I very much appreciated, in recent days, the article on Formiche.net Doctor Alfredo Ferrante (leader of the PA, I know not) that summarizes some concerns about the effects of the Reformation Madia of the PA, effects that the government (in recent months) and the CdM Thursday ‘August 25 has culpably neglected, at least as far as we know.
again, to us, ordinary citizens, has not been given the grace to know in detail the text in question, but the information disseminated to the press (see eg also the timely article by Domenico Cacopardo , Italy Today , 08/26/16) we have confirmed the concerns that we have always had towards the 124/2015 law and its more or less delayed, implementation decrees.
This is not about prejudice, but of assessments related to executive employment by us place in a specific framework of the PA, as health care.
of this fact we want to write. The “mysterious” legislative decree implementing the reform of the leadership of the P.A. He takes over the wording of the law, by establishing a new system (organic?) of public management, which consists of three roles: government leaders, regional and local.
In fact, the aim is to realize the recent agreement between Aran concretely and trade union confederations in terms of areas / sub-contract, reduced – as SA-11 to 4 (State, Regions, E.locali, Training of all levels) plus the Presidency of the Council of Ministers.
ACCESS tO LEADERSHIP
would take place through a selection, it is over-competition or contest. Ie through a selection and assessment of the merits. Most just principle, to be applied in reality. It is not clear to date whether the course-competition leading to a fitness, with the possibility of discretionary calling, with a three-year term from official (before a hiring as manager) and if the ports competition instead the winners to take an immediate function management (4 years + a possible 2) extension. For them, the end of the first 4 years, only a positive assessment would lead to a managerial assignment confirmation.
Otherwise would decay by managers, taking on the role of officials, so with functional demotion and salary.
a problem of all: if the interpretation is correct, one wonders what will be the fate of all medical dipenndenti the National Health Service, all hired as executives regardless of their functions individually.
There is a little problem into account, because – now that the health sector is totally entrusted to the regions – the indiscriminate application of the decree of August 25 would lead to a managerial-bureaucratic murderous administrative chaos, with possible relegation and financial legislation , every 4 years, at least 10,000 medical units, taking into account not only the percentage of negative ratings but also the progressive change (in pejus) of the NHS, resulting in the heavy regional reorganization and reduction of the national health fund (FSN).
can you imagine, you, what would be the fate of a hospital specialist department, whose primary (now Director of complex operating unit = UOC) may be changed every four years, on the basis of “political” and not technical evaluations?
I could say: “ But the reform of the leadership of the PA It does not apply to public health …. . ” If it were so ‘(but we will read the final text of the measure) this would mean that the healthcare managers are a special category, so in the only sub region would create a dichotomy between health managers and other executives ( administrative and technical), while working in healthcare or operating in the non-health regional structures.
With obvious chaos, procedural, regulatory, administrative and tabular / salary.
We will see what will happen. Sooner or later there will be a renewal of public contracts, if this government deems to respect the Constitutional Court’s ruling last year.
THE BOARDS OF COORDINATION OF THE SYSTEM
They will be a role for (State, regions, local authorities, schools), composed of 9 members and shall define the general criteria for the assignment / revocation of management positions. One wonders who will be made and if the members are willing to work full time. Still, the Commission of the state sector should be made up of the highest state officials (the State Accountant General, ministerial department heads, etc.) which, until now, held very different tasks. Neglect them?
EVALUATION OF THE MANAGER
The evaluation of the manager, as we well know, has always been a problem, not only technical but political and managerial.
says the decree that the negative evaluation of the manager may also be based on user complaints. theoretically correct principle. But back to health.
Doctors will be blamed for the waiting lists, for litigation (fake or real), the fact that medicine is not an exact science and that compliance with the phantom guidelines do not It guarantees the result?
will be penalized for the NHS organization set back at least 30 years compared to the real needs of the citizens? Will be at the mercy of increasingly discretionary policy choices (why pay if incorrect) by regional politicians and those who sottofinanzia the NHS?
Obvious, morality. A rating assigned to the “utilities”, or the sick or their families, will have a perverse effect on the NHS, exponential than it does enable “users” thousands of occupational causes, 97% of which is then “irrational” .
casualization of LEADERSHIP PUBLIC
The above mentioned leads to only one certainty. After the precarious world of private business, has now completed the design of the precariousness of public managers.
The selection and confirmation of the public management personnel becomes more ‘transparent and more’ equitable only in theory.
in fact, however, it will create – in all PA- a state of general anxiety, ’cause the failure stability of its management, and the place (or the function) will cause, well before the four-year engagement conclusion, hundreds of thousands of requests for mobility and participation in public tenders, with a reduction in the efficiency of the working structures, with the loss of the “team spirit” and with the perpetual search for political sponsors.
short, a “carousel crazy” (Ferrante), difficult to manage. New chaos, that will add to that produced by the Gelmini in the school. Cui bono
DO NOT precarious POLICY
One thing is certain. The Government Renzi, that precarious work and now precarious public management, has certainly precarious politics. Just think of the new composition of the Senate, which will ensure senatorial seats and immunity to a hundred councilors and mayors, chosen – as senators – by politicians and not by the citizens
Once again we are dealing with a reform (the Madia) ill-conceived, and which is likely to result in irreparable damage, in each of the four public sectors. As a fifth force as well as the fifth modified.
No, it is not so ‘that must be made reforms. About scrapping for scrapping, without knowing the real effects, or is unable or e ‘in bad faith. Law of excluded middle!
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Renzi and Madia present the new PA. The pictures of Pizzi
All sides of Camusso disappointed by Madia. The pictures of Pizzi
Woods, Madia, Mattarella and Prodi inauguration of the new President of the State Council, Pajno. Photos
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