Question 11039 — health establishments

Summary

Mrs. Emmanuelle Anthoine alerts the Minister of Solidarity and Health on the situation of the Drôme Nord (HDN) hospitals, and more particularly on the closure of the emergency rooms at the Saint-Vallier hospital. Indeed, the HDNs are 2 sites: Romans-sur-Isère and Saint-Vallier, 7 activity centers, 1,600 people with a project for a new EHPAD and new building. These 2 local hospitals are complementary and the emergency rooms are closed at night for the months of July and August 2018, and probably the day also in August at the St Vallier hospital could have a strong impact on this entire part of the department: elected officials, patients and staff are seriously concerned. This is a new stage in the deterioration of access to care in this rural area, after the night closures in the summers of 2015 and 2017 as well as the definitive closure of the SMUR in Saint-Vallier in 2016. It is not possible to treat the hospital as a business like any other and budgetary criteria alone cannot be taken into consideration. This is how the public health code draws up a broad list of missions for hospitals and recalls the main principles of public service, in particular "permanent care" and "equal access to prevention activities and quality care", which must be guaranteed to each patient of the public hospital service. Beyond the legislative texts codified within the public health code, it is also the preamble to the Constitution of October 27, 1946 which guarantees "the solidarity and equality of all French people in the face of the burdens resulting from national calamities", but also "the protection of health" for everyone. Undeniably, the hospital sector is suffering, and everything particularly emergency services. Thus, by closing an emergency service like that of Saint-Vallier, it will no longer be possible to guarantee equal access for citizens to hospital establishments and particularly to quality emergency services. This is a real setback for a fundamental public service in this area. To this will be added bed closures planned for this summer which confirm the warnings of Patrick Pelloux, president of the association of hospital emergency doctors of France (AMUHF). The latter accuses the Ministry of Health of “concealing the reality of the figures concerning bed closures for this year”. The emergency situation in Drôme is sufficiently serious and unacceptable, especially during this summer period in many hospitals in France, for the Ministry of Health to mobilize the reserve health, device designed to respond to exceptional health situations. Also, she would like to know precisely how the Government intends to do to meet the demand of the weakest. She asks him to deploy additional health resources to ensure the permanence of emergencies in Saint-Vallier.

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