Healthcare, we spend money on staff less and less. But cooperatives are booming
Healthcare spending increases, but savings continue to be made on staff. This is confirmed by Ceconomic report relating to 2021 published in recent days by the Ministry of Health: compared to an increase in NHS funding by 19.9% between 2010 and 2021, personnel costs grew by only 2.77%. From a data processing conducted by the CIMO-FESMED Federation, it clearly emerges that the relationship between personnel costs and overall healthcare spending is constantly decreasing, going from 32% to 28%. But there is another fact which, although indirectly, is linked to the evident intention to disinvest in healthcare personnel: continuous training, whose spending in 2021 decreased by 7.72% compared to 2019 and by 23.72% compared to 2010.
In the face of these cuts, however, we are witnessing a notable increase in other expenditure items, starting with the item relating to healthcare consultancy, collaborations and temporary work, for which over 900 million euros more was spent in 2021 compared to 2019, recording an increase of 79.28%. These are the expenditure items that include cooperatives and coin-operated doctors, whose cost increased, in the three-year period analysed, by 173 million (+66.22%), going from 261.5 million to 434.7 million euros. Other chapters also show a positive sign, such as spending on insurance (which grew by 13.08% between 2019 and 2021) and for non-health services, and in particular the costs linked to information systems (+35, 49%), waste disposal (+48.78%) and non-health transport services (+25.59%).
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“It's about merciless numbers, which go beyond the political controversies over which government introduced the cap on personnel spending – comments Guido Quici, President of CIMO-FESMED -: the desire to cut back on the professional figures who keep the National Health Service alive is bipartisan, and this is the responsibility for the dramatic conditions in which public health finds itself today. To revive the NHS, then, it is essential to reverse the trend and relaunch the healthcare offer by returning to truly investing in healthcare personnel”.
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