It is written in black and white in the letter that yesterday the general direction of the Health and Social Area of the Region sent to all the Ulss. By Tuesday 10, suspension of non-urgent surgical activity and programmable outpatient specialist activity. Guaranteed U (within 24 hours) and B (within 10 days) services, non-postponable activities, services in the oncology field.
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Saturday 7 November 202017:30
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The hospitals in the Veneto are moving towards the suspension of non-urgent surgical activities and of all programmable outpatient specialist activities. This is in order to have staff for the management of Covid patients. The pandemic, therefore, also has repercussions on the ordinary activities of hospitals and health facilities. It is written in black and white in the letter that yesterday, Friday 6 November, the general direction of the Health and Social Area of the Veneto Region sent to all the Ulss of the regional territory, to Azienda Zero, to the IRCCS-Istituto Oncologico Veneto and to the trade unions in the medical sector. This is a consequence of the other news yesterday: Veneto enters phase 4 (out of 5) on the hospital front. And it falls back into the situation of March: all the health forces have been recalled to face the most difficult phase of the Coronavirus emergency.
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To give some examples, non-urgent interventions relating to prosthetics and internal medicine will be postponed. Class U (within 24 hours) and B (within 10 days) performances will be guaranteed. The screening activity will remain. “In consideration of the epidemiological scenario of the Covid-19 epidemic and its evolution, in implementation of the document” Update of the Emergency Plan “adopted by the Crisis Unit on 22 October in relation to phase 4”, the letter reads, “yes arranges to suspend in every accredited public and private hospital all the planned surgical activity for which hospitalization in post-operative intensive care is envisaged and to reduce the scheduled non-urgent surgical and internist activity in order to have staff available for the management of Covid patients, with the exception of the activity that cannot be postponed in consideration of the clinical picture and for which the prognosis and serious clinical consequences are strongly influenced by the timing of diagnosis and intervention, in particular in the context of oncological surgery, account of the natural history of the disease and protocols integrated with adjuvant chemo and radiotherapy. The accredited private hospitals will continue to guarantee the role assigned to them by programming with respect to dependent time networks ».
Put simply, non-urgent claims are suspended. “There is also the suspension of the specialist outpatient activity of accredited public and private hospitals”, continues the letter, “with the exception of priority services such as U (urgent, within 24 hours, ed) and B (short, within 10 days ), guaranteeing, both as first specialist and control visits, the activity in the maternal-infantile, oncology, rare diseases and not postponable fields in consideration of the clinical picture of the patients. It will be the responsibility of each structure to warn the users programmed with other priorities to reschedule the appointment at the end of the state of emergency ».
“Healthcare companies, on the basis of priorities, needs and reduced production capacity can, within the contractual agreements in force, agree with accredited private structures the possibility of providing other types of services”, specifies the Region, which in the letter also indicates the timing within which hospitals must adapt: ”These provisions, defined by the” Coronavirus crisis committee “, shared by the Scientific Committee, must be implemented as soon as possible and in any case no later than 10 November next (next Tuesday, ed), in order to prepare the beds foreseen for phase 4 by minimizing the disservices to the citizen, and are applied until revocation, which will be arranged when the occupation of the beds will stabilize in phase 3, as foreseen in the document “Update of the Autumn Plan” ».
Martina Reolon
