Stenogram Sejmu · 2026-06-18

Katarzyna Sójka

Kadencja 10 · posiedzenie 60 · wypowiedź 137

Brak głosu imiennego z tego dnia, który potwierdzałby klub mówcy.

Pełna wypowiedź

10. kadencja, 60. posiedzenie, 2. dzień (18-06-2026) 13. punkt porządku dziennego: Sprawozdanie Komisji Zdrowia o rządowym projekcie ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej oraz niektórych innych ustaw (druki nr 2643 i 2691). Poseł Katarzyna Sójka: Dzień dobry. Dziękuję serdecznie. Panie Marszałku! Wysoka Izbo! Pani Minister! Rozpatrujemy dziś rządowy projekt ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej oraz niektórych innych ustaw. Na wstępie warto przypomnieć, że Krajowa Sieć Onkologiczna jest jedną z najważniejszych reform systemowych w polskiej onkologii ostatnich lat. Została przygotowana i uchwalona za rządów Prawa i Sprawiedliwości po to, aby zapewnić pacjentom równy dostęp do wysokiej jakości diagnostyki i leczenia nowotworów, niezależnie od miejsca zamieszkania pacjentów. Dlatego Klub Parlamentarny Prawo i Sprawiedliwość z uwagą analizuje wszystkie rozwiązania, które mają usprawnić funkcjonowanie Krajowej Sieci Onkologicznej oraz poprawić przede wszystkim sytuację pacjentów. Projektowana nowelizacja zawiera szereg zmian, które należy ocenić pozytywnie. Po pierwsze, chodzi o wprowadzenie elektronicznej karty diagnostyki i leczenia onkologicznego, czyli e-DiLO. Cyfryzacja procesu leczenia jest w zasadzie naturalnym kierunkiem rozwoju systemu ochrony zdrowia. Elektroniczny obieg informacji powinien ograniczyć liczbę dokumentów w formie papierowej, usprawnić wymianę danych pomiędzy podmiotami leczniczymi oraz umożliwić lepsze monitorowanie ścieżki pacjenta. Po drugie, pozytywnie należy ocenić ograniczenie obowiązków administracyjnych nakładanych na podmioty tworzące Krajową Sieć Onkologiczną. Lekarze, pielęgniarki, personel medyczni powinni poświęcać czas przede wszystkim pacjentom, a nie nadmiernej sprawozdawczości dokumentacyjnej. Po trzecie, doprecyzowanie roli koordynatora opieki onkologicznej oraz wprowadzenie definicji ciągłości opieki odpowiada na realne potrzeby pacjentów. Chory onkologicznie powinien być prowadzony przez system w sposób uporządkowany, bezpieczny, bez konieczności samodzielnego poszukiwania kolejnych etapów diagnostyki i leczenia, a przede wszystkim wsparcia na tych etapach. Po czwarte, uproszczenie procedur związanych z akredytacją podmiotów leczniczych może przyczynić się do sprawniejszego funkcjonowania placówek i ograniczenia zbędnych obciążeń administracyjnych. Jednocześnie podczas prac komisji - myślę, że ja też chciałabym zwrócić na to uwagę - zwrócono uwagę na kwestie, które będą na pewno wymagały dalszego monitorowania. Przede wszystkim powodzenie reformy będzie zależało od rzeczywistej gotowości systemów informatycznych oraz sprawnego wdrożenia e-DiLO we wszystkich podmiotach leczniczych. Każda reforma cyfrowa jest tak dobra, jak jej w zasadzie praktyczna realizacja. Oczekujemy więc od Ministerstwa Zdrowia pełnej informacji o harmonogramie wdrożenia oraz przygotowaniu świadczeniodawców właśnie w tym kontekście. Po drugie, sama definicja koordynacji opieki nie rozwiąże problemów kadrowych. Potrzebni są oczywiście odpowiednio przygotowani i odpowiednio finansowani koordynatorzy, którzy będą mogli skutecznie wspierać pacjentów. Po trzecie, jeśli Narodowy Fundusz Zdrowia ma odpowiadać za monitorowanie jakości opieki onkologicznej, to system oceny musi być przejrzysty, oparty oczywiście o jasne kryteria i uwzględniający specyfikę różnych ośrodków, które realizują świadczenia onkologiczne. Wysoka Izbo! W walce z chorobami nowotworowymi nie powinno być miejsca na żadne polityczne spory. Każde rozwiązanie, które poprawia jakość leczenia, skraca czas oczekiwania na diagnostykę i zwiększa bezpieczeństwo pacjentów, zdecydowanie zasługuje na merytoryczną ocenę. Klub Parlamentarny Prawo i Sprawiedliwość dostrzega pozytywne elementy przedstawionej nowelizacji, jednocześnie oczekując od rządu skutecznego wdrożenia przyjmowanych dziś rozwiązań oraz rzetelnej oceny ich efektów dla pacjentów i podmiotów leczniczych. Bo najważniejszym kryterium sukcesu tej ustawy nie będą kolejne przepisy, lecz to, czy polski pacjent onkologiczny szybciej otrzyma diagnozę, skuteczniejsze leczenie i lepszą opiekę. Dziękuję bardzo. (Oklaski) Przebieg posiedzenia

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Dowód treści wypowiedzi

Dowód kolejności na liście dnia

Kontekst w stenogramie

1. (3.36ms; exec 3.32 + fetch 0.04; rows 1) SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, d…

2. (1.83ms; exec 1.82 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

3. (1.26ms; exec 1.25 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6278 ORDER BY ordinal

4. (1.62ms; exec 1.59 + fetch 0.03; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcrip…

5. (2.08ms; exec 2.06 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

6. (1.58ms; exec 1.56 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

7. (1.52ms; exec 1.51 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6276 ORDER BY ordinal

8. (1.28ms; exec 1.27 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

9. (0.92ms; exec 0.91 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

10. (0.63ms; exec 0.61 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6277 ORDER BY ordinal

11. (1.03ms; exec 1.02 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

12. (1.13ms; exec 1.12 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

13. (0.69ms; exec 0.68 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6279 ORDER BY ordinal

14. (0.94ms; exec 0.93 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

15. (1.23ms; exec 1.21 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

16. (0.92ms; exec 0.91 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6280 ORDER BY ordinal

17. (4.46ms; exec 4.44 + fetch 0.03; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_vote…

1. (3.36ms; exec 3.32 + fetch 0.04; rows 1) SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, day.object_id AS day_id, day.term, day.proceeding_number, day.source_date, day.current_revision_id AS day_revision_id, dayStatement.ordinal, dayEvidence.id AS list_evidence_id, dayEvidence.selector_type AS list_selector_type, dayEvidence.selector AS list_selector, dayFetch.id AS list_fetch_id, dayFetch.requested_url AS list_source_url, dayArtifact.sha256 AS list_sha256, binding.artifact_id, binding.evidence_id AS transcript_evidence_id, transcriptEvidence.selector_type AS transcript_selector_type, transcriptEvidence.selector AS transcript_selector, transcriptFetch.id AS transcript_fetch_id, transcriptFetch.requested_url AS transcript_source_url, artifact.sha256 AS transcript_sha256, artifact.detected_mime, artifact.byte_size FROM sejm_statements s JOIN sejm_transcript_days day ON day.object_id = s.transcript_day_id LEFT JOIN sejm_mp_identities mp ON mp.term = day.term AND mp.mp_number = s.source_member_id LEFT JOIN sejm_transcript_day_statements dayStatement ON dayStatement.day_id = day.object_id AND dayStatement.day_revision_id = day.current_revision_id AND dayStatement.statement_id = s.object_id LEFT JOIN evidence dayEvidence ON dayEvidence.id = dayStatement.evidence_id LEFT JOIN fetches dayFetch ON dayFetch.id = dayEvidence.fetch_id LEFT JOIN artifacts dayArtifact ON dayArtifact.id = dayEvidence.artifact_id LEFT JOIN documents document ON document.owner_object_id = day.object_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', s.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL LEFT JOIN evidence transcriptEvidence ON transcriptEvidence.id = binding.evidence_id LEFT JOIN fetches transcriptFetch ON transcriptFetch.id = transcriptEvidence.fetch_id LEFT JOIN artifacts artifact ON artifact.id = binding.artifact_id WHERE s.object_id = 16277 LIMIT 1

2. (1.83ms; exec 1.82 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23620 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

3. (1.26ms; exec 1.25 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6278 ORDER BY ordinal

4. (1.62ms; exec 1.59 + fetch 0.03; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcript_day_statements dayStatement JOIN sejm_statements statement ON statement.object_id = dayStatement.statement_id WHERE dayStatement.day_id = 16139 AND dayStatement.day_revision_id = 15745 AND dayStatement.ordinal BETWEEN 135 AND 139 AND statement.object_id <> 16277 ORDER BY dayStatement.ordinal

5. (2.08ms; exec 2.06 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 135) LIMIT 1

6. (1.58ms; exec 1.56 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23618 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

7. (1.52ms; exec 1.51 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6276 ORDER BY ordinal

8. (1.28ms; exec 1.27 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 136) LIMIT 1

9. (0.92ms; exec 0.91 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23619 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

10. (0.63ms; exec 0.61 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6277 ORDER BY ordinal

11. (1.03ms; exec 1.02 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 138) LIMIT 1

12. (1.13ms; exec 1.12 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23621 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

13. (0.69ms; exec 0.68 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6279 ORDER BY ordinal

14. (0.94ms; exec 0.93 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 139) LIMIT 1

15. (1.23ms; exec 1.21 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = 23626 AND run.state = 'completed' ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC LIMIT 1

16. (0.92ms; exec 0.91 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6280 ORDER BY ordinal

17. (4.46ms; exec 4.44 + fetch 0.03; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_votes vote ON vote.object_id = individual.vote_id AND vote.current_revision_id = individual.vote_revision_id JOIN object_revisions revision ON revision.id = vote.current_revision_id JOIN evidence e ON e.id = individual.evidence_id JOIN fetches f ON f.id = e.fetch_id WHERE vote.term = 10 AND vote.sitting_number = 60 AND individual.mp_number = 353 AND LEFT(JSON_VALUE(revision.snapshot, '$.date'), 10) = '2026-06-18' AND individual.raw_club IS NOT NULL AND individual.raw_club <> '' ORDER BY vote.voting_number DESC

4.46ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes indiv…

3.36ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.objec…

2.08ms SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.documen…

4.46ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_votes vote ON vote.object_id = individual.vote_id AND vote.current_revision_id = individual.vote_revision_id JOIN object_revisions revision ON revision.id = vote.current_revision_id JOIN evidence e ON e.id = individual.evidence_id JOIN fetches f ON f.id = e.fetch_id WHERE vote.term = 10 AND vote.sitting_number = 60 AND individual.mp_number = 353 AND LEFT(JSON_VALUE(revision.snapshot, '$.date'), 10) = '2026-06-18' AND individual.raw_club IS NOT NULL AND individual.raw_club <> '' ORDER BY vote.voting_number DESC

3.36ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, day.object_id AS day_id, day.term, day.proceeding_number, day.source_date, day.current_revision_id AS day_revision_id, dayStatement.ordinal, dayEvidence.id AS list_evidence_id, dayEvidence.selector_type AS list_selector_type, dayEvidence.selector AS list_selector, dayFetch.id AS list_fetch_id, dayFetch.requested_url AS list_source_url, dayArtifact.sha256 AS list_sha256, binding.artifact_id, binding.evidence_id AS transcript_evidence_id, transcriptEvidence.selector_type AS transcript_selector_type, transcriptEvidence.selector AS transcript_selector, transcriptFetch.id AS transcript_fetch_id, transcriptFetch.requested_url AS transcript_source_url, artifact.sha256 AS transcript_sha256, artifact.detected_mime, artifact.byte_size FROM sejm_statements s JOIN sejm_transcript_days day ON day.object_id = s.transcript_day_id LEFT JOIN sejm_mp_identities mp ON mp.term = day.term AND mp.mp_number = s.source_member_id LEFT JOIN sejm_transcript_day_statements dayStatement ON dayStatement.day_id = day.object_id AND dayStatement.day_revision_id = day.current_revision_id AND dayStatement.statement_id = s.object_id LEFT JOIN evidence dayEvidence ON dayEvidence.id = dayStatement.evidence_id LEFT JOIN fetches dayFetch ON dayFetch.id = dayEvidence.fetch_id LEFT JOIN artifacts dayArtifact ON dayArtifact.id = dayEvidence.artifact_id LEFT JOIN documents document ON document.owner_object_id = day.object_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', s.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL LEFT JOIN evidence transcriptEvidence ON transcriptEvidence.id = binding.evidence_id LEFT JOIN fetches transcriptFetch ON transcriptFetch.id = transcriptEvidence.fetch_id LEFT JOIN artifacts artifact ON artifact.id = binding.artifact_id WHERE s.object_id = 16277 LIMIT 1

2.08ms SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = 16139 AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', 135) LIMIT 1

5× (6.69ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing…

5× (5.02ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (5.33ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON versi…

5× (6.69ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id = ? AND run.state = ? ORDER BY CASE extraction.quality_state WHEN ? THEN ? WHEN ? THEN ? ELSE ? END, run.finished_at DESC, extraction.id DESC LIMIT ?

5× (5.02ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (5.33ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = ? AND binding.current_selector_sha IS NOT NULL WHERE document.owner_object_id = ? AND document.document_kind = ? AND document.source_document_key = CONCAT(?, ?) LIMIT ?

(0.33ms) /app/templates/speeches/show.php

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/app/src/Http/SpeechController.php

/app/src/Overview/SpeechReadModel.php

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