These are long-awaited measures. Emmanuel Macron is this Friday, January 6 at the Sud Francilien Hospital Center (CHSF) in the Paris suburbs. Accompanied by the Minister of Health François Braun, he visited the pediatric emergencies, subjected as elsewhere in France to extreme tensions in recent months and announced his plan of reforms of a health system. ” breathless “.
His announcements are eagerly awaited by staff who continue to denounce the “deliquescence” of the supply of care, with overwhelmed emergencies and a crying lack of caregivers, against the backdrop of the triple winter epidemic of Covid-19, influenza and bronchiolitis.
“You continue to hold firm and you arouse by your effort the esteem of the Nation. I wanted to thank you this morning on his behalf.”, greets the Head of State. Emmanuel Macron recognizes “the worry, anxiety, fatigue that also exists among our caregivers. I know the personal and collective exhaustion (…) the feeling of going from one crisis to another. »
“The public hospital is dying and no one cares! »
” The diagnosis, you know it perfectly »begins Emmanuel Macron, referring to a speech he made in 2018 on the situation in the health sector. “If the diagnosis was correct, the treatment, independently of the Covid, was probably not sufficient”, he acknowledges. According to him, the crisis is multifactorial, and not just a lack of means. This is what to remember from his wishes to caregivers.
- Focus on cooperation
“We don’t train doctors in one or two years. The situation is likely to continue to deteriorate in the coming decade. There is no a miraculous recipe “insists Emmanuel Macron, who recognizes that the country is going “take a decade” to see the concrete measures taken. According to him, “our collective challenge is in the short term to free up caregivers’ time to deal with patients”.
“The solution for building the future lies in cooperation between administrative and nursing staff, caregivers and paramedics, and between the city and the hospital. »
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Prevention must also be one of the bases of the health system. “We have invested 19 billion euros in our health system. In three years, the budget that our nation devotes to health has increased by 50 billion,” praises the head of state. “We have to go much faster and stronger, and play with collective intelligence. »
- Accelerate the recruitment of medical assistants
Emmanuel Macron wants the number of medical assistants, which are around 4,000 today, to increase to 10,000 by the end of next year “to free up medical time and allow caregivers to focus on their core business”.
Emmanuel Macron also wants to strengthen staff and paramedics. “We have started to increase the number of places open for nurses. We must go further to train more. » For the Head of State, the problem is that “many stop during training”.
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To avoid this, it is necessary to “review the organization and operation of our studies”.
“We need to put in place a more responsible system at the end of studies. We also have to keep the staff who are there. We must work together on a better organization of working time. »
- Give back more freedom to services
“It’s the last place where the 35 hours still work, it’s hyperrigidity. The system only works overtime”, regrets Emmanuel Macron. He wishes “rethinking the organization of working time” in the hospital by the beginning of June, in order to “rebuild a system that is objectively more consistent with the reality of everyday life” caregivers. By this date, each hospital must have launched discussions to manage planning at the service level.
The President of the Republic also announces that he wants “to put at the head of our hospitals an administrative and medical tandem”.
- Get out of activity-based pricing
Emmanuel Macron wants to put an end to fee-for-service pricing, starting with the next social security financing bill (PLFSS). Rather, he wants to set up “remuneration based on public health objectives” for doctors with a reflection on the scale of the territories.
- Housing dedicated to caregivers
“We need a dedicated housing stock for the staff who need it”as well as travel assistance, to offer “new solutions” in sectors in tension, assures Emmanuel Macron.
> More information to come…
