Question 10364 — health establishments

Summary

Mr. Philippe Fait questions the Minister of Health, Families, Autonomy and Disabled People on the financial situation of hospitals and health establishments following the salary increases carried out within the framework of Ségur de la santé and the inflationary context experienced in recent months. The Ségur de la santé, operated in 2021, granted an increase of 183 euros net per month to 1.5 million professionals health establishments, EHPADs and staff of social and medico-social establishments and services. As such, this operation contributed to improving the care of patients and the daily lives of caregivers, to the revaluation of professions in health establishments and EHPADs but also to the recognition of the commitment of caregivers to the health of the French people. This recognition was essential with regard to the essential role played by these professionals who contribute to the proper functioning of the health system through their activities and missions. Nevertheless, it is important to note that Ségur participated in the installation of increased financial tensions in 2022. Indeed, if this operation was carried out for the benefit of the staff, the revaluation of the remuneration of caregivers caused significant additional costs on the payroll. In addition, it should be noted that professionals also benefited from the revaluation of their remuneration scales as well as the revaluation of the index point. Due to the non-full compensation of these additional costs, there is an increase in operating costs linked to inflation. Today and in the aftermath of the health crisis, the costs linked to energy consumption are significant for public hospitals, which according to the French Hospital Federation, “need an additional 1.5 billion euros to complete their 2023 budget”. Sharply increasing hospital rates had been announced for the year 2023 to support health establishments in the face of inflation and to support their resumption of activity. The financing mechanism, based on said increase in tariffs, assumes that an increase in activity takes place. However, public hospitals are struggling to restore their pre-covid level of activity and they are disarmingly confronted with medical and paramedical demographic issues leading to bed closures and, consequently, a drop in their activity. Today, concerns are turning to the question of the equivalence between the measures taken and the impact that inflation will have on finances public of these establishments. The question is how to meet these financial needs in order to most adequately compensate hospital finances. Funding arriving later than the dates of implementation of the measures generates real financial difficulties for hospital treasuries. In order to respond to the legitimate concerns of the management of health establishments, he wishes know its position on the subject, as well as on the measures envisaged to ensure the financial sustainability of the French hospital system.

Machine translation from French. The official text remains authoritative.

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