The secretary says 90 health professionals are reaching the mayor’s salary cap, but that number must increase. Understand why | Piracicaba and the region

According to the data available on the city’s transparency portal, the total salary of the mayor is R$15,550.00. The amount is the legal limit for municipal employees, excluding compensation money.

In his speech, at the Chamber’s plenary session, Filemon said that about 27 dentists and 61 physicians from the Department of Health have reached the ceiling. In 2022, according to the author of the volume, the number could reach about 250 specialists in the region.

“Today, no one wants to come to work here because they already know that in the first month of the contract, the family doctor whose salary starts around 16 thousand riyals, will get 15.5 thousand riyals. In addition, with discounts, this value drops to 11 thousand riyals. “We won’t be able to get doctors in our municipality if we don’t have an attractive value for them,” Philemon said during the hearing.

In addition to outdated salaries, the adoption of a less permissive policy regarding professionals’ hours also had an impact on the service provided by the network.

“We no longer allow professionals not to meet their hours. When he took over, we established that if he was hired for 20 or 40 hours a week, he had to meet those hours and register and register. The doctors asked for acquittal, Philemon said.

Low salaries and a shortage of 600 specialists

According to the secretary, the current wage for health professionals in Piracicaba is low, in comparison with those of smaller municipalities in our region. This is one of the factors that, for him, contribute to the current deficit in the municipal network, which, according to him, amounts to about 600 professionals, including doctors, nurses, dentists and other positions in the ministry.

“We have a huge shortage of professionals in our network, but we do not leave it unattended. We work together, and sometimes a doctor covers another health unit so that we do not leave the area,” the minister said.

Since January 2021, according to the city council, 353 servants have been hired, including 17 surgeons, 32 nurses, 74 doctors and 230 nursing technicians. But, as of last year, the sector has lost 155 servers, with requests for exemption and retirement. “Among them, 11 dentists, 11 nurses, 95 doctors and 42 nursing technicians,” he said.

Since 2012, the mayor’s roof has been frozen in Piracicaba, but they did not think about this problem, which has now come down to this administration. If the effective servers are readjusted, the mayor’s salary today would be around R$26,000 and we will not have that discussion here,” he added.

Federation of Municipalities

According to the secretary, in addition to recruiting new professionals through competitions, the possibility that the volume is currently studying is the joining of the Piracicaba to the Inter-Municipal Health Consortium, made up of several municipalities in the region.

Piracicaba (SP) City Council summoned the Minister of Health, Philemon Silvano, to speak, at a public hearing, about the alleged shortage of doctors in the network, detailing the working hours of the professionals and discussing the flexibility of their workload. Those who receive salaries higher than the municipal civil service ceiling, in addition to indicating the units that need renewals and other demands related to the ministry.

The Minister of Health was summoned after an urgent request was approved by Council member Laercio Trevisan Jr. (PL) approved on May 12. Mayor Luciano Almeida (União Brasil) was also invited to participate in the public hearing.

The meeting took place on May 27, 4pm, in the Legislative Council, with 12 points on the agenda being discussed – see below.

The Minister of Health was summoned after an urgent request was approved by Council member Laercio Trevisan Jr. (PL) approved on May 12. Mayor Luciano Almeida (União Brasil) was also invited to participate in the public hearing.

Check the content of the questions sent to the Ministry of Health:

1. the status of municipal health department employees;
2. The number of health units that do not have doctorsand reporting, when opportunity, unit, district, specialty, number of professionals to be hired and period of employment;
3. the necessary amount of hired professionals of the municipal health department;
4. Number of physicians (distinguished by specialty), dentists, nurses, and nursing technicians employed from January 2021 to May 2022;
5. Number of physicians (with distinctions in specialty), dentists, nurses, and nursing technicians who requested exemption from January 2021 to May 2022;
6. Details of doctors’ working hours, reporting the number of professionals working 20 hours per week, 30 hours per week, 40 hours per week, specifying gross pay and benefits, among other necessary information;
7. Detailed amount of Doctors, dentists and other professionals of the municipal health administration who receive salaries above the maximum (Determined by the monthly subsidy for the mayor) in the amount of R$15,550, to report whether there has been a salary reduction for exceeding the cap and to determine, in the case of shifts, whether the collection methodology is different.
8. Display on the board the name of the professional abbreviated as duly, the position, workload and the salary received, highlighting the cases in which there is a deduction on the servant’s salary and the amount deducted in case the mayor’s subsidy ceiling is exceeded;
9. discussion and referral regarding changing the profession of doctors, through administrative reform, along with the workload, “with a view to resolving the existing situation within the framework of the constitutional principle of legality and reasonableness”;
10. discuss the measures to be taken by the municipal administration in relation to cases of civil servants who exceed the limit of the benefit of the mayor;
11. Survey of suggestions to adjust the workload of these professionals so that they can get it within the ceiling and without deductions;
12. information about her Health units to be renovated or awaiting openingin addition to the demands related to the construction of new units.

Recently, in a project to reset salaries for municipal servers sent to the room, which the mayor signed in April, it was reported that at least 100 health servers have already reached the limit.

Saeed says 89 doctors left the country in 2022

The Ministry of Health stated in a note that from January 2021 to May 12, 2022, 89 physicians left the network, with 63 dismissals and 26 retirements; In this period, 37 physicians requested a reduction in their workload, 15 of whom later requested relief.

“In this department, a public tender and simplified selection process has been approved to make up for this shortage of professionals, but of all those called up, only 33 physicians took active positions and nine vacant emergency physicians,” he added.

In the first quarter of 2022, a new public tender announcement for some medical specialties was published and the volume informed that it was in talks with Fonesp to hold tenders for other specialties. “In addition, the department is making joint efforts on Saturday to meet the requirements of primary and secondary care (specialties),” he noted.

“It is important to note that, last Thursday, 12/05, the Minister of Health Philemon Silvano Tribune used the city council of council members to talk about the doctors going out of the public network due to salary cuts. For doctors, the maximum salary for the mayor, which today is 1,5500.00 riyals Brazilian, a value that does not invite these professionals because the cities in the region have higher fixed values ​​than those in Piracicaba, such as Americana (R $ 23,874, 56), Campinas (27336.68 BRL), Cordeiropolis (20601.32 BRL) and Santa Barbara de Oeste ( 28691.11 Brazilian Real), eg.

Management also stated that it referred a project to the Chamber to facilitate the text increase, but it was turned down. This is the civil service salary adjustment project, which also included an increase in the mayor’s salary, whose support is a criterion for the maximum that can be paid to a civil servant.

However, the legislature agreed to readjust the servers, but removed from the final text the replacement of the mayor, trustees, and self-governing chiefs, on the grounds that it was unconstitutional. This is because, according to the assessment of the Legislation, Justice and Writing Commission, a review of subsidies for these political agents must be determined in one legislature to be valid in the next.