29. 11. 2022

Novela zákona má nastavit efektivnější vězeňský zdravotnický systém

Skupina poslanců předložila sněmovně 6.4.2021 návrh zákona, kterým se mění zákon č. 555/1992 Sb., o Vězeňské službě a justiční stráži České republiky, ve znění pozdějších předpisů, a některé další zákony. Tento návrh byl poslancům rozeslán dne 8.4.2021 jako tisk 1199/0.

Návrh zákona reaguje na dlouhodobou kritiku českého vězeňství. To je kritizováno z důvodu, že zdravotnická služba je nedílnou a nijak oddělenou částí Vězeňské služby České republiky. 

Proto si novela klade za cíl nastavení efektivnějšího vězeňského zdravotnického systému. K tomu by mělo dojít především doplněním o novou organizační jednotku, která se bude skládat z ředitelství Zdravotnické služby, jakožto základního řídícího orgánu, a ze zdravotnických zařízení určených generálním ředitelem Vězeňské služby.

Zřízením této nové organizační jednotky by došlo k jednotnému výkonu metodického řízení a kontroly poskytování a zabezpečování zdravotních služeb Vězeňskou službou. Díky tomu by bylo možné zajistit pružnější řízení vězeňských nemocnic (efektivnější využití kapacit, pružnější reakce na krizové situace typu pandemie COVID-19), větší efektivitu a transparentnost hospodaření, ale také například efektivnější řešení personální situace ve zdravotnických zařízeních. 

Tato změna by měla přispět také k tomu, že by vězeňské zdravotnictví mohlo díky jednotnému výkonu metodického řízení a kontroly poskytování a zabezpečování zdravotních služeb více sledovat vývoj moderních trendů a zvyšovat kvalitu poskytovaných zdravotních služeb.

Konkrétní změny, které by novela přinesla: 

  • pružnější řízení vězeňských nemocnic, které budou společně podřízeny pod jedno společné odborné vedení
  • zefektivnění výběru plateb od pojišťoven za lékařské výkony, a to nejen v obou nemocnicích, ale i ve všech zdravotnických zařízeních Vězeňské služby České republiky, 
  • efektivnější řešení personální situace v obou nemocnicích a v ostatních zdravotnických zařízeních Vězeňské služby České republiky,
  • oddělením poskytování části zdravotních služeb od věznic posílení důvěry mezi pacientem (vězněm) a lékařem, který tak přestane být vnímán jako bezprostřední součást represivního aparátu. 

Ukázka podoby změny (přidání § 2a a 2b) 

§ 2a
Organizační jednotky Vězeňské služby

(1) Organizačními jednotkami Vězeňské služby jsou 

a) generální ředitelství, 
b) vazební věznice, 
c) věznice, 
d) ústavy pro výkon zabezpečovací detence, 
e) Zdravotnická služba,
f) Střední odborné učiliště a 
g) Akademie Vězeňské služby. 

(2) Zdravotnická služba se skládá z ředitelství Zdravotnické služby Vězeňské služby a zdravotnických zařízení určených generálním ředitelem.

(3) V čele organizačních jednotek podle odstavce 1 písm. b) až g) jsou ředitelé, které jmenuje a odvolává generální ředitel. 

§ 2b

(1) Generální ředitelství zabezpečuje plnění společných úkolů ostatních organizačních jednotek Vězeňské služby, které metodicky řídí a kontroluje, není-li dále stanoveno jinak.

(2) Ředitelství Zdravotnické služby Vězeňské služby metodicky řídí a kontroluje poskytování a zabezpečování zdravotních služeb Vězeňskou službou.  

Celé znění zde.

Aktualizace leden 2022: Projednávání sněmovního tisku bylo ukončeno s koncem volebního období.

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