Nyquill And Benzonatate

extraordinary distribution to staff GROUP UBI

With union mobilization group, the UBI had tener in considerazione le giuste esigenze dei lavoratori; ciò ha portato all'accordo sottoscritto il giono 26 novembre 2010, senza nessun ricorso a deroghe/modifiche del contratto nazionale.

Riportiamo integralmente la comunicazione inviata alle OOSS da parte della Direzione del GRUPPO UBI


Oggetto: Erogazione straordinaria in favore del personale di UBI, UBIS, BPB, BBS, BRE, BPA, BPCI, UBIBPI,BSG, BVC, BANCA CARIME


Relativamente all’impegno profuso dal personale dipendente nei processi di riorganizzazione
aziendale, positivamente realizzati pur nell’attuale fase di generale debolezza del Settore Credit, given the demands made by labor unions esteemed Codest - We inform you that, together with the salaries for the month of December 2010, banks and companies listed in the Group object will proceed - to employees belonging to the professional areas and to management in writing to the payroll at December 31, 2009, and today still employed by the Bank / Group Companies - to provide, in the form and manner indicated below, a recognition of an exceptional nature and not repeatable. In particular the provision of the above will be made an extraordinary contribution made to the individual situation at the pension fund membership of Euro 290.00 per capita Personnel belonging to the professional areas and to management.
In the alternative and as an alternative to the above, each worker should be possible,
later than December 10, 2010, for the disbursement of an amount by way of a lump sum in the form of pay slip in wages amounting to € 240.00 per capita for the staff belonging to the professional areas and to management.
The extraordinary contribution to the Pension Fund and the provision of the one-off described above will be proportional
when taken during the year 2009, and in cases of unpaid absence occurring in the same year. For the employees of Banco di Brescia, Banca Regionale European Bank of St. George, recipient of the forecasts set out in letters annexed, is confirmed by the treatment provided in the same place as provided herein.
Union of Italian Banks Scpa

Nyquill And Benzonatate

extraordinary distribution to staff GROUP UBI

With union mobilization group, the UBI had tener in considerazione le giuste esigenze dei lavoratori; ciò ha portato all'accordo sottoscritto il giono 26 novembre 2010, senza nessun ricorso a deroghe/modifiche del contratto nazionale.

Riportiamo integralmente la comunicazione inviata alle OOSS da parte della Direzione del GRUPPO UBI


Oggetto: Erogazione straordinaria in favore del personale di UBI, UBIS, BPB, BBS, BRE, BPA, BPCI, UBIBPI,BSG, BVC, BANCA CARIME


Relativamente all’impegno profuso dal personale dipendente nei processi di riorganizzazione
aziendale, positivamente realizzati pur nell’attuale fase di generale debolezza del Settore Credit, given the demands made by labor unions esteemed Codest - We inform you that, together with the salaries for the month of December 2010, banks and companies listed in the Group object will proceed - to employees belonging to the professional areas and to management in writing to the payroll at December 31, 2009, and today still employed by the Bank / Group Companies - to provide, in the form and manner indicated below, a recognition of an exceptional nature and not repeatable. In particular the provision of the above will be made an extraordinary contribution made to the individual situation at the pension fund membership of Euro 290.00 per capita Personnel belonging to the professional areas and to management.
In the alternative and as an alternative to the above, each worker should be possible,
later than December 10, 2010, for the disbursement of an amount by way of a lump sum in the form of pay slip in wages amounting to € 240.00 per capita for the staff belonging to the professional areas and to management.
The extraordinary contribution to the Pension Fund and the provision of the one-off described above will be proportional
when taken during the year 2009, and in cases of unpaid absence occurring in the same year. For the employees of Banco di Brescia, Banca Regionale European Bank of St. George, recipient of the forecasts set out in letters annexed, is confirmed by the treatment provided in the same place as provided herein.
Union of Italian Banks Scpa

In The Line Of Duty Fbi Murders

Discussion on justified grounds for dismissal in time of crisis

In times of crisis need to investigate further the just cause for dismissal related to the situation of economic crisis. The causes may be the most 'diverse but the most' is a common corporate crisis.

in employment indefinitely dismissal of the employee can only be for just cause under Article. 2119 cod. Civ. or justification. The discipline of dismissal for just cause is contained in Law No. 604 of July 15, 1966 that Article. 3 provides that "The justification for dismissal with notice is given by a substantial breach of contractual obligations of the employee or for reasons relating to production, work organization and to the smooth functioning of it."
There are therefore two cases of dismissal for just cause, "determined by a substantial breach of contractual obligations of the employee" saying subjective, disciplinary, the other connected to the grounds of the business situation but also to the personal situation of the worker, said objective. In times of crisis is more frequent recourse to dismissal for reasons related to production activities such as business: business crisis and closure of production, technological innovations, changing production processes, the elimination of departments or individual jobs, introduction new machines that bring less need for labor, contract of services and / or work to outside firms.
reasons inherent part of the productive activity also includes the assumption of organizational restructuring implemented in the most cost-effective management of the company is within the discretion of the employer unless the judge can review the selection criteria for the management of the company, since that choice is freedom of expression as protected by Article of economic initiative. 41 of the Constitution, even though the same judge has the control of the existence of the reason given by the entrepreneur and that this reason is not pretextual. The reasons, related to the production activity can be very diverse but, whatever its purpose (ie including those intended for the increase in profits and especially during these periods to reduce costs), they should be such as to render it unusable , the employment status considerata.
Dunque, come vedremo meglio in seguito, il percorso logico che porta al licenziamento del lavoratore non è contrazione di ricavi = licenziamento ma piuttosto contrazione di ricavi = necessità di contenimento dei costi = riorganizzazione aziendale = esubero di personale = impossibilità di adibire il lavoratore ad altre mansioni = licenziamento. Infatti, è illegittimo il licenziamento per giustificato motivo obiettivo, motivato solo con una più economica gestione e contenimento dei costi, nella specie, neppure provati (Trib. Ravenna 21/7/2006, ord., Pres. G.G. Lacentra, Est. M. Parisi, in Lav. nella giur. 2006, con commento di Michele Miscione, 996), cosi come quello motivato con una generica need to reduce the cost to replace the dismissed employee, the high costs for qualifying, another worker with less costly, if not related to any declared corporate restructuring (Court of Ravenna 12/6/2006, ord., East R. Cowgirl in proc. the jury. 2006, with commentary by Michael Miscione, 993). The Court confirmed the legality of the decisions on: the dismissal can not be determined by the mere purpose of saving, assuming instead the justified objective reason a corporate restructuring involving the elimination of certain jobs and the demonstration by the employer work that the dismissed employee can not be used in the same or other sectors of production (see Cass. No 3353/94 and Cass. No 4088/83) (Cass. 03/17/2001, No. 3899, pres. Trezza, ext. The Year in Labor and prev. today. 2001, p.. 1415).
Assuming that the indispensable element for the validity of the dismissal is the corporate reorganization, each is a legitimate reason (in an economic sense) that has led this process and not just the business reasons unrelated to the determinations, that is, market needs, but also organizational changes designed exclusively to an increase in profits. (Trib 21/09/2004 Sulmona, East Paglierini, in Lav. The jury. 2005, 89). However, such reasons must be related to the work objective and not arbitrary act of the employer. In the event of dismissal due to certain requirements relating to a corporate reorganization aimed at a more cost-effective management, even the impossibility of transforming the relationship to be full-time part-time in the abstract can configure the target pattern of withdrawal. (Cass. 6/7/2005 No 14215, Pres Rel Ciciretti Miani Canevari, in Lav. And prev. Today, 2005, 1454).
motivation to justify the dismissal is not enough to make it legitimate because it is undisputed that the same is the last resort so that it is the doctrine that the Court require the withdrawing employer to prove the impossibility of a return of the re-employed in other tasks, even lower in the corporate sector in a broad sense. In fact, in the case of dismissal notice by a company belonging to a group that is a single compound, the determination as to the reasons for the dismissal of the possibility of the repechage and cd to the dimensional requirements must be made with reference to the complex Company (Court of Milan 23/10/2006, East Martello, D & L 2007, 223). It is not the legality of the dismissal have been carried out no new posts in the same qualification of workers made redundant. In this regard, the employer must to prove the contrary and that evidence must relate to all branches of the business, it is sufficient to limit the business to which the dismissed workers were employed only in the case of preliminary refusal to relocate the same (n Cass. 03/06/1994 . 5401, pres. Buccarelli, ext. Putaturo, D & L in 1995, 190, note MUGGIA, Compensation for unfair dismissal: old and new rules).
The withdrawing employer is not obliged to give reasons to the employee at the time of notification of dismissal. However, the employer is obliged to provide it, within 7 days of the request of the employee, if he / she so requests within 15 from date of dismissal notice. What we must emphasize is that these reasons are immutable. As for the test, the law states that the burden is on the part of the employer (pursuant to Art. 5 of Law No 604/66). The employer must also demonstrate that it can not reasonably (without entailing significant organizational changes involving expansion of organic or structural innovations: Cass. 07/01/2005 n. 239, pres. Senese, ext. D'Angelo, 30 / 8 / 00 No 11427, pres. Ianniruberto, ext. Vidiri) use the employee involved in other work of equal value, or failing. even in tasks deteriorate, with the limit of respect dignity of workers (see, among many, Cass. 8/19/2004 No 16305, pres. Brick, ext. Ballets).
In case of dispute in court, it is always the employer to prove: the actual existence of technical or organizational reasons, the link between business needs and the dismissal notice, the inability to assign the worker to work in equivalent In the corporate or company, the job is effectively suppressed and that there has been a mere redistribution of duties among the remaining workers, have not taken in the following months (6-8 months) employees with similar qualifications either term of did not opt \u200b\u200bfor the workers to be dismissed in a discriminatory manner, for example, you can establish objective selection criteria.

In The Line Of Duty Fbi Murders

Discussion on justified grounds for dismissal in time of crisis

In times of crisis need to investigate further the just cause for dismissal related to the situation of economic crisis. The causes may be the most 'diverse but the most' is a common corporate crisis.

in employment indefinitely dismissal of the employee can only be for just cause under Article. 2119 cod. Civ. or justification. The discipline of dismissal for just cause is contained in Law No. 604 of July 15, 1966 that Article. 3 provides that "The justification for dismissal with notice is given by a substantial breach of contractual obligations of the employee or for reasons relating to production, work organization and to the smooth functioning of it."
There are therefore two cases of dismissal for just cause, "determined by a substantial breach of contractual obligations of the employee" saying subjective, disciplinary, the other connected to the grounds of the business situation but also to the personal situation of the worker, said objective. In times of crisis is more frequent recourse to dismissal for reasons related to production activities such as business: business crisis and closure of production, technological innovations, changing production processes, the elimination of departments or individual jobs, introduction new machines that bring less need for labor, contract of services and / or work to outside firms.
reasons inherent part of the productive activity also includes the assumption of organizational restructuring implemented in the most cost-effective management of the company is within the discretion of the employer unless the judge can review the selection criteria for the management of the company, since that choice is freedom of expression as protected by Article of economic initiative. 41 of the Constitution, even though the same judge has the control of the existence of the reason given by the entrepreneur and that this reason is not pretextual. The reasons, related to the production activity can be very diverse but, whatever its purpose (ie including those intended for the increase in profits and especially during these periods to reduce costs), they should be such as to render it unusable , the employment status considerata.
Dunque, come vedremo meglio in seguito, il percorso logico che porta al licenziamento del lavoratore non è contrazione di ricavi = licenziamento ma piuttosto contrazione di ricavi = necessità di contenimento dei costi = riorganizzazione aziendale = esubero di personale = impossibilità di adibire il lavoratore ad altre mansioni = licenziamento. Infatti, è illegittimo il licenziamento per giustificato motivo obiettivo, motivato solo con una più economica gestione e contenimento dei costi, nella specie, neppure provati (Trib. Ravenna 21/7/2006, ord., Pres. G.G. Lacentra, Est. M. Parisi, in Lav. nella giur. 2006, con commento di Michele Miscione, 996), cosi come quello motivato con una generica need to reduce the cost to replace the dismissed employee, the high costs for qualifying, another worker with less costly, if not related to any declared corporate restructuring (Court of Ravenna 12/6/2006, ord., East R. Cowgirl in proc. the jury. 2006, with commentary by Michael Miscione, 993). The Court confirmed the legality of the decisions on: the dismissal can not be determined by the mere purpose of saving, assuming instead the justified objective reason a corporate restructuring involving the elimination of certain jobs and the demonstration by the employer work that the dismissed employee can not be used in the same or other sectors of production (see Cass. No 3353/94 and Cass. No 4088/83) (Cass. 03/17/2001, No. 3899, pres. Trezza, ext. The Year in Labor and prev. today. 2001, p.. 1415).
Assuming that the indispensable element for the validity of the dismissal is the corporate reorganization, each is a legitimate reason (in an economic sense) that has led this process and not just the business reasons unrelated to the determinations, that is, market needs, but also organizational changes designed exclusively to an increase in profits. (Trib 21/09/2004 Sulmona, East Paglierini, in Lav. The jury. 2005, 89). However, such reasons must be related to the work objective and not arbitrary act of the employer. In the event of dismissal due to certain requirements relating to a corporate reorganization aimed at a more cost-effective management, even the impossibility of transforming the relationship to be full-time part-time in the abstract can configure the target pattern of withdrawal. (Cass. 6/7/2005 No 14215, Pres Rel Ciciretti Miani Canevari, in Lav. And prev. Today, 2005, 1454).
motivation to justify the dismissal is not enough to make it legitimate because it is undisputed that the same is the last resort so that it is the doctrine that the Court require the withdrawing employer to prove the impossibility of a return of the re-employed in other tasks, even lower in the corporate sector in a broad sense. In fact, in the case of dismissal notice by a company belonging to a group that is a single compound, the determination as to the reasons for the dismissal of the possibility of the repechage and cd to the dimensional requirements must be made with reference to the complex Company (Court of Milan 23/10/2006, East Martello, D & L 2007, 223). It is not the legality of the dismissal have been carried out no new posts in the same qualification of workers made redundant. In this regard, the employer must to prove the contrary and that evidence must relate to all branches of the business, it is sufficient to limit the business to which the dismissed workers were employed only in the case of preliminary refusal to relocate the same (n Cass. 03/06/1994 . 5401, pres. Buccarelli, ext. Putaturo, D & L in 1995, 190, note MUGGIA, Compensation for unfair dismissal: old and new rules).
The withdrawing employer is not obliged to give reasons to the employee at the time of notification of dismissal. However, the employer is obliged to provide it, within 7 days of the request of the employee, if he / she so requests within 15 from date of dismissal notice. What we must emphasize is that these reasons are immutable. As for the test, the law states that the burden is on the part of the employer (pursuant to Art. 5 of Law No 604/66). The employer must also demonstrate that it can not reasonably (without entailing significant organizational changes involving expansion of organic or structural innovations: Cass. 07/01/2005 n. 239, pres. Senese, ext. D'Angelo, 30 / 8 / 00 No 11427, pres. Ianniruberto, ext. Vidiri) use the employee involved in other work of equal value, or failing. even in tasks deteriorate, with the limit of respect dignity of workers (see, among many, Cass. 8/19/2004 No 16305, pres. Brick, ext. Ballets).
In case of dispute in court, it is always the employer to prove: the actual existence of technical or organizational reasons, the link between business needs and the dismissal notice, the inability to assign the worker to work in equivalent In the corporate or company, the job is effectively suppressed and that there has been a mere redistribution of duties among the remaining workers, have not taken in the following months (6-8 months) employees with similar qualifications either term of did not opt \u200b\u200bfor the workers to be dismissed in a discriminatory manner, for example, you can establish objective selection criteria.

Brushing Tongue Coughing Up Blood

National Contract: here is the definition of the platform renewal

Last week, the secretaries-general of the writers unions have started to prepare the path to unified bargaining platform for the renewal of the National Credit and ending planned for the next 31 December, was formally declared the notice of termination with respect to ABA on 24 settembre2010.Al think that the new contract is to give concrete answers, in terminiretributivi and regulatory expectations at the right of workers Dividends and workers recognized the commitment and professionalism with which they operate quotidianamente.In this area should be considered as central and highest priority, both ilrecupero and maintaining the real purchasing power of wages, both iltema employment, particularly youth with the aim of trovaresoluzioni effective and feasible, that assure the overcoming dellaprecarietà and foster a strong growth of new jobs tempoindeterminato.Sotto operationally it was decided to establish the following four committees warp, which will be tasked with identifying proposals and requirements consistent with questiobiettivi of great value in social terms and in terms of all'attualesituazione response to crisis:
- Commission on Youth, new employment and political timetables "
- Commission on pay, grading and incentive systems and contrattazionesecondo Level
- Commission Contract Area, welfare, equal opportunity policies, security and legislative connections and maintenance contract "
- Commission Paintings" I work on these issues will start Tuesday, November 23 and must be completed entrola second decade of January 2011, to allow either a raccordodelle contract proposals by the end of the same hereinafter mese.Nel constantly informed of the route indicated sviluppidel on the process of defining the platform, and its subsequent presentation allelavoratrici workers and terms related to the start of the comparison.

Brushing Tongue Coughing Up Blood

National Contract: here is the definition of the platform renewal

Last week, the secretaries-general of the writers unions have started to prepare the path to unified bargaining platform for the renewal of the National Credit and ending planned for the next 31 December, was formally declared the notice of termination with respect to ABA on 24 settembre2010.Al think that the new contract is to give concrete answers, in terminiretributivi and regulatory expectations at the right of workers Dividends and workers recognized the commitment and professionalism with which they operate quotidianamente.In this area should be considered as central and highest priority, both ilrecupero and maintaining the real purchasing power of wages, both iltema employment, particularly youth with the aim of trovaresoluzioni effective and feasible, that assure the overcoming dellaprecarietà and foster a strong growth of new jobs tempoindeterminato.Sotto operationally it was decided to establish the following four committees warp, which will be tasked with identifying proposals and requirements consistent with questiobiettivi of great value in social terms and in terms of all'attualesituazione response to crisis:
- Commission on Youth, new employment and political timetables "
- Commission on pay, grading and incentive systems and contrattazionesecondo Level
- Commission Contract Area, welfare, equal opportunity policies, security and legislative connections and maintenance contract "
- Commission Paintings" I work on these issues will start Tuesday, November 23 and must be completed entrola second decade of January 2011, to allow either a raccordodelle contract proposals by the end of the same hereinafter mese.Nel constantly informed of the route indicated sviluppidel on the process of defining the platform, and its subsequent presentation allelavoratrici workers and terms related to the start of the comparison.

Coleman Pop-up Blueprints

LOMBARD

Riab INFO
aperiodic del'IPY
Newsletter of November 14, 2010
Year VIII No. 19
You can subscribe by sending a Riab Info e-mail to riab.info @ libero.it
Graditi comments our readers.
extend to other Riab NEWS OF INFO "Do turn"
drafting.
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PRIMO ANNUNCIO
Venerdì 21 gennaio 2010
A Milano sede da definire
Convegno SPIF
Il Sindacato Professionale Italiano Fisioterapisti chiama professione e istituzioni ad un
“ Confronto pubblico sullo stato della Riabilitazione in Lombardia: libera professione, strutture riabilitative accreditate e di sanità pubblica ”
(seguirà programma ufficiale)
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RIAB INFO , nella prossima riunione della Conferenza Stato Regioni, di giovedì 18 novembre, sono in discussione anche i decreti per fisioterapisti e infermieri in farmacia. Dai pareri richiesti potrebbero sorgere i primi problemi sui testi in discussione.
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RIAB INFO , una guerra di altri tempi .

Da Doctor News del 12 novembre 2010

Fnomceo: nurses, doctors, respected roles
It is "important that the doctor's role remains central and guarantee for the citizen in the paths of diagnosis and treatment and that the doctor is not marginalized or" bypassed "." With this warning the president of the National Federation of Associations of Physicians (Fnomceo) Amedeo Bianco says testing at the start in six hospitals in Tuscany, where some treat clinical problems "minor" in the emergency room will be nurses.

"We will carefully and follow very closely the trials - said Bianco - because the doctor's role must remain central to this is not a" war " between corporations but by virtue of the guarantees to be given to the citizen. "

Fnomceo According to the president still has to be stressed that this is a trial and "it is clear - noted - that the welfare activities would still be carried out within a system that is guaranteed, what are the emergency departments where doctors are required, and the activities of nurses would be sent to minor illnesses for which they have already agreed treatment protocols. " The problem with the 'delegation of such functions - said White - is a complex problem from the standpoint of law and ethics, and if the intention is to make the scheme such a model would ben chiarito il ruolo del medico».

See & treat: l'esperimento toscano è in partenza
Partirà nei prossimi giorni nei pronto soccorso di sei ospedali toscani " See & treat ", nuova modalità organizzativa che sarà sperimentata per sei mesi e per la quale a curare alcuni problemi clinici "minori" saranno gli infermieri.

Il "See & treat", spiega ancora la Regione, «è una modalità di lavoro già da tempo in atto in molti Paesi europei, in particolare nel Regno Unito, dove nasce come tentativo di risposta al sovraffollamento dei dipartimenti di emergenza». La nuova modalità organization, explains, involves practice nurses, specially trained, who joined during the trial by a physician mentor, manage and give answers to a series of minor issues, defined and approved by the Regional Health Council: small wounds and abrasions, minor bruising, sunburn, insect stings, rhinitis, conjunctivitis.

nurses working in clinics "See & Treat" followed a regional training course of 180 hours. "This new approach, in addition to enhancing the nursing profession - said Daniela Skirmish, Regional Councillor for Health, will offer many advantages in perspective: reduce standby" those who went to the emergency room "for those minor medical problems that can be handled by trained personnel, though not medical doctors mainly devote to real emergencies, thus ensuring more timely treatment and appropriate even for the more urgent."
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Riab INFO , what is happening, for the enhancement of the nursing profession, is literally at odds with what we get from the suburbs.

In some principals think that the topic of the day is bound all'amletico doubt whether a physical therapist may or may not be read medical reports and x-rays before they can deliver a rehabilitation service.

It seems that the problem concerns mainly those where the manager is a physiatrist. It seems, in fact, that from his bench to support the reading of mammograms is not the responsibility of the physiotherapist.

course, this reasoning seems to us simply insane! We should work on trust, but the thing does not stand to answer for if we do the patient is us! It also resign
physiatrists, because, April 10, 1998 Judgement No. 859 of the Fourth Chamber of the Court of Cassation, which condemned a colleague who had trusted an orthopedic , fails to follow uncritically the bond as required by a doctor. The ruling makes clear that obligation incumbent on the therapist's assessment of the patient's condition before performing operations that may be harmful rehabilitation.
Another item that comes to us, insistently, and to which we do not know what weight to give, it comes from Liguria.

According to some reports it appears that in this region, which had legislated a favore dell’istituzione delle UUOO Professionali, prima della legge nazionale 251/2000 dell'agosto 2000, ci sia chi mette fretta per restituire ad antiche specialità mediche, la gestione, in toto, della Riabilitazione Ligure, con la liquidazione di alcune esperienze positive che avevano permesso di affermare la professione all'interno di almeno la metà delle Aziende Sanitarie ed Ospedaliere di questa Regione, con un enorme impegno e professionalità. Se così fosse, la categoria tace?
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Turbulent POLICIES and unmet expectations
From September
Rehabilitation Today 's with a degree of undisguised resignation that I am writing these notes for this Newsletter Professional. A resignation dictated more by pessimism from optimism that the reality of reason, but now I see that life is a blur results to a whisker away from achieving their policy frameworks for distortions less and less attentive to the needs of citizens and professionals. And 'under the eyes of all what is happening and how difficult the political stage who is going through this majority. Not a day passes, in fact, that someone does not wish for early elections. These però potrebbero lasciare sul terreno molte opere incompiute, che bisognerebbe riprendere poi da capo con i nuovi governanti, perdendo così ulteriore tempo ed energie intorno all'incancrenirsi dei problemi ancora aperti.
Vediamone alcune:

Gli Albi e gli ordini . Che sembravano a portata di mano, sei mesi diceva il ministro Fazio, potrebbero a malapena essere approvati dal solo Senato.
L'articolo 1 septies se non ci si sveglia per tempo.
Il Ddl sulla libera professione.
i Decreti attuativi per permetterci di entrare nelle farmacie.
Le equivalenze dei titoli pregressi in attuazione del secondo comma dell'articolo four of the Law 42/99.
And many other measures that now escape me, but where we must start again from scratch.
(Mg)
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Riab INFO , you also publish this article taken from Rehabilitation Today in the October distribution

PRESENTATION OF THE DRAFT GUIDELINES ON THE NEW IN REHABILITATION.

D'ACCORDO SOLO I FISIATRI? (Mg)

Non ricordo bene come sia, ma mi pare proprio che Pinocchio e il suo degno compare Lucignolo, uscissero dal paese dei balocchi con la coda e le orecchie d'asino. Paese dei balocchi è l'unica immagine che mi si è parata davanti agli occhi prendendo visione dell'ultima proposta ministeriale sulle linee guida (LLGG) per la riabilitazione, presentate, lo scorso 6 ottobre, dal Ministro Ferruccio Fazio e dal Sottosegretario Francesca Martini.

Ovviamente un luogo incantato, ad uso e consumo fisiatrico, dal quale, come i due personaggi del Collodi, potrebbero uscirne suonati come pelli di tamburo se solo si svegliassero gli altri specialisti, dealing with rehabilitation, or sleepy, as prone, the rehabilitation of the health professions, in practice, too, remember from this draft in favor of only physiatrist.

Basically LLGG contain these new things, but the ancient flavor, at least for us it is now a life that we hear the usual suspects talking about the department of rehabilitation, individual rehabilitation plan established by the physiatrist in sharing with other professionals involved ; ominicomprensiva priorities of care for the disabled, preventing the supply of organ monospecialistiche mere performance, and "last but not least, adapted physical activity as a continuation post riabilitazione.

Il tutto condito in un grandioso modello bio-psico-sociale per portare al centro del sistema il disabile e il suo contesto famigliare nell'interazione con l'ambiente sociale, le istituzioni, con inclusione di un suo familiare nella sua stessa presa in carico, il noto caregiver.

La riabilitazione sarà erogata sia in regime di ricovero, come riabilitazione intensiva, ad alta specializzazione ed estensiva, che sul territorio in forma residenziale o domiciliare integrata. Il tutto in continuità assistenziale garantita da un percorso individualizzato per superare l'impostazione prestazionale prescritta da medici o specialisti non fisiatri. Insomma niente di nuovo sotto il sole, almeno a chiacchiere e almeno per noi. Siamo alla concretizzazione cartacea di un grande sogno, accarezzato da tanto tempo: diventare unici ed indispensabili maestri concertatori.

Questo anche il senso di quanto ebbe a raccontare da queste pagine, n.9 del 2004, il buon Giustini, all' epoca presidente della Simfer, intervistato dal “diabolico” Giampiero Calchetti:

” Ovviamente per fare tutto ciò (il fisiatra ndr) non ha bisogno di conoscere nei particolari tutte le attività (svolte da componenti nei vari settori) ma deve poterne governare l'insieme, conoscendone i contenuti, modalità, indicazioni, sinergie. Ha bisogno di poter have a formation that has none of the other and that none of the other serves .

One thing that seems to have convinced, for now, Mr Fazio. Who knows if he can convince everyone else because now this draft is to approval of the regions we must also put the grain. While you are on the subject, the Minister has cognizance of failure because it is essentially the famous Act 833 of 1978 on 'Establishment of the National Health Service? Look at that, according to current opinion, it failed because it could not involve the main actors of change and say the doctors.

Meditate on this fact, Mr. Minister. In his address to the Rehabilitation Plan "does not involve those who are really at the expense of those who philosophizes in spite of everything and everyone. A hint of what was happening we had had in a document dated August 4 AIFA, which, in its coordinating role of the professions of rehabilitation area, the technical panel to rewrite the LLGG 1998, so he wrote:

" The final document, in many parts, it is extremely disappointing and does not take full advantage of the opportunities that the design principles of that group stated that they want to seize. The document does not show any improvement over the system delle LLGG del 1998; anzi si percepisce un nostalgico revisionismo culturale, con una ricentralizzazione di funzioni su un superman della riabilitazione, relegando solo sullo sfondo ciò che avrebbe dovuto rappresentare il punto di forza di un processo innovativo: il team e il desease management ”.

Ed ancora: “ Riemerge, in tutta evidenza, l'estrema autoreferenzialità di alcune professioni su altre ”...” L'esaltazione del medico specialista in medicina fisica riabilitativa, sembra essere in netto contrasto con la titolarità, l'autonomia e la responsabilità, nell'agire clinico, delle altre professioni della salute che, alla pari, intervengono for the health needs of the citizen in rehabilitation. "

All words in the wind? I do not want to offend anyone but I want to remember that, again in this newspaper, a noted jurist wrote that "rehabilitation is not an area medical specialist from a legal point of view and therefore the activity described can be placed out by any doctor. Our legal system, that is, disclaims any and centrality of the physiatrist in the rehabilitation process, even within the medical world . We'll see.
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ALSO OF TAR FROM CATANIA guns on mass POST 1996
(Rehabilitation Today in September)

A further clarity, in the jumble of ideas that run on the validity of a physiotherapist three-year post 1996 and to rein in their expectations of a conversion in our degree we thought, this time, the Tar of Catania.

This went over the reasoning of a similar pronouncement of the Tar Pescara (No 398/2006) which concerned a situation very similar to that on which he had expressed, in which some physiotherapist had been excluded from the training , organized by the University Chieti, for having achieved the title in the years 2000/2002.

This whole matter has also been the subject of two recent parliamentary questions, Mr. Paolo Grimoldi, which followed the ministerial replies but the doubts have not unraveled the whole affair. A recourse to the TAR of Catania have been some individuals in possession of evidence of Mft three years, achieved in 2007 and who were seen to preclude, by the University citizen, the opportunity to convert their interest in engineering.

At first, the Court had given them the opportunity to attend, subject, in the course of redevelopment, but then withdrew it on appeal. At the hearing on December 3, 2009 the case was held and the verdict arrived on time on 28 April. In essence, the judge gives reason why the University of Catania " in implementation of the said Article 6 (paragraph 3 of DSLgs 502/92 ed), courses for MFT were abolished with effect from 1 January 1996, except those for "blind Mft", subject RM Health July 10, 1988, which extended them expressly .

to no earned by the applicants, the title boasts a three-year, hoping to take advantage of this Decree on equivalences of 2000, which, even for the Judge, made the equivalent Mft-year pre reform. The Tar then, in denying them access to retraining, it looks like they "do not have a diploma Mft" state "the basis of quotations obtained ex L. 403/71 - ie the period when they were still in place state-specific courses but a diploma awarded by regional schools, in 2007, in the absence of specific memorandum of understanding between the regions and universities, and in a period when the courses training had been suppressed due to the aforementioned Article 6 of Decree No. 502/92 .
And that says a lot about a lot of chatter and quirky interpretations that also come from the ministry. We'll see.
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Riab INFO from CISL FP you publish this document on October 22 on the repeal of Article 1f.

Dear Colleagues,
as you will recall the bill n.S572-B "Repeal of Article 1f of Decree-Law 5 December 2005, No. 250, with amendments, into law February 3, 2006, n.27, on the equivalence of a degree in physical education at the bachelor's degree in physical therapy, and provisions for the degree in physical therapy from students and graduates in physical education, was assigned to the Senate Committee VII (Public Education, cultural heritage scientific research, entertainment and sports).
In recent days the bill has entered its twelfth Senate Committee (Health and Hygiene) for its opinion of expertise that we send you a copy. In addition to expressing, in respect of its favorable opinion article 1, paragraph 1 and paragraph 2 of the opinion in favor of the bill, the Senate Committee XII VII Commission has sent the Senate a few interesting observations that we felt it was appropriate to bring known to you.
In particular, the Senate Committee XII suggests that it was inappropriate to extrapolate a single discipline of physiotherapy and sports sciences from the general context of the bills for the health professions in advanced process at the Parliamentary Committees.

Also, more importantly, stresses that the two degrees, one in the physical education and physiotherapy, are not exactly overlapping, always supported in part by our Federation. He concludes, always XII Commission, raises the specter of unconstitutional partial contents of paragraph 2 of the bill, since the Constitution recognizes the right to self at the Universities of the courses.
I am sure you will understand the opportunity to regularly inform our colleagues in Physics, especially, to know the commitment with which our Federation continues to monitor this CISL FP bill.
Daniela Volpato
National Secretary
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MAIL Mastrillo No 10th of November 9, 2010
http://www.aitn.it/index.php?option=com_content&view=article&id=277% 3Ale-mail-to-Mastrillo & catid = 157% 3Ain-evidence & ; Itemid = 1

1) DEGREE POWER 'OF MEDICINE
2) DEGREE PROFESSIONS CONFERENCE HEALTH
3) REFORM 270
4) Gelmini reform
5) ORDERS AND ALBI
6) EQUIVALENCE

1) DEGREE POWER 'OF MEDICINE
AA 2010-11
Expansion of places, like last year also this time the Ministry decided to increase university places, mainly for Medicine, with 772 more, from 8755 to 9527 (+9%).
http://attiministeriali.miur.it/anno-2010/ottobre/dm-21102010.aspx
Decree 772 additional seats, which was issued October 21, 2010, also includes two touch-ups on minimum Obstetrics Udine , 10 to 15, for Psychiatric Rehabilitation at Verona Technical, 10 to 22, both of restoring the existing seats. For the Ministry of University
Medicine contained an increase on the value of +10%, could be appropriate not to alter the quality of training.
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=141&Itemid=69
We will begin the attempt to correlate the training offered to the estimated needs of 10 - 11 thousand people per year than the average of 7,500 in the last 14 years, during which the total number of seats was 104mila instead of the estimated 130 thousand with turnover at 2.7%.
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=142&Itemid=69
We are facing a shortage of 26 thousand (-21%), with an annual average of almost 2 thousand, who will feel the negative effects from 2015, when you run out of the "plethora" acquired the 70-80.

No increase was instead planned for Nursing, which is about 16,336 seats, despite the demand of about 22 thousand made jointly by the regions with the Ministry of Health and the Nursing Federation IPASVI, then with a shortage of 27%.
So while it is noted to increase the overall share on Medicine, doubts and uncertainties arise instead for non-similar increase on Nurses, as evidenced by the Sole 24 Ore Health of November 2.
http://rassegnastampa.unipi.it/rassegna/archivio/2010/11/04SIT4046.PDF
And to address the chronic nursing shortage, which began well before what is going to occur even for the Medici asking the University to allocate twice as much for nurses assigned seats for the Medici; looking this year to nearly 10 thousand seats of Medicine does not correspond to the 20 thousand nurses who stay in it 16 thousand, with less than 4 thousand, with half of which concern the University Lombardy alone whose contract offer instead of the 4 thousand 2 thousand people applied for jointly by the Region and the Federation IPASVI. Programming

AA 2011-12
places well in advance compared to other years, 27 October 2010 the Ministry of Health has begun collecting data for the planning of places for the next AA 2011-12. The request was sent to the regions is that the categories that will have to respond with their own data before February 9, 2011.
This advance should lead to increased activity by comparison of the regions with the categories, which for some years and is increasingly improving relations in the decisions that are agreed with the special meetings and consultations.

Teaching to the health professions
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=66&Itemid=69
Back to back the project to the attention of the Minister of Health, Ferruccio Fazio, who had last spoke at the conference of Nursing IPASVI June 22 in Rome, assuring that "with the ministry of the University are evaluating the possibility of other forms of teaching, no longer based on competitions for research but on teaching ability. "
from Italy today and June 23 Sole 24 Ore of Health June 29
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=119&Itemid=69
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=122&Itemid=69
Also in the context of a national initiative IPASVI in Bologna on October 7, the Director General of Health Professions of the Ministry of Health, John Leonardi, reported that continuing contact with the Ministry of University to get quickly to the definition of a separate bill. (Please note the audio speech)
http://www.ipasvi.it/chisiamo/archivioEventi/dettaglio.asp?IDFocus=56
He concluded by announcing that the topic is also addressed in the annual Arezzo forum on the morning of 26 November
http://www.forumriskmanagement.it/ConStd.asp?COD_PAG=397

2) CONFERENCE DEGREE HEALTH PROFESSIONS
http://www.conferenzapermanentelaureesanitarie.unito.it/news.htm
The new council elected by the Conference in Portonovo will meet December 13, 2010 in Rome.
The list of newly elected members has been published on the website of the Conference
http://cplps.altervista.org/blog/wp-content/uploads/2009/11/Verbale-elezione-CD-Commissioni_ver101014.pdf
http://cplps.altervista.org/blog/wp-content/uploads/2009/11/Verbale-Giunta-e-Assemblea-generale_VER101021.pdf
on this site is the document "Consensus Conference on the placement"
http://cplps.altervista.org/blog/wp-content/uploads/2010/09/relazione-tirocinio-gen.pdf
http://cplps.altervista.org/blog/wp-content/uploads/ 2009/11/Cons-Conf-Tirocinio-10-settembre.pdf

3) DM 270
UNIVERSITY REFORM AND 'full system, the activity of the Councils of the degree course to bring orders to DM 270 by the deadline of 31 January 2011.
But sometimes the process is slowed down by concerns related to the interpretation of numerous legislative acts with the Ministry of Education has issued various decrees and circulars from 2005 to today. These acts, which do not always seem consistent with each other and no clear and complete, determine the offices locked threads administration of universities, its Commissions and Councils of Educational Course.
In general, the differences depend on the peculiarities regarding additional legislative measures and specific for the Bachelor of Medicine and Surgery is not always and everywhere are the same interpretation.
Hence the risk of a heterogeneous definition of RAD cards to be submitted by the CUN January 31, 2011.
be noted in this regard, the position taken by the Federation of Technical Radiology that in order to facilitate the work of consultation with the University has developed specific guidelines.
http://www.tsrmfoggia.org/single_news.php?id=1742
http://www.tsrmfoggia.org/Upload/linee% 20guida.pdf

4) Gelmini reform DDL S1905 and C3687
http://www.senato.it/leg/16/BGT/Schede/Ddliter/34595.htm
Contrary to popular thought the Chamber of Deputies Senate could not approve the measure in mid-October
sessions Wednesday, October 13 's passage has been blocked and suspended by the intervention of the Treasury Minister, Giulio Tremonti, for non-funding related to the passage of over 9 thousand jobs Researchers Professor Associate. The critical reaction
Minister Maria Stella Gelmini University and senior figures in universities, primarily the Conference of Rectors CRUI
http://www.crui.it/HomePage.aspx?ref=1932
http://www.crui.it/HomePage.aspx?ref=1939
and all the press, eg. Corriere della Sera on 14 October
http://rassegnastampa.unipi.it/rassegna/archivio/2010/10/14SII4005.PDF
As a result, the Council of Ministers on November 5 has reassessed the situation and find a solution that Minister Tremonti has announced in its press conference, saying that stability in the DDL (former Finance Act) "there will be a billion for the University." Tremonti explained that: "They ask 270 million for the University. We think we have the resources or the need is still a billion, then perché farne a meno””.
http://video.palazzochigi.it/tremonti20101105.ram
Con queste prospettive si pensa che il Governo potrebbe far passare il provvedimento alla Camera entro il 25 novembre (vedasi Il Giornale del 6 novembre
http://www.quotidianosanita.it/governo-e-parlamento/articolo.php?articolo_id=1777&&cat_1=2&&cat_2=0&&tipo=articolo
http://rassegnastampa.unipi.it/rassegna/archivio/2010/11/06SIP6014.PDF
Tuttavia anche se le attuali incertezze sul futuro dell’attuale Governo e Parlamento pongono seri sulla conclusione, intanto è stata announced the next stage in the House on November 23
http://rassegnastampa.crui.it/minirass/esr_visualizza.asp?chkIm=3

5) ORDERS AND ALBI
DDL Senate No 573 G. Caforio (IDV) and No 1142 R. Boldi (LNP).
http://www.senato.it/leg/16/BGT/Schede/Ddliter/comm/32596_comm.htm
The Healthcare Commission XII of the Senate is still waiting for the V Budget Committee expresses its opinion.
In this Commission, the rapporteur Unless Fleres (PDL) at its meeting of 30 September
http://www.senato.it/japp/bgt/showdoc/frame.jsp?tipodoc=SommComm&leg=16&id=507080
ha evidenziato dubbi e perplessità su alcuni emendamenti (3.2 - 4.2 - 5.1 - 13.1 - 15.01) che potrebbero determinare maggiori oneri. Ha quindi chiesto una clausola per specificare che non siano riconosciuti compensi o indennità per i membri delle Commissioni.
http://www.senato.it/leg/16/BGT/Schede/Ddliter/testi/32596_testi.htm
L'esame è proseguito nella seduta del 3 novembre con l'acquisizione di note di chiarimenti e il rinvio ad altra data.
Intanto il 1° ottobre 2010 il CONAPS ha nuovamente sollecitato Governo e Parlamento verso una rapida approvazione.
http://www.conaps.it/docs/RASSEGNA%20STAMPA%20SU%20ORDINI%20DELLE%20PROFESSIONI%20SANITARIE.doc
While the President CONAPS October 26, Antonio Bortone, addressed directly to the President of Commission V of the Senate, Antonio Azzolini, for the swift conclusion of the examination
http://www.fitelab.it/public/2010/Al % 20Sen. 20Azzolini%%% 20su 20ddl% 201142.pdf
was followed by intervention in the Corriere della Sera on November 2 which shows the pass made while the COLAP (graphologists, naturopaths, etc..) for which the Minister of Justice, Angelino Alfano, has put its signature to the decree of recognition.
http://www.aifi.net/allegato-news-1016.pdf
The measure has sparked contrasting opinions including that of Maria Grazia Siliquini (Phil) rapporteur of the bill in the House on the reform of the professions
http://mondoprofessionisti.comingonweb.it/articoli_s-1-4967-1-No_a_riconoscimenti_a_chi_non_ha_fatto_i_percorsi_formativi_previsti_a_tutela_del_cliente.html
http://www.casaeclima.com/index.php?option = com_content & view = article & id = 5498: reform-of-the-time-jobs-you-stretch & catid = 1: latest-news & Itemid = 50

One wonders why not give equal attention to the 22 health professions, and also because in the meantime, on another front similar to a dentist, seeking an order independent of the Medici, the process launched by the Minister of Health, Fazio, continues Oct. 29 grossing sent a positive opinion of the State-Regions which gives the green light to the Act which empowers the Government, among other things, reform of the professions and professional associations that already exist.
http://portale.fnomceo.it/PortaleFnomceo/showItem.2puntOT?id=78487
why there are negative predictions and criticisms about the real political will to want to conclude that the measure was introduced by the Act 43 in 2006 Berlusconi by the Government, and was still unfinished. Unfortunately, the current political crisis contributes to suspicion as evidenced by Romualdo Carini Rehabilitation Today in September 2010. Please note the initiative
initiated by Senator Raffaele Calabrò (PDL) on 5 November in Naples has begun consulting the professions in order to speed up the approval

6) EQUIVALENCE equivalence and Law 42/1999 on
Minister of Health gave responded in the last four months to two parliamentary questions submitted to the Chamber of Deputies.
The first refers to the occupation of massage therapist with answer 5 July 2010 by the Minister on the question raised by Mr Fazio. Paul Grima (LNP) December 29, 2009,
http://banchedati.camera.it/sindacatoispettivo_16/showXhtml.Asp?idAtto=20201&stile=6&highLight=1&paroleContenute 27INTERROGAZIONE =% + A + + WRITTEN RESPONSE 27%
The second, concerning the professions of general and psychiatric nurses and nurses, with response from the Secretary of the Ministry of Health, Eugenia Roccella, on October 12, 2010,
http://leg16.camera.it/412? idSeduta = 0381 & stenographic report = & tit = 00020 & stage = 00 030
on the question raised by 'Mr Paola Binetti (UDC) July 29, 2010,
http://banchedati.camera.it/sindacatoispettivo_16/showXhtml. asp? idAtto = 28271 & style = 6 & = 1 & highlight =% paroleContenute 27INTERROGAZIONE + A + + ORAL ANSWER% 27 +% 7C +% 27% 27CAMERA
In this case il Ministero ha riferito che l'Accordo della Conferenza Stato-Regioni del 16 dicembre 2004, recante i criteri e le modalità per il riconoscimento dell'equivalenza ai diplomi universitari dei titoli conseguiti anteriormente all'emanazione dei decreti di individuazione dei profili professionali è attualmente oggetto di discussione con le stesse Regioni, al fine di modificarne alcune parti.

Cordiali saluti
Angelo Mastrillo
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Coleman Pop-up Blueprints

LOMBARD

Riab INFO
aperiodic del'IPY
Newsletter of November 14, 2010
Year VIII No. 19
You can subscribe by sending a Riab Info e-mail to riab.info @ libero.it
Graditi comments our readers.
extend to other Riab NEWS OF INFO "Do turn"
drafting.
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PRIMO ANNUNCIO
Venerdì 21 gennaio 2010
A Milano sede da definire
Convegno SPIF
Il Sindacato Professionale Italiano Fisioterapisti chiama professione e istituzioni ad un
“ Confronto pubblico sullo stato della Riabilitazione in Lombardia: libera professione, strutture riabilitative accreditate e di sanità pubblica ”
(seguirà programma ufficiale)
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RIAB INFO , nella prossima riunione della Conferenza Stato Regioni, di giovedì 18 novembre, sono in discussione anche i decreti per fisioterapisti e infermieri in farmacia. Dai pareri richiesti potrebbero sorgere i primi problemi sui testi in discussione.
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RIAB INFO , una guerra di altri tempi .

Da Doctor News del 12 novembre 2010

Fnomceo: nurses, doctors, respected roles
It is "important that the doctor's role remains central and guarantee for the citizen in the paths of diagnosis and treatment and that the doctor is not marginalized or" bypassed "." With this warning the president of the National Federation of Associations of Physicians (Fnomceo) Amedeo Bianco says testing at the start in six hospitals in Tuscany, where some treat clinical problems "minor" in the emergency room will be nurses.

"We will carefully and follow very closely the trials - said Bianco - because the doctor's role must remain central to this is not a" war " between corporations but by virtue of the guarantees to be given to the citizen. "

Fnomceo According to the president still has to be stressed that this is a trial and "it is clear - noted - that the welfare activities would still be carried out within a system that is guaranteed, what are the emergency departments where doctors are required, and the activities of nurses would be sent to minor illnesses for which they have already agreed treatment protocols. " The problem with the 'delegation of such functions - said White - is a complex problem from the standpoint of law and ethics, and if the intention is to make the scheme such a model would ben chiarito il ruolo del medico».

See & treat: l'esperimento toscano è in partenza
Partirà nei prossimi giorni nei pronto soccorso di sei ospedali toscani " See & treat ", nuova modalità organizzativa che sarà sperimentata per sei mesi e per la quale a curare alcuni problemi clinici "minori" saranno gli infermieri.

Il "See & treat", spiega ancora la Regione, «è una modalità di lavoro già da tempo in atto in molti Paesi europei, in particolare nel Regno Unito, dove nasce come tentativo di risposta al sovraffollamento dei dipartimenti di emergenza». La nuova modalità organization, explains, involves practice nurses, specially trained, who joined during the trial by a physician mentor, manage and give answers to a series of minor issues, defined and approved by the Regional Health Council: small wounds and abrasions, minor bruising, sunburn, insect stings, rhinitis, conjunctivitis.

nurses working in clinics "See & Treat" followed a regional training course of 180 hours. "This new approach, in addition to enhancing the nursing profession - said Daniela Skirmish, Regional Councillor for Health, will offer many advantages in perspective: reduce standby" those who went to the emergency room "for those minor medical problems that can be handled by trained personnel, though not medical doctors mainly devote to real emergencies, thus ensuring more timely treatment and appropriate even for the more urgent."
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Riab INFO , what is happening, for the enhancement of the nursing profession, is literally at odds with what we get from the suburbs.

In some principals think that the topic of the day is bound all'amletico doubt whether a physical therapist may or may not be read medical reports and x-rays before they can deliver a rehabilitation service.

It seems that the problem concerns mainly those where the manager is a physiatrist. It seems, in fact, that from his bench to support the reading of mammograms is not the responsibility of the physiotherapist.

course, this reasoning seems to us simply insane! We should work on trust, but the thing does not stand to answer for if we do the patient is us! It also resign
physiatrists, because, April 10, 1998 Judgement No. 859 of the Fourth Chamber of the Court of Cassation, which condemned a colleague who had trusted an orthopedic , fails to follow uncritically the bond as required by a doctor. The ruling makes clear that obligation incumbent on the therapist's assessment of the patient's condition before performing operations that may be harmful rehabilitation.
Another item that comes to us, insistently, and to which we do not know what weight to give, it comes from Liguria.

According to some reports it appears that in this region, which had legislated a favore dell’istituzione delle UUOO Professionali, prima della legge nazionale 251/2000 dell'agosto 2000, ci sia chi mette fretta per restituire ad antiche specialità mediche, la gestione, in toto, della Riabilitazione Ligure, con la liquidazione di alcune esperienze positive che avevano permesso di affermare la professione all'interno di almeno la metà delle Aziende Sanitarie ed Ospedaliere di questa Regione, con un enorme impegno e professionalità. Se così fosse, la categoria tace?
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Turbulent POLICIES and unmet expectations
From September
Rehabilitation Today 's with a degree of undisguised resignation that I am writing these notes for this Newsletter Professional. A resignation dictated more by pessimism from optimism that the reality of reason, but now I see that life is a blur results to a whisker away from achieving their policy frameworks for distortions less and less attentive to the needs of citizens and professionals. And 'under the eyes of all what is happening and how difficult the political stage who is going through this majority. Not a day passes, in fact, that someone does not wish for early elections. These però potrebbero lasciare sul terreno molte opere incompiute, che bisognerebbe riprendere poi da capo con i nuovi governanti, perdendo così ulteriore tempo ed energie intorno all'incancrenirsi dei problemi ancora aperti.
Vediamone alcune:

Gli Albi e gli ordini . Che sembravano a portata di mano, sei mesi diceva il ministro Fazio, potrebbero a malapena essere approvati dal solo Senato.
L'articolo 1 septies se non ci si sveglia per tempo.
Il Ddl sulla libera professione.
i Decreti attuativi per permetterci di entrare nelle farmacie.
Le equivalenze dei titoli pregressi in attuazione del secondo comma dell'articolo four of the Law 42/99.
And many other measures that now escape me, but where we must start again from scratch.
(Mg)
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Riab INFO , you also publish this article taken from Rehabilitation Today in the October distribution

PRESENTATION OF THE DRAFT GUIDELINES ON THE NEW IN REHABILITATION.

D'ACCORDO SOLO I FISIATRI? (Mg)

Non ricordo bene come sia, ma mi pare proprio che Pinocchio e il suo degno compare Lucignolo, uscissero dal paese dei balocchi con la coda e le orecchie d'asino. Paese dei balocchi è l'unica immagine che mi si è parata davanti agli occhi prendendo visione dell'ultima proposta ministeriale sulle linee guida (LLGG) per la riabilitazione, presentate, lo scorso 6 ottobre, dal Ministro Ferruccio Fazio e dal Sottosegretario Francesca Martini.

Ovviamente un luogo incantato, ad uso e consumo fisiatrico, dal quale, come i due personaggi del Collodi, potrebbero uscirne suonati come pelli di tamburo se solo si svegliassero gli altri specialisti, dealing with rehabilitation, or sleepy, as prone, the rehabilitation of the health professions, in practice, too, remember from this draft in favor of only physiatrist.

Basically LLGG contain these new things, but the ancient flavor, at least for us it is now a life that we hear the usual suspects talking about the department of rehabilitation, individual rehabilitation plan established by the physiatrist in sharing with other professionals involved ; ominicomprensiva priorities of care for the disabled, preventing the supply of organ monospecialistiche mere performance, and "last but not least, adapted physical activity as a continuation post riabilitazione.

Il tutto condito in un grandioso modello bio-psico-sociale per portare al centro del sistema il disabile e il suo contesto famigliare nell'interazione con l'ambiente sociale, le istituzioni, con inclusione di un suo familiare nella sua stessa presa in carico, il noto caregiver.

La riabilitazione sarà erogata sia in regime di ricovero, come riabilitazione intensiva, ad alta specializzazione ed estensiva, che sul territorio in forma residenziale o domiciliare integrata. Il tutto in continuità assistenziale garantita da un percorso individualizzato per superare l'impostazione prestazionale prescritta da medici o specialisti non fisiatri. Insomma niente di nuovo sotto il sole, almeno a chiacchiere e almeno per noi. Siamo alla concretizzazione cartacea di un grande sogno, accarezzato da tanto tempo: diventare unici ed indispensabili maestri concertatori.

Questo anche il senso di quanto ebbe a raccontare da queste pagine, n.9 del 2004, il buon Giustini, all' epoca presidente della Simfer, intervistato dal “diabolico” Giampiero Calchetti:

” Ovviamente per fare tutto ciò (il fisiatra ndr) non ha bisogno di conoscere nei particolari tutte le attività (svolte da componenti nei vari settori) ma deve poterne governare l'insieme, conoscendone i contenuti, modalità, indicazioni, sinergie. Ha bisogno di poter have a formation that has none of the other and that none of the other serves .

One thing that seems to have convinced, for now, Mr Fazio. Who knows if he can convince everyone else because now this draft is to approval of the regions we must also put the grain. While you are on the subject, the Minister has cognizance of failure because it is essentially the famous Act 833 of 1978 on 'Establishment of the National Health Service? Look at that, according to current opinion, it failed because it could not involve the main actors of change and say the doctors.

Meditate on this fact, Mr. Minister. In his address to the Rehabilitation Plan "does not involve those who are really at the expense of those who philosophizes in spite of everything and everyone. A hint of what was happening we had had in a document dated August 4 AIFA, which, in its coordinating role of the professions of rehabilitation area, the technical panel to rewrite the LLGG 1998, so he wrote:

" The final document, in many parts, it is extremely disappointing and does not take full advantage of the opportunities that the design principles of that group stated that they want to seize. The document does not show any improvement over the system delle LLGG del 1998; anzi si percepisce un nostalgico revisionismo culturale, con una ricentralizzazione di funzioni su un superman della riabilitazione, relegando solo sullo sfondo ciò che avrebbe dovuto rappresentare il punto di forza di un processo innovativo: il team e il desease management ”.

Ed ancora: “ Riemerge, in tutta evidenza, l'estrema autoreferenzialità di alcune professioni su altre ”...” L'esaltazione del medico specialista in medicina fisica riabilitativa, sembra essere in netto contrasto con la titolarità, l'autonomia e la responsabilità, nell'agire clinico, delle altre professioni della salute che, alla pari, intervengono for the health needs of the citizen in rehabilitation. "

All words in the wind? I do not want to offend anyone but I want to remember that, again in this newspaper, a noted jurist wrote that "rehabilitation is not an area medical specialist from a legal point of view and therefore the activity described can be placed out by any doctor. Our legal system, that is, disclaims any and centrality of the physiatrist in the rehabilitation process, even within the medical world . We'll see.
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ALSO OF TAR FROM CATANIA guns on mass POST 1996
(Rehabilitation Today in September)

A further clarity, in the jumble of ideas that run on the validity of a physiotherapist three-year post 1996 and to rein in their expectations of a conversion in our degree we thought, this time, the Tar of Catania.

This went over the reasoning of a similar pronouncement of the Tar Pescara (No 398/2006) which concerned a situation very similar to that on which he had expressed, in which some physiotherapist had been excluded from the training , organized by the University Chieti, for having achieved the title in the years 2000/2002.

This whole matter has also been the subject of two recent parliamentary questions, Mr. Paolo Grimoldi, which followed the ministerial replies but the doubts have not unraveled the whole affair. A recourse to the TAR of Catania have been some individuals in possession of evidence of Mft three years, achieved in 2007 and who were seen to preclude, by the University citizen, the opportunity to convert their interest in engineering.

At first, the Court had given them the opportunity to attend, subject, in the course of redevelopment, but then withdrew it on appeal. At the hearing on December 3, 2009 the case was held and the verdict arrived on time on 28 April. In essence, the judge gives reason why the University of Catania " in implementation of the said Article 6 (paragraph 3 of DSLgs 502/92 ed), courses for MFT were abolished with effect from 1 January 1996, except those for "blind Mft", subject RM Health July 10, 1988, which extended them expressly .

to no earned by the applicants, the title boasts a three-year, hoping to take advantage of this Decree on equivalences of 2000, which, even for the Judge, made the equivalent Mft-year pre reform. The Tar then, in denying them access to retraining, it looks like they "do not have a diploma Mft" state "the basis of quotations obtained ex L. 403/71 - ie the period when they were still in place state-specific courses but a diploma awarded by regional schools, in 2007, in the absence of specific memorandum of understanding between the regions and universities, and in a period when the courses training had been suppressed due to the aforementioned Article 6 of Decree No. 502/92 .
And that says a lot about a lot of chatter and quirky interpretations that also come from the ministry. We'll see.
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Riab INFO from CISL FP you publish this document on October 22 on the repeal of Article 1f.

Dear Colleagues,
as you will recall the bill n.S572-B "Repeal of Article 1f of Decree-Law 5 December 2005, No. 250, with amendments, into law February 3, 2006, n.27, on the equivalence of a degree in physical education at the bachelor's degree in physical therapy, and provisions for the degree in physical therapy from students and graduates in physical education, was assigned to the Senate Committee VII (Public Education, cultural heritage scientific research, entertainment and sports).
In recent days the bill has entered its twelfth Senate Committee (Health and Hygiene) for its opinion of expertise that we send you a copy. In addition to expressing, in respect of its favorable opinion article 1, paragraph 1 and paragraph 2 of the opinion in favor of the bill, the Senate Committee XII VII Commission has sent the Senate a few interesting observations that we felt it was appropriate to bring known to you.
In particular, the Senate Committee XII suggests that it was inappropriate to extrapolate a single discipline of physiotherapy and sports sciences from the general context of the bills for the health professions in advanced process at the Parliamentary Committees.

Also, more importantly, stresses that the two degrees, one in the physical education and physiotherapy, are not exactly overlapping, always supported in part by our Federation. He concludes, always XII Commission, raises the specter of unconstitutional partial contents of paragraph 2 of the bill, since the Constitution recognizes the right to self at the Universities of the courses.
I am sure you will understand the opportunity to regularly inform our colleagues in Physics, especially, to know the commitment with which our Federation continues to monitor this CISL FP bill.
Daniela Volpato
National Secretary
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MAIL Mastrillo No 10th of November 9, 2010
http://www.aitn.it/index.php?option=com_content&view=article&id=277% 3Ale-mail-to-Mastrillo & catid = 157% 3Ain-evidence & ; Itemid = 1

1) DEGREE POWER 'OF MEDICINE
2) DEGREE PROFESSIONS CONFERENCE HEALTH
3) REFORM 270
4) Gelmini reform
5) ORDERS AND ALBI
6) EQUIVALENCE

1) DEGREE POWER 'OF MEDICINE
AA 2010-11
Expansion of places, like last year also this time the Ministry decided to increase university places, mainly for Medicine, with 772 more, from 8755 to 9527 (+9%).
http://attiministeriali.miur.it/anno-2010/ottobre/dm-21102010.aspx
Decree 772 additional seats, which was issued October 21, 2010, also includes two touch-ups on minimum Obstetrics Udine , 10 to 15, for Psychiatric Rehabilitation at Verona Technical, 10 to 22, both of restoring the existing seats. For the Ministry of University
Medicine contained an increase on the value of +10%, could be appropriate not to alter the quality of training.
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=141&Itemid=69
We will begin the attempt to correlate the training offered to the estimated needs of 10 - 11 thousand people per year than the average of 7,500 in the last 14 years, during which the total number of seats was 104mila instead of the estimated 130 thousand with turnover at 2.7%.
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=142&Itemid=69
We are facing a shortage of 26 thousand (-21%), with an annual average of almost 2 thousand, who will feel the negative effects from 2015, when you run out of the "plethora" acquired the 70-80.

No increase was instead planned for Nursing, which is about 16,336 seats, despite the demand of about 22 thousand made jointly by the regions with the Ministry of Health and the Nursing Federation IPASVI, then with a shortage of 27%.
So while it is noted to increase the overall share on Medicine, doubts and uncertainties arise instead for non-similar increase on Nurses, as evidenced by the Sole 24 Ore Health of November 2.
http://rassegnastampa.unipi.it/rassegna/archivio/2010/11/04SIT4046.PDF
And to address the chronic nursing shortage, which began well before what is going to occur even for the Medici asking the University to allocate twice as much for nurses assigned seats for the Medici; looking this year to nearly 10 thousand seats of Medicine does not correspond to the 20 thousand nurses who stay in it 16 thousand, with less than 4 thousand, with half of which concern the University Lombardy alone whose contract offer instead of the 4 thousand 2 thousand people applied for jointly by the Region and the Federation IPASVI. Programming

AA 2011-12
places well in advance compared to other years, 27 October 2010 the Ministry of Health has begun collecting data for the planning of places for the next AA 2011-12. The request was sent to the regions is that the categories that will have to respond with their own data before February 9, 2011.
This advance should lead to increased activity by comparison of the regions with the categories, which for some years and is increasingly improving relations in the decisions that are agreed with the special meetings and consultations.

Teaching to the health professions
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=66&Itemid=69
Back to back the project to the attention of the Minister of Health, Ferruccio Fazio, who had last spoke at the conference of Nursing IPASVI June 22 in Rome, assuring that "with the ministry of the University are evaluating the possibility of other forms of teaching, no longer based on competitions for research but on teaching ability. "
from Italy today and June 23 Sole 24 Ore of Health June 29
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=119&Itemid=69
http://www.aitn.it/index.php?option=com_docman&task=doc_download&gid=122&Itemid=69
Also in the context of a national initiative IPASVI in Bologna on October 7, the Director General of Health Professions of the Ministry of Health, John Leonardi, reported that continuing contact with the Ministry of University to get quickly to the definition of a separate bill. (Please note the audio speech)
http://www.ipasvi.it/chisiamo/archivioEventi/dettaglio.asp?IDFocus=56
He concluded by announcing that the topic is also addressed in the annual Arezzo forum on the morning of 26 November
http://www.forumriskmanagement.it/ConStd.asp?COD_PAG=397

2) CONFERENCE DEGREE HEALTH PROFESSIONS
http://www.conferenzapermanentelaureesanitarie.unito.it/news.htm
The new council elected by the Conference in Portonovo will meet December 13, 2010 in Rome.
The list of newly elected members has been published on the website of the Conference
http://cplps.altervista.org/blog/wp-content/uploads/2009/11/Verbale-elezione-CD-Commissioni_ver101014.pdf
http://cplps.altervista.org/blog/wp-content/uploads/2009/11/Verbale-Giunta-e-Assemblea-generale_VER101021.pdf
on this site is the document "Consensus Conference on the placement"
http://cplps.altervista.org/blog/wp-content/uploads/2010/09/relazione-tirocinio-gen.pdf
http://cplps.altervista.org/blog/wp-content/uploads/ 2009/11/Cons-Conf-Tirocinio-10-settembre.pdf

3) DM 270
UNIVERSITY REFORM AND 'full system, the activity of the Councils of the degree course to bring orders to DM 270 by the deadline of 31 January 2011.
But sometimes the process is slowed down by concerns related to the interpretation of numerous legislative acts with the Ministry of Education has issued various decrees and circulars from 2005 to today. These acts, which do not always seem consistent with each other and no clear and complete, determine the offices locked threads administration of universities, its Commissions and Councils of Educational Course.
In general, the differences depend on the peculiarities regarding additional legislative measures and specific for the Bachelor of Medicine and Surgery is not always and everywhere are the same interpretation.
Hence the risk of a heterogeneous definition of RAD cards to be submitted by the CUN January 31, 2011.
be noted in this regard, the position taken by the Federation of Technical Radiology that in order to facilitate the work of consultation with the University has developed specific guidelines.
http://www.tsrmfoggia.org/single_news.php?id=1742
http://www.tsrmfoggia.org/Upload/linee% 20guida.pdf

4) Gelmini reform DDL S1905 and C3687
http://www.senato.it/leg/16/BGT/Schede/Ddliter/34595.htm
Contrary to popular thought the Chamber of Deputies Senate could not approve the measure in mid-October
sessions Wednesday, October 13 's passage has been blocked and suspended by the intervention of the Treasury Minister, Giulio Tremonti, for non-funding related to the passage of over 9 thousand jobs Researchers Professor Associate. The critical reaction
Minister Maria Stella Gelmini University and senior figures in universities, primarily the Conference of Rectors CRUI
http://www.crui.it/HomePage.aspx?ref=1932
http://www.crui.it/HomePage.aspx?ref=1939
and all the press, eg. Corriere della Sera on 14 October
http://rassegnastampa.unipi.it/rassegna/archivio/2010/10/14SII4005.PDF
As a result, the Council of Ministers on November 5 has reassessed the situation and find a solution that Minister Tremonti has announced in its press conference, saying that stability in the DDL (former Finance Act) "there will be a billion for the University." Tremonti explained that: "They ask 270 million for the University. We think we have the resources or the need is still a billion, then perché farne a meno””.
http://video.palazzochigi.it/tremonti20101105.ram
Con queste prospettive si pensa che il Governo potrebbe far passare il provvedimento alla Camera entro il 25 novembre (vedasi Il Giornale del 6 novembre
http://www.quotidianosanita.it/governo-e-parlamento/articolo.php?articolo_id=1777&&cat_1=2&&cat_2=0&&tipo=articolo
http://rassegnastampa.unipi.it/rassegna/archivio/2010/11/06SIP6014.PDF
Tuttavia anche se le attuali incertezze sul futuro dell’attuale Governo e Parlamento pongono seri sulla conclusione, intanto è stata announced the next stage in the House on November 23
http://rassegnastampa.crui.it/minirass/esr_visualizza.asp?chkIm=3

5) ORDERS AND ALBI
DDL Senate No 573 G. Caforio (IDV) and No 1142 R. Boldi (LNP).
http://www.senato.it/leg/16/BGT/Schede/Ddliter/comm/32596_comm.htm
The Healthcare Commission XII of the Senate is still waiting for the V Budget Committee expresses its opinion.
In this Commission, the rapporteur Unless Fleres (PDL) at its meeting of 30 September
http://www.senato.it/japp/bgt/showdoc/frame.jsp?tipodoc=SommComm&leg=16&id=507080
ha evidenziato dubbi e perplessità su alcuni emendamenti (3.2 - 4.2 - 5.1 - 13.1 - 15.01) che potrebbero determinare maggiori oneri. Ha quindi chiesto una clausola per specificare che non siano riconosciuti compensi o indennità per i membri delle Commissioni.
http://www.senato.it/leg/16/BGT/Schede/Ddliter/testi/32596_testi.htm
L'esame è proseguito nella seduta del 3 novembre con l'acquisizione di note di chiarimenti e il rinvio ad altra data.
Intanto il 1° ottobre 2010 il CONAPS ha nuovamente sollecitato Governo e Parlamento verso una rapida approvazione.
http://www.conaps.it/docs/RASSEGNA%20STAMPA%20SU%20ORDINI%20DELLE%20PROFESSIONI%20SANITARIE.doc
While the President CONAPS October 26, Antonio Bortone, addressed directly to the President of Commission V of the Senate, Antonio Azzolini, for the swift conclusion of the examination
http://www.fitelab.it/public/2010/Al % 20Sen. 20Azzolini%%% 20su 20ddl% 201142.pdf
was followed by intervention in the Corriere della Sera on November 2 which shows the pass made while the COLAP (graphologists, naturopaths, etc..) for which the Minister of Justice, Angelino Alfano, has put its signature to the decree of recognition.
http://www.aifi.net/allegato-news-1016.pdf
The measure has sparked contrasting opinions including that of Maria Grazia Siliquini (Phil) rapporteur of the bill in the House on the reform of the professions
http://mondoprofessionisti.comingonweb.it/articoli_s-1-4967-1-No_a_riconoscimenti_a_chi_non_ha_fatto_i_percorsi_formativi_previsti_a_tutela_del_cliente.html
http://www.casaeclima.com/index.php?option = com_content & view = article & id = 5498: reform-of-the-time-jobs-you-stretch & catid = 1: latest-news & Itemid = 50

One wonders why not give equal attention to the 22 health professions, and also because in the meantime, on another front similar to a dentist, seeking an order independent of the Medici, the process launched by the Minister of Health, Fazio, continues Oct. 29 grossing sent a positive opinion of the State-Regions which gives the green light to the Act which empowers the Government, among other things, reform of the professions and professional associations that already exist.
http://portale.fnomceo.it/PortaleFnomceo/showItem.2puntOT?id=78487
why there are negative predictions and criticisms about the real political will to want to conclude that the measure was introduced by the Act 43 in 2006 Berlusconi by the Government, and was still unfinished. Unfortunately, the current political crisis contributes to suspicion as evidenced by Romualdo Carini Rehabilitation Today in September 2010. Please note the initiative
initiated by Senator Raffaele Calabrò (PDL) on 5 November in Naples has begun consulting the professions in order to speed up the approval

6) EQUIVALENCE equivalence and Law 42/1999 on
Minister of Health gave responded in the last four months to two parliamentary questions submitted to the Chamber of Deputies.
The first refers to the occupation of massage therapist with answer 5 July 2010 by the Minister on the question raised by Mr Fazio. Paul Grima (LNP) December 29, 2009,
http://banchedati.camera.it/sindacatoispettivo_16/showXhtml.Asp?idAtto=20201&stile=6&highLight=1&paroleContenute 27INTERROGAZIONE =% + A + + WRITTEN RESPONSE 27%
The second, concerning the professions of general and psychiatric nurses and nurses, with response from the Secretary of the Ministry of Health, Eugenia Roccella, on October 12, 2010,
http://leg16.camera.it/412? idSeduta = 0381 & stenographic report = & tit = 00020 & stage = 00 030
on the question raised by 'Mr Paola Binetti (UDC) July 29, 2010,
http://banchedati.camera.it/sindacatoispettivo_16/showXhtml. asp? idAtto = 28271 & style = 6 & = 1 & highlight =% paroleContenute 27INTERROGAZIONE + A + + ORAL ANSWER% 27 +% 7C +% 27% 27CAMERA
In this case il Ministero ha riferito che l'Accordo della Conferenza Stato-Regioni del 16 dicembre 2004, recante i criteri e le modalità per il riconoscimento dell'equivalenza ai diplomi universitari dei titoli conseguiti anteriormente all'emanazione dei decreti di individuazione dei profili professionali è attualmente oggetto di discussione con le stesse Regioni, al fine di modificarne alcune parti.

Cordiali saluti
Angelo Mastrillo
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