Question 10831 — elderly people

Summary

Mr. André Chassaigne questions the Minister of Solidarity and Health about the shortages in management staff for EHPADs. Accommodation establishments for the elderly and dependent people are struggling to replace their management staff. This is particularly the case for autonomous public EHPADs whose staff depends on the hospital public service. Indeed, the condition for occupying a director position is obtaining the D3S competition, accessible externally with a bac + 3, or internally to civil servants with 4 years of seniority. Once admitted, candidates follow a 2-year training course at the school of advanced studies in public health. Successfully trained candidates fall into the A+ category and wish to manage large establishments in which they will be able to fully exercise their skills. THE Smaller-sized establishments, located particularly in rural areas, are in fact less attractive. They encounter great difficulties in replacing a director of an establishment. Of course, sharing management positions across several EHPADs is a common palliative, but this solution has its limits. Also, a reduction in the level required for management positions in small EHPADs could facilitate management replacements in these establishments. A civil servant holding category A could potentially qualify for such a position. He asks him if any consideration is being considered to make up for the shortcomings in accommodation establishments for the elderly and dependent people.

Machine translation from French. The official text remains authoritative.

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