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Deputy Prime Minister Le Thanh Long holds meeting on decentralization and delegation of power in the health sector

The opinions of ministries and branches at the meeting said that it is necessary to promote decentralization of authority, what the locality can do should be assigned to the locality; the Ministry should only focus on issuing mechanisms and policies.

VietnamPlusVietnamPlus21/05/2025

On the morning of May 21, at the Government Headquarters, Deputy Prime Minister Le Thanh Long worked with the Ministry of Health and relevant ministries and branches on draft decrees regulating the decentralization of state management authority and decentralization of local authorities according to the two-level government organization model in the health sector.

According to the review results of the Ministry of Health , there are 46 proposals to decentralize the functions and tasks of ministries and ministerial-level agencies to localities; there are 40 proposals to transfer functions and tasks of the district level to the commune level or to the provincial level; there are 7 documents proposing amendments to the draft Decree to implement the 2-level local government organization model.

The opinions of ministries and branches at the meeting were that it is necessary to promote decentralization of authority, and that what localities can do should be assigned to localities; the Ministry should only focus on issuing mechanisms and policies and urging and inspecting implementation.

The opinions clearly stated that in the process of delimiting authority, it is necessary to ensure consistency because having authority is a process, involving many ministries, avoiding the situation where some ministries transfer to the province while others transfer to the commune. It is necessary to urgently complete the delimitation of authority so that when the district level is removed, there will be no interruption, no missed tasks, and no clarity about who is performing them.

Opinions also suggest that it is necessary to clearly distinguish between general and specific authority because there are tasks that stipulate common responsibilities of all levels; the delegation of authority also needs to be accompanied by the assignment of implementation tools; at the same time, it is necessary to calculate and ensure conditions for implementation.

Taking note of the opinions of ministries and branches, Deputy Prime Minister Le Thanh Long noted that the draft Decree must clearly state the amended and supplemented contents; when delegating authority to lower-level specialized agencies, it must clearly state which agency it is.

When defining authority, it is necessary to focus on "when the district level no longer exists, what matters will go to the province, what matters will go to the commune". If the authority is related to the implementation of administrative procedures, then clearly define the order of those procedures and include them in the attached appendix.

The Ministry of Health has drafted a report on the draft Decree, in which it is necessary to review all administrative procedures, thereby clearly defining how many procedures are under the laws, decrees, and decisions of the Prime Minister. Of these, it is necessary to determine how many procedures are handled in this draft Decree of the Government, how many procedures are handled in the circular of the Ministry, it is necessary to clearly separate them to avoid missing work.

Regarding decentralization of authority, the Deputy Prime Minister said that it is necessary to decentralize more to localities, and the reasons for any procedures that are kept at the ministerial level need to be clearly stated./.

(Vietnam News Agency/Vietnam+)

Source: https://www.vietnamplus.vn/pho-thu-tuong-le-thanh-long-hop-ve-viec-phan-cap-phan-quyen-trong-linh-vuc-y-te-post1039788.vnp


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