The dependency care map in Spain shows great differences by autonomous communities. Catalonia is the one that would take longer to absorb the waiting list, if it continued at the same rate maintained since 2016. It would take eight years, according to the annual analysis carried out by the State Observatory of the Unit of the Association of Directors and Managers of Social Services, experts in the sector. The report states that the system has been reactivating for two consecutive years in Spain, with improvements in the number of people served or the services or services delivered, but points out that the incorporations are mainly due to the care of the moderate dependents (the least serious) . Some 98,000 people with great needs continue to wait, they are close to 40% of the unattended. The association demands the Government to approve by decree the 415 million euros that were included in the Budgets.
In Spain there are 1.3 million people with some degree of dependence recognized, according to December data collected by the XIX Dependency report, prepared by the association, which was presented on Thursday. Of these, 250,000 do not receive any benefit or service, despite having been recognized, that is, that 19.2% of the dependents are on the waiting list. Another 128,000 people wait to be evaluated to see if they can enter the system. The report estimates that last year 30,400 people died without having received the benefit or service to which they were entitled. More than 80 every day. The experts specify that they did not die because of this cause, "but with the unfulfilled expectation of receiving attention".
The opinion points out the "very serious" inequalities between territories, both in coverage and in management models. "It is foreseeable that there are some communities that can not go the way they have left without a drastic change in the model of care and / or a financial injection," says the report. In the valuation scale they carry out, for whose elaboration they take into account parameters such as the waiting list, public spending, employment or the relationship between services and economic benefits, the Canary Islands is the worst-off community, as in previous years ( 1.8 out of 10). It is followed by Catalonia, the Balearic Islands and Asturias (2.9). Castilla y León tops the ranking (9.3). The country average is an approved scraping (5.04).
The rate of uneven progress means that territories such as Andalusia, Cantabria, La Rioja or Catalonia have a forecast of six years or more for full attention (the average of the country is four years) if they maintain the growth rate of the last three years . Only Andalusia and Catalonia account for 60% of the 250,000 people who are on the waiting list in Spain. The association notes that demand pressure is "very high" in both territories, which have increased attention, but still insufficient. Cantabria and La Rioja would take seven years to absorb the waiting list; Andalusia, six. Territories such as Castilla y León, Navarra and Ceuta and Melilla "have a waiting list practically reduced to the normal management of additions and losses without accumulations".
Broadly speaking, the system improves. The number of people served (more than one million) increased by 10.4% last year, with almost 100,000 more than in December of the previous year. The services delivered have also grown (13.7%) to a greater extent than the economic benefits for family care (they have increased by 5.5%), something that the association considers "determinant" for the increase in net employment created by the system. (about 29,000 from the previous year, to reach 247,000 jobs) and economic returns.
But, although during 2018 the waiting list was reduced by 60,000 people, the association maintains that it is due, above all, to less serious dependents. "Those who need more care are those who reduce their waiting list less, which shows that communities have chosen to serve those who can reduce the list with lower costs for the system, moderate dependents, with low-cost services" , it is noted in the opinion. "The proof is that since 2009 the cost per dependent has been reduced by 20.8%, going from the 7,687 euros per year at that time to the current 6,087."
Last year, the Government contributed 1,330 million (a slight increase compared to 2017), 20% of the 6,922 million public spending in the system. The communities contributed the remaining 80%. But the association estimates that the direct cost of services and services delivered during 2018 was 8,252 million euros: that is, users contributed 20.6% in the form of a copayment. According to his calculations, the accumulated cut since 2012 in the financing of the communities already amounts to 3,154 million euros.
The association considers that the recovery that seems to be consolidated in 2018 is due to the push of the communities and family co-payments and demands an effort from the Government. According to his estimates, the departure of 415 million euros provided for in the Budgets for the so-called minimum levelof financing would allow serving almost 70,000 more people and generate more than 15,000 new direct jobs. For what the association asks the Executive to collect this increase in funding through a royal decree, "given the urgency of the dependents on the waiting list and their families," as claimed last December parliamentary groups of Congress , except for the PP.
"The problem is that all the cuts in 2012 are still valid except for the Pyrrhic rise of the PP last year, if they do not push the decree law, the advance of their last two years will probably slow down", lamented Luis Barriga, coordinator of studies the Asociation. "If a party vetoed it, it would be condemning the dependents," added José Manuel Ramírez, president of this organization, who has also demanded that the Social Security contribution of non-professional caregivers be recovered, something that is expected to be approved tomorrow. Friday in Council of Ministers.