At the end of January, the board of Raseborg’s welfare area voted down a proposal to treat Raseborg’s hospital as a separate entity when drawing up the lines for the service strategy.
The votes fell 9–8 against Henrik Wickström (SFP) proposal to take in such a write-up. Those of the Samlingsparty and Sannfinländer as well as a left-wing confederate voted against; SFP, SDP and the Greens for.
Wickström says that the situation now is that there is partly a hospital investigation at national level, partly a service network investigation at HUS, but that a political line for Raseborg in the welfare area is missing.
It is intended that the welfare area will take over the 24-hour duty in Raseborg from HUS at the turn of the following year, but the entire on-call map is at the same time in a state of emergency.
– I felt that we should deal with this now in the spring with us in the welfare area, because HUS also has its process underway, so that there are no ambiguities. Otherwise, there could be a nasty domino effect – that something we do could affect HUS negatively or vice versa, says Wickström.
He feels that the situation can become unclear and bureaucrat-driven if you don’t have political decisions or expressions of will, as the service network within HUS is at the same time being prepared with a faster timetable.
Adjustment negotiations are pending
The staff’s concern is a dilemma, as they have also learned that there will be information about restructuring negotiations at Raseborg Hospital in February, says Wickström.
– Within the staff, many people think, where are we going? But we have not made any political decision about what the service at the hospital should look like, says Wickström about Raseborg.
According to Wickström, the emergency is a case that raises questions about what the welfare area can decide on in the new care organization. At the same time as a major healthcare reform was carried out, reforms are underway at the national level.
– It is perhaps a sign that all parties do not want this kind of comprehensive treatment, because they do not want to lock their hands in anything, says Wickström.
He worries that it will ultimately be prepared so far that the politicians will not be able to back down.
Officials suggest hospital thinning
During the spring, the government will draw up both the on-call regulation and a proposal on the distribution of work between different hospitals.
Last winter, there was an official proposal about the hospital network, which would thin out the central hospital with a heavy hand and abolish 24-hour emergency services that now have special leave.
The report has been criticized by some decision-makers, including the Minister of Social Affairs and Health Kaisa Juuso (Sannf), which has pointed out that the report was not subject to any political treatment.
Wickström says he is waiting to give the thumbs up or down until he has an idea of what role the group would have, and hopes for internal discussions in the government. The proposal was known to be Juuso’s own.
Wickström does not want the process to become more protracted or unclear.
– It is important that you can stick to a fairly efficient process timetable because this report has created so many question marks among the staff, where you are worried. So one cannot keep such an important question open for too long.
Is there a risk of severe regional tug-of-war in a parliamentary treatment?
– Surely there will be discussion from a regional perspective as well. Everyone then has their thoughts on what is important and what should be prioritized. But in the end, it is the government’s responsibility to make the decisions then.