A SEGUR HEALTHCARE PLAN FOR TREATMENT

THE SICK PUBLIC HOSPITAL

A near epidemic coronavirus that seems to ebb, the world caregivers will watch Monday on the launch of "Segur Health" broad consultation to improve their working conditions, their remuneration and the management of patients .

This major concertation, named after the avenue where the Ministry of Health is located, launched by Minister Olivier Véran, is to be completed "mid-July 2020".

It responds to the promise of Emmanuel Macron who had mentioned at the end of March "a massive investment and upgrading plan" for the hospital.

Career career enhancement

"The government must be up to what the hospital has given" to deal with the health crisis of Covid-19, said Frédéric Valletoux, president of the Hospital Federation of France (FHF).

“We must give recognition to nurses, caregivers, maintenance workers, by offering them a more decent remuneration, from the start of their career. This must be commensurate with their social utility. "

Arrested during a visit to the hospital, Emmanuel Macron promised to "put an end" to the "impoverishment" of caregivers, by initiating an increase in remuneration, in addition to the bonuses announced in the face of the Covid-19 crisis.

This gesture has been awaited for years by the unions, who point to the low hospital salaries, especially for nurses receiving 1,500 euros net at the start of their careers.

The executive also promised to put on the table of discussions the "question of skills upgrades", to better enhance all careers, all professions and develop new professional paths. The objective is to strengthen the attractiveness of hospitals, which struggle for many to recruit and retain their employees: nearly 30% of positions are not filled there and 30% of new graduate nurses leave the profession within five years. According to Frédéric Valletoux, it is also necessary "to reduce the pay gaps between public and private, which weaken hospitals"

Reorganization of working time

Olivier Véran said he wanted to "review the framework for organizing working time at the hospital, considering it necessary to question the" shackles that prevent those who wish to work more. "An announcement that made several unions jump, attached to 35 hours

The question is not to "deregulate working hours," said the Minister of Health, however, saying he wanted to simply allow "employees who wish" to organize "their working hours differently". This reform corresponds to a long-standing request from the Fédération hospitalière de France (FHF), which advocates new governance of the health system with less administration, more weight given to doctors and a “device of autonomy” for hospitals.

Better care management

The executive could also reform activity pricing (T2A) a little more, introduced in 2003. This system, which fixes hospital resources according to the acts performed, is often accused of pushing for a “rush to volume” . It could also put an end to the closings of beds, much criticized by hospitals: in the space of twenty years, nearly 100,000 beds have indeed been deleted in clinics and hospitals.

A massive investment plan

At the end of March, Emmanuel Macron had promised "a massive investment plan" at the end of the crisis. This plan is intended in particular to renew the equipment both in hospitals and in nursing homes. The French Hospital Federation claims for its part to increase investment in hospitals by "two billion per year".

The issue of hospital debt, now close to 30 billion euros, could also come back on the table. As part of the "hospital plan" decided in autumn 2019, the government had announced a "massive" debt recovery of 10 billion euros over three years.