In the Region, there's a dispute over the appointment of general managers of healthcare companies (President Todde has called a majority meeting for 6 p.m.), and emergency rooms are collapsing under the pressure of an uncontrollable influx of patients . And then there are those who must try to keep healthcare functioning, no matter what the situation: "We wish to reassure you clearly and responsibly that all clinical, healthcare, and emergency-urgent activities are continuing as normal, in full compliance with the standards of quality, safety, and appropriateness of care that have always distinguished our hospital," wrote the directors of the clinical departments at Brotzu, the largest hospital in Sardinia.

In this phase of administrative chaos, while politicians are botching reforms and procrastinating on solutions, they send an open letter to the kind "citizens, patients" and institutions.

Here is the full text.

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As Directors of the Clinical Departments at ARNAS-Brotzu in Cagliari, we feel it is our duty to address you at this time of uncertainty regarding the administrative management of the Hospital. We wish to reassure you clearly and responsibly that all clinical, healthcare, and emergency services are continuing as normal, in full compliance with the standards of quality, safety, and appropriateness of care that have always distinguished our Hospital.

The healthcare staff—doctors, nurses, technicians, and social workers—continue to perform their work with professionalism, dedication, and a spirit of service, ensuring comprehensive patient care throughout the entire diagnostic, therapeutic, and care pathway.

The clinical and care departments operate in a coordinated and continuous manner, ensuring:

• the full functionality of hospital services;

• continuity of care for inpatients and outpatients;

• the correct management of scheduled and non-schedulable activities;

• compliance with clinical procedures and safety protocols.

We are aware of the concerns that an administrative transition phase can generate; however, we wish to emphasize that protecting the health of citizens remains and will remain the top priority for the entire Arnas professional community.

We will continue to carry out our role with a sense of responsibility, transparency, and commitment, collaborating loyally with the relevant institutions to ensure that any management issues are addressed and resolved in the best interests of the National Health Service and its citizens.

We thank the public for their trust and confirm our full availability to guarantee high-quality assistance, listening, and care."

Enrico Fresu

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