The norm establishes a population cervical cancer screening program for women between 25 and 65 years old. It includes 81 new types of products such as breast and face restoration prostheses, hearing aids, hearing implant replacements, wheelchairs or ortho prostheses.

Today the Orders that update Royal Decree 1030/2006 have entered into force and expand the portfolio of services of the National Health System (NHS) with benefits aimed, mainly, at children, women and people with disabilities.

The Autonomous Communities, Ingesa (Ceuta and Melilla) and mutuals of civil servants will have six months to adapt their catalogs to the provisions of the order and adapt to the updating of the portfolio of common services of the SNS.

Screening for cervical cancer

Faced with the screening of sporadic cervical cancer at the request of the woman who was doing so far, the order establishes a population screening program and determines the target population, the characteristics of the screening test and the interval between scans according to the evidence scientific

Screening will be done to women between 25 and 65 years old. Between 25 and 34 years through cytologies every three years, and in the ages between 35 and 65 years through the determination of high-risk human papillomavirus. In this case, if the test is negative, the determination will be repeated at 5 years. If it is positive, a cytology will be performed.

Micropigmentation of breast areola and nipple after breast cancer

Regarding mastectomized women, the order states that micropigmentation of the mammary areola and nipple are part of breast reconstruction in order to guarantee that this benefit is offered homogeneously throughout the National Health System.

Eye reader or other communication systems in people with severe neuromotor disability who can not communicate with their environment.

The new portfolio of services includes providing an eye reader or other communication systems similar to patients with severe neuromotor disorders with involvement of both upper limbs and the impossibility of oral or written communication. This is intended to grant greater autonomy and quality of life to these patients.

These instruments allow communication through interaction with computers through eye movement tracking systems and are especially indicated for people with amyotrophic lateral sclerosis, basilar artery thrombosis, infantile cerebral palsy, head trauma and pontine myelinolysis, with sufficient mental capacity , intellectual, learning and control for its management.

Update of the common ortho-prosthesis catalog of the SNS

The new order details and updates the common catalog of orthoprosthetic provision in relation to prostheses other than those of members.

81 types of products are included. Among them, new types of breast prostheses and facial restoration: nose, ear pavilions, eyeballs and maxillary prosthesis. Also hearing aids: hearing aids and external component replacements of active auditory implants (bone conduction implant, cochlear implant, brainstem and middle ear implant), as well as replacements of external components of surgical implants (external components of the diaphragmatic stimulator or electro-stimulator of the phrenic nerve).

In addition, it increases the age of funding for hearing aids, from the current 16 years, to the 26 years gradually.

It also includes several types of wheelchairs, chassis, splints, corsets, walkers, anti-decubitus cushions, etc. and indications of some existing products are extended (cushions to prevent pressure ulcers, special wheelchairs for active users), thus covering needs that until now were not.

With this Order an equitable orthoprosthetic provision is provided because it establishes a common catalog of orthoprosthetic products for the whole SNS, improved and more updated.

The norm homogenizes the content of the provision throughout the Spanish territory, thus ending the inequalities generated by the different catalogs of the autonomous communities.

In addition, the maximum amounts of financing are adapted to the reality of the market, so that the orthoprosthetic products included in the catalog can be fully financed without the users having to pay additional amounts as it often did up to now.

The Order contemplates the possibility that the user does not have to advance the amount of the products in the case of people with limited economic resources or high-value products, the Autonomous Communities being responsible for defining the procedure for obtaining the orthoprosthetic benefit .

On the other hand, citizen participation in the process is increased as it is included in the Advisory Committee for the orthoprosthetic provision of the SNS, where the Autonomous Communities, INGESA and the Ministry of Health, Consumption and Social Welfare are represented, an expert on proposal of the National Council on Disability, which may convey the requests and concerns of users.

In relation to the regulation of the provision, more guarantees of quality and efficiency are established when establishing requirements for the products, for the prescription, for the dispensation and for the establishments. It also regulates a procedure for inclusion and updating of the products in the offer, which will be telematic, and the products eligible for financing will be identified by means of a code and an identification seal for each product that will allow a better control of the products prescribed and dispensed.

The orthoprosthetic provision is of great importance from the health, social and work point of view because it covers the needs of people with disabilities or who require a functional recovery.

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