Question 11308 — health establishments

Summary

Mrs. Pascale Fontenel-Personne alerts the Minister of Solidarity and Health to the worrying situation of hospital emergencies and, in particular, that of the Saint-Calais hospital center in the 3rd district of Sarthe. Nearly 1,000 people gathered in front of the emergency room in Saint-Calais in Sarthe on Thursday July 12, 2018. Residents, healthcare staff and even elected officials demonstrated together against the closure of certain services. during the summer. Due to a lack of doctors, the management of the Saint-Calais hospital announced the closure of the emergency room during the month of August. A population area of ​​more than 40,000 inhabitants is affected by this decision! 40,000 people who could have to travel kilometers to find another hospital! Since the beginning of 2018, the Saint-Calais hospital has been raising a cry of alarm which does not seem to be heard. Since the beginning of the year, the establishment has used temporary work which is very expensive and is closing beds which are in demand. Already in May, 10 medical beds had been closed for lack of doctors, going from 30 to 20 available beds then from 20 to 10 beds in July. And for the month of August, a total closure of emergencies is announced. The crisis is very serious and it is not specific to the municipality of Saint-Calais. The world hospital is on strike throughout France. And for good reason, for more than 20 years we have allowed a shortage of resources to develop, a lack of staff mainly in emergency departments, and endless bed closures. Young practitioners are resigning, loudly denouncing their working conditions, leading to a deterioration in the quality of care given to patients. This situation constitutes a legacy that must be resolved sustainably. The summer period often rhymes with a significant increase in attendance at hospital services. If emergency rooms close at this time, many consequences are to be expected. Thus, the time taken to transport patients to other establishments will be greatly extended and the risks of losing certain patients during transfer are real. Added to this is the dismantling of local provision and medical desertification will be felt all the more in rural areas. In Saint-Calais, staff already fear that this closure is only a first step before a planned definitive closure. It is not possible to leave the French without a strong answer on access to care for everyone, everywhere. Important choices are expected so that resources are made available and distributed throughout the territory in a sustainable and long-term manner. The Minister has been working on the subject for several months and will soon make announcements. She asks her if she can, to date, provide the avenues that are emerging in order to reassure the population, staff and elected officials of the territories.

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