Question 5798 — elderly people

Summary

Mr. Lionel Tivoli draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to a major problem affecting the transparency and reliability of quality controls in accommodation establishments for dependent elderly people (EHPAD). As part of the EHPAD evaluation procedures, establishments must call on accredited assessment bodies, in accordance with the new framework piloted by the High Authority for Health (HAS). However, these organizations are freely chosen and paid directly by the establishments themselves. This situation raises a fundamental question of conflict of interest: it is difficult to imagine that an organization mandated and financed by the structure it must evaluate could render a perfectly impartial opinion, particularly in a sector as sensitive as that of caring for dependent elderly people. Numerous alerts concerning cases of mistreatment, lack of care or insufficient staff have recently been reported, sometimes in establishments declared compliant or well rated by their evaluating organizations. This gap between the theoretical evaluation and the reality experienced on the ground fuels distrust growing number of families, caregivers and elected officials. Also, the MP wishes to know: what measures the Government intends to take to guarantee the real independence of the evaluations carried out in EHPADs; if a reform of the system of designation of evaluating bodies is envisaged, in particular by entrusting this role to a public authority, to a third party body or by establishing a draw among bodies accredited; and finally, if the Government plans to strengthen a posteriori controls on evaluation reports in order to detect possible complacency, or even cover-ups of dysfunctions. He also asks whether broader reflection is being undertaken to ensure better protection of EHPAD residents and true transparency of the conditions of care in these structures.

Machine translation from French. The official text remains authoritative.

Timeline

No timeline events have been ingested for this record yet.

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

No documents linked.

Sponsors

No sponsors or actors listed by the source.

Related records

No cross-record relationships stored yet.