Question 11040 — health establishments

Summary

Mr. Michel Larive draws the attention of the Minister of Solidarity and Health to the catastrophic emergency situation. The policies carried out by successive governments, by passing the Bachelot law, then Touraine, have sought for years to reduce “the cost of health”. But the Association of Emergency Physicians of France (AMUF) regularly denounces the budgetary restrictions of this vital public service and considers that the situation is no longer tenable. Emergency physicians must face a reduction in the resources allocated to them while the number of patients has tripled over the last thirty years. Around a hundred services are in tension out of the 650 existing ones. In these establishments, the corridors are cluttered with stretchers, the staff are subjected to infernal paces, and the waiting times are extremely long, with sometimes dramatic consequences. For example, on March 16, 2018 at 8:30 a.m. in Condom in Gers, a young man was the victim of a work accident. His left hand was severed. Despite the obvious seriousness of the accident, the hand surgery department of the Toulouse University Hospital of Purpan was only able to take care of him 3.5 hours after the accident. However, a round trip by helicopter would have taken less than an hour. By land vehicle the time would have been increased to 1h30. These delays would have increased the chances of a successful transplant. Unfortunately, since the latest provisions imposed by the Occitanie Regional Health Agency (ARS), and justified by the figure of 0.3 interventions per night over a year, the emergency service is now closed at night, and only opens at 9 a.m. in the morning. This is the main reason why the young man definitely lost its hand, because of technocratic management of the health system, scrupulously applied in regional health and PRS plans which do not sufficiently take into account the specificities of the territories at the local level. It is therefore normal that emergency workers are worried about this summer. The shortage of these doctors, sharply accentuated in 2018, aggravated by the start of deserved leave for regular doctors, and also by the strike justified by temporary doctors, raises fears of a paralysis of emergency services during the summer period. According to the ARS survey, 73 emergency workers resigned in Île-de-France in 2017, compared to 43 in 2015, due to extremely difficult working conditions. The province is not spared: in Auch there are 9 incumbents for 22 positions, who still strive to do their work as seriously as possible. There The situation is such that some establishments plan to call on the health reserve, which involves calling in retired doctors as reinforcements. However, it is indicated in a recent note to the ARS that this reserve is not capable of meeting needs. Emergency operations during the summer of 2018 are likely to be seriously disrupted. On June 26, 2018, on France Info, the minister admitted that some services will not be able to function properly in the summer of 2018. She promised a reform, the content of which will be revealed soon. But professionals in the sector need concrete measures to be taken now, because the emergency situation in the country is no longer tenable. It is not possible to simply call on the French to be reasonable. Emergency workers are calling for additional staff and beds additional funds as quickly as possible, as well as the establishment of a moratorium on the various savings plans as quickly as possible so as not to worsen the situation. In light of these elements, he would like to know if it would agree to order an investigation by the services of the general inspectorate of social affairs, concerning the case reported here. On the other hand, he would like to know what answers she intends to provide to the problem facing emergency services in the country, and in particular if it considers immediate measures to avoid new tragedies in the summer of 2018.

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