Question 35855 — health professions

Summary

The Ségur de la santé constituted a strong political act in favor of all health establishments and remains a priority subject for the Government. Thus, private non-profit health establishments and cancer centers (CLCC) benefit from almost all of the Ségur measures, in particular through the basic revaluation of non-medical personnel with an amount of 5.9 billion euros and the plan investment for an amount of 19 billion euros. However, while most of the measures are universal for all health establishments, consultations have resulted in more differentiated measures. Indeed, the observation of a lack of medical attractiveness of the public hospital led the Government to plan measures to upgrade medical personnel for the public hospital. . Private establishments and CLCCs have the freedom to grant additional remuneration to their practitioners, such as additional variable shares. Likewise, collective agreements set conventional minimums and authorize the possibility of defining more favorable compensation schemes. Also, this flexibility of the private sector makes it possible to adapt its recruitment and remuneration policy to bring into play competition and the attractiveness of its structures. However, public establishments have no margin for negotiation since the staff is strictly subject to regulations and therefore do not allow flexibility in the allocation of various related bonuses or negotiations in the context of a particular context. However, the government is careful to ensure that there are not too great disparities between the private and public sectors. The Minister of Solidarity and Santé has therefore initiated work with the various federations representing the private health sector to objectify the differences in remuneration of practitioners, taking into account the impact of Ségur de la santé. This work aims to take into account basic remuneration but also the various specific suggestions: working time and overtime, valuation of participation in the permanence of care, territorial exercise… This approach, for each sector, is an essential prerequisite to ensure the balance and equity of measures between stakeholders. In addition, in accordance with the parliamentary debates of December 2, 2020 as part of Ms. Stéphanie Rist's bill, "improving the health system through trust and simplification", a report on the attractiveness of practitioner positions within private health establishments of collective interest will be shared.

Machine translation from French. The official text remains authoritative.

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