Agreement reached between the Tuscany Region and the voluntary associations Misericordia and Anpas and the Italian Red Cross on the costs related to the transport of the emergency urgency. The agreement was signed today, 9 August, in Palazzo Strozzi Sacrati in Florence, the seat of the presidency.
The involvement of organizations, voluntary associations and the Italian Red Cross (CRI) in the rescue system has always represented one of the peculiarities of the emergency emergency system of the Tuscany Region. These bodies and associations make human resources, vehicles and equipment available to guarantee citizens an emergency service, together with the public service, in line with what is defined by current legislation.
Voluntary associations and Cri within the management of the regional are a wealth for our system to which it provides an extraordinary value of social cohesion and humanization, also thanks to training courses, which make the rescuers a key figure, together with the health personnel, for a good level of assistance.
Taking into account the problems, it represents, especially by the associations involved in the emergency, a cause of the increases in management costs and the increase in fuel, during a meeting held between the voluntary associations and CRI with the president of the Tuscany Region, the departments of and to the social and the director of ‘health welfare and social unity’ it has been agreed to undertake a path, which will review the organizational model and reimbursement system, oriented towards regional uniformity and applied to all companies.
Below are the points shared and for which the voluntary service and the Tuscany Region undertake to:
- reassess the standard costs of personnel, the management of territorial emergency points and the acquisition of vehicles and equipment to guarantee territorial emergency points starting from January 1, 2023;
- reassess the cost per km and the enhancement of the stby (stand-by) to be paid to the associations, in consideration of the increase in the price of fuels and energy, calculated on the basis of parameters established by the technical group, for a sum to be added to the budget 2022 up to 6 million euros increase;
- confirm the 2022 budget in line and in the manner provided for in resolution 1149 of 2021 equal to 99,000,000 euros, “total budget of 99,000,000 euros which includes, in compliance with the provisions of article 76 novies of regional law 40/2002, both the resources allocated to voluntary associations and committees of the CRI, registered in the list referred to in art .
76 quinquies of regional law 40/2005, determined on the basis of the quantity and quality of the urgent emergency transport activities to be provided, and the resources allocated to the representative bodies of voluntary associations and to the Regional Committee of the CRI, in case of delegation for the carrying out technical support activities, connection, coordination and maintenance of the urgent emergency system, determined as a percentage not exceeding 6 percent of the resources assigned to the voluntary associations or committees of the delegating CRI“It should also be remembered that the funds allocated to disadvantaged areas, equal to 500,000 euros for the year 2022, are included in the item of expenditure in question;
- it was also agreed that “any additional charges, in addition to those already provided for herein in a total of 99,000,000 euros, will be able to reabsorb in their budgets and any additional resources, to be allocated to associations, necessary for the services of urgent emergency transport, and the related resources related to the activity to the coordination to be allocated to regional bodies representing the associations themselves, and therefore without further additional charges to be borne by the regional budget.
As regards the assessment of the standard costs of personnel and the management of territorial emergency points, the work of the technician with the territorial health authorities will continue for the redefinition of the standard costs for emergency medical transport services, carried out by voluntary associations and by the CRI with ambulances in operational availability (stand-by) for 2023, which will determine the revision of resolution 908/2018, which precisely reports the tables with standard costs, this work must be completed by 2022.
In the reform process it also adapts to the necessary computerization of insurance for the traceability of healthcare transport, the transparency of the entire route, making operations uniform at regional level and in order to improve the appropriateness of the transport system.
The agreement is part of the reform process of the entire process linked to the emergency urgency, which the Region and voluntary associations and CRI to the guidelines and principles of Companies that must be implemented locally by local health care with a constant path of comparison both at regional and territorial level.
“Today’s signature of the agreement – reads a note from the Regional Federation of the Misericordie of Tuscany – it represents a first response from the Tuscany Region to the cry for help that the voluntary associations have raised loud and high in order to continue to carry out their centuries-old services.
The agreement, in addition to providing for a immediate economic refreshment also marks the start of a process for the reassessment of actual costs that our mercies must support for the daily and ongoing ongoing works of charity and solidarity.
The course must be completed within the current year.
The hope is also that the national government, so far inert with respect to the strong demand for volunteering, will finally listen to the aid and, as it has considered the most varied realities in the “of” measures, will not continue to forget the voluntary associations.
The first result obtained today is the result of a great work carried out together by all the Misericordie: the cry for help that has risen from our associations, starting from the Miseri Madre of Florence, from all the Tuscan Zonal Coordinations, none excluded, has been promptly collected and relaunched by the President of the National Confederation dott. Domenico Giani and the regional federation so that he would not remain unheard.
“The regional Federation, in synergy with the entire Tuscan and national Movement, continues to monitor and walk along the path taken, that of the recognition and enhancement of our service, of care for our communities”these are the words of the President of the Federation Alberto Corsinovi.
The pagresident of the Tuscan Public Assistance, Dimitri Bettini he comments: “The agreement signed with the Region establishes a new pact in support of citizens and our associations. And not only for the refreshment of the major ones. We find the basis for restarting and relaunching. There is always too little talk of the constant updating of the last twenty years, not only at the regulatory level, but also in terms of building well-being.
Also through the voice of President Giani, thanks to today’s agreement, this updating process restarts from today on an equal footing. If in recent months there has been some lack of appropriateness on the territories, it is perhaps because a bit of dialogue has been lacking in the territories. We have to start talking to each other again. The Region with its Health Trusts, health Trusts with associations. We are careful not to consume public resources, but also aware that this must not lead to a reduction in services to the citizen.
The modernization of the system must exploit the technologies we have at our disposal: telemedicine in the first place to reduce the dramatic load on the emergency health departments of our hospitals which end up affecting not only the staff, but also transport. But to strengthen the welfare state in favor of fellow citizens it is necessary to extend it also on the national front. It is absurd to think that the central government in its measures does not think of the third sector, which also guarantees many indispensable services (in addition to health, for example, forest fire prevention) without which everything would end badly.
It is a problem of political dialogue, but also bureaucratic. Not all problems are solved in Florence, some are also solved in Rome or Brussels. From today there must also be an appeal to national politics, candidates for the needs that must be better seen that present themselves in our offices to ask the needs of volunteering who only ask to be able to operate for the needs of national volunteering, concludes Bettini.