Diego and Ignacio Saenz de Buruaga, in the non-opening of Valdecilla.
Ferrovial has delivered the work to the Management of the Marqués de Valdecilla University Hospital. It has met the deadlines – to nine days of the elections although there are still workers with the spikes. And he has been provided to the Government awarded the mega-contract a nice electoral letter. To submit by May 24 the completion of the referral hospital, the symbol of the health of the Cantabrian
Valdecilla finished after a decade and five years mired in works discomfort that staff have been with, priceless infinite patience on the part of each and every one of the Cantabrian we’ve ever had to go through his hands.
But the debate has been very marked these past four years by the overly sentimental messages (not a matter of public model vs. private), lack of rigor in political speeches and reasonable doubt on the necessary assessment of the measures that have undertaken, as always regret the experts.
1. 15 YEARS OF WORKS
15 years have lasted the works of the Marqués de Valdecilla University Hospital (HUMV), from the terrible accident on the west facade the November 2, 1999 , in which four workers were killed when they were not even the powers transferred to the autonomous region.
The successive governments since José Joaquin Martinez Sieso (PP), in which resided the decision to keep the hospital on the same farm that gave the Marquis of Valdecilla for its construction in 1929 until the present Ignacio Diego (PP), to eight years Miguel Angel Revilla (PRC-PSOE) have been building projects, construction and cost overruns for the final completion of the national reference center.
With the PSOE in government, the foundations of Phase III sat finished just received HUMV management. . But a disagreement with the awarded UTE (Ascan-OHL) had paralyzed the works at the end of the second term PRC-PSOE
The current PP government decided to rescind the contract and take a new contest: VP Maria Jose Saenz de Buruaga, put the new model of Valdecilla up.
2. COMPETITIVE DIALOGUE
Protected by a point of Reform Act Contracts which left approved Zapatero just before the absolute majority of Mariano Rajoy (November 20, 2011), the competition for the completion of Valdecilla established a formula for the first time for the awarding of contracts on the National System Health Service (NHS): formula of competitive dialogue
In short, the Cantabrian Health Service (SCS) created a competitive dialogue table to which were invited a shortlist. of undertakings concerned and in this area they could propose improvements to the initial statement, suggestions would be incorporated into the final statement
Of all the companies concerned, the end of the process there was only one:. Ferrovial, through its service management company, Ferroser .
In this way, is awarded to one of the largest in the Ibex-35 Valdecilla mega-contract, a document regulating the next 20 years the company’s relationship with management, for more than 900 million euros (including VAT) amount.
3. THE NEW MODEL IS MORE EXPENSIVE VALDECILLA
The new model of Valdecilla is a form of public-private partnership framed in the PFI (Private Finance Initiative or financing of private initiative).
In this type of collaboration, private enterprise forward the necessary funding for the construction of health infrastructures and receives in return the management of services, in principle non-white coat, no health services.
Before the mega-contract Valdecilla near 40 services were outsourced to different companies; Now that Ferrovial will be responsible for managing all those, which have been added new ones such as information and medical records.
Ferrovial will receive the Government of Cantabria in the order of 38 million euros each year over the next two decades, five of which correspond to the price of the completion of Phase III of the Hospital, and the rest (33) with the price agreed for the management of services.
For non-health services, the bill for the government, before the mega-contract, was 28 million euros. Therefore, the new hospital will be more expensive .
street protests against the new model
In his administrative appeal, the PSOE claimed that there were no reports of counseling Economy or the SCS to justify the need for this new model for managing Valdecilla .
Since almost all opposition parties have criticized the management of all non-health services gives an exorbitant power to private enterprise in the operation of the public hospital.
Even from the social movements have suggested that the mega-contract opens the door to the privatization of services white coat, not only in Valdecilla, but throughout the SCS.
4. DID YOU PAY THE GOVERNMENT OF SPAIN?
Here lies the great contradiction the new model launched by Valdecilla the PP in Cantabria.
At the moment, the Government of Spain has allocated two items of 28 million euros for the Cantabrian hospital, still far from the nearly 100 million have cost the works.
In the event that these agreements are maintained in coming years to meet the commitment to pay the works of Valdecilla, the Government of Spain would assume the cost. But then: What need was to link all hospital services to the management of one company for 20 years, which is five legislatures
5. deficit not? COMPUTING FOR EUROPE
The formula of PFI, the private investment initiative, has advantages and disadvantages, according to economic experts emphasize health.
Its main virtue is that, Company take the necessary funding for the work, the regional government borrows not more, at a time when budget stability look very closely from Brussels .
On the contrary, those financial costs – go to the bank for credit-they are superior to the private company for public administration, so that, theoretically, the cost of the work is greater than if the initiative had been public .
And that higher price assumes no private enterprise; of course it affects the mega-contract to 20 years.
DEBATE 6. A SENTIMENTAL and irrational
All these factors have been overshadowed in the last four years to fully debate sentimental confrontation between the traditional model and the new public health under the false premise of the privatization of Valdecilla.
The new model of Valdecilla gives more power and responsibility to the private sector in the operation the hospital, but certainly not a privatization model as the reviled Alcira; it looks much more like a concert: the company passes the bill each year to the regional administration
In any case, the same model will start now govern Valdecilla has risks, especially related to the premise. private company never lose money. And always the doubt in this case that the Government has to come to the rescue with a higher expenditure of public money is raised initially.
Finally, in case of conflict, Management is not able to negotiate with the private sector, in the sensitive health of Cantabria , who have always valued very high note Valdecilla issue and, in general, public health in Cantabria.
7. A CONSTRUCTION BUSINESS BY HEALTH
Also striking in the Spanish economic context of bursting of the housing bubble, how big companies in the construction sector have created divisions management services, to gain contracts in traditionally public sectors such as health and education.
Nor is it the first time, because they did heat bubble renewable, but in this If large real estate companies have jumped into the business (that is the word used by defenders of models such as Valdecilla as Cesar Pascual, the director of the hospital) health and public education.
8. – NO CULTURE OF EVALUATION
The truth is that, unfortunately, decisions on health (in fact, in all areas of public life) are made without any assessment of the results and have much more to do with the cost / political benefit than any other factor.
Therefore, no independent scientific evidence in Spain that guarantees that this new model of Valdecilla be more efficient than the previous one. Nor otherwise.
Politically, it will value not in the elections on May 24, but in five election campaigns. For 20 years they go far and give and take away reasons.
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