Ministry of Public Health

Weekend Manager – Movement opposing the transfer of public health personnel from 5 agencies: Provincial Public Health Office (Public Health Office), District Public Health Office (Public Health Office), Regional Hospital. general hospital and community hospital Under the jurisdiction of the Office of the Permanent Secretary, Ministry of Public Health to the Provincial Administrative Organization (PAO) with concerns that it would affect people who come to use hospital services because of a shortage of personnel Makes the service worse It is important. life and death that cannot be overlooked

Problems with the transfer of public health personnel from such agencies It has been a chronic issue for a long time. It is called an “internal disease” and “growth” from the decentralization plan to local areas. which requires the transfer of health centers and Subdistrict Health Promoting Hospitals, which are the primary departments of prevention and medical treatment, to local administrative organizations (Local Administrative Organizations).

According to the transfer plan, it should proceed well. But as it happens, personnel who request transfers Instead, there is only primary care from the health center and Subdistrict Health Promoting Hospital only Because there are personnel from the 5 departments of the Ministry of Public Health mentioned above. Halo also asked to stay with the Provincial Administrative Organization after the sub-committee managed the transfer of public health missions to local administrative organizations. The green light allows transfer requests if the parent agency agrees. which the Ministry of Public Health At first they allowed the transfer but later changed their mind and did not ask for the transfer. And there is a letter for personnel in 5 departments of the Ministry of Public Health to return to work as usual.

It has become a mess. Both people who want to transfer but can’t. And there are some who have transferred and want to come back. Meanwhile, the Ministry of Public Health executives do not want people to transfer out, but “the blood keeps flowing.” Just the first pilot, fiscal year 2023, has already had 1,300 personnel from 5 agencies requesting transfers, with 222 still remaining in the air. People who need to be cleared up

Hot on the heels of Mr. Somsak Thepsuthin, Deputy Prime Minister. As Chairman of the Committee on Decentralization to Local Government Organizations (LAC), he arranged to sit at the head of the committee meeting. at Government House on November 1, 2023 to solve the problem.

While before that, Dr. Chatuchai Maneerat, Provincial Public Health Doctor (Dr. Provincial Public Health Doctor), Chiang Mai, as president of the Provincial Public Health Doctors Club. Mentioning the case of the sub-committee managing the mission of transferring public health to local administrative organizations. It was resolved that personnel from 5 agencies, namely Provincial Public Health Office (Public Health Office), District Public Health Office (Public Health Office), Regional Hospital, General Hospital, and Community Hospital, could be transferred to the local area. From the meeting of the Provincial Public Health Doctors Club Agreed that there should not be a transfer of personnel from the 5 agencies to the Provincial Administrative Organization and a statement opposing the matter will be issued.

In this regard, the Provincial Public Health Doctors Association There is a position to support the transfer of primary care missions. That is in accordance with the Decentralization Plan for Local Administrative Organizations (No. 2) 2008, which specifies the process for transferring the missions of health centers and Subdistrict Health Promotion Hospitals that are primary departments to local administrative organizations. It aims to result in the people receiving thorough and quality services. But the transfer of the past mission It was found that public health personnel working in 5 departments had reported their intention to transfer along with the transfer of personnel from health centers and sub-district hospitals, without having yet determined the scope. or a clear method for transferring personnel in this group Which, in addition to not being in line with the intent of the decentralization plan, also affects the administration of local agencies. and caring for the people

Dr. Chatuchai said that the transfer of personnel working in 5 agencies has caused the administrative agencies, namely the Provincial Public Health Office and the Provincial Public Health Office, to lack personnel with experience in policy analysis for implementation. Including controlling and supervising the operations of local service units in accordance with important policies. As for service units, from community hospitals and up It will further aggravate the problem of personnel shortages in providing services. As a result, outpatients who come to receive treatment and follow-up appointments have to wait longer and become more crowded. Meanwhile, inpatients will lack experienced and skilled personnel to take care of them, such as intensive care patients in the ICU, patients undergoing surgery. Have to wait longer in line for surgery due to lack of surgical assistant nurses, etc.

Therefore, the Provincial Public Health Office Dr. Club would like to propose that the Committee on Decentralization to Local Administrative Organizations (OCC) review the guidelines or interpretation of the transfer of personnel working in the 5 agencies mentioned. By considering the principles and reasons of the law. and most importantly, prevent any impact on the people receiving services in Secondary and tertiary hospitals

Not only the Provincial Public Health Office Dr. Club came out to object, the RTA Hospital Club also disagreed with the transfer sub-committee. Until there was a conflict of ideas and operations in the area.

Likewise, Dr. Chonnan Srikaew, Minister of Public Health (Ministry of Public Health) believes that in principle we must consider together the details of the transfer criteria of the Subcommittee for the Management of Transfer Missions. In line with the decentralization guidelines of Is it true or not? The 5 departments of the Ministry of Public Health, if interpreted, are not personnel of the Subdistrict Health Promotion Hospital. They are personnel outside the operating unit of the Subdistrict Health Promotion Hospital. But if they wish to work in Subdistrict Health Promoting Hospital will not be a transfer. But it is a normal transfer process.

“… If workers break the regulations, they will be charged with Section 157. Therefore, regulations must be strict,” Dr. Chonnan said.

Dr. Chonnan also signed a letter to the Chairman of the ACT for consideration at the meeting on November 1st. which is a transfer proposal In summary, the meeting of the subcommittee for managing the public health transfer mission No. 8/2023 and presenting the problem of impacts on the people from the transfer. including study results and policy proposals

The main proposal is for personnel who do not perform primary duties. There are 222 District Public Health Offices (Public Health Offices), Provincial Public Health Offices (Public Health Offices), Community Hospitals (Public Health Offices), Center Hospitals, and General Hospitals (Public Health Offices). The method of “transfer” should be used. ”According to the Civil Service Commission rules, which is not “Transfer” personnel Due to the resolution Civil Service Commission, Ministry of Public Health Considered according to the guidelines and opinions of office representatives. February in the meeting The NBTC on December 1, 2022 found that the said personnel did not perform primary duties. It will affect the service provided to the people in the hospital. In addition, the transfer guidebook does not specify it.

As for personnel performing voluntary primary care missions and wishing to be transferred to Subdistrict Health Promotion Hospitals under the Provincial Administrative Organization, that is, in the case of Subdistrict Health Promotion Hospitals that were transferred on October 2, 2022, a total of 766 cases were seen to have been transferred. Can be transferred in the case of requesting transfer to The former Subdistrict Health Promoting Hospital used to work. and must not affect the service of Subdistrict Health Promoting Hospitals currently operating. In addition, the Ministry of Public Health proposes to extend the period for submitting names of those who volunteer and wish to transfer in fiscal year 2025 until the guidelines and criteria for transfer are revised. Personnel transfer has been completed.

Mr. Somsak Thepsuthin, Deputy Prime Minister who sits as chairman The Committee announced before the meeting that Yes, we will know everything because this is a new job, but we will slowly solve the problem. Don’t fight. From discussions outside the group that 1,300 people had already been transferred from 5 agencies, that was incorrect. And when it’s incorrect, having it transferred again will be a problem that won’t end. Because different people hold different rules and regulations. Let’s help solve the problem. Let’s work together.

After the meeting of the Committee on November 1, the meeting agreed that in the case of personnel transfers from 5 departments, totaling 222 people (the number proposed at the meeting), this group of personnel should submit Documents requesting transfer to the Ministry of Public Health (Ministry of Public Health) will then be submitted to the Public Health Commission to consider approving the transfer to the Provincial Administrative Organization, but will still go in the form of government assistance first while waiting for the Ministry of Public Health (Ministry of Public Health). The Bank has created new criteria to ensure that transfers are carried out correctly.

In addition, the meeting also had a common opinion. In the case of personnel who do not perform primary duties Addresses in the District Public Health Office (Public Health Office), Provincial Public Health Office (Public Health Office), community hospitals Regional hospital general hospital It is seen that the transfer should be made in accordance with the Office of the Civil Service Commission’s rules because it follows the resolution of the Office of the Civil Service Commission, which has considered the guidelines and opinions of representatives of the Office of the Civil Service Commission at the meeting of the Office of the Civil Service Commission on the 1st. Dec. 2022, where there was an opinion that the said personnel did not perform their primary mission. This will affect the services provided to the people in that hospital. Take the following actions.

One is assigned to the Ministry of Public Health to consider and examine together with Provincial Administrative Organizations where Ministry of Public Health personnel have reported their desire to be transferred to Provincial Administrative Organizations in order to clearly know the information regarding personnel transfers. By approving the transfer to the duties and powers of the primary supervisor (SSO, Provincial Public Health Office, community hospital Regional hospital General Hospital) and the Ministry of Public Health by the Public Health Service Commission, which has retroactive effect to October 2, 2023, in line with the Provincial Administrative Organization that receives the transfer of personnel.

Second, personnel will be transferred normally on such voluntary basis. In order to perform a new job at the local government organization (Local Administrative Organization), the recipient of the transfer must receive benefits and advancement not lower than what was received at the original place. Including the status and continuing benefits of members of the Government Pension Fund (GPF), similar to those of transferred personnel as specified in the second action plan.

Third, let the Budget Office allocate budget to Provincial Administrative Organizations to receive transfers to recruit replacement personnel according to the structure and staffing of Subdistrict Health Promotion Hospitals or Teaching Hospitals that have been transferred as per the announcement of the Provincial Administrative Organization regarding rules and regulations. The process of transferring the mission of the Chaloem Phrakiat 60th Anniversary Navamitrachini Health Station and the Subdistrict Health Promoting Hospital to the Provincial Administrative Organization, dated October 5, 2021, is specified.

In the case of personnel performing primary care missions who voluntarily and wish to transfer to the Subdistrict Health Promotion Hospital under the Provincial Administrative Organization, proceed according to the wishes of the personnel who voluntarily transfer. Because they are personnel performing primary care missions in accordance with the announcement of the NBTC on the criteria and procedures for transferring missions of the Chaloem Phrakiat 60th Anniversary Navamitrachini Health Station and Subdistrict Health Promoting Hospital to the Provincial Administrative Organization, dated 5 Oct. 2021 scheduled

In the case where the Ministry of Public Health proposes to extend the period for submitting names of those who volunteer and wish to transfer in fiscal year 2025 until the guidelines and criteria for personnel transfer are completed. It was deemed appropriate to carry out the resolution of the meeting of the sub-committee for managing the transfer mission. In meeting number 8/2023 on October 5, 2023, together with guidelines for personnel management according to the resolution of the NBTC meeting on November 1, 2023.

In summary, it is the transfer of personnel from 5 public health agencies. Must follow the rules of the Civil Service Commission, which must go through the Public Health Commission, and must wait to amend the guidelines and criteria for transferring personnel to be clear and complete first. This is considered to temporarily “stop the bleeding” and “stop the army” from suspending the war first. That there will be more problems than this. which does not bring any good results to public service

But there is a problem that makes you ponder and question quite a bit. What is the reason why there are so many Ministry of Public Health personnel wanting to transfer to local administrative organizations?

2023-11-03 22:53:00
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