Ayuso adds a new resignation in the health management after the “chaos” of the Emergencies

Isabel Díaz Ayuso will have to improvise a replacement at the head of the Madrid Primary Care management team after the departure of the deputy health care manager. Nuria Fernández de Cano has resigned this Thursday from the position in full controversy due to the organizational “chaos” that has led to the reopening of the emergency services closed by the pandemic and that the Ministry of Health has reformulated with the staff of the Rural Care Services (SAR) and volunteer health workers.

A “chaos” that the Ministry of Health itself has promised to correct “as soon as possible” before the four signatory unions of the agreement to revoke the health strike due to the doubts generated by the new health model.

At the end of last October, Almudena Quintana Morgado was appointed care manager of Primary Care to replace Sonia Martínez Machuca, who left the position “for medical and personal reasons”, coinciding with the call for an indefinite strike from 25 October by the Satse, CCOO, Amyts, CSIT-UP and UGT unions to protest the new out-of-hospital emergency model designed by the regional government.

But before there were six more exits and eight changes in the organization chart in the Ministry of Health. “We have spent a year chaining rectifications, dismissals, resignations of directors of the Public Health, improvising …”, lamented the PSOE spokesman, Juan Lobato, in recent days.

On her Twitter account, the spokeswoman for Más Madrid in the Assembly, Mónica García, has indicated that “while (Madrid’s president, Isabel Díaz) Ayuso says that the emergencies ‘work at full capacity’, the deputy manager of Primary Care resigns . A new high position that jumps ship. Full performance of bungling and resignations.”

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Meanwhile, the Association for the Defense of Public Health (ADSP) of Madrid has “welcomed” Fernández’s resignation this Thursday, since he considers her “responsible for the disaster” of the reopening of Primary Care emergencies, and has demanded the Government of Isabel Díaz Ayuso “paralyze this chaotic and disorderly opening”.

In statements sent to EFE, the president of the ADSP, Marciano Sánchez Bayle, has indicated that they had already requested that resignation because “it was difficult to do worse”, given the “organizational chaos” that has occurred since, on October 27, the Points Continuous Care (PAC), a name that encompasses the former Primary Care Emergency Services (SUAP), closed for two and a half years, and Rural Care Services (SAR).

“It is evident that what the Community of Madrid has to do is paralyze this chaotic and disorderly opening, put more resources and more staff on the table (…) and put it into operation according to the really existing resources”, has underlined.

He has also pointed out that “it cannot be tolerated” that there continue to be PACs that remain closed or “that lack staff”, and has reproached the Community of Madrid for being “incapable of putting into operation those devices to which it is committed”. Lastly, he has warned Ayuso that he cannot “miss the truth” by linking the lack of professionals to the influence of the left, since “the disaster that has existed until now in the PACs is in the public domain and cannot be covered with any attempted politicization or disqualification”.


A woman arrives at the Ángela Uriarte Health Center, where there are protest posters that say ‘Emergency Closed, your health sold’

Eduardo Parra / EP

a turbulent week

Without even completing the first week, the list of complaints and incidents accumulated by the new out-of-hospital emergency care model implemented by the Executive of Isabel Díaz Ayuso in Madrid has forced the Ministry of Health to commit to the four unions that signed the agreement for (CC.OO., UGT, Satse and CSIT Professional Union) to correct “as soon as possible” the “chaos” produced in the 80 24-hour service centers.

The Deputy Minister of Health Care and Public Health, Fernando Prados, and the Director of Human Resources of the Madrid Health Service (Sermas), Raquel Sampedro, held a meeting this Monday with the four organizations represented on the Health Sector Board that signed the agreement (all except the Amyts medical union, which has called an indefinite strike starting next November 7).

​A meeting in which the commission for monitoring the negotiation of the reorganization of out-of-hospital emergencies has denounced “the problem arising from the hasty opening of the centers” with “serious organizational problems caused by the lack of prior planning and communication to last minute to professionals” and “without taking into account the existing criteria” for provisional displacements, “as well as planning without having taken into account reductions in working hours, permits, changes”.

“Some serious organizational problems caused by the lack of organization in a hasty opening that have led to the mistreatment of professionals,” explained Sergio Fernández Ruiz, spokesman for CC.OO. Health Madrid.

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