through here we have. to go with a reason not this little window where you would get slips to see specialists but today is the day because let's ask for the little fellow this is the direct line q. and a session with soon where live on air so are there any queues in front of some doctors cabinets offices what's your name. marina please tell us about the queues. well you know we make appointments by phone via goes a slow good platform or personally. asked for a children's surgeon for example or what day is the doctor available. you can look in you know. well today.

we give the slopes and people can go well today thursday the 20th of june yesterday. so if i can if i sign up today i can actually go to the surgeon today ok what about a new role just for an ear doctor. yes they will be available today as well so you say you're saying there are no problems. and the specialists are available well there are different situations an influx of patients but the doctors are available. ok so this is really this clinic is situated in a 5 story building so as you can see it just pretty standard. let's go talk to. all of you who is in charge of this facility.

alone not i mean. this is a direct line q. and a with latimer puton so here's the question. some locals were complaining that they couldn't go see a doctor because doctors are unavailable so how many doctors are working here now and how many should there be well yes we do have some problems but to you dr stupidity trisha isn't going to join our team today. and how many people do you have working here now exactly we have 13 doctors and we need for more. than one what a bounce the salaries like the minimum the maximum is it easy to attract new employees for the salary. well it's different. well in every region but the average is about 20000 rubles up to

25 for a young specialist you just graduated to be well well looked at the head hunter where websites and the private clinics offer a salary of 60000 rubles so you can see the difference nadal you have an opportunity to ask our president a question so what would you ask him well i'd like to get a. studio to record suggest to our federal authorities that we would be able to. lead the graduates of medical university stay in certain regions so this was. the issue is quite clear. to me only if there would scoff cancer treatment facilities see is a very modern reckon structures and 2016.

so. it was shown to work with. prime minister dmitry medvedev we see the facility. quickly and almost 1500000000 ruble we were invested and we know getting complaints from that it's really hard to sign up for. it was an ecologist many people here there are crowds here and people come and 5. to you. get it so why . do you have a lot of requests so many people came here well people get signed up and no issues well there are no people here. but some miracle. well we were here with their cameras. yesterday and we saw

a lot of people waiting on the last lesson venture in and have a look. it's really very well renovated. and there's a lot of high tech equipment and this is one of the few innovative centers in russia. and the doctors say ok we can show you the equipment now we want to talk to the people who've come here so. how long does it say to get on the line to see the doctor do you have any problems no it's fine. you just said up and said. do we have an issues sure. we're going to be able to just waited for the number of my original of my district hospital for a long time 3 weeks a week to get a number to get so on the line for 3 weeks so not. much if we don't have that many specialists yes there's

a shortage of specialists or all the docs is leaving paps because of a low salary i don't know perhaps it's a low pay well that's what the governor. was that said he. congratulated. the then medical staff. of the dog. was here in sunday and he said there's a shortage. so we have. such a great sense of. go to st petersburg to moscow all of the equipment here is exceptional how can we help and the people. and the 3rd. as i said we're in the village. region in the maternity ward and say here we have a dentist's office and this is very surprising because not many villages have that

but. it opened in february and this is a symbol of improvement so for 3 years it wasn't working because there was no money and it used to be for people working here now it's only tuesday. but of course it's a big help for the villagers. because they have a. then says a paramedic and a nurse. because the closest town is 25 kilometers away quite a while way off if you could because it was but when your. therapy office is working they have old equipment but the main problem is the shortage of specialists the sort of young specialists so we have

a special program aimed at vance. it's called rural doctor to use here we have. telus please tell us. there is a need for young specialists why aren't they here and if you did well and i think the main problem is housing it's a matter of human rights specialists come here and they like our village they're like made sure. there's nowhere to live they see elaborated houses and we were born here we will live here but they don't want. people to text you i know if you work here and the nurses working part time you do you struggle well yes especially in the fall and in the winter when we have flu viruses course and it's difficult for us to well yes this is.

a common problem we must do if you just go to the food i know. these types of medical facilities world be opened more of about 100 of them where you think they were probably was so this is this is the impact that the direct line has but we still have a problem the shortage of little when you think of the specialists. yes i can see her. i'll give her the 4 to her. and then we'll get a couple of points straights who were you know still. we have to bear in mind that despite issues and we do still and we still have a lot of issues like many other industries. in those areas that deal with people there are still so many issues but the industry has seen progress as the only war

are the key issues that we have to address the away at the 1st availability of primary health care units we talked about health stations are. second to specialists there's a shortage of specialists in certain professions and. medicine provision. there are many more issues but these are the 3 main but i think issues in terms of the veil ability of a primary health care services if indeed russian regions are seeing. a decrease. in it. really so that outpatient clinics are going down the number of health stations went down by 2 percent. but when you're patient clinics that their number has gone

up by 26 percent and there are 18 regions 18 where we see a drastic decrease in the number of stations that provide primary health care services and these seem to be quite so well to do regional. governors at the helm of the region we're doing it but it's down 25 percent. take the chechen republic the same whatnot 25 still significant to take the cure of region. we should it not getting around another 15 regions in total 18 regions where the number of patient cleaning. been going down and like our governors. and 2nd talking of health

stations they are extremely important and we need to support this type of health care units we will build another 390 health stations and renovate 1200 stations. on the if we talk about small towns in villages we will have immobile health care units with 3800 teams that have been set up and in the next 3 years we want to launch. another 1200 mobile teams we need to buy the right to quit meant to come on this but we need to put. teams of specialists. this will help increase the availability of primary health care services were also need to have rural doctors. we need to have paramedics.

and we are ready to pay $1000000.00 or 500000 roubles for the rule of the dog program which want to work in the countryside. we just had one doctor who said that people need that housing and if we pay. it again then the money it's a $1.00 off bonus 1000000 500000 rubles but it's below. they need to earmark resources for housing for young specialists the next issue that we are facing. specialties. so we have a deficit of 130000. and again one of the solutions is to increase pay and we know it's slow across the country that's growing.

up 5 percent this year. almost $77000.00 rubles moscow st petersburg salaries are high purse we have regions with low pay we need to. even out. the curve. if you take nurses i think the this pays up 3.5 percent. of the nab rich crazy 13. 1000 roubles again it's that that's the average salary in june a medical staff in 3.3.9 percent 35000 roubles. it took in terms of medicine provision. particularly we have important. we have a lot of questions. people not guessing. they're entitled. shall

we ask our health minister i'll get through the floor but i want to put them but i want. those out in the regions so you hear me it's one thing when a minister is something it's another when the president says he makes his point. that we need to provide many since both from the federal and the regional level and we pull. and transferred all the money that is necessary in february. but the situation varies across. conditions take haarp attention or diabetes or cancer actually the federal government has allocated all the money that's necessary but some of the regions.

see a procurement procedures that. they don't have timely tenders they don't have the right communications tools. and they should look at the small and screeching. i just got the reporter from the minister 2 days ago or was it not so not soon to be small and screeching. school what we saw is that the warehouses so bring in full with medicines put up with the users don't get it but patients don't get it because the distribution units don't have the information of what's happening at the warehouse we need to have an integrated information system . we need to switch to the modern. modern tools and techniques we take lino of them hospitals the concept of lean hospitals has

improved efficiency and the turnover is increasing to the number of people who are treated said there is so much potential to tap into again going back to the regional level where some of the vitally important decisions are purchased out there in the regions but only in 7 of them only 7 of them provide the full list of medicines but. if you take all the rest of the regions at least he's being cut and the medicines are just not. there are so many reasons for it but it heads of the regions need to know what their priorities are it's one thing to build a road or an important piece of infrastructure. construction workers will. get their fair share in bermuda jobs but the law if unhealthy are our priority. which you. think

you want good afternoon. i have a few comments on those evil as mr putin. we of course are developing. a little in. outpatients health care. facilities shoeless chooses when it comes to villages there has been a 22 percent improvements in the infrastructure we are building new health stations and relegating existing ones of 300 to 500. at the same time as you sad to see these we have certain regions there are 18 of them out of 85. that have issues when it

comes to outpatient. care we are working directly with governments governors and ministers. in which school where it's comes to. senator attrition is when you've had a growth of 2000 new specialists and only 1 point one percent of people are working part time combine several jobs are british. please disregard anything i didn't hear you. happening out there in the regions with the subsidized media since why do we have this structure in the distribution. as mr person said. we've had an influx of funding to subsidise medicine now it's

156000000000. the 1st payments we hand on january 17th and we've got everything fall on february the 7th we've been monitoring the situation in. all our regions. and we've detected 30 regions with issues when it comes to logistics and. messing up the procurement procedures the mismanagement system because as a rule all those are the regions where they don't have an east system for distributing this medicine and so. it's on clear what kind of medicine is where and what's available we have too many questions so i'm really sorry we have so many questions from other regions. which originally did you

mention. the surat to friesian rides that's the surat of region so many medicines but we. consumers don't get them in the. us for cancer that we we doubled the size of. it before and then seeing to purchase. medicines and equipment we can serve right now. priority. for its. part of the health care national project. calls center. it is put up with each other while we are preparing it under question is quite literally so here's a video call. this year. we have many questions about national projects for understandable reasons some people are

sad they can't purchase a paid. some don't really understand what we need them for hello you are live on air please introduce yourself and ask your question. good afternoon. i am going to number a lot from moscow mr peterson good afternoon. my question is about national projects and everyone is talking about them these days. and i wanted to ask you what specific results have we got what should we expect are these goals achievable and there are other people to work on them. well that's something that we started off with but thank you for going back to the. u.k. it's extremely important that. we have.

concentrated our financial resources elsewhere we just. live in a true active we're. not proactive. but. we could have gone with the flow. but we believe 6 really important to identify these drivers so that. our economy that could allow us to make a breakthrough and prove our living standards. this is our approach and this is what lies behind all of the national projects that's why we came up with it. and we'll go back to it several times. in the. marathon we need to transform the structure of economy it needs to be the digital economy needs to rein the drone infrastructure but the ultimate

goal is to. productivity and that's would help to increase living standards we have dedicated areas where. we know how much we need to spend on roads. 6.5 trillion rubles into 2024 how much money for health care. education. we have all these figures on paper we have certain key p.r.i. . we will definitely measure our own efficiency our fish and my colleagues are and we will judge them by the outcomes this year and next year and these will be this way until 2024 but that's not the end but we need to have certain reference points. and i think that people are

working really hard on them so when are people going to feel the improvement well you know in the soviet times they said that the current generation would leave. communism but then they said. we don't have commies we'll have the olympic games in moscow in 1080. well definitely you need to feel that difference this year next year we need to have higher living standards high pay we know there are issues but the trend. positive but you. go back to the issues we just discussed health care we just discussed health care but what about education and science and research we need to invest money there and that's what we're doing and the 1st stage as i said. even though we know there are some negative external factors that's helped us to mobilize our resources and to channel the funds into

the right serry is. our priority areas to achieve. outcomes and that would give us a breakthrough. that's where we can turn when we. came up with the national projects on very recently met with the minister talks about our national in france and i send some minister look very sand and say here's a message from to china pink ok so we're going to put out of the now ready show me a full hour and i on all the annual people directly to the president as you can see all areas of russia are involved people scraping it with the concerns and worries about so far mainly salaries patients and health care top a lot of people's lists of course all around the world people including a waiting room to be given access to the president so he could hear about the happy about more important what they're not happy about so the regional governors could do something about it and if you want to continue to see that we're going to show the whole live stream could go on for a few more hours here on our side. will be translated there for you as well what

you just see i think is a lot more. could go on for as i say here right now we're going to break this. out international with more coverage of the rest of the news too well after this break . we came here where did you work before you came here when. i'm in many us states capital punishment is still practiced convicted prisoners can spend years waiting for execution but most of the time the victims' families they are very much in favor of the death penalty there are some people because of what they do have given

up the right to live among us some are even proven innocent after years on death row and how many more is it going to take before we as a society realize this is not working and we actually do something about. what we've got to do is identify the threats that we have it's crazy confrontation let it be an arms race. spanning dramatic development only closely i'm going to resist i don't see how that strategy will be successful very. time to sit down and talk. some time like a honeypot that everyone believe that it was all on stable and on the reliable and russia but they thought that everyone was great over the russian businessmen who want to do the business in the west because they feared some could take everything

away from them in russia it's now it's the opposite they've businesses outside of russia was snatched has frozen the old log on the student line about. join me every thursday on the alex salmond show and i'll be speaking to guests of the world of politics. i'm showbusiness i'll see you then thank. god that it was. i.

i was. there this is not since national just turned one pair in the afternoon this 20th of june when we go back now to the continuing q. and a with president putin and the russians direct line to me feel like. ever since the soviet times burned again we leave. that consumption. is a consumption. tax when you. cannot just.