“Primary provider”: Klinikum Erding has to put the plan on hold due to lack of money and federal politics

Created: 12/14/2022, 06:00

By: Hans Moritz

Things are not going well financially at the Erding Clinic.

Nevertheless, the district wants to invest around ten million euros in the coming year.

© Hans Moritz

The Klinikum Erding will probably not become a "main provider" for the time being.

Reasons are the desolate financial situation and the hospital reform plans.

Erding

– district and clinic are not pursuing their ambitious goal of becoming the “main provider” in the hospital landscape for the time being.

That said Director Dr.

Dirk Last in the district committee.

He gave two reasons for this in the budget debate: on the one hand the desolate financial situation - 15 million euros deficit this year, 16 million euros expected in 2023 - on the other hand the hospital reform plans of Federal Health Minister Karl Lauterbach (SPD).

He now wants a three-tier structure: local, primarily outpatient hospitals, regional and maximum care providers.

"Our goal is to remain in the second tier in any case," says Last, namely - as before - basic and regular suppliers.

Everything else is illusory at the moment, said District Administrator Martin Bayerstorfer (CSU).

As the main reasons for the imbalance, he once again named the consequences of the corona pandemic, which have not been compensated for since the summer, as well as the limited operation due to a lack of staff.

Things don't look any better for 2023: Personnel costs alone will increase from 62.4 to 69 million euros - "and without any increase in jobs", as Bayerstorfer regretted.

According to Last, the plans to become a key provider are "a long way off".

What that means for the pediatric department that has been desired for years was not discussed.

"But we want to continue to adhere to the claim that no patient has to leave the district."

That's why you stick to the pain therapy in Erding.

Last announced a "realignment of our competencies".

A concept should be in place by July.

A first meeting of the chief physicians was scheduled for Monday evening.

Only the atmosphere was comfortable: the group gathered in the farmhouse museum.

The hospital director pointed out areas such as the emergency room or obstetrics, which would always remain in deficit.

Bayerstorfer made it clear that both departments were not available, "even if delivery rooms are closed in turn - not with us".

Nevertheless, the district will invest a lot of money in the clinic in 2023, including 7.8 million euros for new construction and conversion work at the Erding and Dorfen locations and 2.03 million euros for medical technology and IT.

Last still has one hope: Lauterbach has announced that it will reform hospital financing so that more money is available to hospitals, for example for emergency rooms.

This is one of the reasons why the draft budget has not yet been approved, but only acknowledged by the committee.

"We hope that more reliable figures will be available at the beginning of 2023," says Bayerstorfer, "and more money from the federal government for the clinic".

The budget is not to be decided until the first quarter.

But there is not much savings potential in the 275 million euro figures – 222.6 in the administrative budget and 52 in the property budget.

Because, above all, politics cannot turn the biggest screws.

High rates of increase are recorded, for example, in youth welfare with a need for grants of EUR 23.5 million – EUR 2.8 million more than this year – and in the social sector with EUR 31.7 million (up EUR 3.6 million).

6.2 million euros flow into public transport.

It was 4.95 million euros this year.

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Because more and more refugees are coming - according to the district administrator, there are currently 2,300, almost 1,000 more than in the first wave of 2025/16 - and the new citizen income has to be implemented and the youth welfare office has more and more work to do, 29 new jobs have to be created.

Only half are shown in the household, "because it is unlikely that we will be able to fill all the positions," says Bayerstorfer.

And for the existing staff, a five percent wage increase is priced in – without the planned better civil servants' salaries and inflation compensation.

Over seven million euros have already been saved because all (construction) projects that have not yet started have been canceled from the budget for the time being.

Mayor spokesman Hans Wiesmaier (CSU) praised the savings efforts, but pointed out that many communities are still financially overwhelmed.

The district levy - the money that the municipalities have to pay to the district - has doubled in the past ten years.

According to Wiesmaier, many municipalities do not know how to set up their budgets.

January will show whether there will be further cuts.