Problem\u0101tiska ir iecere noteikt pien\u0101kumu organiz\u0113t vienk\u0101r\u0161otu iepirkumu no 20 000 eiro t\u0101 d\u0113v\u0113tajiem vesel\u012bbas, soci\u0101lajiem un saist\u012btajiem pakalpojumiem, k\u0101 ar\u012b m\u0101c\u012bbu, studiju un darba vid\u0113 balst\u012btu m\u0101c\u012bbu nodro\u0161in\u0101\u0161anai. \u0160ie iz\u0146\u0113mumi l\u012bdz \u0161im biju\u0161i b\u016btiski slimn\u012bcu darb\u012bbas nep\u0101rtraukt\u012bbas nodro\u0161in\u0101\u0161anai. Asoci\u0101cijas biedru, tostarp B\u0113rnu slimn\u012bcas ieskat\u0101, jaunais regul\u0113jums apdraud\u0113s iesp\u0113jas piesaist\u012bt \u0101rvalstu \u0101rstniec\u012bbas person\u0101lu unik\u0101lu un steidzamu medic\u012bnisku manipul\u0101ciju veik\u0161anai, \u0101rvalstu laboratoriju pakalpojumus reto un \u0123en\u0113tisko slim\u012bbu diagnostik\u0101, k\u0101 ar\u012b \u0101rvalstu \u0101rstniec\u012bbas iest\u0101\u017eu iesaisti \u0101rstu apm\u0101c\u012bb\u0101 un transplant\u0101cijas pakalpojumu att\u012bst\u012bb\u0101.<\/p>\n\n\n\n
\u0100rvalstu speci\u0101listi un laboratorijas parasti nepiedal\u0101s publisko iepirkumu proced\u016br\u0101s un nere\u0123istr\u0113jas Elektronisko iepirkumu sist\u0113m\u0101, jo t\u0101s lieto\u0161ana ir laikietilp\u012bga un sare\u017e\u0123\u012bta. L\u012bdz ar to slimn\u012bcas b\u016bs spiestas vai nu atteikties no augstas kvalit\u0101tes pakalpojumiem, vai ar\u012b tos ieg\u0101d\u0101ties par augst\u0101ku cenu ar starpnieku starpniec\u012bbu.<\/p>\n\n\n\n
Vesel\u012bbas un soci\u0101laj\u0101 jom\u0101 daudziem pakalpojumiem normat\u012bvajos aktos jau ir noteiktas oblig\u0101t\u0101s izmaksu likmes un izpildes standarti, t\u0101d\u0113\u013c konkurence p\u0113c b\u016bt\u012bbas nenotiek nedz cenas, nedz pakalpojuma satura zi\u0146\u0101, bet pakalpojuma sniedz\u0113ja izv\u0113l\u0113 nereti iz\u0161\u0137iro\u0161a noz\u012bme ir klienta izv\u0113lei un reput\u0101cijas faktoriem.<\/p>\n\n\n\n
LLSA ar\u012b iebilst pret ieceri paredz\u0113t pien\u0101kumu iepirkumu pl\u0101n\u0101 nor\u0101d\u012bt ar\u012b inform\u0101ciju par iepirkumiem, kas notiek nosl\u0113gtu visp\u0101r\u012bgo vieno\u0161anos ietvaros. Universit\u0101\u0161u slimn\u012bc\u0101s visp\u0101r\u012bg\u0101s vieno\u0161an\u0101s tiek pla\u0161i izmantotas, lai nodro\u0161in\u0101tu gatav\u012bbu neprognoz\u0113jam\u0101m situ\u0101cij\u0101m, piem\u0113ram, iek\u0101rtu av\u0101rij\u0101m, specifisku medic\u012bnas ier\u012b\u010du vai medikamentu ieg\u0101dei. 2025. gad\u0101 B\u0113rnu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 tika nosl\u0113gtas 36 visp\u0101r\u012bg\u0101s vieno\u0161an\u0101s, Paula Stradi\u0146a kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 – 78, bet R\u012bgas Austrumu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 – 93. LLSA aicina Saeimas komisiju saglab\u0101t iz\u0146\u0113mumus PIL attiec\u012bb\u0101 uz vesel\u012bbas, soci\u0101lajiem un saist\u012btajiem pakalpojumiem, k\u0101 ar\u012b m\u0101c\u012bbu un prakses nodro\u0161in\u0101\u0161anu, vienlaikus sv\u012btrojot normu par pien\u0101kumu iepirkumu pl\u0101n\u0101 iek\u013caut visp\u0101r\u012bgo vieno\u0161anos ietvaros veiktos iepirkumus. Asoci\u0101cijas ieskat\u0101, tas \u013cautu saglab\u0101t nepiecie\u0161amo r\u012bc\u012bbas br\u012bv\u012bbu slimn\u012bc\u0101m un izvair\u012bties no nepamatota birokr\u0101tisk\u0101 sloga pieauguma.<\/p>\n\n\n\n
Konteksts. Publisko iepirkumu reformas rezult\u0101t\u0101 bija paredz\u0113ts atteikties no nacion\u0101l\u0101 l\u012bme\u0146a mazajiem iepirkumiem, saglab\u0101jot tikai Eiropas Savien\u012bbas (ES) l\u012bmen\u012b noteiktos publisko iepirkumu sliek\u0161\u0146us \u2013 143 000 eiro prec\u0113m un pakalpojumiem un 5,538 miljoni eiro b\u016bvdarbiem. Tom\u0113r gatavojot likumprojektu 3. las\u012bjumam Saeima Bud\u017eeta un finan\u0161u (nodok\u013cu) komisija ir l\u0113musi ieviest jaunu \u201cvienk\u0101r\u0161otu iepirkumu\u201d regul\u0113jumu no 20 000 eiro prec\u0113m un pakalpojumiem un 30 000 eiro b\u016bvdarbiem, vienlaikus samazinot l\u012bdz\u0161in\u0113jo 2. pielikum\u0101 noteikto pakalpojumu slieksni, kas l\u012bdz \u0161im bija 42 000 eiro, bet atsevi\u0161\u0137\u0101m pakalpojuma grup\u0101m, t.sk. vesel\u012bbas, soci\u0101lajiem un saist\u012btajiem pakalpojumiem 750 000 eiro.<\/p>\n","protected":false},"excerpt":{"rendered":"
Latvijas Lielo slimn\u012bcu asoci\u0101cija (LLSA) nos\u016bt\u012bjusi v\u0113stuli Saeimas Bud\u017eeta un finan\u0161u (nodok\u013cu) komisijai. V\u0113stul\u0113 pausts, ka LLSA kopum\u0101 atbalsta Publisko iepirkumu likuma (PIL) reformu un taj\u0101 paredz\u0113tos risin\u0101jumus birokr\u0101tijas mazin\u0101\u0161anai, ta\u010du nor\u0101da, ka atsevi\u0161\u0137\u0101s jom\u0101s pied\u0101v\u0101tie groz\u012bjumi, pret\u0113ji reformas m\u0113r\u0137im, b\u016btiski palielin\u0101s administrat\u012bvo slogu slimn\u012bc\u0101m.<\/p>\n","protected":false},"author":1936,"featured_media":26938,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[396,33,49],"tags":[],"_links":{"self":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26937"}],"collection":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/users\/1936"}],"replies":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26937"}],"version-history":[{"count":1,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26937\/revisions"}],"predecessor-version":[{"id":26939,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26937\/revisions\/26939"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/media\/26938"}],"wp:attachment":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}