Question 13026 — health

Summary

Mr. Julien Gokel alerts the Minister of Health, Families, Autonomy and People with Disabilities to the situation of Participatory Coordinated Exercise Structures (SecPa), a system established within the framework of article 51 of the social security financing law in order to support innovative experiments in the organization of care and access to health. This system has enabled participatory health centers, such as the MSP of Kruysbellaert in Dunkirk (North), to develop “outward-facing” actions, support for the most vulnerable groups, reinforced coordination of care pathways as well as the fight against social and territorial health inequalities. These structures play a determining role in areas facing high levels of social insecurity, difficulties in accessing care and a growing demand for mental health matters. However, the structures concerned were recently notified that the financing of article 51 SecPa would end on April 30, 2026, without integration into common law and without a clear guarantee of a lasting transition system. This decision arouses great concern among health professionals and territorial stakeholders, even though the evaluations carried out have highlighted the usefulness and effectiveness of these experiments. The sudden end of this funding risks leading to a major weakening of multidisciplinary teams, a calling into question of the partnership work carried out with local social and health stakeholders, as well as a deterioration in the continuity of care, particularly for patients with complex pathways. The situation of the Kruysbellaert MSP thus appears emblematic of the risks that this decision poses to the coherence of the territorial network and the stated objectives of public policies in terms of access to care, prevention and mental health. In this context, he asks what measures the Government intends to take to ensure the sustainability of the financing of the SecPa structures currently engaged in the experiment, guarantee the continuity of their missions for the benefit of the populations concerned and consider modalities sustainable integration of this system into common law, in accordance with the ambitions set out in article 51 in terms of health innovation.

Machine translation from French. The official text remains authoritative.

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