The meeting that the Ministry of Health and the Primary Care strike committee are going to hold this afternoon to close the agreement that puts an end to the strike of family doctors and paediatricians is going to take place mainly because the regional government has agreed to increase the health budget. This extra disbursement, to which the government of Isabel Díaz Ayuso had been refusing since last November 21, makes a good part of the guidelines subject and, in general, affects the limitation of the agendas to stop the care overload and improvements retributive.
It is a fixed supplement of 450 euros per month for all Family doctors and pediatricians and a plus of 500 euros for those physicians who spend pure afternoons, reports the union Amyts this Thursday in a statement in which it advances the general lines of the " verbal pre-agreement", endorsed by those affected on the same Wednesday night in a telematic meeting.
The pre-agreement contemplates the limitation of the schedules to stop the care overload, with a time per patient of ten minutes in Family Medicine and fifteen in Pediatrics in a maximum of 300 minutes, as well as the absorption of attention to excess demand in additional modules.
From now on, there will only be the nominal agendas of the doctors (30 patients and 4 emergencies in Family Medicine and 20 patients and 4 emergencies in Pediatrics) and those who meet the excess demand with volunteers on the opposite shift with a remuneration for the extension of the working day of 50 euros per hour up to a maximum of 4 hours.
The Ministry of Health has also agreed to pay a fixed supplement of 450 euros per month to all family doctors and paediatricians, replacing one in force until now (Assigned Health Card) that was linked to care for more than 85% of the population assigned, which, according to Amyts, was not charged by all physicians (44 centers did not receive it directly) and whose payment was "unequal".
A bonus of 500 euros per month will also be paid for those physicians who do pure afternoons and a plus of 300 euros per month for those who do three and four weekly afternoons. In this regard, the union points out that from the beginning it wanted to "rescue the afternoon shift" and "advances have been made towards that goal."
Furthermore, through a monitoring commission, the implementation of other additional measures will be assessed in those centers where problems of difficult coverage persist if these measures do not end up working, although this point is yet to be outlined in the agreement.
Likewise, progress will be made in the progressive implementation of mixed shifts and consolidation of the current sliding shifts, eliminating the obligation of 70% acceptance by the Primary Care team.
Likewise, measures are included to advance in the elimination of bureaucratic procedures in Primary Care medical consultations in relation to temporary disability, the extension of the prescription by electronic prescription and unnecessary reports.
The Amyts union indicates that the verbal pre-agreement will be valued in its entirety when it is put into writing and "it may be a first step to begin to change the dramatic situation of Primary Care in Madrid and the million patients who currently do not have a family doctor or pediatrician".