The Minister of Health

Schillaci: ‘Community care homes mark a turning point for the NHS; the budget includes more funding for doctors and nurses’

How the health service is changing following the opening of the new local healthcare facilities. The meeting with the Minister for the Economy, Giorgetti, at the end of July

ORAZIO SCHILLACI MINISTRO SALUTE IMAGOECONOMICA VIA GOVERNO

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

‘The initiatives taken by some regions, such as Lombardy, to set up ‘cold spots’ within community centres are very positive. This is a useful initiative that combines the need to protect the most vulnerable and the elderly – a need that will become more pressing with the third heatwave – with the opportunity to make use of these innovative facilities, which can provide support: they are not just a place to cool down, but also offer medical consultations, thereby preventing overcrowding in A&E departments”. For Health Minister Orazio Schillaci, the heatwave alert could serve as a valuable ‘baptism of fire’ for the more than 1,200 new community centres set up to provide citizens with ‘modern healthcare that is closer to the people’.

How important are they?

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I believe they represent a real turning point for the National Health Service because what has been lacking so far – and this became clear during the Covid pandemic – was precisely community healthcare. Just in the last few days, figures have been released showing how Italia has lost so many hospital beds; a cut that has been particularly felt precisely because facilities like these were lacking.

The South, however, is lagging behind.

Unfortunately, there are still too many differences between the North and the South, which is why we are supporting the regions at this stage, even though they have made great progress in recent months. For me, this disparity in access to healthcare remains the most serious problem facing the Italian healthcare system: it is unacceptable, because everyone should have the same access to treatment regardless of where they live or how much they earn.

Will you be monitoring how it works? Isn’t there a risk of ‘empty boxes’?

The Ministry will also monitor the situation with the help of Agenas: it is not enough simply to open these facilities; they must operate effectively, and I am convinced that they will gradually all become fully operational, and we will work to ensure that this happens. We also aim to run an information campaign for the public about community care homes to help them understand what services are available there, as well as where they are located; to this end, we are asking the regions to produce a map. This will bring a twofold benefit: it will help reduce the pressure on A&E departments, and, thanks to multidisciplinary teams, it will ensure that elderly and frail people – who make up the majority of Italian patients – are properly cared for.

But will GPs really be working there, even if not as employees?

They have already joined community health centres under a national agreement; they have no choice but to do so, because I am convinced that the role of the GP will evolve – they will no longer work alone and will have specialist university training, just like other doctors. Setting aside the issue of dependency – a topic that has been resurfacing for years – it is important that decisions are made in the interests of the public, not of professional groups.

 Waiting lists are a priority for you. Now, at last, there is a platform that monitors delays. How will you address this?

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This initiative is crucial to addressing a crisis that has been ongoing for at least twenty years. If we know which services are most critical, we can identify the causes and find ways to resolve them: if there is a delay in a diagnostic test, this may be due to a lack of equipment or a shortage of staff. In this way, the regions can take targeted action. Moreover, this platform has sparked healthy competition amongst the regions to meet deadlines, as can be seen from the initial data showing improvement, and this is a very positive development.

You’ll be working on the manoeuvre this summer. What are your expectations?

I will be meeting Minister Giorgetti at the end of July and will ask for an increase in the Health Fund’s allocation, as has always been the case. The Ministry’s departments are currently working on a financial assessment of the requirements. At the top of the list are healthcare professionals: we want to recruit more staff and increase their pay. We started last year with nurses, but we must continue with recruitment, which may also extend to new facilities such as community care homes, for which we have already allocated 600 million. Local healthcare is the real revolution of recent years.

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