Saturday, January 3, 2015

The hypothesis for the civil service: the certifications entrusted INPS – BBC

The hypothesis for the civil service: the certifications entrusted INPS – BBC



Milan , January 3, 2015 – 07:14

     
     
 

ROME – The latest periodic surveys of the Ministry of Public Administration back to last August and registered a decline of 9% of sick leave in Public Administration from a year earlier, even more pronounced in the towns, where the figure fell by 16.6%. It would be ungenerous not to admit that the rules Brunetta on the disease, which in 2008 provided for the curtailment of the treatment accessory of pay in the first ten days of illness, have marked a turning point in absenteeism of Pa.
However, the data cited are very partial, entrusted to the voluntary disclosure of government, on average only 5000. This is why the Ministry of Marianna Madia has long been under the eyes other numbers, such as those that show that between 2011 and 2013 the total number of certificates of illness in the public sector increased by 27%, while it remained almost unchanged in the private .
was enough if the brigade of Rome, who have deserted the work in putting the disease, to blow up an issue that the government could have an outcome already written: sole custody INPS certification of disease also in the Staff.

The anticipated hearing in April this year, at the Social Affairs Committee of the House, the Secretary Angelo Rughetti: “If there must be a regulatory action , it should be given ownership of the function exclusively (INPS, ed) and provide a stable organization in this matter. ”
The problem, as is often the resources are: today INPS controls certificates only in private at a cost of 25 million, while the Asl control those of the public, which are less than half, at a cost of 70 million. In customary fashion, has been accepted the principle that a medical assessment for civil servants are organized and carried out by the national health service, without any charges payable by employers, except in a very partial and episodic, with the result which in recent years have been used 70 million euro from the National Health Fund. But in March, the Conference of Regions and Autonomous Provinces reiterated in an official document that such investigations are outside the essential levels of care and therefore it is not its task do so and bear the costs. Indeed, the Conference considers it necessary to integrate again the Fund with the resources that have been withheld for this purpose.

In turn INPS today resorts to personal contracts with free-lance, paid substantially benefit or under the more or less total incompatibility with other offices . The spending cuts following the spending review have made dramatic situation of many doctors who have played for years primarily or even exclusively that professional activity.
The node then are the resources: the cost of the service provided by INPS in public sector employment should be answered in the figures already allocated by the State for the same purpose. The Social Affairs Committee proposes that allocate “a total annual budget to cover a default quota of checkups for Pa, leaving to each administration the ability to integrate this share should it be found necessary to make a greater number of controls.” This hypothesis would allow for the sake of immediate savings, reducing the number of tests, “leave, reveal the idea of ​​a slowdown in the fight absenteeism.”

January 3, 2015 | 7:14

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