Question 12619 — places of deprivation of liberty

Summary

Mr. Christophe Marion draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the conclusions of information report no. 2317 of the National Assembly on transfers and extractions. This report highlights the scale of the 260,000 annual extractions which massively mobilize the internal security forces and the prison administration, exposing staff and people detained at significant risks and contribute to a structural disorganization of services, in a context of chronic staffing tension, as tragically illustrated by the tragedy of Incarville in May 2024. With regard specifically to medical extractions, the report underlines that they are “particularly costly in terms of staff” and “sources of significant risks”. The report clearly states the strategic objective consisting of strengthening health care in detention in order to avoid avoidable extractions. It therefore recommends developing the capacities of health units in prison environments (USMP) and strengthening the development of telemedicine in prison environments (recommendation no. 19) by relying on regional health agencies (ARS), in order to generalize access to care without extraction. The report also identifies a “ target model” combining technical platform, telehealth and specialized examinations on site, illustrated in particular by the example of the USMP of Vendin-le-Vieil and recommends extending its principles to sustainably limit medical extractions (recommendation no. 31). Among the medical procedures generating a significant volume of extractions are ultrasound examinations, which can represent, depending on the establishment, several dozen, or even more than a hundred extractions per year and per site. In this context, the MP wishes to know whether the robotic tele-ultrasound consultations carried out within the USMPs are or will be financed by the ARS, in the same way as other telemedicine devices already supported. He asks to what extent these solutions are or will be integrated into the budgetary programming of the ARS, particularly with regard to their ability to significantly reduce the number of medical extractions, to limit the exposure to risk of staff and detained persons and to optimize the allocation of public resources.

Machine translation from French. The official text remains authoritative.

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