FLASH
Shkruar nga Pamfleti
The Supreme Audit Office finds numerous violations at the Fier Memorial Hospital...
The Fier Memorial Hospital has become a hotbed of abuse. The Supreme State Audit Office has completed an audit of this hospital for the period 2021-2023 and has found endless violations.
The irregularities are associated with financial effects on the state budget, where 3,338,561 lek compensation and 28,857,448 lek of ineffective and inefficient expenditures have been requested. So in total, there are approximately 30 billion old lek wasted.
Irregularities have resulted in the field of procurement, in the registration and inventory of assets, in the accounting of bank accounts, in the procedures followed for budget implementation and the quality of internal audit, etc.
What is striking is that a lot of money has gone into the pockets of Turkish doctors in violation of Albanian laws. According to the Supreme Audit Office, Turkish doctors receive money for accommodation, laundry and food. But the payments were made in violation of VKM 660, dated 03.11.2021, where in Article 5 it is determined that the Albanian side only assumes the costs of accommodation and not food and laundry.
Of the total expenses that the Hospital has paid for accommodation and food expenses for the years 2021, 2022, 2023 for Turkish medical staff, the following expenses were found:
So, 624 million new lek have been spent in three years just to accommodate the Turks. But there are also abuses with the fuel they use.
" For 2021, the Services Sector has not in any case planned the approximate movements of vehicles for the movements of Turkish medical staff from Rinas Airport to the Hotel, SRMF and vice versa, as well as the daily movements from the Hotel to SRMF in order to achieve the best possible management and planning of fuel consumption with economy, efficiency and effectiveness. The lack of records for vehicle movements, as well as the irregularities noted in the authorization documents by the responsible person and the vehicle drivers, and the travel sheets for their movement and travel sheets not being signed, prove that the recording of data is unreliable and the accuracy of the records kept is lacking. From the documentation kept in the warehouse journal for the fuel consumption of rental cars and ambulances, it is concluded that the registrations were carried out in a non-chronological manner ", emphasizes the SAI.
It is also found that for the period May 2021-December 2023, 250 Turkish employees were employed in the "Nurses" profession, who are not licensed by the Nursing Order in our country.
" Based on Albanian legislation, every foreign citizen who practices the profession of doctor and nurse in the Republic of Albania must be licensed by the Order of Doctors and the Order of Nurses. Turkish doctors and nurses are not licensed in their country, as the licensing procedure for medical staff is not recognized in the Turkish state. Part of the Protocol drafted between the Albanian and Turkish sides is the obligation of the Albanian side to cooperate with the relevant orders for issuing permits to practice the profession for all Turkish medical professionals ," the SAI emphasizes.
Payments of Turkish and Albanian employees
Payments of Turkish and Albanian employees are made in accordance with the Council of Ministers' Decision No. 555, dated 11.08.2021, as amended. Referring to Annex 10 of the Council of Ministers, the remuneration of employees assigned by the Turkish side to the SRMF as medical personnel as well as in the positions of "Hospital Manager in university and regional hospitals" has been determined, which results in the gross salaries of Albanian staff ranging from 77,800 -168,000 lek, while the gross salaries of Turkish staff (including the bonus, which is dependent on the positions of 205,000-300,000 lek) are at the level of 282,800-468,000 lek.
" There are differences in salaries compared to Albanian staff for the same job positions. This differentiation and preferential behavior can lead to dissatisfaction accompanied by a decrease in work performance and service to patients on the Albanian side. The above actions are contrary to the Labor Code ", emphasizes the SAI.
Problems
-Incorrect entries in the warehouse journal reflecting the unreal state of inventories and incorrect provision of evidence and registers. In the Financial Statements of 2021, account 218 “Economic Inventory” with the value of 55,377,721 lekë is not presented with the real amounts. From the supporting documentation it is established that some assets have not been registered in the asset register
-From the hospital waste register, the amount administered since the end of the 2023 framework agreement for the period 01.04.2024-15.07.2024 is 6594 kg, from the field verification of their collection and administration, the separation according to the relevant type and category has not been carried out. The Fier Memorial Regional Hospital, in its capacity as a producer of hospital waste, has collected and stored infectious hospital waste, exceeding the legal deadline of 45 days.
-The Fier Memorial Regional Hospital, for the 3 main services of hospital management and in function of hospitalized patients for a period of 4 months, has not provided the Laundry Service, the Hospital Waste Treatment and Disposal Service and the Food Cooking and Distribution Service, for which the procurement procedures have not been carried out.
-In the preparation of the Statements of the MTBP (2024-2026) and the explanatory report on the planning of expenses and income, real budget requests were not presented according to the Directorates/departments/wards. In the implementation of the budget, expenditure overruns were found, and investments were made with budgetary funds and from income generated without approval from the Board of Directors. The audit team found that computer and medical equipment were purchased with the financing of the FSDKSH. The evidence of expenses and income does not reconcile with the expenses found in the bank and cash register. Contracts were concluded without having funds available.
-In the Financial Statements, deficiencies were found in the recording of accounting data for income accounts, expenses for salaries and severance pay, social and health insurance, accounting does not match the data according to the supporting documents, where the generated income was not recorded based on the method of established obligations and rights.
-In the procurement procedure "Laundry Service", the working group for calculating the limit fund is based on similar contracts executed by other Contracting Authorities. Specifically, the CA referred to the service contract no. 3983/3 prot., dated 19.08.2015 of the "Mother Teresa" QSU Tirana and not the current service contract, with a difference with the calculated value of 315,299 lek over the limit fund.
-The "Memorial" Regional Hospital in Fier has made a payment to Turkish personnel in the amount of 1,000 lek/day for food service, totaling 9,310,000 lek for the period 01.05.2022-31.12.2022.
-From the audit of the procurement procedure with the object: "Purchase of general medical materials for hospital needs", it resulted that the value of the limit fund from 10,689,340 lek excluding VAT calculated in the canceled procedure was procured after a period of about 3 months at the value of 13,705,188 lek excluding VAT, which was not argued by the working group for calculating the contract value. Therefore, the value of 3,015,848 lek excluding VAT has brought a negative financial effect to the SRMF budget.
-From the audit conducted on fuel expenses for the years 2021-2023, deficiencies were found in the recording of their movements, both in the authorization documents and in the justification documents, travel sheets, work orders, etc. were not signed by the responsible persons and vehicle drivers. According to the consumption norms and distances/km described, unjustified excesses in the amount of fuel for 10,599 liters were recorded, as well as a 1,700 liter difference in fuel consumption for rented cars that were declared as new but are in fact used and the actual norm is higher, as a result, economic damage was caused to SRMF in the amount of 2,123,085 lek. /Pamphlet
Lini një Përgjigje