Legina rectifies the proposal of the Chamber of Accounts in order that severe mentally in poor health pays for utilizing the general public system of Madrid | News from Madrid | EUROtoday

The Chamber of Accounts has rectified the report superior by the nation wherein it said that the beneficiaries of public look after severe and lasting psychological sickness would pay a part of the service with a purpose to cut back the ready lists and compensate for an funding deficit by the regional authorities that calculated in additional than 13 million euros just for the interval 2021-2022. This is said in a letter despatched to the Regional Assembly, and seen by this newspaper, which disappears the unique reference to the copayment (“to which it could contribute to set a contribution of users according to their economic capacity”). Joaquín Leguina, a regional former president with the PSOE, who now presides over the inspection entity due to the PP of Isabel Díaz Ayuso, attributes the change to publish that proposal was “a mistake.”

“One thing was agreed, and then some official, passing it clean to send it to the assembly, the error made,” says Leguina, 84, in phone dialog. “This is how it has been. “I stick with what those who’ve been in this stuff say. It was thought of that that was a mistake. It was modified. And the person who dedicates himself to sending issues to the meeting forgot, or didn’t see it.”

Therefore, the original analysis was not a draft. On the contrary, it appeared as an officer and definitive in the files of the Chamber of Accounts, and the Assembly, according to this newspaper. On who promoted the debate to erase the reference to the copayment there are contradictory versions. What seems clear is that the members of the Council proposed by the PSOE and more Madrid were in favor of eliminating it.

“In the information revealed by El País, it was included {that a} co -payment suggestion was included that ought to have disappeared on the request of the counselor proposed by the PSOE and I feel additionally of the proposal for extra Madrid,” explains a knowledgeable source of the debate. “When a textual content was agreed with out the reference to the copayment, and one other was revealed, an error correction needed to be raised,” adds this interlocutor.

In this way, the Chamber of Accounts accumulates a new controversy since Leguina presides. The first had to do with his own election as counselor and president, promoted by the PP, which seeks income of more than 100,000 euros a year. The second, with which he signed his wife as secretary. The third, with which it declines to explain a report during an appearance in the Assembly (“My expertise in these agreements is zero”). And the fourth, with the unusual rectification of this report, in order to close the door that had been left to the copayment for a public service.

Two absolutely infrequent facts shake hands in that document. On the one hand, that the Chamber of Accounts has had to rectify an opinion, which has forced official communication to the Assembly (“having detected error on page 76 (…) New copy of the report is referred to the report in which said error is corrected”). On the other, that the inspection entity is expressed so clearly against the management of the regional executive.

This is summarized by a parliamentary source: “Without that co -payment suggestion, the report is a fats stick with Ayuso.”

Thus, the analysis is an amendment practically to the entire program, and includes giving the alarm about the lack of qualified professionals or breach of the patient-professional ratios, “which negatively influence the attention to its users and in the quality of the service provided”.

The Community of Madrid serves people with serious mental illness through specialized resources that seek to promote their rehabilitation and social integration, in addition to supporting their families. In centers, patients with schizophrenia, bipolar disorder, paranoid disorders, other psychosis, or serious personality disorders are treated. Those with autonomy are tried to help integrate into the labor market. And those who have more difficulties are included in a social support program that structures their day to day to win in independence. However, filling so many words requires money. And not enough is being invested, according to specialists who have controlled the service.

Accumulation of controversies

“The credit consigned have been inadequate to offer the social help service to individuals with severe and lasting psychological sickness derived by the psychological well being companies of the Community of Madrid, which causes ready lists in all assets of the Public Network of Social Care,” reads the report of the Chamber of Accounts, which figure in 13,376,719 euros the necessary investment to absorb the waiting list that was in the late 2022 Original report will raise the possibility of copayment.

Thus, the camera details that the waiting list rose to 1,319, 1,271 and 1,333 users in exercises 2021, 2022 and 2023, respectively, reflecting that “the increase in the centers and squares of the network has not been sufficient to absorb, in each resource”, the demand.

The situation also shows a breach of the administration’s own standards, as stated in the report, with a clear position deficit in the psychosocial rehabilitation centers (-37) and in the residential care resources (mini residences, with -218; supervised floors, with -155; and supervised places in host pensions, with -26), depending on the minimum ratio calculated necessary for every 1,000 inhabitants considered by the Ministry in the 2003-2006 Plan.