Question 15046 — territorial civil service

Summary

Ms. Soumya Bourouaha draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the situation of territorial dental assistants, whose status and prospects for development remain profoundly unfair compared to other comparable paramedical professions. The Ségur de la santé agreements concluded in July 2020, translated into the social security financing law for 2021 and by the implementing decrees published between 2021 and 2022, allowed caregivers and childcare assistants to benefit from an upgrade of their diploma to level 4 by the decree of June 10, 2021, thus offering them reclassification in category B of the territorial civil service and access to the index salary supplement (CTI). However, dental assistants, whose missions are just as essential, remain classified in category C and unfairly deprived of these advantages. In a written question addressed, on July 21, 2022, to the Ministry of Transformation and the Public Service, the former senator of Val-de-Marne, Laurence Cohen questioned the ministry on this subject. In a response dated February 9, 2023, the ministry guaranteed to examine their situation within the framework of reflections on careers and remuneration in the public service. However, three years later, no concrete measures have been taken and their status remains unchanged. This lack of change is all the more worrying since their role in health centers is essential to guarantee access to dental care for all citizens, sometimes even in departments known as “medical deserts”. Thus, during the health crisis linked to covid-19 and particularly in Seine-Saint-Denis, the Salvador Allende municipal health center in La Courneuve has been identified as an emergency center with the ARS. Dental assistants ensured the continuity of the public service, guaranteeing access to oral care in a context of significant health risk. Their commitment was total, just like that of other health professions which have been upgraded. However, their remuneration and their career prospects remain lower than those of other paramedical professions, without objective justification. It is therefore necessary to upgrade the professional title of dental assistants to level 4, in order to allow their integration into category B of the territorial civil service and to obtain the same advantages as other care assistants. Under these conditions, she wishes to know the measures that the The Government intends to take steps to improve the situation of dental assistants in order to correct this persistent statutory inequality.

Machine translation from French. The official text remains authoritative.

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