Question 6736 — health establishments

Summary

Mr. Laurent Alexandre alerts the Minister of Health and Prevention of numerous very worrying echoes from health professionals and stakeholders of the last territorial health council on the situation of healthcare provision in the department of Aveyron and its short-term prospects, particularly in his constituency of west Aveyron which includes two hospitals, in Villefranche-de-Rouergue and Decazeville. Already, Services are under high tension and usually operate with significant recourse to temporary workers. This is particularly the case for resuscitation and emergencies in Villefranche-de-Rouergue and Decazeville and maternity in Villefranche-de-Rouergue. The maternity situation is all the more worrying as the City report recommends the closure of maternity wards with fewer than 1,000 deliveries. This is the case of that of Villefranche with its 500 annual births. This above-ground accounting logic endangers the territories but also women in rural areas who would then have to travel too many kilometers on the roads to give birth, with all the risks and anxieties that this entails. In the same way, the Decazeville CH is struggling to recover from the serious fire which took place in May 2022 and despite the admirable efforts of the nursing staff, its medical analysis laboratory is threatened with limited operation due to the impossibility of compensating for the retirement of its biologist this summer. More generally, in Aveyron, with the implementation of article 33 of the Rist law in April 2023, a strong risk of a disruption in the provision of care in the territory would be envisaged. Worse, many staff are even worried about a possible closure of emergency services at night. The deputy does not dare to think that such a short-term outcome would be envisaged without parliamentarians being informed of it. He does not dare to think that such an outcome would be envisaged when several thousand people would then find themselves more than an hour's drive from an emergency service, in breach of the principles of equal treatment of citizens which founded the Republic and social security. He does not dare to think that such an outcome would be envisaged when his constituency has several risky industrial activities classified as Seveso. The MP does not question the desire to rebalance remuneration between temporary health professionals and those stationed at the hospital. He also does not deny the difficulties of recruiting medical personnel in Aveyron. However, he is very concerned, after many exchanges with various professionals, through the capacity of its territory to provide citizens with continuity in the provision of care in this specific context. Clearly, if an application of the Rist law on April 1, 2023 were to result in the closure of health services due to the absence of practitioners, it is the responsibility of the Minister to activate the necessary political levers in time so that urgent responses are provided. Different tools exist such as improving the attractiveness, working conditions and remuneration of hospital careers, the necessary regulation of the installation of doctors, the possible on-call duty of doctors for nights and weekends, even the requisitions of staff and in particular temporary workers. The MP asks the Minister for clarification on the situation from the department of Aveyron. Are emergency services likely to be effectively closed at night? If yes, in which establishments in the department and for how long? Are other services at risk? What measures does it intend to implement to ensure the continuity of healthcare provision in Aveyron? He wants to know the answers to these questions.

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