Question 7375 — hospital public service

Summary

Mr. Arthur Delaporte draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the unfinished statutory situation of hospital ambulances and SMUR of the hospital public service. Decree No. 2022-1658 of December 26, 2022 allowed the creation of a specific corps of ambulance drivers within the FPH healthcare sector, establishing their recognition as health professionals. However, several regulatory elements remain inadequate with this new framework. On the one hand, several texts in force, in particular those governing mobile paramedical hospital units (UMH-P), such as articles D. 6124-13 and R. 6123-15 of the public health code, still use the terms “driver” or “pilot”, generating legal ambiguities. This terminology, leads to questionable practices in certain establishments, where unauthorized agents are assigned to functions legally pertaining to ambulance drivers. On the other hand, the missions currently carried out by SMUR paramedics sometimes go beyond the scope of their activity framework (preparation of infusion, management of certain medications), without explicit recognition of these skills in the texts. This This situation creates legal uncertainty, both for professionals and for establishments. Finally, despite the reform of the state ambulance diploma and the statutory evolution, no measure of salary increase or reclassification in active category has been planned, unlike other paramedical bodies upgraded within the framework of Ségur de la santé. He therefore asks him if the Government intends to carry out an update comprehensive regulation of the status of hospital ambulance workers, including the compliance of texts, the clarification of their skills within the framework of UMH-P and the taking into account of their particular conditions of practice in their remuneration and their statutory classification.

Machine translation from French. The official text remains authoritative.

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