Stenogram Sejmu · 2026-06-18

Wioleta Tomczak

Kadencja 10 · posiedzenie 60 · wypowiedź 143

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 Wioleta Tomczak: Szanowny Panie Marszałku! Pani Minister! Wysoka Izbo! Rozpatrujemy dziś projekt ustawy o zmianie ustawy o Krajowej Sieci Onkologicznej oraz niektórych innych ustaw. Jest to projekt, który nie wywraca systemu do góry nogami, ale poprawia te elementy, które po 3 latach funkcjonowania Krajowej Sieci Onkologicznej okazały się mniej efektywne lub nadmiernie obciążające dla placówek medycznych. Utworzenie Krajowej Sieci Onkologicznej było potrzebną reformą. Jej celem było zapewnienie pacjentom lepszej koordynacji i leczenia, ciągłości opieki oraz równych standardów jakości niezależnie od miejsca zamieszkania. Dzisiaj, po kilku latach doświadczeń, możemy już ocenić, które rozwiązania się sprawdziły, a które wymagają korekty. Właśnie temu służy procedowany projekt ustawy. Jednym z najważniejszych kierunków zmian jest ograniczenie zbędnej biurokracji. O takie rozwiązania od dawna apelowali świadczeniodawcy uczestniczący w Krajowej Sieci Onkologicznej. Szpitale i ośrodki onkologiczne powinny koncentrować swoje zasoby przede wszystkim na leczeniu pacjentów, a nie na wykonywaniu powielających się administracyjnych obowiązków. Dlatego pozytywnie oceniamy odejście od rozwiązań, które dublują już istniejące systemy. Dotyczy to m.in. rezygnacji z odrębnych mechanizmów rejestracji na rzecz rozwijającej się centralnej rejestracji. To przykład racjonalnego wykorzystania istniejących narzędzi cyfrowych. Kluczowym elementem projektu jest również pełna elektronizacja karty diagnostyki i leczenia onkologicznego, czyli karty DiLO. Dzięki temu rozwiązaniu dokumentacja będzie mogła być prowadzona w sposób bardziej spójny, przejrzysty i bezpieczny. Elektroniczny obieg danych pozwoli ograniczyć błędy, przyspieszy wymianę informacji między placówkami oraz zapewni lepszą koordynację leczenia pacjenta na każdym etapie terapii. Bardzo ważne są także zmiany definicyjne. Czasami to właśnie precyzyjne określenie pojęcia decyduje o skuteczności funkcjonowania całego systemu. Projekt wprowadza jasne definicje ciągłości opieki onkologicznej, planu leczenia onkologicznego czy niezwykle ważnej osoby, czyli koordynatora opieki onkologicznej, która właśnie pomaga pacjentom. Szczególnie istotne jest właśnie to doprecyzowanie roli koordynatora. Dotychczas niejednoznaczność przepisów powodowała trudności organizacyjne i zniechęcała do podejmowania tej funkcji. Tymczasem dla pacjenta onkologicznego koordynator jest często osobą, która pomaga odnaleźć się w skomplikowanym procesie diagnostyki i leczenia. Wzmocnienie tej roli oznacza realne wsparcie dla chorych i ich rodzin. Projekt nie rezygnuje przy tym z monitorowania jakości leczenia. Wręcz przeciwnie, porządkuje system oceny jakości poprzez określenie jasnych wskaźników oraz procedur naprawczych dla podmiotów, które nie osiągają wymaganych standardów. Dzięki temu nacisk zostaje położony nie na sprawozdawczość dla samej sprawozdawczości, ale na rzeczywiste efekty leczenia i bezpieczeństwo pacjentów. Pozytywnie należy ocenić również wydłużenie okresów weryfikacyjnych dla podmiotów tworzących sieć. Pozwoli to placówkom lepiej planować działania organizacyjne i inwestycyjne bez niepotrzebnego zwiększania obciążeń administracyjnych przy jednoczesnym zachowaniu kontroli jakości świadczeń. Wysoka Izbo! Nowotwory pozostają jednym z największych wyzwań zdrowotnych współczesnej Polski. Każde rozwiązanie, które przyspiesza diagnostykę, poprawia koordynację leczenia, ogranicza biurokrację i pozwala lekarzom oraz pielęgniarkom poświęcić więcej czasu pacjentom, zasługuje na poparcie. Procedowany projekt jest przykładem dobrej korekty istniejących rozwiązań, opartej na doświadczeniach praktyków, postulatach środowiska medycznego i potrzebach pacjentów, dlatego Klub Parlamentarny Polska 2050 poprze ten projekt i zagłosuje za jego przyjęciem. Dziękuję bardzo. (Oklaski) Przebieg posiedzenia

Otwórz zachowany oryginał · Źródło urzędowe

Dowód treści wypowiedzi

Dowód kolejności na liście dnia

Kontekst w stenogramie

1. (2.55ms; exec 2.51 + 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. (0.96ms; exec 0.95 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

3. (0.72ms; exec 0.71 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

4. (0.81ms; exec 0.79 + fetch 0.02; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcrip…

5. (0.87ms; exec 0.86 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

6. (0.75ms; exec 0.74 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

7. (0.75ms; exec 0.73 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6282 ORDER BY ordinal

8. (0.93ms; exec 0.92 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

9. (0.72ms; exec 0.71 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

10. (0.56ms; exec 0.55 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

11. (0.66ms; exec 0.65 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

12. (0.49ms; exec 0.48 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

13. (0.49ms; exec 0.48 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

14. (0.76ms; exec 0.75 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

15. (0.59ms; exec 0.59 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

16. (0.45ms; exec 0.44 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6286 ORDER BY ordinal

17. (2.18ms; exec 2.17 + fetch 0.01; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_vote…

1. (2.55ms; exec 2.51 + 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 = 16283 LIMIT 1

2. (0.96ms; exec 0.95 + 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

3. (0.72ms; exec 0.71 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6284 ORDER BY ordinal

4. (0.81ms; exec 0.79 + fetch 0.02; 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 141 AND 145 AND statement.object_id <> 16283 ORDER BY dayStatement.ordinal

5. (0.87ms; exec 0.86 + 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:', 141) LIMIT 1

6. (0.75ms; exec 0.74 + 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

7. (0.75ms; exec 0.73 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6282 ORDER BY ordinal

8. (0.93ms; exec 0.92 + 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:', 142) LIMIT 1

9. (0.72ms; exec 0.71 + 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 = 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

10. (0.56ms; exec 0.55 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6283 ORDER BY ordinal

11. (0.66ms; exec 0.65 + 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:', 144) LIMIT 1

12. (0.49ms; exec 0.48 + 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 = 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

13. (0.49ms; exec 0.48 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6285 ORDER BY ordinal

14. (0.76ms; exec 0.75 + 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:', 145) LIMIT 1

15. (0.59ms; exec 0.59 + 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 = 23635 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. (0.45ms; exec 0.44 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6286 ORDER BY ordinal

17. (2.18ms; exec 2.17 + fetch 0.01; 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 = 391 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

2.55ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.objec…

2.18ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes indiv…

0.96ms SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run …

2.55ms 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 = 16283 LIMIT 1

2.18ms 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 = 391 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

0.96ms 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

5× (3.51ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing…

5× (2.97ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (3.22ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON versi…

5× (3.51ms) 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× (2.97ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (3.22ms) 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 ?

(0.28ms) /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

/app/vendor/composer/autoload_static.php

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

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

/app/lib/PFrame.php

/app/config/credentials/local.php

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/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