On Thursday 19 November 2020 the memorandum consultation takes place, which also pays attention to target group transport. KNV Zorgvervoer en Taxi brings the following three matters to the attention of the MPs in the context of this consultation.
The concerns of healthcare carriers about the consequences of the corona crisis for the continuity of healthcare transport The opinion of the care carriers about the transfer of institutional transport to the health insurance law and the consequences for the practical implementation of the transport
The need for extra budget for the customer barometer for healthcare transport and the expertise center CROWThe consequences of the corona crisis for the continuity of healthcare transport The corona crisis has major implications for health care. The situation is worrying and it must be prevented that the continuity of the transport of vulnerable groups in society is endangered.
In concrete terms, KNV calls on the House to ask the Minister of Health, Welfare and Sport to to ensure that:
clients continue to compensate companies for lost transport for as long as necessary with tailor-made agreements additional costs are generously reimbursed and that clearer communication about this is provided from the government and VNG, municipalities that find themselves in financial trouble are generously compensated, so that they can continue to support transporters financially, er a new state aid application is submitted in Brussels as soon as possible the healthcare transport is seen as part of the entire healthcare chain and thus drivers in healthcare transport are also included in decisions about the granting of care bonuses, prioritization at anti-Covid-19 and to see them as part of the critical/vital occupations category.Transfer of institutional transport to the Health Insurance Act per 4107
Currently, the financing of institutional transport still falls under the temporary subsidy scheme for medical care for specific patient groups (GZSP). It was previously decided that the financing per 2021 will be transferred to the health insurance law. The implementation of the transport is still under discussion. This concerns the question of whether institutions will continue to purchase the transport themselves with a reimbursement from the health insurers or whether the health insurers will purchase the transport themselves, so that it becomes part of the other patient transport.
KNV believes that the management/organization of this transport does not need to change. Healthcare institutions now arrange transport for clients with carriers. Because it concerns route-bound transport, this can be done most efficiently. If this transport falls under patient transport, it will not improve efficiency. After all, clients are now being transported in combination and this will partly no longer be possible because clients do not have the same health insurer and/or because clients cannot be combined with patient transport for practical reasons.
Concretely, KNV calls the House to ask the Minister of Health, Welfare and Sport to ensure that the management and organization of this transport is established in close consultation between transporters, institutions and health insurers, so that the transport can be carried out in good quality, efficiently and financially feasible. With regard to this transport, we also request urgent attention to the rates that the institutions receive. The institutions indicate that the transport is loss-making.
Extra budget needed for customer barometer healthcare transport and expertise center CROW KNV notices that there is a need for both a customer barometer and a expertise center target group transport. However, their financing always leads to limited activities. KNV calls on the House to ask the Minister of Health, Welfare and Sport to allocate sufficient budget for the development of a national customer barometer for healthcare transport. KNV also calls for a budget for the CROW to maintain the activities it has developed to provide knowledge and expertise about (contracting) care transport to local authorities.
In light of the above call, KNV is pleased to see that the national quality mark for healthcare and taxi transport TX-Keur and the Public Procurement Institute Mobility (AIM) established by the social partners are being named and involved in the ‘Everyone on the road’ programme, which also includes the customer barometer. Both organizations can play a role in the implementation of the barometer. Although it is not as easy to set up as the design of a public transport barometer, since healthcare transport does not have fixed timetables and stops accessible to everyone, it will certainly make a positive contribution to being able to compare healthcare transporters on the quality provided.
KNV also finds it important that the CROW expertise center is active in providing local authorities with information and advice about healthcare transport. Think of the Dictionary of Traveler Characteristics, the model specification for healthcare transport, the Cost Tool to arrive at a realistic price in healthcare transport and the ‘Tastemakers’, which are also mentioned in the ‘Everyone On the Road’ program.
KNV calls on the House to ask the Minister of Health, Welfare and Sport to allocate sufficient budget for the development of a national customer barometer for healthcare transport. KNV also calls for a budget for CROW to maintain the activities it has developed to provide knowledge and expertise about (contracting) care transport to local authorities.