Stenogram Sejmu · 2026-06-18

Katarzyna Kęcka

Kadencja 10 · posiedzenie 60 · wypowiedź 174

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). Podsekretarz Stanu w Ministerstwie Zdrowia Katarzyna Kęcka: Dziękuję bardzo. Szanowna Pani Marszałek! Wysoka Izbo! Szanowni Państwo! Pozwolę sobie odpowiedzieć na pytania. Pytania były różne, pytań było wiele - i ja się bardzo cieszę - niemniej jednak wybrzmiało dzisiaj, że chyba wszyscy jesteśmy spójni, jeśli chodzi o Krajową Sieć Onkologiczną. Szanowni Państwo! Zacznę od szkoleń. Szkolenia Centrum e-Zdrowia zaczynają się od momentu przyjęcia ustawy. Dlaczego? Dlatego że od momentu przyjęcia ustawy będzie można wystawić oprogramowanie dla realizatorów Krajowej Sieci Onkologicznej do pobrania. Bardzo dziękuję, że państwo dzisiaj mówiliście o koordynatorach, bo faktycznie oni będą pełnili bardzo ważną funkcję. Oni już pełnią bardzo ważną funkcję. Dlaczego? Dlatego że tak naprawdę koordynator leczenia jest nikim innym jak przewodnikiem pacjenta po systemie. Jest łącznikiem pomiędzy lekarzem i pacjentem. Pełni funkcję edukacyjną, ale również odpowiada za umawianie terminów niezbędnych badań i wizyt czy chociażby przygotowanie pacjentów do konsyliów. Pełni więc bardzo ważną rolę. W tej chwili w systemie mamy ponad 1 tys. przeszkolonych osób. Patrzę, czy mam coś jeszcze na temat koordynatorów. Nie. Przygotowanie koordynatorów i ich dalsze szkolenia będą się odbywały na poziomie centralnym. Jeśli chodzi o onkologię, to, szanowni państwo, chciałabym, abyśmy oparli się na tym, co jest faktem. Dzisiaj wielokrotnie było powiedziane, że wydłużyły się kolejki onkologiczne. Nie, to jest nieprawda. Kolejki w przypadku pacjentów onkologicznych się skróciły. Sama przed chwilą sprawdzałam dostępność poradni onkologicznej w Warszawie. Pierwsze wolne terminy w przypadku stabilnym są już na jutro. Tak wygląda dostęp do poradni onkologicznych. (Oklaski) (Głos z sali: Brawo!) Jakie kwoty zostały wydatkowane na onkologię? Szanowni państwo, do ubiegłego roku w przypadku Krajowej Sieci Onkologicznej wydano ponad 5 mld zł na przygotowanie i modernizację zarówno infrastruktury, jak i osprzętowania. W tym roku w tym procesie dojdzie jeszcze ponad 600 mln, więc łącznie będzie to prawie 5,8 mld zł, i to również w zakresie cyber. Jakie chcemy osiągnąć efekty dla pacjentów? Oprócz tego, że w tej chwili wchodzący do systemu pacjent mający zaledwie podejrzenie, że może być pacjentem onkologicznym, ma zakładaną kartę DiLO, bo jest taki obowiązek, to przede wszystkim zależy nam na poprawie jakości opieki właśnie dzięki wskaźnikom jakości. A co do samej karty DiLO to pozwoli ona chociażby na obserwację czasu diagnostyki w czasie rzeczywistym. Co to znaczy? Tutaj padła prośba o odpowiedź na piśmie, ale odpowiem już teraz. Jeśli chodzi o diagnostykę wstępną - i to będzie monitorowane w czasie bieżącym dzięki karcie DiLO - przewidziany maksymalny czas to 14 dni, a w przypadku diagnostyki pogłębionej maksymalny czas to 21 dni. Szanowni Państwo! Chciałabym przypomnieć, że kryteria jakościowe... Bo tutaj padły też zapytania o to, czy szpitale będą gotowe. Jeśli chodzi o rozporządzenie jakościowe, to tak naprawdę kryteria jakościowe funkcjonują od 2 lat. Chyba to wszystko. Bardzo dziękuję, szanowni państwo. Przebieg posiedzenia

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Kontekst w stenogramie

1. (2.81ms; exec 2.75 + fetch 0.06; 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. (1.26ms; exec 1.25 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

3. (0.73ms; exec 0.72 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6315 ORDER BY ordinal

4. (0.99ms; exec 0.97 + fetch 0.03; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal FROM sejm_transcrip…

5. (0.81ms; exec 0.8 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

6. (0.65ms; exec 0.64 + fetch 0.01; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

7. (0.54ms; exec 0.53 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6313 ORDER BY ordinal

8. (1.05ms; exec 1.04 + fetch 0.01; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

9. (0.89ms; exec 0.86 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

10. (0.86ms; exec 0.84 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6314 ORDER BY ordinal

11. (1.04ms; exec 1 + fetch 0.03; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

12. (0.89ms; exec 0.88 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

13. (0.81ms; exec 0.79 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6316 ORDER BY ordinal

14. (0.94ms; exec 0.93 + fetch 0.02; rows 1) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON version.document_id = document.obje…

15. (0.85ms; exec 0.83 + fetch 0.02; rows 1) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing_runs run ON run.id = extracti…

16. (1.34ms; exec 1.32 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6317 ORDER BY ordinal

17. (4.2ms; exec 4.17 + fetch 0.03; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_vote…

1. (2.81ms; exec 2.75 + fetch 0.06; 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 = 16314 LIMIT 1

2. (1.26ms; exec 1.25 + 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 = 23721 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. (0.73ms; exec 0.72 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6315 ORDER BY ordinal

4. (0.99ms; exec 0.97 + 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 172 AND 176 AND statement.object_id <> 16314 ORDER BY dayStatement.ordinal

5. (0.81ms; exec 0.8 + 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:', 172) LIMIT 1

6. (0.65ms; exec 0.64 + 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 = 23701 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. (0.54ms; exec 0.53 + fetch 0.01; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6313 ORDER BY ordinal

8. (1.05ms; exec 1.04 + 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:', 173) LIMIT 1

9. (0.89ms; exec 0.86 + 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 = 23702 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. (0.86ms; exec 0.84 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6314 ORDER BY ordinal

11. (1.04ms; exec 1 + 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:', 175) LIMIT 1

12. (0.89ms; exec 0.88 + 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 = 23722 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. (0.81ms; exec 0.79 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6316 ORDER BY ordinal

14. (0.94ms; exec 0.93 + 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:', 176) LIMIT 1

15. (0.85ms; exec 0.83 + 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 = 23723 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. (1.34ms; exec 1.32 + fetch 0.02; rows 1) SELECT source_text FROM text_segments WHERE extraction_id = 6317 ORDER BY ordinal

17. (4.2ms; exec 4.17 + 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 = 0 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

4.2ms SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes indiv…

2.81ms SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.objec…

1.34ms SELECT source_text FROM text_segments WHERE extraction_id = 6317 ORDER BY ordinal

4.2ms 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 = 0 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

2.81ms 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 = 16314 LIMIT 1

1.34ms SELECT source_text FROM text_segments WHERE extraction_id = 6317 ORDER BY ordinal

5× (4.54ms) SELECT extraction.id, extraction.quality_state FROM extractions extraction JOIN processing…

5× (4.28ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (3.84ms) SELECT binding.artifact_id FROM documents document JOIN document_versions version ON versi…

5× (4.54ms) 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× (4.28ms) SELECT source_text FROM text_segments WHERE extraction_id = ? ORDER BY ordinal

4× (3.84ms) 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 ?

(0.47ms) /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