The autonomies reinforce the health workforce and put the scissors in education


The coronavirus pandemic and the aging of public templatesalso of the population in general, has provoked a reinforcement of the sanitary area of the autonomous communities, which together totaled 588,351 troops as of January 2022 -latest data available-. Meanwhile, this increase has been detrimental to non-university education, which has lost 22,632 employees in just one year, in a context of low birth rates, with a number of births similar to that of the 1940s, in the midst of the post-war period. The number of teachers It has gone from just over 611,000 in 2021 to 588,300 that were registered at the beginning of the year.

The statistics that facilitate the Ministry of Finance and Public Function shows that the Covid forced a significant increase in personnel in health and education, due to the casualties caused by the pandemic and the needs generated by hospitalizations. However, this upward trend has only been consolidated in the National system of health -there are 68,500 more troops than in 2020-, but not in the educational area. While the personnel linked to the Departments of Health has increased by 18.4% in the last decade, the teaching staff has only done so by 11.5%. In January 2022 only three communities –Cantabria, Valencian Community and Extremadura– They had reduced their health personnel, albeit minimally. While, Andalusia it became the autonomous community that most increased health personnel.

34.5% of the troops that the CCAAs have. Meanwhile, career civil servants represent 52.4% and the rest is labor personnel.

The bad news is that a good part of these new health personnel and those linked to the Departments of Education have interim contracts, a modality too established in the autonomous administrations. It is the formula that they continue to use and represents, on average, 34.5% of the troops that the CCAAs have is temporary. Meanwhile, career civil servants represent 52.4% and the rest is labor personnel. The intention of Executive of Pedro Sánchez is to place the temporary rate in the Administration below 8% before 2024, for which a stabilization process is contemplated that will affect more than 300,000 structural positions occupied by this staff. However, the percentage of temporary workers, mostly women, multiplies that percentage by four in the communities.

The number of troops at the service of public administrations -central, regional and local- stood at 2.72 million in January 2022, barely 7,000 more than a year earlier. Altogether, one in four of these employees are casual and 22%, labor personnel. Temporary employees in the autonomous communities account for one in three employees and the staff governed by the status of workers They add up to more than 318,000. In the public sector there are 400,000 more women than men -1.5 million compared to 1.1- and in the autonomous communities they practically double the number of men. A good part of the current staff either have precarious contracts or have been in the Administration for several decades and are on the verge of retirement, a problem that mainly affects the General State Administration.

The Public Administrations will lose almost 331,000 troops by 2025

Most of the civil servants landed in the 80s and 90s, years in which the public workforce began to gain weight due to the State of Autonomies and the improvement of the social welfare in Spain. Administrations will lose almost 331,000 personnel after reaching retirement age between now and 2025 and close to 900,000 in the next decade. The average age of incorporation into public service in the General State Administration it is 35 years, while in the private sector it is 26 years, according to data from the study ‘The General State Administration 10 years ahead‘.

In the case of healthcare, the main problem will be to find doctors to replace those who retire. Thus, Spain will face in the short and medium term a considerable deficit of doctors -of practically all specialties-, which could become a serious problem in a context of population aging, which forces it to allocate more and more human and material resources for the care of pensioners and retirees. To overcome this lack of professionals, it will be necessary to work in various directions and implement effective measures to obtain the adequate number of doctors, for each specialty, in the coming years.

The data handled by the Ministry of Healthbased on a comprehensive report prepared by Patricia Barber Y Beatriz González López-Valcárcelresearchers and professors at the University of Las Palmas, show that the deficit in 2027 will be 9,000 professionals and close to 18,000 in 2035, especially in Family Medicine and Emergency, far from the 80,000 that according to statistics from National Statistics Institute (INE) they should retire in the next ten or 12 years, because they are already over 55 years old.


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