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Works Impact on Doctors Decree Brunetta. Aran negotiations postponed to December 10

first notes on the effects of Decree 150/09 on the medical management - Veterinary and STPA

Ripubblicizzazione employment

Operation of the Minister Brunetta - Law 15/2009 and Legislative Decree 150/2009 - endorsed by the Berlusconi government, increases the mixing of politics and poor management of health, to the detriment of citizens and health professionals, from the leaders of the National Health Service.

The constitutional autonomy of the regions in the management and organization has not prevented it to fall even in adverse public health principles and standards of the Reformation unfair Brunetta.

The primacy of politics legificazione returns with the employment relationship, with the reappearance of laws, regulations and sneaky, to promote functional and hit some more.

Exclusion from destruction only of the medical director of the complex structure, contained in a paragraph of a law, it is only a small appetizer.

In short, the policy will decide the remuneration, evaluation and career and discretionary disciplinary punishment and not challengeable by contract.

And the primacy of politics has also been recognized with the elimination of the rule in 165/2001 allowed the contracts to intervene, even with amendments, laws which set up rules of employment. It

ripubblicizza the employment relationship and de-commissioning., With the goal to silence the unions, and with a contradiction between a centralisno federalism practiced and preached.

Finally, of course, any reform is absolutely no cost, other than to reward merit. There are no resources, and enhancement of the credit is reversed in curtailment for the other economic leaders. All with some doubt of constitutionality.

Rating

All decisions by centralizing the evaluation process part of a national commission, nominated by the same Minister Brunetta, with the approval of Parliament, the which must be met by agencies "independent" assessment of performance ever nominated by political and administrative leadership. Other than independence (the Sole 24 Ore on the assessment titled "The ball policy remains ").

Even the leaders of the NHS, the principle of the three bands on and a main portion of the resources devoted to salary enhancement should be linked to individual performance, to be given to those who are within the range of high merit.

And the teamwork?

It is also the excellence of the annual bonus to be allocated to no more than 5% of staff, management or otherwise, which is located in the band on top, with the amount determined by bargaining. Each health authority and hospital will also establish the annual prize for innovation with a value equal to the amount of annual bonus award of excellence for each employee. ll all using the resources already available for bargaining.

The assessment system is entrusted entirely to the company, built with the logic of exclusion, with the intent to punish rather than to motivate staff to work better.

Never in the decree a passage or element from which derive a participatory and inclusive of the management processes and organizational processes.

Transparency

Good transparency meant as accessibility total. Too bad that does not seem to apply to university professors and to professional fees arising from intramural.

Leadership

The management is intended more as a person who controls and sanctions, for fear of being penalized in turn, rather than as a subject acting to produce improvements in service.

curiosity and then the lack of consequences for the management of the political-administrative staff if something does not work: the penalties seem to fall just fall on the leaders.

The negotiating structure - based on only four areas of management throughout the public sector, each of which must contain more than one category, now regulated by specific collective agreements - in fact make it harder to entering into new contracts. It 'still the possibility of setting up a special section of the contractual management of health care within one of four areas of management.

Bargaining

Article 1 of Law 15 provides a generalized system of exemptions from the contracts by national laws and regional , regulations and statutes. The policy can be defined as measures for groups of managers, on which contracts can no longer intervene. The exceptions to become law system reflects the triumph of political patronage.

While in private contracts may derogate from the law, the public is just the opposite.

The contract every three years, both for the economic regulation.

is terminated by law all supplementary contracts "in force" (with an unlawful retroactive): if you do not comply with the rules and regulations of the reform Brunetta are no longer applicable as from 2011 (far out, like others, by principles of delegation).

60 days after the Government may provide financial unilaterally the proposed increases, subject to compensation at the inception of the National Collective Bargaining Agreement.

In the case of negative certification of the Court of Auditors may not be the final signing of the proposed agreement.

Regions can allocate additional resources to the bargaining within the limits established by national bargaining and the parameters set for the virtuosity of personnel expenditure.

In the absence of agreement the companies act unilaterally decentralized bargaining with self-definition of substantial shares of remuneration as well as to all matters covered by the no agreement. And 'This is the method that will increase the effectiveness of public health?

There is an order of the intervention on work. Determinations for the organization of services and measures concerning the management of labor relations, management of human resources, the grant and revocation of management positions are taken exclusively by the company and executive powers, subject to only information to trade unions.

Crashes the system of representation, pending review of Arre leadership, without which the law providing for the 15. The data of 31 December 2006 will be valid for the period 2010 -2012 (6 year moratorium ).

Disease

The desire centralized regulatory and proved with the rule of Decree 150 which places the power to grant one or more " hours of air "in case of illness in the exclusive competence of the Minister Brunetta

Disciplinary

The law also acts on the disciplinary system, removing for much of the bargaining, which can operate only to tighten the sanctions that have been identified. Bargaining, in fact, may not establish procedures for appeal of disciplinary action

There is only the power to regulate by contract the procedures for conciliation is not mandatory within 30 days "before the imposition of the penalty ", but outside of Cases in which service is provided disciplinary sanction of dismissal. In spite of Article 7 of the Statute of Workers (" The rules relating to disciplinary sanctions ... have to apply what is set out in agreements and contracts of employment where there .)

The manager with the executive grade when reports of wrongful conduct "without delay " dispute the charge if it is punishable by less than the suspension from duty without pay for more than 10 days.

Every company establishing the office responsible for disciplinary action And the disciplinary proceedings are continued and concluded on slopes of any criminal proceedings. In more severe cases, however, may be discontinued.

result is a "judicial" ad hoc for civil servants, formed exclusively by the same employer, with the primacy of discretion and the ability to fire without the "appeal".

Some cases of disciplinary dismissal:

• false statement to the presence
• false medical certificate, or falsely certifying a disease state (for both employee and physician to 5 years imprisonment and a fine ranging from 400 to 1,600 euro), if sentenced disbarred
• absence for 3 days in 2 years without reasonable justification, or more than 7 days in 10 years, or failing to return to service within the limits set by the administration, after truancy
• unjustified rejecting it for reasons provided by the service needs
• recurrence in the work of a serious offense, however, detrimental to the honor and personal dignity of others
• recurrence of non reporting requirements by electronic means of INPS medical certification on sick leave.

Conclusions

We're gonna fight, with consistency, to win back a contract that space with the order you want to compress, with the knowledge that the criminalization of labor is a positive value for the quality of government, which should not be subjected to policy by acting in a discretionary manner. We want to measure the efficiency and effectiveness on the public agenda.

We are not available to anything that smacks of discretion and authoritarian intervention. Contrast, finally, an attempt to greater intrusion of bad policy in the management of health, a very different thing from the right and necessary to intervene in the choices of good policy guidance, planning and financing.

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The "stick" for doctors not working Brunetta

The effect of yesterday's decree 150/09, which implements the so-called reform Brunetta, determines new harassment as physicians, veterinarians and leaders of the national health service, despite the limitations of regional autonomy in health . It 's just a matter of time. The

rilegificazione employment puts in the hands of the government - through the rules laid down in an authoritarian manner and not modified in the contract - basic choices for the running of the service assessments, for careers and salaries of medical directors, making even closer relationship between politics and management in public health.

Decide exclusive company, the only information the unions if required, the organization of
services and measures concerning the management of labor relations.

bodies "independent" for the assessment of performance and remuneration shall be appointed by the same system-area company that decides the criteria. Most of the pay of any result shall be allocated by law to the individual premiums for those who are within the range of about higher than the three to be established, however, when health care is a winning team work. And the resources for the various awards and bonus pay are taken out of the other doctors. The companies may

decide if there is no agreement with the union, each subject
regulatory and economic bargaining still left.

The logic is, however, authoritarian and punishing its peak in the articles, written in a minute, on a variety of disciplinary sanctions and tightened: suspension without pay, dismissal, imprisonment and fines. A real arbitrary code can not be challenged by contract in spite of the Workers' Statute.

And the medical directors are doubly targeted: punished and dismissed for their "misconduct" is not whether
oversee those of other operators.

So wrong.

E ' fair assessment, sanction and reward, but the goal is better functioning of the health service.
And this is done by sharing and participation of those who work, taking into consideration the citizens' opinion. Not using the stick or pointing a gun.


Rome, November 16, 2009

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Scrap medical care, the Government recognizes the mistake, better late than never

Declaration Massimo Cozza, national secretary FP CGIL Doctors

This morning's meeting between the Trade Unions medical management of the NHS and with the Minister of Labour, Health and Welfare Maurizio Sacconi and the Head of Department for Public Cons. Antonio Naddeo - convened by the same Sacconi under commitments made with the Trade Unions on October 23 - has been acknowledged by representatives of the Government that the rule of destruction was a mistake.

Better late than never.

This time it was not the only concerns already voiced by Minister Sacconi, but, together with the Head of Cabinet of Minister Brunetta has been shared the goal tending of zeroing of the effects of legislation that allows hospitals and health must be taken early retirement and unilaterally physicians with 40 years of contributions, including the years for redemption.

Waiting for an urgent and necessary by law for the annulment of the destruction, we considered of little value, a further ministerial circular, is not binding with respect to regional autonomy in health, in the presence of a law.

Instead, we shared the need for an agreement to be signed by the Ministers concerned, and Sacconi Brunetta, and the Conference of Regions, Asst Enrico Rossi, to be its final approval at the next Conference of State on November 12, 2009.

E 'was then prepared a draft agreement in which conditions the possibility of scrapping the prior adoption of regional measures, taken with the comparison with the Trade Unions, which would restrict the exercise thereof and in certain specific situations.

The draft must also be approved by the regions, but absent in touch today with the Minister Sacconi during the meeting. Otherwise

to stop the destruction of doctors under way in many companies, the government can only intervene with a law, a tool already used by a single executive to enforce it with the confidence of Parliament.

blame game between the Government, Parliament and regional ministerial circulars or ineffective, will not be accepted by doctors and will yield further discomfort and greater aggravation of the class.

http://www.fpcgil.it/flex/cm/pages/ServeBLOB.php/L/IT/IDPagina/12027

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NEWS

Care companions and dear friends,
you point out the good news that the site Aran has been an interesting section with questions and answers on various aspects of the management contract medical-veterinary medicine. Essentially along the lines of what is on our site with the valuable and important work of the Holy Buonanno. To open the page you need to go on www.aranagenzia.it then on the left column click on "Areas of management", the page that opens at the top right must then click on "Questions", then click on the arrow before " Health "then the arrow before the" Executives ".

The bad news is a Ansa note of November 2: Brunetta has decided to extend the availability to seven hours' of civil servants in the disease. The new tax bands should be open to visitors from 9.00 am to 13.00 am and from 15.00 to 18.00 in the afternoon. The new measure is part of the Legislative Decree implementing Law 15 of 2009, which will be 'published Saturday in the Official Gazette and shall come' in force in the middle 'in November.
The measure, in fact, 'the holder of the public administration the power to decide on timing of availability.

The other news' included in the decree concerning the obligation sending medical certificates electronically, sent directly to the doctor or health care facility INPS public. The system will start 'immediately, said it ilministro, even if it' will be a transition period during which you can 'use of both the mechanism and the hard copy online.

Please submit two reports to all our business leaders.

Fraternal greetings,

Massimo Cozza
National Secretary FP CGIL Doctors