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Vaud: plan care around needs and actual patient pathways

Vaud’s “Santé et soins – Chiffres clés 2026”, made available on INFOSAN on 30 June, provides a basis for examining service capacity. The PCP calls for planning to be assessed through needs met and patients’ pathways, as well as announced capacity.

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Connect data with cantonal responsibility

The official INFOSAN platform brings together evidence on Vaud’s health system. Figures must be read with the missions and boundaries they describe. Counting beds or days alone cannot establish whether the right service is available when needed.

The cantonal hospital planning dossier explains the framework and states that the new acute somatic plan entered into force on 1 January 2024. This is an existing framework whose effects should be examined. Figures from 2026 do not mean a new plan was adopted this year. That distinction matters for assessment.

A mission needs the resources to fulfil it

For the PCP, allocating a service must connect with the teams, equipment and organisation required. Theoretical capacity does not guarantee access where qualifications are missing or operating conditions cannot sustain continuity.

The Party calls for information on needs covered, delays and major pressures. Comparisons must consider the nature of care and the populations concerned. An institution carrying a complex mission cannot be assessed through an average cost separated from that mission. Public discussion should explain the services and conditions included in the account.

Follow what happens after hospital

Discharge involves primary care, home nursing, rehabilitation and sometimes relatives’ support. The PCP calls for planning to examine these transitions. A shorter hospital stay is insufficient if the burden moves to a family without resources or a service already at capacity.

Responsibility for handover must be identified and funded. Patients should know contacts and the next steps in their pathway. Assessment must look for breaks in continuity and access difficulties, rather than treat discharge as the end of collective provision. Work between institutions needs recognition alongside work within them.

Examine proximity concretely

The Party supports organisation connecting specialist skills with territorial access. Journey times, timetables, reduced mobility and transport options affect actual access. Alternatives should be compared through these consequences, with explicit compensating measures when services are brought together.

The PCP calls for a public assessment of decisions and results, involving staff and residents. Cantonal data make this discussion possible. They should lead to verifiable commitments on capacity, resources and continuity, so planning remains an instrument of public health rather than an allocation of indicators remote from people’s lives.

The edition date and data year must remain distinct. Indicators within one publication can cover different periods. The PCP calls for those references to be cited and for estimates or changed boundaries to be identified. Serious debate must recognise information limits while taking necessary decisions. The origin and scope of a figure belong in every public assessment.

Documents and sources

The cited documents provide the facts and provisions examined. Political judgments and proposals expressed in this article are those of the PCP.