Question 7866 — health

Summary

Ms. Mathilde Feld alerts the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the worrying consequences of the unilateral change of operator for the coordination of organized cancer screening in the Nouvelle-Aquitaine region, envisaged by the Nouvelle-Aquitaine Regional Health Agency (ARS) from January 1, 2026. This change, initiated without validation explicit ministerial action and without successful consultation with the stakeholders concerned, calls into question the sustainability of the Nouvelle-Aquitaine Regional Cancer Screening Coordination Center (CRCDC-NA), whose action has nevertheless demonstrated its effectiveness. The 2024 results published by Public Health France indicate a significant increase in participation in screening programs in the region (+ 10% for breast, + 10.9% for colorectal between 2022 and 2024), in a national context of decline or stagnation. The CRCDC-NA has demonstrated, until now, constant commitment, rigorous management and a desire for dialogue. However, the reduction in its budgetary allocation by 25% in 2024, at the origin of the ongoing dispute before the Bordeaux administrative court, weakens its functioning. This budget reduction, endangering the activity of the center, justifies the exercise by the latter of his constitutionally guaranteed right of appeal and cannot in any case justify retaliatory measures taken against him. On this subject, she would also like to point out that prevention costs on average 100 times less than treatment and that the insufficient staffing of screening centers is a calculation that is not only unkind but also economically aberrant. The call for expressions of interest procedure recently launched unilaterally by the ARS-NA in order to transfer the missions of the CRCDC-NA to a new actor, also raises serious concerns about the continuity of service, health safety and the future of the Center's employees, whose future is to date not guaranteed. She questions the legitimacy of such a decision, at the initiative of the ARS Nouvelle-Aquitaine, while the CRCDC-NA was created by ministerial decree. She is also concerned about the signal sent by this brutal sidelining of a historic operator, recognized by IGAS and health professionals, in an area as sensitive as cancer prevention. Consequently, she asks him what his position is on this decision to change operator. She also wishes to know what guarantees can be provided regarding the continuity, quality and neutrality of the public cancer screening service in New Aquitaine. In addition, she would like to know in what proportions it intends to increase the budgets intended for screening in order to meet the request of the organizers and to continue the recognized growth in the number of acts in New Aquitaine. Finally, she would like to obtain information on the way in which the Government intends to preserve the assets, skills and staff of the CRCDC-NA in the context of any possible reorganization.

Machine translation from French. The official text remains authoritative.

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