In the spring act, the medical assessment was very different. For example, in April, at the Riga East Hospital, the allowances for two employees were 50% of the salary, paying an average of 406 euros, and the rest – 144 euros on average. In the emergency medical service, surcharges ranged from a few tens of euros to 167 euros, in Cēsis clinic on average 107 euros, but, for example, in the Children’s Clinical University Hospital only 46 euros, in Sigulda hospital – 18 euros, and in Liepāja Regional Hospital – even only five euros.
These differences stemmed from the National Health Service’s formula: the percentage of the supplement was calculated on the basis of direct contact with the Covid-19 patient, despite the fact that preparation and precautions had to be followed during the entire on-call time.
With this approach, 5.6 million will be spent on premiums instead of the eight million euros reserved. But due to the detailed records, the hospitals only visited them at the end of the summer, because the money was transferred only after all the data had been collected. For this reason, not all hospitals, including Daugavpils Regional Hospital, risked paying premiums before receiving money from the Ministry of Health.
“The hospitals still had to make administrative adjustments before we could complete the re-profiling, and we did not know what to expect from us and what would be required of us. And then it was also visible from the state institutions that things were requested that we did not initially expect, ”recalls Grigorijs Semjonovs, the head of Daugavpils Regional Hospital.
The same feeling was felt in other hospitals, noting that the requirement to record hours and minutes of employee contact with a Covid-19 patient was a disproportionate burden. Jevgēņijs Kalējs, the head of the Latvian Hospital Association, concludes: “I think that the main reason was this disbelief in hospital managers, that hospital managers do not give true news about their employees, that they want more money for their employees. Well, that’s disbelief. “
Deputy State Secretary of the Ministry of Health Āris Kasparāns admits that there are things that need to be improved. In the spring, the approach was too bureaucratic, so now both the amount of aid has been changed to 50% as a possible premium for the most part and the calculations have been simplified without having to report in such detail.
There will be allowances for in-patient staff, whether or not a Covid-19 patient is on call. “We are also going to set boundaries – if you work with these patients for at least half a month, half a workload, then it will be immediately paid in full. [piemaksas], if a smaller part, then graduate this bonus, but do not apply it directly to one hour worked, ”A. Kasparāns pointed out.
Currently, premiums for doctors are promised until the end of the year. The court has allocated funding – less than three million euros – by the government only for October. The rest will be allocated at the beginning of next year – from the contingency budget for 2021. The Ministry of Health has no doubt that this money, although not booked, will be, and the Ministry of Finance promises it.
“It simply came to our notice then. no one even discusses such a situation. In January, there will be additional funds from medical funds for unforeseen cases, ”stressed the representative of the Ministry of Finance Aleksis Jarockis. It is not possible to reserve all the money already in this year’s state budget, because it is paid out according to the fact and the Ministry of Health needs time to gather information.
This does not mean that the debate on premiums with the industry is over. The issue of the level of premiums in hospital admission departments remains unresolved, as they are 30% in large hospitals and 20% in smaller ones. “It was also emphasized by the managers of the hospitals that it is such a small discrimination that when working under the same conditions, these allowances are different in the reception department,” J. Kalējs pointed out. The Ministry of Health could review this breakdown, but first wants to wait for a final summary of the work in October.
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