**засідання постійної комісії міської ради з питань житлово-комунального господарства — Transcript & Summary | SozAI**
Source: https://sozai.app/transcript/city-council-committee-housing-utilities-3/

Meeting of Mykolaiv City Council committee discussing amendments to the City Emergency Hospital's statute and service provisions.

## Key Takeaways

- The City Emergency Hospital no longer provides primary and rehabilitative care, focusing on specialized medical services.
- Primary medical care is handled by separate primary health care centers, not the emergency hospital.
- The amendment aims to clarify and update the hospital's statute to reflect current service realities and allow future flexibility.
- There was some disagreement and concern among council members about the removal of primary care services.
- The decision was fast-tracked through this committee despite not going through the relevant committee.

## What the video covers

- The City Council Standing Committee on Housing and Communal Services held a remote meeting on October 2, 2026, to discuss one agenda item.
- The agenda focused on draft decision SFK 238 amending a previous City Council decision regarding the statute and transfer acts of City Hospital Number Four.
- Key amendments involve clarifying the regulation of branch number three, the City Emergency Hospital, especially its areas of medical activity.
- Primary care and rehabilitative medical care were removed from the hospital's service list because these services are not currently provided there.
- The statute now includes a broader category of 'other medical care and medical services' to allow future expansion of hospital activities.
- Concerns were raised by council members about the removal of primary care services and the impact on city residents and district patients.
- Clarifications were provided that primary care is delivered by outpatient primary health care centers, while the emergency hospital provides specialized care.
- The decision had not passed through the relevant committee but was included in this meeting to facilitate its consideration at the city council session.
- The meeting concluded with all matters resolved and the decision adopted by unanimous vote.
- The discussion emphasized the need for clear communication about service changes to avoid confusion among residents.

## Chapters

1. 00:00 Meeting Opening and Agenda Approval
2. 01:50 Presentation of Draft Decision SFK 238
3. 03:46 Details on Amendments to Hospital Statute
4. 04:45 Discussion on Removal of Primary Care Services
5. 06:32 Clarifications on Hospital Services and Care Levels
6. 10:10 Committee Process and Procedural Questions
7. 11:58 Closing Remarks and Meeting Adjournment

Answers

## Questions about this video

Why were primary care and rehabilitative services removed from the City Emergency Hospital's statute?

These services were removed because the emergency hospital currently does not provide primary or rehabilitative care. Primary care is delivered by separate primary health care centers.

What types of medical care does the City Emergency Hospital provide after the amendment?

The hospital provides specialized inpatient and outpatient care including neurosurgery, surgery, urology, gynecology, toxicology, traumatology, endocrinology, neurology, cardiology, emergency, urgent, and other specialized medical services.

Did the draft decision go through the relevant committee before this meeting?

No, the draft decision did not go through the relevant committee. It was brought to this committee to allow its inclusion for consideration at the upcoming city council session.

## Full Transcript — Download SRT & Markdown

00:01

Speaker A

The broadcast has started. Thank you. Good day, dear colleagues. We are beginning the meeting of the City Council Standing Committee on Housing and Communal Services, Municipal Property, Urban Improvement, Industry, Transport, Energy Conservation, Communications, Information Technology, and Digitalization.

00:21

Speaker A

Uh, today we have one item on the agenda. Uh, one moment, please. One moment, one moment. Thank you for waiting. Uh, today is October 2, '26, 10:30, in remote mode. One question.

01:14

Speaker A

Draft decision of the Mykolaiv City Council on making amendments to the City Council decision of 24.09, number 5811, file SFK 238. I ask you to vote for the agenda. Please vote. Seven in favor, zero against, zero abstentions.

01:50

Speaker A

Thank you. The decision is adopted. The agenda is set. Uh, the only item. Speaker Iryna Bondar. Please, go ahead.

02:06

Speaker A

Good day, dear deputies. Submitted for your consideration is the City Council draft decision SFK 238 on amending the City Council decision of September 24, number 58/11, on the approval of transfer acts of municipal non-profit enterprises and the statute of the

02:25

Speaker A

municipal non-profit enterprise of the Mykolaiv City Council, City Hospital Number Four, in a new edition. City Council decision was adopted at the last session of the City Council with changes, but although they were voiced, some points were not taken into account,

02:44

Speaker A

so today there is a need to adjust and clarify certain provisions of this decision, which has already been adopted. Namely, this concerns the regulation approved by item 10 of this decision. Regulation of branch number three, a separate unit of the city

03:02

Speaker A

hospital, which is after the merger. Today, this is the City Emergency Hospital. It is proposed, uh, that its areas of activity, item 221 in the regulation, be set out in the proposed wording. As you could see from the

03:24

Speaker A

comparative table, we have excluded such areas as primary care and rehabilitative medical care. Due to the fact that currently this unit does not provide these services, and at the same time, we added "other medical care and medical services" to allow for the

03:46

Speaker A

expansion of this branch's activities in the future. Other areas of activity remained unchanged. Regarding the change to be made to item nine of the decision that was already adopted at the last meeting: since no director of the city hospital has been appointed

04:08

Speaker A

yet, and there is only a person acting in that capacity, for the purpose of simplifying the state registration procedure for the city hospital's statute and avoiding possible grounds for refusal of state registration, it is proposed to reword item nine of the

04:29

Speaker A

decision, while excluding the position and personal data. Uh, there were no suggestions or comments regarding this draft. I ask for your support. Thank you for your attention.

04:45

Speaker A

Thank you, colleagues. Do you have any questions? I have a question. So, our third hospital, the emergency hospital, it will now not perform these functions, meaning the city residents will not have the opportunity to come and receive this service there.

05:07

Speaker A

As of today, it does not provide these services—neither primary nor rehabilitative medical care. Yes, the city emergency hospital. I mean, I mean, as I understand it, rehabilitation—yes, I understand rehabilitation, they wanted it removed, I agree, but regarding primary care,

05:27

Speaker A

for example, I do not agree. Why exclude primary care when everyone knew where to go? They have their own clinic that provides primary care. That is a clinic, Dmytro Stepanovych. That clinic works until 5 p.m., and after that...

05:47

Speaker A

Look, this is explain to me how this will work, because before it was like this: an injury, everyone knew to go to the emergency hospital. Or if something happened? Everyone went there. Now, where are we going to go?

06:05

Speaker A

Yes, everything remains. Traumatology, all of that remains. We are not removing these services. It is specifically the primary care level being removed, which is not provided there today. Then I cannot understand what falls under primary care.

06:20

Speaker A

Well, look, these data were provided to us by the Healthcare Department for us to include, well, the Healthcare Department provides them, and then we are faced with the fact that we don't know what to tell people when you look at them.

06:32

Speaker A

And then we make technical corrections. Yes. Every single time, honestly. I agreed to the rehabilitation part, but for primary care, I do not... Who can explain it to us so that it is understandable?

06:48

Speaker A

Yes, let them explain what then falls under primary care, and how, in what way, the hospital will work. I mean, people not only from the city went to this hospital, but residents of the districts also came and could receive

07:07

Speaker A

help there. Now, some places accept patients, some don't. And I have seen one person being driven around to all the hospitals because this one doesn't accept them, that one doesn't, this one doesn't—because of this or that reason. Until they explain to me what

07:26

Speaker A

this "removing primary care" means, I will not vote. Look, primary medical care is the basic level provided by family doctors, therapists, and pediatricians in outpatient settings.

07:41

Speaker A

And our city emergency hospital provides specialized medical care. Therefore, it does not provide primary care, it provides specialized care.

07:52

Speaker A

This is currently written in their version of the statute. Yes, look, here is clause 221. Providing patients, in accordance with the legislation of Ukraine, with specialized inpatient neurosurgery, general surgery, urology, gynecology, toxicology, traumatology, and outpatient endocrinology, neurology, endoscopy. Ortho, ortho—

08:26

Speaker A

otolaryngology well ear nose and throat, cardiology, stomatology, traumatology, surgery, urology, gynecology, laboratory, functional and radiation diagnostics, palliative, emergency, urgent, and other medical care and medical services. Well, it’s already written here as emergency and urgent.

08:47

Speaker A

Yes, Irina Mykolaivna. It’s written right there, Irina Mykolaivna, primary medical care is ARVI, it’s a pediatrician’s check-up, the most basic thing that other clinics do.

09:04

Speaker A

And the emergency hospital did not provide these services. Uh, er, no, I’m telling you, I’m just not, er, I’m not a specialist.

09:15

Speaker A

Specifically specialized medical care, er, or the second level—those are narrow specialists, they do their job, but the primary, the primary level, they didn’t provide it.

09:30

Speaker A

The primary level—those are the primary medical care centers. And they, we are working. Could you please tell me, Oleksandr is a specialist on this, so she will explain it to you now. Er, I agree. I interrupted someone. Sorry.

09:53

Speaker A

Yevhen Viktorovych, you were interrupted. Please, Yevhen Viktorovych. Yes. Er, Maryna Mykolaivna, let’s take this to its logical conclusion.

10:10

Speaker A

This is all Ms. Shaposhnikova, who is right now. I have a question. Did this decision go through the relevant committee?

10:19

Speaker A

No, it did not. The committee did not meet. It is proposed to include this decision in today’s city council session.

10:29

Speaker A

Then why was our committee gathered for this discussion instead of the relevant one? To, er, I’ll explain, so that it would go through at least one committee, in order to include the issue for consideration at the session without

10:49

Speaker A

review by any committee at all. Ma'am, Ms. Olena, I apologize, Dmytro Stepanovych. Ms. Olena, look, er, er, I am relying on the fact that you are a doctor and you understand this better, because, well, these changes, er, I just see

11:13

Speaker A

Yes, once again, once again, I can sort of explain. Primary medical care—these are the PHC centers, which provide, er, er, consultations and preventive measures that the emergency hospital carries out. Well, er, the emergency hospital didn’t provide these services before.

11:35

Speaker A

Uh-huh. It existed, but they didn’t provide these services. It’s the primary centers that perform these then, excuse me, on the territory of the emergency hospital there was a polyclinic, meaning it was there, the second level, narrow specialists at the second level, they

11:58

Speaker A

are working. Uh-huh. So this does n

12:03

Speaker A

pediatricians, family doctors, therapists are absent there; it’s the second level and second-level care there. it is provided in full.

12:12

Speaker A

Uh-huh. Er, I just don’t want us to remove something now, and then we’ll be shouting that we removed it from the doctors and No-no-no. They are working the same way they did before.

12:25

Speaker A

Uh-huh. Well, I rely on your greater experience and understanding. Thank you for your trust. Thank you.

12:34

Speaker A

So, so, okay, let’s vote. Colleagues, are there any more questions for Ms. Iryna? If there are no questions, I put the matter to a vote.

12:50

Speaker A

Please vote. Seven for, zero against, zero abstentions. The decision is adopted. Thank you. Dear colleagues. With this, the meeting of our standing committee, uh, is concluded.

13:16

Speaker A

Closed. Finished. All matters are resolved. Thank you. See you at the session. Thank you all.

13:24

Speaker A

Thank you. Thanks to all. Goodbye. Goodbye.

Topics: Mykolaiv City Council City Emergency Hospital hospital statute amendment primary care specialized medical care municipal healthcare city council meeting healthcare services Ukraine municipal property

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