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A lot of confusion with Warsaw hospitals

warszawa

It has still not been possible to carry out a formal merger of three hospitals in Warsaw, which were to operate under the common name of the Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego (UCK WUM). The merger is also awaited by the Szpital Czerniakowski and the Szpital na Solcu.

Trade unions say no

The Uniwersyteckie Centrum Kliniczne (UCK WUM) was established on 1 January 2019. It was established by merging three clinical hospitals, for which the founding body was the Medical University of Warsaw. The new entity included the Samodzielny Publiczny Centralny Szpital Kliniczny (SP CSK), the Samodzielny Publiczny Dzieciecy Szpital Kliniczny im. J. P. Brudzinskiego (SP DSK) and the Szpital Kliniczny Dzieciatka Jezus (SKDJ).

UCK WUM is still not registered in the National Court Register (KRS), reports the portal prawo.pl. The reason for this is that the trade unions from this institution make further appeals concerning the deletion from the KRS of one of the hospitals the Szpital Kliniczny Dzieciatka Jezus. The SKDJ has already been removed from the register of medicinal entities kept by the voivode. The NFZ contracts were also ceded and the employees were transferred.

Judicial processes and EU funds suspended

This situation causes many problems not only for hospitals, but also for patients and contractors. For example, litigation relating to claims for medical errors or payment of invoices from suppliers has been suspended for months. According to prawo.pl, in an extreme situation, they may become time-barred, as they are often cases from many years ago.

Due to the unregulated legal situation of the entity, Health Ministry also had to apply to the WUM for the return of the advance payments for investment projects made from the EU funds. This is a few million zlotys. The Ministry cannot also disburse funds to residents of the Szpital Kliniczny Dzieciatka Jezus. All because this institution has been deleted from the register and the new entity has not been registered yet.

Let us remind you that three merged hospitals have a total of PLN 250m of liabilities due. The total liabilities of these entities amount to nearly PLN 1bn.

The Szpital na Solcu will be the operator of the Szpital Poludniowy…

The Uniwersyteckie Centrum Kliniczne is not the only hospital unit in Warsaw to be established through consolidation. Recently, organisational decisions have been made regarding the newly built Szpital Poludniowy. The facility, which will have over 300 beds, was to be ready in autumn 2019. In the end, it will not accept patients until 2021. According to Gazeta Wyborcza, this results, among other things, from the need to redesign the building during the implementation of the investment.

Since the institution did not exist when the network of hospitals was launched, it could not count on a contract with the National Health Fund. Therefore, the authorities of Warsaw decided that the new hospital would take over the contact of the NFZ and the staff of the Szpital na Solcu. This one, however, will be closed because it needs a thorough renovation.

…and take over the Szpital Czerniakowski

It’s not over, though. The Szpital na Solcu will also merge with the Szpital Czerniakowski. The latter has been in a difficult financial situation for nearly 10 years. Joining the Szpital na Solcu is to enable it to improve its efficiency and financial results. Forming, the assets of the Szpital Czerniakowski will be transferred to the Szpital na Solcu in exchange for shares which the city of Warsaw will take up in the increased share capital of the latter institution.

The merger decision was expected at the end of November. However, at the request of the vice-president of Warsaw, Pawel Rabiej, the draft resolution on the merger is to be analysed in even more detail with a view to a potential increase in capital injections (due to the fact that Warsaw hospitals are in a rather difficult financial situation).

More on hospitals in Poland in PMR report: Public and non-public hospital market in Poland 2019. Investment plans and comparative analysis by voivodship.

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