13.2.2014  //  Yleiset, Yrittäjyys, Ähtäri, Seutukunta, Etelä-Pohjanmaa

Yhtymävaltuusto päättää!

Etelä-Pohjanmaan sairaanhoitopiirin johtajan Jaakko Pihlajamäen esitys Ähtärin sairaalan tulevaisuudesta tuli ulos eilen iltapäivällä. Esityksessä sairaala ajettaisiin asteittain alas muuttamalla se ensin kolmipäiväiseksi osastoksi v. 2015 alusta ja lopettamalla koko toiminta kesäkuussa 2016. Sisätautien poliklinikka lakkaisi kokonaan jo vuoden 2015 alusta.

Esitys ei sinänsä yllätä. Viime maanantain hallitusseminaarin vyörytys ei juuri antanut tilaa muunlaisille näkemyksille.

Asia on pyörinyt lumipallon lailla jo syksystä 2012, jolloin silloinen hallitus päätti aloittaa selvityksen Ähtärin sairaalan muuttamisesta päiväkirurgiseksi yksiköksi.

Keskustelu on edennyt vaiherikkaasti, mistä olen useaan otteeseen kommentoinut lehdistössä ja kirjoittanut myös tässä blogissani. En lähde näitä asioita nyt toistamaan.

Kaiken kaikkiaan selvityksen tekijän lopputulos on juuri sen mukainen jonka hän oli jo etukäteen ilmoittanut ennen työn aloittamista. Ulkopuolista selvittäjää kun ei koskaan suostuttu ottamaan.

Keskittämisen kiima on valtava. Eri asia on sitten se, että onko siihen tarpeeksi jykevää sonnia astumaan.

Sairaanhoitopiirin johtajan esityksen käsittelee hallitus ensi maanantaina 17.2. Ähtärin sairaalan kohtalosta päättää kuitenkin maakunta, eli reilun kuukauden kuluttua 24.3. kokoontuva yhtymävaltuusto missä on valtuutettuja omistusosuuden mukaisilla ääniosuuksilla kaikista maakunnan kunnista mukaan lukien Isokyrö.

Sairaanhoitopiirin johtaja esityksen pohjalta tehtävän hallituksen esityksen jälkeen käsittelee yhtymävaltuusto sitä valtuustoseminaarissa 19.2. Seminaarissa on tarjolla myös Ähtärin kaupungin toimesta valmisteltu vaihtoehto yhtymävaltuutetuille.

Monenmoiset perusteet Ähtärin sairaalan julkisen terveydenhuollon alas ajamiseksi kummeksuttavat sikäli, että useat yksityiset tahot ovat kiinnostuneita sairaalan toiminnasta. Hyväntekeväisyyttään nämä eivät sairaalatoimintaa tekisi vaan he tietävät mitkä mahdollisuudet asiakkaiden palvelemisella, osaavan henkilökunnan hyödyntämisellä ja toiminnan laajentamisella olisi.

Etelä-Pohjanmaata on kuritettu melko paljon tällä vaalikaudella valtion päästä. Valitettavasti myös maakunnan omat päätökset ovat menneet samansuuntaisesti. Aiempina vuosina ammattikorkeakoulu runtattiin väkisin Seinäjoelle. Ilmajoelle yksikkö vielä toistaiseksi jäi.

Jos maakunta lakkauttaa sairaanhoitopiirin asiakastyytyväisyysmittausten mukaan parhaiten palvelevan ja toimivan Ähtärin sairaalansa, on vaikea kuvitella, että tämä olisi keskittämispolitiikan loppu. Maakunnallista Sotea selvitellään. Pienet ja ehkä hieman suuremmatkin terveysasemat lähtisivät seuraavaksi.

Tämä kaikki tapahtuu yksi askel kerrallaan jos maakunnan kunnat eivät puolusta toisiaan. Loppujen lopuksi Etelä-Pohjanmaakin on juuri niin vahva kuin sen heikoin kunta.

Onneksi meillä on vielä edustuksellinen demokratia ja maakunnan enemmistö yhtymävaltuuston äänistä. Pian myös selviää halutaanko maakunnan ääntä käyttää.

Asioilla on myös inhimillinen puoli, jonka keskiössä on äärimmäisen hyvää työtä tehnyt sairaalan henkilökunta. Toivotan edelleen jaksamista hyvin vaikeassa tilanteessa olevalle Ähtärin sairaalan henkilökunnalle.

 


 

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