Audit: The viability of public hospitals in the report GE for OKYPY

The administrative and financial autonomy of OKYPY until June 2024 and the viability of public hospitals was the main issue of concern to the Audit Committee, which discussed the findings of the Auditor General’s report on the Organization.

The issues raised by the Auditor General during the presentation of his report concerned the financial management of public hospitals, the financial statements that are not submitted on time, while he also questioned the financial planning for the two years 2022-2024. He specifically noted that the revenues of the Organization decreased, as with the beginning of the General Hospital the number of patients visiting the public hospitals decreased, while he estimates that the budgeted expenses are conservative.

In addition, he raised the issue of multiple recruitments, since, for example, the secretarial and administrative staff increased from 184 in 2018 to 519 people in 2021, while special mention was made of the high bonuses with which doctors are paid, which in some cases exceed, as he said, their salary. The Auditor General also commented that there are insufficient control mechanisms for allowances and suggested that they be reduced in a legislative way.

Another issue discussed in the Committee was the issue of TAEPs, which remain only public, while patient care needs to be improved, with MEPs saying they receive a plethora of complaints about them.

During the discussion, both the Auditor General and the deputies praised the new Executive Director of OKYPY, Kypros Stavridis, for his effectiveness. The discussion is not over, but it will continue next week.

After the end of the Committee, the Spokesperson of the Audit Office, Marios Petridis, added that a proper strategic planning by OKYPY should include objectives, activities, performance indicators and performance indicators, ie measurable criteria, commenting on the business plan that has been formed. by the Agency.

In relation to the budget of OKYPY, Mr. Petridis said that “a 25% increase in revenues was foreseen from 2021 to 2022. We say in our report that we consider it difficult, if not impossible, to be realized for 2022”.

“We remain in our position that the OKYPY continues to implement a policy of unrestrained provision of benefits, horizontal and vertical, especially to the medical staff, without limits and a real connection with their production and the income it receives from the OAY,” he added. Mr. Petridis.

Regarding the revenues of the Organization, the representative of the Audit Office stated that “the data of the OAU say that the internal patients have decreased from 2018, before the autonomy, until 2021, by 20% and the external ones by 45%. It is a point of concern. OKYPY should increase its productivity, increase the quality of the services provided, in order to recover “.

Asked about the administrative and financial autonomy of OAY until May 31, 2024, Mr. Petridis said that OKYPY should make every effort to balance its budgets within this deadline.

In his statements, the President of OKYPY, Marios Panagidis, said that the Agency takes seriously the remarks and remarks of the Audit Service.

Regarding the financial autonomy of the Organization, Mr. Panagidis said that the Organization has created the conditions to achieve financial autonomy in the coming years and this is reflected in the budget of the Organization for the period 2022-2024, which has been prepared on the basis of detailed business plan.

Answering a question whether an extension beyond May 31, 2024 will be needed to complete the autonomy, Mr. Panagidis stated that, due to the pandemic, “it would be reasonable to ask for a period of time, not too long, for this purpose. “But the issue will have to be studied very thoroughly in order to be properly documented, if we are going to proceed with such an extension.” In addition, there are many infrastructure projects, he said, amounting to 150 million euros, which can not be completed by mid-2024, “so we have to see how it goes with the state finances.”

“With the GESS there was a loss of patients and this became worse with the departure of many doctors,” he said, adding that in order to win back the patients it takes time and a lot of action, which have been on track.

“We are lagging behind in outpatient care, and that is where we need to regain market share. “We have planned a number of actions in this area, with the first issue being reaching an agreement with doctors and nurses for a system of afternoon hours”, he added.

Regarding the observation of the Auditor General’s report for a large increase in the secretarial and administrative staff of the Organization, Mr. Panagidis replied that the Organization had to set up a central administration, which did not exist and amounts to about 100 people. In addition, clerks were hired to support the doctors, while people who were seconded to the Organization by the public were replaced by recruits.

The goal, he concluded, is the transformation of OKYPY into a modern, flexible and efficient Organization, its financial autonomy and the upgrade of its hospitals and services, remaining the backbone of the General Health System.

The Chairman of the Committee, DIKO MP, Zacharias Koulias, stated that the findings of the Auditor General for public hospitals are very important. “Fortunately, there was the Ministry of Health with the subsidized patient system,” he said, after sending 280,000 patients abroad and to private hospitals over the past four years, which kept public hospitals afloat.

“Surgical measures must be taken to stop the bleeding and leaks made by both the OAY and the OKYPY,” he said.

“Our position is that hospitals are state property, to remain state property and to be organized and function properly for the common good.”

DISY MP, Savia Orfanidou, stated that the state hospitals are the central pillar of GESS and especially the administrative and financial autonomy, which must be completed by June 2024, without any expansion.

“Those who put obstacles in the way of the autonomy of our state hospitals are the ones who violate the philosophy of GESS”, he said, adding that improvements have been made.

“Let us not forget that public hospitals have dealt with the pandemic with a positive sign, and we must acknowledge this to them,” he added, adding that “the goal of our hospitals must always be to better serve the people, both at night and at noon. morning for all the citizens of Cyprus and in this direction we will contribute in any way we can “.

Source: KYPE

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