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"justification": [
"Hankittava palvelu on tosiasialliselta luonteeltaan ensihoitopalvelua, ja siten kyseess\u00e4 on eritt\u00e4in merkitt\u00e4v\u00e4, kansalaisten henke\u00e4 ja terveytt\u00e4 ja siten perustuslain 7 \u00a7:n mukaista oikeutta el\u00e4m\u00e4\u00e4n turvaava palvelulaji, jolloin Hankintayksik\u00f6n tulee kaikin mahdollisin lains\u00e4\u00e4d\u00e4nn\u00f6n suomin keinoin pyrki\u00e4 turvaamaan palvelun saatavuus, jatkuvuus ja kest\u00e4vyys kaikissa mahdollisissa, odottamattomissakin tilanteissa.",
"",
"T\u00e4ll\u00e4 hetkell\u00e4 Suomessa, ja siten my\u00f6s Keski-Suomen maakunnassa vallitsee Eduskunnan hyv\u00e4ksymill\u00e4 valmiuslain k\u00e4ytt\u00f6\u00f6nottoasetuksilla vahvistettu poikkeustila koronaviruspandemian johdosta. Pandemia ja sen aiheuttamat muutokset johtanut sosiaali- ja terveyden-huollossa, ja siten my\u00f6s Hankintayksik\u00f6n toiminnassa tilanteeseen, johon huolellisesti toimiva hankintayksikk\u00f6 ei ole voinut kohtuudella ennalta varautua.",
"",
"Valmiuslain 1552\/2011 useilla eri k\u00e4ytt\u00f6\u00f6nottoasetuksilla on m\u00e4\u00e4r\u00e4t-ty muun muassa kunnan oikeudesta poiketa terveydenhuollon kiireett\u00f6m\u00e4n hoidon m\u00e4\u00e4r\u00e4aikojen noudattamisesta ja sosiaalihuollon palvelutarpeen arvioinneista (valtioneuvoston asetukset 127 ja 174\/2020), sosiaali- ja terveydenhuollon henkil\u00f6st\u00f6n valmiuslain 95 \u00a7:n ty\u00f6velvoitteesta (valtioneuvoston asetukset 139 ja 177\/2020). T\u00e4m\u00e4nhetkiset, muun muassa edell\u00e4 mainituin valmiuslain k\u00e4ytt\u00f6\u00f6n-ottoasetuksin vahvistetut poikkeustoimet ovat voimassa 13.5.2020 asti, mutta on eritt\u00e4in ilmeist\u00e4, ett\u00e4 niiden ennalta arvaamattomat vaikutukset Hankintayksikk\u00f6\u00f6n ovat huomattavasti pitk\u00e4aikaisemmat kuin t\u00e4m\u00e4nhetkisten poikkeustoimien voimassaoloaika. Poikkeustoimien lopullinen kesto voi olla my\u00f6s huomattavasti pidempi kuin mit\u00e4 niiden kestoksi on t\u00e4ll\u00e4 hetkell\u00e4 valtioneuvoston asetuksin m\u00e4\u00e4ritetty.",
"",
"Edell\u00e4 mainittujen asetusten vaikutusten johdosta, mutta ei kuitenkaan niihin rajautuen, Hankintayksikk\u00f6 on joutunut priorisoimaan toimintaansa huomattavasti pandemian aiheuttaman poikkeustilanteen johdosta erityisesti hoitotoiminnan osalta. Ennalta arvaamattoman poikkeustilanteen johdosta Hankintayksik\u00f6n ensihoitopalveluista vastaavilla ei ole resursseja, eik\u00e4 ole ollut edes teoreettista mahdollisuutta varautua ensihoitopalvelutuottajan mahdolliseen vaihdokseen. Lis\u00e4ksi, kuten on jo aiemmin viitattu, kansalaisten henke\u00e4 ja terveytt\u00e4 uhkaavassa poikkeustilanteessa ensihoitopalvelun tehokas ja luotettava saatavuus korostuu tavanomaistakin voimakkaammin.",
"",
"Hankintayksik\u00f6n tarkoituksena on solmia sopimus nykyisen palveluntuottajan, Sairaankuljetus T&K \u00c5kerman Oy:n kanssa 30.11.2021 asti."
]
}
},
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"dateCreated": "2020-05-06T11:36:49.9398858",
"dateModified": "2020-05-07T07:00:27.5510792"
}