Health, non-self-sufficiency and disability, Auser: “Situazione crit

The association calls for a greater commitment from the State and the regions. “Unfortunately, we are witnessing the production of measures which, although appreciable in their individual content, are however weakened in their effectiveness by the lack of integration. But the PNR expects the reforms to be strongly integrated”. The marginal role of the third sector was also highlighted

The Auser is concerned about what is happening in the political confrontation within the Government and with the Regions regarding the elaboration of some of the fundamental reforms of the PNR. “The dramatic impact of the pandemic has highlighted the critical situation of the country’s social and health system – affirms the association – to such an extent that the PNRR envisages three specific reforms: that of the system of interventions in favor of the elderly non-autonomous, the reform of social services, disability and social marginality and the reform of health services in territorial proximity. The NRP also provides, as a condition of effectiveness, that these reforms be strongly integrated both at central and territorial level”.

“Unfortunately, we are witnessing the production of measures that, although appreciable in individual contents, are however weakened in their effectiveness by the lack of integration – continues the Auser -. To give examples, social integration, the main challenge that awaits us on the cultural, programmatic and operational, in Ministerial Decree 71/22 reforming territorial assistance and Community Houses, this theme does not appear as central and is only mentioned in a few chapters Just as it is not clear at present whether the socio-sanitary districts, one of the pillars of the non-self-sufficiency reform, are closely integrated with the community houses, currently conceived as a simple reproposition And it is not yet clear whether the relationship between the Essential Levels of Assistance (LEA) and the Essential Levels of Performance (LEP) is one of integration or a mere juxtapo situation”.

According to Auser, “the role of the Third Sector itself remains absolutely marginal (it is mentioned only once in ‘Ministerial Decree 71’), whereas it is well known that in the territories it is often the the only way to guarantee real proximity through the general distribution of aid. To solve this delicate problem, on which will depend the overall quality of the national health and social system and the judgment of the European Commission on the reforms, essential to make available the financing of the PNRR – concludes the association -, we need a stronger commitment from the part of the Government and the Regions for a reform based on an effective integration of the health pillar and the social pillar as an essential condition for overcoming the limits highlighted by the pandemic crisis”.

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