{"id":11120,"date":"2019-11-13T13:44:01","date_gmt":"2019-11-13T12:44:01","guid":{"rendered":"https:\/\/www.vardforetagarna.se\/?p=11120"},"modified":"2019-11-13T13:50:15","modified_gmt":"2019-11-13T12:50:15","slug":"staten-maste-ta-hela-ansvaret-for-personlig-assistans","status":"publish","type":"post","link":"https:\/\/www.vardforetagarna.se\/2019\/11\/staten-maste-ta-hela-ansvaret-for-personlig-assistans\/","title":{"rendered":"Staten m\u00e5ste ta hela ansvaret f\u00f6r personlig assistans"},"content":{"rendered":"\n

Om ekonomiskt tr\u00e4ngda kommuner fram\u00f6ver tvingas ta ett allt st\u00f6rre ansvar f\u00f6r personlig assistans kommer den frihetsreform LSS levererade bli en fr\u00e5ga f\u00f6r kommunala budgetavv\u00e4gningar, skriver Ida Inger\u00f6, V\u00e5rdf\u00f6retagarna.<\/p>\n

Debattartikeln publicerades p\u00e5 Alltinget.se<\/a> 13 november 2019.<\/em><\/p>\n

\n

Det delade huvudmannaskapet f\u00f6r personlig assistans kan l\u00e5ta som en byr\u00e5kratisk petitess. Men som s\u00e5 ofta med byr\u00e5kratiska petitesser riskerar huvudmannaskapet bli den lilla tuva som i grunden f\u00f6r\u00e4ndrar f\u00f6ruts\u00e4ttningarna f\u00f6r att leva med personlig assistans i Sverige.<\/p>\n

Inte av naturen givet<\/strong>
\nL\u00e5t oss ta det fr\u00e5n b\u00f6rjan. Om du har behov av personlig assistans f\u00f6r grundl\u00e4ggande behov som \u00f6verstiger 20 timmar per vecka \u00e4r det staten\u00a0\u2013 genom F\u00f6rs\u00e4kringskassan \u2013 som betalar din assistans. Om de grundl\u00e4ggande behoven understiger 20 timmar landar notan hos din hemkommun.<\/p>\n

Det b\u00f6r i sammanhanget noteras att den som har r\u00e4tt till personlig assistans f\u00f6r grundl\u00e4ggande behov ocks\u00e5 har r\u00e4tt till assistans f\u00f6r andra behov \u2013 exempelvis att ta sig till jobbet eller delta i fritidsaktiviteter.<\/p>\n

Men vad som utg\u00f6r ett grundl\u00e4ggande behov \u00e4r inte av naturen givet, utan tv\u00e4rtom n\u00e5got som kan f\u00f6r\u00e4ndras av s\u00e5v\u00e4l domslut som politiska beslut.<\/p>\n

Oro kring lagen<\/strong>
\n\u00c5r 2009 d\u00f6mde H\u00f6gsta f\u00f6rvaltningsdomstolen till Lule\u00e5 kommuns f\u00f6rdel och avslog r\u00e4tten till personlig assistans f\u00f6r hj\u00e4lp med m\u00e5ltider, eftersom det inte ans\u00e5gs vara av ett s\u00e5dant personligt och integritetsk\u00e4nsligt slag att det skulle beaktas vid bed\u00f6mningen av r\u00e4tten till assistans.<\/p>\n

Sedan dess har det g\u00e5tt tio \u00e5r, och nu p\u00e5g\u00e5r en politisk process kring sondmatning. Fr\u00e5n flera remissinstanser f\u00f6r det lagf\u00f6rslag som regeringen skickat ut p\u00e5 remiss (vilken ska besvaras senast 9 december) har det h\u00f6rts en oro f\u00f6r att lagen kommer att bekr\u00e4fta H\u00f6gsta f\u00f6rvaltningsdomstolens beslut.<\/p>\n

D\u00e4rmed, menar flera remissinstanser, smalnas \u201dgrundl\u00e4ggande behov\u201d av s\u00e5 att allt f\u00e4rre assistansber\u00e4ttigade kommer upp i 20 timmar per vecka och f\u00e5r r\u00e4tt till statlig assistansers\u00e4ttning.<\/p>\n

Underskott<\/strong>
\nI oktober presenterade Sveriges kommuner och landsting (SKL) sin bild av det ekonomiska l\u00e4get i landets kommuner. En tredjedel av kommunerna ber\u00e4knas g\u00f6ra underskott 2019, och budgetavvikelserna ligger i stor utstr\u00e4ckning inom individ och familj, hemtj\u00e4nst, s\u00e4rskilt boende och funktionshinderomr\u00e5det.<\/p>\n

F\u00f6rlita sig p\u00e5 kommunen<\/strong>
\n2018 beslutade regeringen om ett tillf\u00e4lligt stopp f\u00f6r de s\u00e5 kallade tv\u00e5\u00e5rsompr\u00f6vningarna, som inneb\u00e4r att en assistansber\u00e4ttigad vartannat \u00e5r genomg\u00e5r en pr\u00f6vning f\u00f6r att man ska kunna fastst\u00e4lla om assistansbehovet kvarst\u00e5r.<\/p>\n

N\u00e4r dessa \u00e5terupptas kan en f\u00f6r\u00e4ndrad lagstiftning eller r\u00e4ttspraxis kring definitionen av grundl\u00e4ggande behov komma att leda till att fler assistansber\u00e4ttigade landar under gr\u00e4nsen f\u00f6r statlig assistans och d\u00e4rmed f\u00e5r f\u00f6rlita sig p\u00e5 kommunen.<\/p>\n

Ers\u00e4ttningen r\u00e4cker inte<\/strong>
\nDen statliga schabloners\u00e4ttningen f\u00f6r personlig assistans ligger under \u00e5r 2019 p\u00e5 knappt 300 kronor och r\u00e4knas inf\u00f6r 2020 upp med 1,5 procent, vilket understiger kostnads\u00f6kningen f\u00f6r kollektivavtalade l\u00f6ne\u00f6kningar.<\/p>\n

Men detta g\u00e4ller enbart den assistansers\u00e4ttning staten betalar. Kommuner har r\u00e4tt att s\u00e4tta sitt eget timpris p\u00e5 den assistans de betalar f\u00f6r, vilket slogs fast i H\u00f6gsta f\u00f6rvaltningsdomstolen \u00e5r 2016.<\/p>\n

Allt fler kommuner v\u00e4ljer att g\u00f6ra s\u00e5. Fr\u00e5n flera h\u00e5ll i landet h\u00f6r vi nu om assistansanordnare som tvingas tacka nej till kunder f\u00f6r att kommunens ers\u00e4ttning inte r\u00e4cker f\u00f6r att anst\u00e4lla kompetent personal och ge dem rimliga arbetsvillkor.<\/p>\n

Statens ansvar<\/strong>
\nD\u00e4rf\u00f6r \u00e4r fr\u00e5gan om det delade huvudmannaskapet f\u00f6r personlig assistans s\u00e5 viktigt.\u00a0Om ekonomiskt tr\u00e4ngda kommuner fram\u00f6ver tvingas ta ett allt st\u00f6rre ansvar f\u00f6r personlig assistans kommer den frihetsreform LSS levererade bli en fr\u00e5ga f\u00f6r kommunala budgetavv\u00e4gningar.<\/p>\n

Politiker som v\u00e4rnar frihetsreformen m\u00e5ste renodla huvudmannaskapet s\u00e5 att staten tar hela ansvaret.<\/p>\n","protected":false},"excerpt":{"rendered":"

Om ekonomiskt tr\u00e4ngda kommuner fram\u00f6ver tvingas ta ett allt st\u00f6rre ansvar f\u00f6r personlig assistans kommer den frihetsreform LSS levererade bli en fr\u00e5ga f\u00f6r kommunala budgetavv\u00e4gningar, skriver Ida Inger\u00f6, V\u00e5rdf\u00f6retagarna. Debattartikeln publicerades p\u00e5 Alltinget.se 13 november …<\/p>\n","protected":false},"author":5549,"featured_media":11080,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[20],"tags":[],"article_type":[9],"agreement":[],"for-members":[],"class_list":["post-11120","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-personlig-assistans","type-debattartiklar"],"acf":[],"yoast_head":"\nStaten m\u00e5ste ta hela ansvaret f\u00f6r personlig assistans - V\u00e5rdf\u00f6retagarna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vardforetagarna.se\/2019\/11\/staten-maste-ta-hela-ansvaret-for-personlig-assistans\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Staten m\u00e5ste ta hela ansvaret f\u00f6r personlig assistans - V\u00e5rdf\u00f6retagarna\" \/>\n<meta property=\"og:description\" content=\"Om ekonomiskt tr\u00e4ngda kommuner fram\u00f6ver tvingas ta ett allt st\u00f6rre ansvar f\u00f6r personlig assistans kommer den frihetsreform LSS levererade bli en fr\u00e5ga f\u00f6r kommunala budgetavv\u00e4gningar, skriver Ida Inger\u00f6, V\u00e5rdf\u00f6retagarna. 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