Question 17121 — health establishments

Summary

Ms. Julie Laernoes draws the attention of the Minister Delegate to the Minister of Labor, Health and Solidarity, responsible for health and prevention, to the incomplete coverage by the State of the “Ségur” compensation. On July 21, 2020, Olivier Véran, then Minister of Health, announced as part of the so-called Ségur de la santé agreements, a revaluation of professions in health establishments and nursing homes and “recognizes the commitment of caregivers to the health of the French. "This announcement invited the social partners to transpose these State commitments by conventional means and then confirmed that subject to an approved agreement, nursing homes in the private associative sector could obtain an equivalent transposition of these revaluations for the benefit of their staff, the financing of which was ensured in full as follows: 70% of the “Ségur” compensation would be covered by the State and social security and 30% would be covered by the departments. These commitments were translated into financing under the terms of decree no. 2022-739 of April 28, 2022. However, despite this commitment to full financing of the “Ségur” compensation, it is to be deplored that the National Solidarity Fund for Autonomy pays regional health agencies (ARS) the equivalent of 88% of the cost of the Ségur premium compensation, redistributed to nursing homes in the form of a lasting endowment. The remaining 12% is either partially compensated by the ARS through non-renewable credits (CNR) paid at the end of the year, without any visibility or control for managers, or simply not compensated. To comply with the law, establishments therefore find themselves obliged to pay the supplement by themselves, with no money back guarantee. For one of the associations managing two establishments in the MP's constituency, this represents a cumulative deficit of more than 200,000 euros since 2020 without any compensation recognized and implemented by the ARS Pays de la Loire. Nursing homes are experiencing a significant recruitment problem and the care professions are experiencing a real vocations crisis, jeopardizing the taking caring for the elderly. Supposed to improve the working conditions of the staff of these establishments, the “Ségur” allowance was to constitute a significant recruitment lever but this partial support puts the establishments in great difficulty both in terms of human resources to attract staff, and in financial terms because they do not have sufficient funding to assume the commitments made under the “Ségur” compensation and approved by the State. Also, it relays the concrete situation of these establishments and questions the Government to find out why the State is not respecting its commitments by paying the ARS sufficient allocations to cover the entire amount of the “Ségur” compensation to which the State has committed and in the proportions that it has itself defined. If necessary, she asks him what Long-term measures are planned to compensate for the underfinancing of these salary measures approved by the State.

Machine translation from French. The official text remains authoritative.

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