The management of the Emergency Medical Assistance Service (NMPD) rejects the accusations of Latvian public health workers (LVSADA) about the negative impact of the changes in the work organization on the waiting time of the assistance, but is prepared to enter into constructive discussions with the trade union. said Sarmīte Skujiņa, spokeswoman.
She pointed out that the decision to create a day-care team was based on a very thorough evaluation of data on NMPD's performance over the past four years. The service analyzed the intensity of the calls, the time spent on calls and the access of the brigade to the patient and hospitals.
According to Skujina, contrary to LVSADA's claim that the waiting for emergency medical care has become longer, it can be concluded already, when evaluating efficiency at places where changes in the organization of the brigades have taken place, that there is no timeliness and quality is for the services of change teams. Operative data are checked daily and will be carefully collected by the service, emphasized by the NMPD spokesman.
She informed that during a meeting with the LVSADA service management explained this situation in an effort to reduce the concerns of the unions, which are more related to the reorganization of general purposes, such as the arrival of employees at the end of the stay. These questions are individually identified and assessed by the head of each regional center, looking for individual solutions.
Likewise, with the realization that employees are worried about the loss of the usual incomes as the night hours worked, because night work is paid at 75%, with the introduction of changes in the organization of brigadewerk, they have from July already a daily hourly allowance established for all daily teams.
For this reason, the management of the NMPD is ready to continue constructive discussions with the trade union, because it understands the concerns that LVSADA has expressed about the impact of changes on individual employees.
She recalled that the aim of the changes was to ensure that the level of availability and efficiency of assistance already in place is maintained during the most intensive period of call time during the day, while at the same time employees get a higher reward for their work.
The Service also emphasizes that the changes in the work of the brigades do not change the delivery of emergency medical services to the population, the service will continue to respond to all calls as before at any time of the day. If emergency medical assistance is needed, people must call an emergency number 113.
It has already been reported that LVSADA will initiate a dispute settlement procedure and the management of the NMPD will submit a dispute to prevent the number of 24-hour brigades in the Latgale, Vidzeme and Zemgale regions being disrupted.
According to vice-president Līga Barin of LVBA, reforms in the management of the NMPD have led to an avalanche effect, which has led to a longer wait for emergency relief, especially in the regions & # 39; s. "It causes permanent conflicts between doctors and patients, but doctors are aware that due to the reduced number of 24-hour brigades, the problem can not be tackled effectively at this time," Barin said.
After its declaration, the reduction of the brigades, which eliminated a good night shift, caused unnecessary problems for NMPD employees. After 22.00 hours, for example, many emergency medical services can not come home because there is no public transport anymore, which forces them to stay in the workplace.
The LVSL discussed these issues with the NMPD management, but no solution was found. For this reason, the LVSADA Council has decided on the initiation of a dispute on collective dispute resolution.
The NMPD has previously announced that major changes are expected, including by the end of the year, the number of double NMPD dungeons, reducing the number of 24-hour brigades.
Director of the Liene Cipule service explained that the changes are related to the fact that most or 80% of the calls are made during the day. One day in Latvia, for example, 963 calls are received, with 188 brigades, and 243 calls during the night – a total of 170 brigades. After the change, the number of brigades is doubled, ie up to 36 brigades. At the same time, the total number of brigades operating during the day remained unchanged.
At the same time, the brigade plans to organize according to the call profile. Two types of 24-hour brigades – brigades with two doctors and a driver, as well as a doctor's brigade without a driver, go to the calls with the highest priority. The medium priority calls are provided by day and day brigades, who have two doctors without a driver. In turn, low-priority calls are provided by day-brigades and night-time brigades, where a person can also be trained to take on the assistant doctor's profession to improve his practical skills.