Congress report - European Health Forum Gastein

136
European Health Forum Gastein 2001
Recommendations
General
Encouragement from the entities involved in the management of health care services should
be sought in order to foster legislative and ruling initiatives.
In Spain, the regulation proposals should be formulated by the competencies of the Regional
Governments as established in the Spanish Constitution and the Regional Governments
Statutes which grants them with competencies in the development of rules in contract law.
Specific
It is necessary to give managing entities mechanisms in the planning, co-ordination, and
homologation of proceedings for greater effectiveness in procurement.
In procurement it is absolutely necessary to previously define what we want to purchase and
which services are needed. A very important mechanism is the preparation of a product and
services catalogue. Catalogues define the technical features of the goods and services
included in it. These would be subject to constant modifications as the health care activities
are linked to scientific and technological progress.
Regarding the contracting systems, the simplification of administrative proceedings can be
achieved by creating centralised entities that would catalogue suppliers according to
contracting capacity. Contract forms would need to be approved, not for types of works
contracts, services or supplies but for specific contracts i.e. cleaning, supply of reagents,
security, hiring of equipment, etc. As well as the approving, within the entities, of provisional
and definitive security exemptions, the fostering of prototype contracts and tenders to decide
on them, the creation of contracting boards, the preparation of contracting guides and the
necessary moves to design management training courses.
Although budgets are issued on an annual basis which sets the pace of public expenditure,
it is important to fix a planning mechanism in order to establish the appropriate purchase
time.
Finally, a redistribution of competencies would be recommended in order to establish who
purchases. Despite the fact that autonomy in taking decisions has proved to be an efficient
mechanism in certain purchases more centralisation could save administrative costs and
some services could benefit from the effects of scale economy.
Presentation slides are available for download at the EHFG web-site
http://www.ehfg.org/website01/abstracts.htm
5. References
ARIÑO ORTIZ, G. El concepto de contrato público en la CEE. Noticias/CEE 21, 1986.
BAÑO LEÓN, J.M. La influencia del derecho comunitario en la interpretación de la Ley de
Contratos de las Administraciones Públicas. RAP 151, 2000.
BASSOLS COMA, M. Aproximación a la normativa comunitaria europea sobre contratación
administrativa. Noticias/CEE, 21, 1986.
BORRAJO INIESTA, I. Las Directivas sobre contratación pública como manifestación de la
libertad comunitaria de circulación. Noticias /CEE 21, 1986.
GARCÍA GÓMEZ DE MERCADO, F. Contratos administrativos y privados tras la Ley de
Contratos de las Administraciones Públicas. REDA 95, 1997.
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