A doctor receives a phone call from Catania from a Milanese temporary agency to find out if he is available to vaccinate the citizens of a Calabrian health company. It sounds like the beginning of a joke but, if it is, it requires strong antibodies to black humor. Starting from 4 January, the extraordinary commissioner for the pandemic emergency, Domenico Arcuri, has instructed the main employment agencies (Apl, in abbreviation) to select the personnel necessary for the anti-Covid campaign, that of the 1500 primrose-shaped gazebos designed by the archistar Stefano Boeri.
It is not a real recruitment as the Apl are used to do. The 534 million euro contract, 25 million of which in agency fees, consists in collecting the names of the members of the portal (personalvaccini.invitalia.it), verify identity and registration in professional registers and proceed to telephone interviews with candidates. In technical terms, agencies are screening and not recruiting.Eventually, three thousand doctors should be hired for 6,538 euros per month and twelve thousand nurses and health assistants for 3,077 euros. The commitment period for vaccinations, with a contract in derogation from the Jobs act, is projected over nine months. This is the interval calculated optimistically by the government plan as necessary to arrive at a satisfactory coverage of the national territory.
Some unions have wondered what reason is there to pay the Apl for a job that regions and health companies could do for free and to a large extent they are already carrying out in support of the Apl. Among the perplexed there would also be the State Accounting Office which, however, the men of Invitalia claim they have never heard.
The declared objective of the Arcuri structure, which has strictly forbidden the winning companies any relationship with the press, taking all official communications to itself, is to skip the quicksand of bureaucracy to make the vaccination system more efficient and rapid. , although at this time the same health care staff who offered to vaccinate do not know if they will be able to complete their vaccine boosters.
Invitalia proposes and Big Pharma disposes. It is not Arcuri’s fault that Pfizer or Astra Zeneca have announced delays in supplies like any branch of the land registry, attracting the ire and threats of legal action by the super commissioner and pushing him to invest 81 million in the self-sufficient vaccine ReIthera ..
Yet it seems strange that, as the first official anniversary of the Cov-Sars-2 invasion approaches, the only response to the collapse of public health is, once more, the use of privately held companies paid for with state funds. While everyone is now saying that we need to return to investing in the public with NextGenerationEu funds, the message is: yes, but not now.
THE PREVALENCE OF THE DOCTOR
The staffing requirement for the February vaccination campaign, established by regions and health authorities, is 2,600 units who are completing medical examinations and will be sent to the principals from the beginning of the month. At the moment, about 26,000 professionals out of the 15,000 required have registered on the Invitalia portal and applications can be submitted for all nine months of the campaign. The curricula, with the choice of the regions where you want to operate, are automatically transferred from the portal to the Apl and indicate a massive prevalence of doctors compared to nurses, closer to full employment. This will require a reshaping of the forces in the field so as not to compete with health facilities, even if the inversion of the numerical ratio – for example, with twelve thousand doctors and three thousand nurses – would pose the problem of a greater outlay.
The cases of professionals available to carry out the vaccination campaign for free are faced with the alternative of receiving the remuneration and donating it or being reported by the Apl to the health facilities for voluntary work through the automatic system governed by the commissioner. In addition to this, the Apl exchanges data with the commissioner, always automatically. It doesn’t seem like a 25 million euro job. If they call all 26 thousand, that’s almost a thousand euros per phone call.
THE SERIES HEADS
The call for tender, 44 pages with the stamp of the presidency of the council and the super commissioner, saw the participation of eleven companies. The maximum number of winners was five, one per territorial macro lot. However, there was the possibility of associating with other companies. Thus the magnificent five (Manpower, Randstad, Gi group, Etjca, Umana) are actually magnificent seven thanks to the temporary business grouping (Rti) system that united Etjca with the Roman company Orienta and Umana with the Italian branch of the French Synergie . It is not technically a subcontract but it has served to keep none of the major Apl active in Italy on the street.
The geographical setting of the Invitalia call is not based on the principle of territorial contiguity, if not by chance coincidence. The sunniest case of this oddity is the lot touched to Umana, controlled by the Lb holding of the mayor of Venice Luigi Brugnaro. Umana touched Sicily, Tuscany, Abruzzo, the province of Bolzano. None of these territories borders on another even if a Marina di Massa doctor might find it easy to cross the northern border to vaccinate in Lerici.
The system, which resembles that of the top seeds in football tournaments, is explained by the announcement. «The autonomous regions / provinces have been graded in descending order based on the estimated number of people to be vaccinated within each autonomous region / province. The autonomous region / province with the highest number of people to be vaccinated was included in territorial area 1, the following autonomous region / province in 2, the third in 3, the fourth in 4, the fifth in 5, the sixth again in territorial area 1 and so on “.
In this way, the first classified APL follows the area in which presumably the greatest number of anti Sars-Cov-2 vaccines will be administered. The macrolotti present a notable difference in terms of inhabitants. The macro-region entrusted to Manpower Italia has 17 million inhabitants in Lombardy, Emilia Romagna, Sardinia, Umbria and Valle d’Aosta. It is exactly double the population managed by the RTI between the Milanese Etjca and the Roman Orienta.
The award criterion was followed by that of the most economically advantageous offer based on the best value for money. But in the final calculation of the score, the quality weighed 95 out of 100 and the price, that is the auction discount compared to the 25.4 million available for agency rights, only 5.
This being the case, and with an additional limit set in annual revenues of no less than 50 million euros, it was natural that the giants of the sector would prevail. Manpower Italia, which the Milwaukee-based multinational controls through the Danish Experis, had the largest lot with two key regions such as Lombardy and Emilia Romagna, plus Umbria, Sardinia and Valle d’Aosta. In second place is another company with foreign capital, Randstad, controlled by a holding of the same name in Luxembourg, which has conquered Lazio, Piedmont, Liguria and the province of Trento (12.4 million inhabitants).
HOLY LAND AND NOBILITY
The third lot (Campania, Puglia, Marche, Basilicata for 11.9 million residents) was conquered by Gi Group, controlled by the Scl holding of Stefano Colli Lanzi and his wife Chiara Violini. Scl is a giant in the sector with a consolidated turnover of 2.53 billion, almost 50,000 employees and hundreds of branches in every corner of Europe, South America, India, Russia and the People’s Republic of China.
Already a lecturer at the Carlo Cattaneo University and today at the Cattolica in Milan (business management), Colli Lanzi is 57 years old but has sensed the potential of temporary work since 1986 when he followed Don Luigi Giussani, founder of Communion and Liberation, in his pilgrimage to the Holy Land together with other loyalists of CL such as the entrepreneur Antonio Intiglietta and Giancarlo Cesana, doctor and future president of the Ircss Ca ‘Granda foundation, that of the Milan Polyclinic.
The fourth lot went, as we said, to Umana di Brugnaro (754 million in revenues and 29 in profit in 2019). Re-elected mayor with the center-right in the first round last September, Brugnaro entrusted his activities and his share package to the US trustee (trustee) Ivan Anthony Sacks to separate politics and business management. The owner of Reyer Venezia basket will have to select doctors and nurses in Sicily, Tuscany, Abruzzo and the province of Bolzano for a total of 10.5 million inhabitants. The fifth and last lot (Veneto, Calabria, Friuli Venezia Giulia and Molise) went to the Milanese-Roman duo between Etjca, controlled by Guido Crivellin, Carlo Massimo Sarni and the Etabeta trust. Orienta, an associate of Etjca, is in the hands of a partnership (Givabia di Giuseppe Biazzo) with other prominent shareholders in the Italian noble Gotha such as Andrea Torlonia and the counts Giulio and Ugo Campello. The nobility is not temporary.
Source: L'Espresso – News, inchieste e approfondimenti Espresso by espresso.repubblica.it.
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