The employer of the dependency calls for the creation of a Ministry of the Elderly that is endowed with 2% of the GDP, "the European average", and not with the 0.54% that is currently invested in the system, according to calculations of the Business Circle of Attention to People (Ceaps), that brings together 1,800 entities working in the sector. "In 2051, 30% of the population will be over 65 years old," the president, Cinta Pascual, explained Thursday in Madrid, during the presentation of a report in which "the chaos" of dependency care is analyzed. Y the differences between the autonomous communities.
The association of companies in the sector has developed a "chaos route", a map of the autonomous communities that work best in the different phases of the process. "There is not one that is a reference, we can take pieces of each one to put together an adequate system", explained Pascual. "To be valued, go to Andalusia, then, once you are recognized with one of the degrees, go to Castilla y León if you want a benefit, in Navarra you have more possibilities of getting help for care in the family environment." In Extremadura or Andalusia , services like home help If you want a place in a residence, it is best to be in Castilla y León If you want a day center, Madrid or Cantabria, Canary Islands and Catalonia better not to go on vacation, "said Aitor Pérez, from Gerokon, the consultant who has prepared the report for Ceaps.
This "chaos" materializes, according to the study, in which some 250,000 people are on the waiting list to obtain the benefit or service to which they are entitled and in which more than 400,000 of the million dependents attended receive an economic benefit for care in the family environment. The law contemplated this measure as "exceptional", but in eight communities it receives more than 50% of the beneficiaries – in Navarra they reach 72%, according to the report.
"Urgent measures are needed now, there will be no fix when users of the generation of the baby boom ", said the president of Ceaps. For this reason, it proposes the creation of a Ministry of Elderly people that homologue and give clear guidelines to the communities, which should also have their specialized counseling, given that the autonomies hold the competence in the matter. "We must empower the elderly," said Pascual, who has insisted on the importance of the department having an adequate financial endowment, "at the level of the European average." "That 2% of GDP should be invested in active aging, prevention and in the system of dependence, also in research," he added.
The association asks that the concerts of seats in residences be increased and improved, "adapting to the real costs". "Right now there are communities that need beds, it is true, but there are also free private places in places with a waiting list, to be arranged," said Pascual. The study proposes that the system put the user "in the center", "giving him the opportunity to decide" which service to turn to. Thus, requests that the economic benefit linked to the service be strengthened, that is included in the Dependency Law and that consists in granting an amount to contract a service or benefit and that the user puts the rest out of his pocket until paying the actual cost of the service.
According to Ceaps, this is "the best exercise of freedom of choice for dependents and their families" and would allow to decongest the waiting list and speed up the system. However, the association recognizes that nowadays it is not applicable for those who have less income, "unless the established legal limits are increased". Critics of this initiative warn that this can result in a way of assistance for those who have resources and another assistance for those who do not.
According to the calculations of Ceaps, in Spain there are 366,217 places in 5,375 residences, 1,530 of public ownership and 3,845, private. However, the association notes that 76.5% of the places in the country are publicly funded, either because they are provided directly by the Administration, in public centers, or because they are granted through a tender, concession or an economic benefit linked to the service. . The association demands an evaluation system that takes into account the opinion of the users.
The study advocates that the person in a situation of dependency be at home as long as possible – "normally they reach homes over 80 years old and, once in the center, the average life is two years", pointed out Pérez- . For this, it wants resources such as tele-assistance to be strengthened – it estimates that there are some 900,000 users in Spain, 220,000 of them covered by the Law of Dependency-, home help – more than 400,000 beneficiaries, 240,000 of them covered by the Law- and day centers – about 94,000 users.
The president of Ceaps has insisted that socio-health coordination be strengthened, so that there is a unique history shared by each dependent, in which people project their own aging and decide how to be cared for and in which there is flexibility. "If the average life in a residence is two years, it does not make sense that, if a person worsens, they have to request a new assessment and wait for it to be granted in order to access it," said Pascual. For her, a fundamental aspect is financing. "We see the forks [lo que pagan las Administraciones por una plaza para un dependiente con grado dos va desde los 43,69 euros al día en Asturias hasta los casi 90 en Álava], behind them there are services and people who work. If we want to improve salaries and ratios, we have to put money on the table. Without fail. It's time to prioritize dependency. "