1

DRAFT RESOLUTION NO. 106 /XI/1ª

IT RECOMMENDS THE GOVERNMENT TO SUSPEND THE PROCESS OF

RE-QUALIFICATION OF URGENCIES

In September 2006, a proposal for a network of urgencies by the

Technical Committee in Support of the Requalification Process of the Network of

General urgency, named entity in the direct dependence of the Minister

of Correia Correia de Campos.

This proposal was submitted to public hearing until November 30, 2006 and

was analyzed by the regional health administrations, Directorate-General for

Health and the INEM-National Institute of Medical Emergency, IP, having

other entities have also been heard, namely, the Mission to

Primary Health Care and the National Coordination for Diseases

Cardiovasculars.

The final proposal of the Technical Commission provided for the geographical redistribution of the

points of urgency, typified in three modalities:

 42 Basic urgency services (SUB);

 27 Medical-surgical emergency services (SUMC);

 14 Polyvalent urgency services (SUP).

The proposed Network provided for the closure of 15 hospital urgencies and the

disqualification of another 15 that, of medico-surgical, would pass to urgencies

basic.

2

Volved four years after the start-up of the so-called "Reform of the Urgencies" is

an evidence that there are serious flaws in its implementation,

particularly at the level of the negative impact that the closure of the services

of urgency has had in the populations.

Also with regard to the pre-hospital relief and emergency system and,

despite the growth that has occurred in recent years, there are serious

faults in the implementation of the means foreseen to compensate for the closure

of emergency services.

INEM as first responsible for the planning of transport to and between

the points of the Network, did not create the indispensable means to respond to the

closure of the various emergency services. There is lack of human means,

particularly nursing, and the necessary viatures equipped for

emergency situations.

The changes in the network of urgencies that have been taking place in the latter

years and the consequent remoteness of health care creates among the

populations a widespread and understandable sense of insecurity.

Example of this is the case of Valença, in which the Country has been confronted in the

last days with a strong contention on the part of this city's population

that saw its basic urgency service be shut down.

Although the Government has justified the nocturd closure of SAP of

Valence with the obligations arising from a Protocol signed in 2007,

this was not fully complied with.

It is further added that Valença has meanwhile changed its administrative status

being currently a city, one of the main land borders with

Spain, which substantially modifies the assumptions in which it is

3

foundations wants the study of the Requalification Commission of the Urgencies, either

the said Protocol.

But it wasn't just Valencia that made echoing their protests, also Chaves, Vila

Little from Aguiar, Anadia, Vouzela, Oliveira de Frades, Esposende, and others

localities all over the Country, expressed their feeling of revolt and asked for

the re-evaluation of the urgences ' closure programme, requesting the

Ministry of Health the reanalysis of the process.

Material and human alternatives, safe and permanent, must be created,

that guarantee the users the necessary assistance in health, and in this

meaning, the Ministry of Health is to proceed immediately to a reassessment of the

programme of requalification of urgencies, taking into account the importance of

engage in dialogue with the councillors, legitimate representatives of the target populations.

In this sense, under the constitutional and regimental provisions

applicable, the PSD Parliamentary Group recommends to the Government:

1-A immediate suspension for three months of the implementation process

of requalification of urgencies, in order to undertake a re-evaluation

global of the program.

2-That the re-evaluation of the program of requalification of urgencies is

carried out in direct articulation with the targeted authorities, in the sense of

that certain regional specificities are recognized,

particularly the accessibility of populations to the provision of care

of alternative urgency.

4

Palace of Saint Benedict, April 8, 2010

The Deputies of the PSD