Stenogram Sejmu · 2026-06-18

Norbert Pietrykowski

Kadencja 10 · posiedzenie 60 · wypowiedź 142

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 Norbert Pietrykowski: Panie Marszałku! Państwo Ministrowie! Wysoki Sejmie! W imieniu Klubu Parlamentarnego Centrum mam zaszczyt przedstawić stanowisko w sprawie rządowego projektu ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej. Podstawowym założeniem Krajowej Sieci Onkologicznej jest poprawa skuteczności profilaktyki, diagnostyki i leczenia nowotworów poprzez stworzenie spójnego systemu opieki onkologicznej, ograniczenie różnic regionalnych w dostępie do świadczeń zdrowotnych w zakresie onkologii oraz poprawa wyników leczenia nowotworów. Krajowa Sieć Onkologiczna została utworzona w celu zapewnienia pacjentom chorym na nowotwory dostępu do kompleksowej i skoordynowanej opieki medycznej. Po kilku latach przygotowań i pierwszych doświadczeniach związanych z wdrażaniem systemu pojawiła się potrzeba doprecyzowania przepisów oraz dostosowania ich do praktycznych problemów zgłaszanych przez podmioty lecznicze. Tym samym niniejszy projekt ustawy stanowi odpowiedź na te potrzeby. Jednym z najważniejszych elementów projektu jest doprecyzowanie struktury organizacyjnej Krajowej Sieci Onkologicznej. Projekt określa na nowo zadania specjalistycznych ośrodków leczenia onkologicznego, SOLO I, II i III. Wprowadza wyraźny podział kompetencji między poszczególnymi poziomami zabezpieczenia opieki onkologicznej. SOLO I poziomu mają współpracować z ośrodkami III poziomu i realizować leczenie zgodne z planem zatwierdzonym przez jednostkę wyższego szczebla. SOLO II poziomu będą mogły samodzielnie prowadzić proces terapeutyczny, natomiast SOLO III poziomu uzyskają dodatkowe kompetencje koordynacyjne i nadzorcze wobec pozostałych podmiotów. Ma to zapewnić większą jednolitość standardów leczenia w całym kraju. Projekt dużą wagę przywiązuje do funkcji koordynatora opieki onkologicznej. W nowych przepisach dokładniej określono jego rolę jako osoby odpowiedzialnej za przekazywanie pacjentowi informacji dotyczących diagnostyki i leczenia oraz za koordynację poszczególnych etapów terapii. Rozwiązanie to ma ograniczyć problemy związane z rozproszeniem świadczeń i ułatwić pacjentom poruszanie się po dość zawiłym, skomplikowanym systemie ochrony zdrowia. Kolejnym istotnym obszarem zmian jest system oceny jakości opieki onkologicznej. Projekt przewiduje stworzenie bardziej przejrzystego mechanizmu monitorowania jakości leczenia poprzez wykorzystanie wskaźników jakości opieki onkologicznej. Minister zdrowia ma określić w drodze rozporządzenia szczegółowe wskaźniki, ich wartości minimalne i docelowe oraz sposób ich naliczania. Dzięki temu możliwe będzie porównywanie efektów leczenia osiąganych przez poszczególne placówki medyczne, na czym nam bardzo zależy. Nowelizacja rozszerza także wykorzystywanie systemów informatycznych. Wprowadzenie jednolitych narzędzi ma poprawić przepływ informacji dotyczących pacjentów między poszczególnymi placówkami oraz umożliwić skuteczne monitorowanie przebiegu terapii. Projekt wzmacnia również rolę Narodowego Funduszu Zdrowia w zakresie monitorowania i oceny jakości opieki onkologicznej. Podsumowując, procedowany rządowy projekt ustawy stanowi kompleksową próbę udoskonalenia funkcjonowania Krajowej Sieci Onkologicznej. Projekt koncentruje się na poprawie jakości leczenia i zwiększeniu koordynacji opieki nad pacjentem. Wobec powyższego Klub Parlamentarny Centrum, kierując się troską o dobro i zdrowie Polek i Polaków, w pełni popiera rządowy projekt ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej. Dziękuję pięknie. (Oklaski) Przebieg posiedzenia

Otwórz zachowany oryginał · Źródło urzędowe

Dowód treści wypowiedzi

Dowód kolejności na liście dnia

Kontekst w stenogramie

1. (4.42ms; exec 4.31 + fetch 0.11; 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. (1.08ms; exec 1.06 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

3. (1.44ms; exec 1.43 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

4. (2.27ms; exec 2.23 + fetch 0.04; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcrip…

5. (1.43ms; exec 1.42 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

6. (1.17ms; exec 1.15 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

7. (0.91ms; exec 0.89 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6281 ORDER BY ordinal

8. (1.41ms; exec 1.39 + fetch 0.02; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

9. (1.05ms; exec 1.04 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

10. (0.85ms; exec 0.84 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6282 ORDER BY ordinal

11. (1.09ms; exec 1.08 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

12. (0.78ms; exec 0.77 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

13. (0.56ms; exec 0.55 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

14. (0.92ms; exec 0.89 + fetch 0.03; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

15. (1.03ms; exec 1.01 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

16. (0.67ms; exec 0.65 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

17. (6.23ms; exec 6.2 + fetch 0.02; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_vote…

1. (4.42ms; exec 4.31 + fetch 0.11; 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 = 16282 LIMIT 1

2. (1.08ms; exec 1.06 + 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 = 23629 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. (1.44ms; exec 1.43 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

4. (2.27ms; exec 2.23 + fetch 0.04; 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 140 AND 144 AND statement.object_id <> 16282 ORDER BY dayStatement.ordinal

5. (1.43ms; exec 1.42 + 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:', 140) LIMIT 1

6. (1.17ms; exec 1.15 + 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 = 23627 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. (0.91ms; exec 0.89 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6281 ORDER BY ordinal

8. (1.41ms; exec 1.39 + fetch 0.02; 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:', 141) LIMIT 1

9. (1.05ms; exec 1.04 + 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 = 23628 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. (0.85ms; exec 0.84 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6282 ORDER BY ordinal

11. (1.09ms; exec 1.08 + 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:', 143) LIMIT 1

12. (0.78ms; exec 0.77 + 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 = 23630 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. (0.56ms; exec 0.55 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

14. (0.92ms; exec 0.89 + fetch 0.03; 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:', 144) LIMIT 1

15. (1.03ms; exec 1.01 + 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 = 23634 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. (0.67ms; exec 0.65 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

17. (6.23ms; exec 6.2 + fetch 0.02; 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 = 292 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

6.23ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes indiv…

4.42ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.objec…

2.27ms SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal…

6.23ms 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 = 292 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

4.42ms 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 = 16282 LIMIT 1

2.27ms 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 140 AND 144 AND statement.object_id <> 16282 ORDER BY dayStatement.ordinal

5× (5.11ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing…

5× (4.43ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (4.85ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON versi…

5× (5.11ms) 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× (4.43ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (4.85ms) 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 ?

(0.16ms) /app/templates/speeches/show.php

/app/public/index.php

/app/vendor/autoload.php

/app/vendor/composer/autoload_real.php

/app/vendor/composer/platform_check.php

/app/vendor/composer/ClassLoader.php

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/app/vendor/symfony/deprecation-contracts/function.php

/app/vendor/symfony/polyfill-php83/bootstrap.php

/app/lib/PFrame.php

/app/config/credentials/local.php

/app/src/Http/PublicResponseCache.php

/app/src/Http/AuthRoutes.php

/app/src/Http/ReviewDecisionRoutes.php

/app/src/Http/TopicDecisionRoutes.php

/app/src/Http/WatchRoutes.php

/app/src/Http/SpeechController.php

/app/src/Overview/SpeechReadModel.php

/app/src/Text/TextSearch.php

/app/templates/layout.php