Doctors and nurses, United in defence of the NHS and at the request of a State compact.

-the General advice of doctors and nurses have reiterated the essential and urgent need for a Pact of State for health and they have shown in the proposals that have been presented to ensure the sustainability of the national health system (SNS) that “health care is not an exercise of power; It has to be a service”

Madrid, April of 2013- a great turnout of media, the Presidents of both Councils, Juan José Rodríguez Sendin and Max Gonzalez jury presented the document”The alternative of doctors and nurses to ensure the sustainability of the NHS”, protected by the management teams of both corporations and by José Maria San Segundo, director general of research and analysis, company in charge of the study.

Max González Jurado opened the presentation explaining the reasons for the work: “are we concerned? said – because we’re seeing that the political positions are taking too much and need to be a middle voice that can only be that of the professions of doctors and nurses from the absolute independence” because “what we want is to reform the systemnot to destroy it or go towards a situation of dismantling in which is going.”

For his part, Rodriguez Sendin, said that “the problems and reforms requiring the NHS just politicians; cannot do them Moreover, they should not make them politicians. We should propose them professionals with the knowledge and participation of citizens and politicians should enable them.”

Both leaders emphasized that it is the first time that doctors and nurses make a joint position on measures which need the health care system and the conclusions extracted are scientific, result of the result of the participation of 9,000 people: experts, doctors, nurses and citizens.

They highlighted that greater consensus and acceptance by the four collective measures are equity and equality of rights and guarantees of accessibility of the patient throughout the national territory, as well as management and governance and the worst rated, public-private partnerships and co-payment of retirees.

Máximo González Jurado stressed that “we cannot continue with the management model of politicized that we have at the moment” and said “the public-private management model comparison is false because completely different elements are compared”. “Today? said there is no management, there is a political or politicized management.”

Juan José Rodríguez Sendín was firm in its repeated request which is the first recommendation of the study: a Pact of State for health.

After pointing out “it is very important to recover that commitment and political consensus to save the public service to more cohesion now generates between Spaniards” thought, in this Pact should participate all: politicians because without them it is impossible to the Covenant; “the health administrations, citizens and professionals because it is necessary that they are committed to measures that are implemented”.

“He noted that the first question proposed by professionals for the Pact for health is to return again to rebuild the consensus broken on the fundamental characteristics of the SNS, i.e. universal, public, quality and funded by taxes, but also to ensure equality and equity of Spaniards throughout the national territory”.

From “positive health outcomes that has generated the current decentralization of the NHS”, Rodríguez Sendin defended effective Government of the NHS and, in this regard, referred to the proposal of the study to create, through law, an agency of the NHS Executive capacity and whose governing body participating health authoritiesprofessionals and patients. “Much of the keys to the sustainability of the NHS are the inner Government of the system”.

For his part, Max González Jurado said that “by what we are seeing in the Chamber of Deputies, at the moment there is no possibility of Covenant and, without the Pact, it was not possible to reform the NHS” and said that “professionals seek, since independence and impartiality, trying to help bring these poles that are now diverging towards common aspects”

the Chair of the CGE recalled that year last, the national Government provided 17 billion to the autonomous communities and that, in spite of this, in 2012 has been a deficit of 6018. “If we do not take action, the system sinks irremediably. Today, we ask the politicians an exercise of responsibility; tomorrow, maybe, we will be demanding it be”.

For maximum González Jurado, the creation of a single State Agency of quality, high inspection and accreditation of the system, is “the only solution that exists because the Inter-territorial Council can not be Executive” and noted “a law which must have a qualified majority in Parliament and that majority is needed to create this agencyto qualified if they are not the PP and the PSOE is not possible”.

He spoke of “disharmony” in making decisions and gave as an example the central purchasing that currently is not mandatory. “But? he said, if this law establishes that there is a aggregators that says what you can buy, since that time, there will be a legally binding”.

On public-private partnerships, one of the worse valued according to the results of the study, said that “any advance in this sense must have sufficient professional and social consensus not as what we have now”.

“Do we believe? added – on issues such as the management of public services and especially in the health care must be more public evaluation, more transparency, more discussion by those who understand these issues, more accounts”, but “the decision of politicians is often: because Yes. “We are asking us to explain because Yes”.

“Why we say that health is not an exercise of power, is a service public” and concluded that privatize their management is not the solution.

Max González Jurado, pointed out that not can “continue to endure the bleeding of more than 20,000 nurses who have taken to the street and when you leave the 10,000 for the month of June are ten years without able to aspire to work in Spain” and said that proposals now presented from the collaboration of professionals “not may continue falling on deaf ears”.

He added that “If hand we don’t want to pick up, we will have all the legitimacy to make demands of responsibility politically and, fortunately, in a democratic system the polls are bills that pass”

, Juan José Rodríguez Sendin said that more than 20 years ago that the problems that have the SNS are identified and published but “did not have the” public relevance who have at this time because there is now a crisis”and recalled that the ten commandments for the good governance of the national system of health published the health Corporation, ten years later,”is absolutely applicable”. “Us? said – we will continue to insist because the model of the NHS cannot be put at risk”.

Presentation in Streaming and Twitter

The presentation ceremony of the 85 proposals for the sustainability of the NHS carried out by doctors and nurses was broadcast in streaming through the web page of the CGCOM and “MedicosyPacientes”.

In addition, offered coverage of it on social networks by placing up the hashtag # #85propuestasSNS that at times reached more than 40,000 impressions on Twitter where participating centres medical, professional, political and citizens, among others.