In more detail, an order of the Ministry of Health included in a bill on public health which was submitted for consultation until March 19, gives the green light to NHS doctors to have private work in the private sector.
In particular, the regulation for NHS doctors foresees a complete liberation of the doctors of the public system, since they can now maintain private practices, work in private clinics or be consultants to companies.
Article 7, for the first time since the establishment of the NHS, provides for the lifting of the ban on the parallel employment of doctors who remain permanently in hospitals.
In particular, it states: “Exceptionally, it does not constitute a disciplinary offense for the doctors of the first paragraph, outside of their regular hours and on-call, to practice private work, provided that they undertake the insurance and tax obligations for the specific period of employment .
In particular, the doctors of E.S.Y. may maintain a private practice, provide medical services with any relationship, including that of a consultant or expert/technical consultant and for matters of education/training/supervision of health professionals, organization of lectures and scientific events, writing of scientific articles, medical health updates for nosological entities, in a private clinic or private diagnostic or therapeutic laboratory or pharmaceutical companies, or medical technology product companies and in general in any kind of private companies that provide or cover health services under the condition of granting them a relevant license in accordance with the present procedure”.
The relevant license is granted by the Governor of the Hospital or the Governor of the Health Region in the case of a Health Center, upon request of the doctor concerned. The applications are submitted in the second fortnight of December and the second fortnight of May and concern, respectively, the first half of the following year and the second half of this year.
Safeguards
The provision also provides for conditions with the aim of not encouraging NHS patients to go to their private practices or to the private sector to undergo surgery.
However, these safeguards can be easily circumvented by the payment of “black money” by the patients.
Specifically, the terms are as follows:
The granting of the above license to practice private work is granted under the conditions: i) not to practice clinical work on patients who were examined in the regular clinics of the Hospital, Health Center and each interconnected Health Unit by the same doctor or to those patients who are in the uniform list of operating theatres, and ii) the non-disruption, differentiation or violation of the orderly all-day, beyond regular hours, operation and on-call of the Hospital or the corresponding operation of the Health Center, the number of surgeries per clinic, the number of medical visits , diagnostic and interventional procedures and paraclinical examinations.
In particular, the following are taken into account: a) for the doctors of the pathology field, the number of regular surgeries that have been carried out by all the doctors on duty at the clinic/health center, b) for the doctors of the surgical field, the number and severity of surgical acts for all the doctors of the clinic and c) for the doctors of the laboratory sector, all the acts of the department.
The “bells” for offenders
In the regulations of the bill, bells are also provided for those who do not follow the rules, since they may be completely deprived of the right to a private project.
In particular: provided
d) Violation of the terms and conditions of the above procedure constitutes the disciplinary offense of para. e) of para. 1 of article 77 of Law 2071/1992 and the indecent or inappropriate or unworthy behavior for an employee within or outside the service of para. e) of par. 1 of article 107 of the Code of Public Political Administrative Officers and Employees of the N.P.D.D. and implies, in addition to the immediate revocation of the employment license in the private medical sector by reasoned decision of the Governor or the President of the hospital, the immediate revocation of the license to operate a private practice and the immediate termination of the contract for the provision of medical services by the contracting provider free of charge. In addition, the violation of the terms and conditions of the above procedure entails the prohibition of submitting a new application in accordance with the first paragraph of subsection ab) for a period of six (6) months.
In case of a first relapse, the duration of the ban extends to two (2) years and in case of a second relapse, the right is definitively lost. The sanction of the prohibition to submit a new application is imposed by a decision of the Governor of the Health Region following a recommendation by the Board of Directors of the hospital and following a written call to the doctor to submit his objections within ten (10) days from the notification of the call to him. The imposition of a sanction according to the previous paragraphs, is taken into account in every judgment and evaluation of the doctor, when it comes to a doctor of the National Health Service.
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