NRP Portugal

o SocialFacilities.TheboostintheSocialFacilitiesProgrammePOPHtargetingtheelderly,thedisabledandimpairedforeseesthecreationof1378placesinfacilitiesfortheelderlyby2010(3220placesby2015)andof1408placesinfacilitiesforthedisabledby2010(1955placesby2015)o Reform of primary health care. As Primary Health Care is the pillar thatsustains the whole health system, the reform consists of an organisationalchange in health care services provided, developed by multi‐professionalteamsthatareselforganizedandindirectcontactwiththecitizens,formingthe first line of a health system that is accessible, efficient, fair and inproximity.TheMissionofPrimaryHealthCare,thestructureresponsibleforconductingthereformprocessatthislevelofcare,establishedaStrategicPlanfor2007‐2009 based on three pillars: 1. Organisational quality and change, thatincludes four strategic lines: leadership and autonomy of management,better accessibility, evaluation and monitoring, management of ICT; 2.Clinicalgovernanceandknowledgemanagement,withthreestrategiclines:clinical governance, knowledge management and qualification ofprofessionals,innovationandsimplificationincareprovided;3.Sustainabilityanddevelopment,whichalsoincludesthreestrategiclines:accreditationofservices, financial viability of primary health care, communication withcitizensandprofessionals.The reform plan for Primary Health Care foresees that by the end of 2009(end of MCSP mandate) 250 Family Health Units (USF) will have beeninstalled. By then, the conditions should have been attained for the fulloperation of the 74 Health Centre Groupings (ACES), framework entitiesclinically and in management terms of all the operating units providingprimary health care; the forms of internal contracting will have beenconsolidatedandthenecessaryskillsobtainedbythemanagersofthenewunitsandperformanceevaluationandmonitoringdeveloped.o Development of the National Network of Continued Integrated Care(RNCCI).TheglobalaimoftheRNCCIistoprovidecontinuedintegratedcareto people who, regardless of age, are in a situation of dependence. ThisprovisionofcareisassuredthroughUnitforResidentialCare,MobileUnits,HospitalTeamsandHomecareTeams.The RNCCI model is based on the rationale of separating functions(purchase/provision) by contracting services and decentralisingresponsibilitiesofterritorialscope.Itisbasedonamodelofthesharedandinter‐sectorfinancingfromtheMinistriesofHealthandofWorkandSocialSolidarity.68