Desperate route through out-of-hospital emergencies in Madrid

A family arrives at the Carabanchel emergency center with a sore throat and fever. They find that there is no doctor. Nursing service only. They come across another user who runs to the hospital because the center has not been able to heal a deep cut on her finger. The same thing has happened to another young man with high blood pressure who goes to the Villaverde center. And Alicia, in Tres Cantos, cannot find anyone to look at her injured left arm. A failed plan On October 27, eighty Continuous Care Points (PAC) or 24-hour Health Centers were reopened, which include the Primary Care Emergencies (SUAP) -which had been closed for two and a half years- and the Rural Care Services (SAR). According to the unions, the regional government has reopened the emergency centers with half the necessary staff. Hours and jobs have been restructured… at least 21 doctors have been discharged due to the changes. The situation has been precipitating and the first resignation was of the Primary Care manager, Sonia Martínez, announced on October 20 for “personal reasons”, which was followed this Thursday by the deputy care manager, Nuria Fernández, and this Friday the members of the Southeast Assistance Directorate en bloc, considering the plan “unfeasible” and because the Ministry “did not listen to their proposals.” Response from the Community of Madrid The Minister of Health, Enrique Ruiz Escudero, has denied “resignation en bloc” , speaking instead of “readjustments” in the Ministry team, and has attributed to the opposition (Más Madrid, the PSOE and United We Can) a “permanent boycott” of his plan, with which he continues and that, according to his data, has already served 14,000 people from Madrid. The counselor will call a meeting of the Madrid Health Sector Board at the beginning of next week after the rupture of the agreement reached on October 26 with four of the five unions -Satse, CCOO , CSIT-UP and UGT- for the opening of the emergency centers. These four unions announced this Friday that after the “chaos” due to the lack of personnel in the new centers, they “break the agreement” due to “the breaches of the Ministry of Health” and for the “mistreatment and humiliation that professionals are suffering.” Strikes in sight The conflict is also reflected in the called strikes: from this Friday until Sunday the 6th -with minimum services of 100%- in the Summa 112 and in the 24-hour centers by the SummAT and Mats unions, which assure that the Ministry is subjecting professionals to “telephone harassment” to fill the positions, for which they have already registered another strike on days 11, 12 and November 13 with the support of CSIF, Afem and AME. Next Monday, the 7th, an indefinite strike begins in the Primary emergency room called by the Amyts doctors union, while in the emergency room of the Infanta Sofía hospital, in San Sebastián of the Kings, There has been an indefinite strike since October 28, also with a minimum of 100%, in protest at the overload of care.”Professional mistreatment” The strikes are also supported by the platform Primary Care Moves (APsemueve) and the Association in Defense of Health Public (Adsp), which have condemned the “mistreatment” and “harassment of professionals” with messages to their private phones and “arbitrarily changing their destinations overnight.” APsemueve makes an express appeal to the population to avoid violence: “Those responsible for the lack of personnel and means are not undergoing consultation. Please make claims, complain in the forums provided for this, but do not verbally or physically attack workers who carry out their work in miserable conditions”. A large demonstration is scheduled for November 13 in the center of the capital, with the slogan ‘Madrid stands up for public health’, and which is expected to be attended by trade unions, neighborhood associations and platforms in defense of public health.