentally for the year 2021, administration of vaccines in pharmacies open to the public under the supervision of doctors assisted, where appropriate, by nurses or duly trained health personnel, subject to the stipulation, without new or greater public finance positions, of specific agreements with the union organizations representing the pharmacies, having listened to the order competent professional.