The draft amendment to the Nursing and Midwifery Professions Act was referred back to committee on Wednesday because of the proposed amendments. In the debate, MPs expressed doubts about the provisions on clinical trials and the resignation of the physiotherapy and emergency medical services studies.
The draft amendment to the Nursing and Midwifery Professions Act and certain other laws aims, inter alia, to implement EU law and simplify procedures regarding access to the labor market of people trained in the field of emergency medical care and physiotherapy.
In the parliamentary debate, Anna Kwiecień (PiS) recalled the main principles of the regulation. The project includes changes to the minimum training requirements for midwives as part of the automatic recognition of documents confirming the qualifications of midwives.
In addition, according to the draft, a declaration of intent to practice the profession temporarily and incidentally can be submitted to each ward room of nurses and midwives.
The amendment also introduces the dismissal of the State Exam Physiotherapy and the State Exam Medical Rescue.
Anna Kwiecień informed that the PiS club supports the changes discussed and asks the chamber to approve them.
According to Rajmund Miller (KO), the design is an example of “legal sloppiness” and the proposed solutions go beyond the scope of the law. “We have no doubts about the amendments to the Nurses and Midwives Act required in connection with the implementation of EU regulations. It is necessary and regulates the possibility of employing nurses and midwives and recognizing their qualifications in the countries of the European Union” – said MP Miller.
He noted that doubts arise, for example, due to the issue of discharge from the physical therapy exam and the medical emergency. “We recognize the opinion of the self-government of these circles. But these circles do not expect the end of the final exam, they just propose a different solution, a different type of this exam” – said MP Miller.
He stressed that the KO club is also against the provisions on clinical trials. The amendment should allow for the evaluation of clinical trials of medicinal products, including their ethical evaluation, until the entry into force of the Act on Clinical Trials of Medicinal Products for Human Use and the provisions allowing for veterinary medicinal products products to operate.
“For several years now, we have been expecting a law on clinical trials that will regulate such an important topic. (…) These solutions require a separate law” – said the deputy KO. He announced that the KO club would abstain from the final vote.
Jan Szopiński from the left pointed out that universities that train paramedics or physiotherapists are certified institutions and there is no need to question their competence in knowledge transfer. He stressed that the labor shortage in these professions fully justifies the assumptions of this project.
According to the MP from Lewica, the regulations on clinical trials raise the most doubts. “Here, according to experts, the regulations are unclear and imprecise. The most questionable are the provisions concerning the committee dealing with research, and especially the need to guarantee the opinion of people without professional knowledge when assessing applications” – said MP Szopiński .
He stated that the Left would support further work on the project.
Dariusz Klimczak (Polish Coalition) also pointed out that the design violated the principle of proper legislation. He noted that while the Polish coalition had no comments on the provisions aligning Polish law with EU law, amendments to six other laws raised doubts. He mentioned, among other things, the abolition of physiotherapy and emergency medical examinations. MP Klimczak said the Polish coalition would not support this project.
Robert Winnicki (Confederation) said the debate on the bill could contribute to the discussion of the state’s health policy. According to the member of the Confederation, health care is inefficient, especially in terms of organization and financing. “We need to stop funding from the National Health Fund. We need to introduce elements of competition between competing health funds, which would prevent money from being wasted in the system” – Winnicki argued.
According to Wojciech Maksymowicz (Poland 2050), some solutions in the project are controversial and go beyond the essence of the changes.
“The proposed content of Articles 2 and 5 of the Act on the professions of physician and dentist, which introduces changes in the organization of the ethical evaluation system of clinical trials, medicinal products, is not in accordance with the draft law on clinical trials, which was adopted submitted for public consultation in April 2021 and was not at the marshal’s stick “- pointed MP Maksymowicz.
He proposed amendments to delete both provisions “in the name of good legislation”.
Joanna Senyszyn (PPS) also expressed her objection to the provisions that go beyond the essence of the regulation. She stated that the PPP circle would not support the discussed project.
Deputy Health Minister Piotr Bromber responded to the deputies’ doubts, pointing out that the exam for paramedics and physiotherapists had not yet been conducted, so it is not a significant change.
“We want education standards to be an element that will largely determine the quality of education in specific medical professions” – he said. The State Secretary stated that the Ministry would reply in writing to other questions.
Vice-chairman of the Sejm Małgorzata Kidawa-Błońska said that in connection with the proposed changes, the draft amendment to the Act on the Profession of Nursing and Midwifery and some other laws will be returned to the Health Commission (PAP) for consideration.
Author: Karolina Kropiwiec
kkr / mir /