After the audit at Klaipeda City Outpatient Clinic – shock

Who will answer for everything?

The mayor of the port city Arvydas Vaitkus does not hide that he was shocked after the audit of Klaipeda City Outpatient Clinic.

« Most of all, I got caught that this treatment facility, which is very important for the people of the city, was nobody cared for decades. The premises are tragically neglected, the average age of family doctors over 70 years, there is no advanced technique that would be used for treatment processes.

In recent years, Mr Vaitkus has been puzzled by some members of the city council’s urgent desire to build a new building of the Maritime Outpatient Clinic without solving the biggest outpatient clinic problems.

There was even a proposal to demolish the seven -storey outpatient clinic on Taikos Avenue.

After the audit report of Klaipeda City Outpatient Clinic, the incredible negligence in this institution was revealed.

Therefore, it is not excluded that some people really had to want to abolish this institution so that the documents one day, according to the mayor, would simply disappear like the water and no one would ends.

« When I hear questions today from the opposition: how do this outpatient clinic here? I call it cynicism of people who have to answer for at least the last four years when they were in power. It really had time to look at the outpatient clinic, but it was not focused.

The mayor does not hide that when the new outpatient clinic has started to work, it was first and foremost to make sure that the bricks that barely hold from the facade of the building were to be picked to prevent people from falling on their heads.

« Who will be responsible for everything now? We cannot charge the new manager responsibility for the violations he has not committed. We need to talk about those persons who worked there. I think the guilty will have to answer. I’m talking about the so -called patch scandal and bribery, ”the mayor emphasized.

A. Vaitkus believes that we will soon see the likelihood of recovering almost one third of a million euros for illegally issued expensive patches.

Volume: Klaipeda Municipal Controller D. Čeporiūtė assured that the audit service of this size had not yet been carried out. / Photo by Vytautas Liaudanskis

Abused for four years

Jonas condition of the new Klaipeda City Outpatient Clinic, which took office in the institution from 2024. At the end of February, it was overwhelmed when, exactly a year ago, the territorial sickness funds received a news that the institution would have to repay it for nearly a third of a million euros.

Such an amount, as suspected, was illegally depleted by the outpatient clinic physicians who prescribed hydrocolloid patches in patients, which they did not even need.

Hydrocolloid patches are needed to treat chronic ulcers and bedsores – they seem to close the wound, retain moisture and ensure wound healing.

It all started when relatives of one patient e. In health, he noticed that their loved one had a expensive patch that he did not need and did not buy him.

The territorial sickness fund (ICD) was then contacted and then the Financial Crime Investigation Service.

The study revealed that the total amount was to recover – 300 thousand. which the ICD requires to return to the outpatient clinic.

The loss was caused during 2019-2022.

« The current outpatient clinic’s leadership is a huge job on the shoulders – to correct the mistakes of former executives, which amounts to hundreds of thousands of euros. It is not known whether the legal process will end. It is unclear whether the outpatient clinic will have to litigate and pay offset funds or the LLK. »

Exceptional scope

The patches of the case was only one evil from all that was found after a comprehensive audit at Klaipeda City Outpatient Clinic.

The municipal controller Daiva Čeporiūtė did not hide that the audit report of the outpatient clinic was exceptionally high and the audit was carried out for nine months.

« The audit was very complex because the calculation of the wage and the salary calculation is different from other budgetary institutions, we appreciated the queues of up to half a million patients waiting for admission to the doctors.

Most of all, I was caught that this treatment facility, which is very important in the people of the city, was nobody cared for decades.

The auditors also encountered many other difficulties.

« During the audit, we could not evaluate the intensity of expensive medical devices (4 diagnostic ultrasound medical equipment), as the registration logs performed were not conducted, but in cases, separate leaves that do not contain information (it is not clear what year, the month and day), » the report said.

The auditors also failed to find out the management of patient waiting queues, as not all patients’ visits were registered in the institution’s information system and paper registration logs were not provided because they were not preserved or not all information was recorded.

« We apply audit restrictions in cases where we do not receive certain documents. We did not ask anyone because they are no longer there, they are no longer working in the institution, » said D. Čeporiūtė.

Doubtful transparency status

Outpatient Clinic since 2022 is included in the list of transparent personal health care institutions, but the office had to be overstated and included in the list of the former head of the unit to the former head of the unit to a list of personal health care facilities with risk factors for corruption.

The plan for corruption risk management measures should also have been drawn up. It was not done.

« The Klaipėda City Outpatient Clinic did not account for the amount of the provisions of EUR 357,000 in financial statements on December 31, 2024 (…) the financial result of the activities of retirement age workers.

The auditors also performed the monitoring of two family physicians one -day patients. Systems have been found to have incorrect data on the number of patients visited.

« For one doctor’s visits, two patients were registered twice and 13 visits were registered by the doctor himself, without following the established procedure for referral to the outpatient clinic, which did not provide for such patients. cabinet door, ”the auditors recorded.

« In some cases, the doctor’s working hours was even up to 10 p.m. legal institutions, ”assured D. Čeporiūtė.

And that’s not all, 2022. For eleven months, the wages of the outpatient clinic were allowed to withdraw their cash at the box office of the outpatient clinic, which is not provided for by law.

Arvydas Vaitkus / Vesta Jašinskaitė photo

« Run as far as possible »

Klaipeda City Outpatient Clinic has been led by J. Conditions for a year and three months, a former longtime head of the Seamen’s Hospital.

Following the transformation of the port city hospitals, when several hospitals were merged, J. The condition of Medicine Sciences, which has many experiences, won the Chief of Klaipėda City Outpatient Clinic. a doctor’s competition.

What he saw in the new workplace did not delight the doctor, even the opposite.

« What was the first impression? Run as far away as possible. But I am not running because it is a duty. If I have come to work, I think I have to work. For decades there has been no staff renewal policy or anti -corruption policy. You know about a huge patch scandal. We need to stretch and work.

The institution will have to implement 14 recommendations written by the auditors.

According to the Chief Physician, however, the Health and Social Affairs Committee of the Municipal Council, which was to control the financial situation in the institution, should take direct responsibility for the situation at the Klaipėda City Outpatient Clinic.

« The direct function of the Committee on Health and Social Affairs is to control the activities of the municipal health institutions, to analyze how the budget is carried out, the rationality of the budget use, to make proposals for the improvement of the institution’s activities, » the committee’s head of the Outpatient Clinic quoted the functions of the committee. Doctor J. Condition.