Strengthen Primary Care, provide more services for ambulances or improve mental health: Presents the health budget

The cost of medical transportation service rises from 12 million to 20 million and the tender is expected to start in December.

The Pesquera department will have 1,087 million, representing about 20% of the community’s total donation and requiring the largest investment in history.


In 2023, Cantabria will allocate a budget of 1,087 million euros to health, the highest and largest increase in history for the strengthening of Primary Care, an area of ​​​​approximately 195 million euros, which receives about 20% of the total donation. There was an increase of 12.5% ​​compared to this year.

Compared to 1,028 of the 2022 budget, 28.9 million of the total 1,087 million are for the Ministry of Health and 1,058 million are for the Cantabrian Health Service (SCS), which allocates about 50% of the total to staff. 505.2 million. This represents a 5.5% increase corresponding to a salary increase for workers, strengthening places in Primary Care and stabilizing the workforce.

This was detailed Wednesday by Raúl Pesquera, Minister of Health, who presented some accounts for the coming year at a press conference, and as he noted, promoting Primary Care, effectively organizing human resources and stabilizing vacancies, promoting mental health, energy sustainability policies. commitment and invest in high technology through the INVEAT Plan and the proton therapy unit for Valdecilla.

It also includes projects and works for the expansion of Polanco and Suances health centers, the construction of the Castro Urdiales and Piélagos Norte centers or the Comillas clinic, for a total of 750,000 euros. Improvement, modernization and maintenance activities in more health centers are also planned, and donations of these items amount to 4.5 million.

Among the major projects, Pesquera highlighted the second phase of proton therapy, of which 765,000 euros were allocated for project management and construction supervision, or the expansion of Laredo Hospital, equipped with 2.7 million.

On the other hand, to promote research, we have the Marqués de Valdecilla Research Institute (IDIVAL has more than 2 million funds) and the Marqués de Valdecilla Foundation, the Cantabria Cohort project (50,000 euros), the Public Health Observatory (200,000 euros), and the first For the first time, a 250,000 pen was introduced to fund the expansion of Valdecilla Virtual Hospital’s headquarters.

A significant portion of the accounts between the ministry and SCS goes towards payroll payments of 519 million euros. However, in the Ministry’s budget, which increased by 7.5% compared to this year and reached 28.9 million, all chapters except I correspond to personnel expenses, because trackers are no longer provided in most places. The consultant explained that this represents a significant increase in 2020 and 2021 due to the continued involvement of professionals in the face of the pandemic situation.

In this section I, the 7000.00 provision regarding changes to the Job Listings (RPT) to be undertaken by the Ministry, which had previously asserted its intention to recruit 141 new family physicians from 67 to 67, is retained. stabilization process and 74 calls with newly created places.

According to the departments, the General Directorate of Public Health grew by 14.5 percent to over 16 million, two more than in 2022, within a budget set by targets such as continuing to respond to Covid through strengthening surveillance programs or preventing disease through vaccination. . In fact, there is an increase in vaccination spending from 5.8 million to 7.7 million with innovations such as vaccination against human papilloma for male adolescents or the introduction of the herpes zoster vaccine to a wider population.

Likewise, there are subsidies of half a million euros to finance public health harm reduction programs for different organisations.

In the Sanitary Pharms, Pharmacy and Inspection Directorate, the budget increased by 12.7% to 5.6 million. Items such as the aforementioned IDIVAL for promoting research or assistance to the Program of Comprehensive Care for Sick Physicians (PAIME) and the CUIDANDO-TE Program of the Colleges of Medicine and Nursing are equipped with 20,000 and 15,000 Euros respectively.

In addition, 17,000 euros were re-allocated for the College of Pharmacists programme, where personalized drug dosing systems were developed for users at risk of depopulation in municipalities.

Finally, the DG for Digital Transformation and User Relations will have 1.8 million, or 15% more, to continue developing a digital transformation plan for SCS.

To do this, it will allocate 100,000 Euros (40% more than this year) to aid programs for these groups, in collaboration with patient associations, encouraging the participation of health-related requests and recommendations. 60,000 items are also preserved for the continuity of the Cantabrian School of Health Patient School.


Outside the ministry, the “other major budget pillar” is SCS, which reached 1.058 million in 2022, up 5.8% compared to 1,000.

Pesquera noted that the “clear commitment of the public health system to the level of care” of Primary Care Services, whose budget has grown by 12.5%, is reflected here.

In addition to the already mentioned items for proton therapy and work in various health centers, SCS includes different energy efficiency actions such as the installation of photovoltaic panels in 20 health centers and Sierrallana Hospital or reforms to make buildings more sustainable. (4.5 million) under the PIREP Plan.

Although it is a multi-year project that includes 3.1 million in the 2024 budget and 1.1 million in the 2025 budget, air-conditioning is also planned for Sierrallana, for which 695,000 Euros are allocated in 2023.

On the other hand, 9.2 million of the INVEAT Plan, which includes the installation of 19 high-tech equipment in Cantabrian hospitals, stands out.

And another of SCS’s “priorities” will be mental health, where €375,000 is available to establish a unit in Sierrallana, strengthen human resources in child and adolescent mental health centers, provide beds for serious pathology at Valdecilla Pediatrics and encourage new incentives. . recruitments.


Accounts also foresee an increase in the allocation for medical transport from €12 million to €20 million pending the Government’s confirmation of whether it has internalized this service, as it would be less expensive than a cost study conducted by the Ministry. if done.

It is currently in the hands of Ambuibérica, which is in the first year of the contract extension, so work is underway to prepare the specifications for a new contract, as well as to activate the organization that will be responsible for the service. when internalized.

The aim with these procedures is to “give certainty to workers,” according to Pesquera, who hopes the bidding will begin “in the first week of December.”

The delivery of the service cost around 12 million euros in the last contract, but according to the research, it will now cost a company 22 million to contract for external management, reducing the cost to around 12 million euros if internalized. 18.8.

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