Question 8255 — overseas

Summary

Mr. Perceval Gaillard draws the attention of the Minister of Health and Prevention to those forgotten by Ségur de la santé in Reunion. Indeed, not all employees in the medical-social sector are affected by the increase in their salaries to the tune of 183 euros net per month. Administrative agents, cooks, logistics staff, so many workers essential to the functioning of medico-social structures who do not see their contribution recognized by public authorities. What's more, basic salaries are determined by a coefficient based on the position occupied multiplied by the index point. In 2010, the convention index point 51 was frozen. Then, in 2022, it increased by 3%. In 2010, an employee in the medical-social sector had a salary gap of 200 euros compared to an employee in a completely different sector of activity; which allowed a attractiveness of medico-social, which is no longer the case currently while this sector requires technical expertise. Living conditions are even more difficult overseas, particularly due to the high cost of living. It should be remembered that price differences with mainland France range from 7 to 12%. Already high in 2021, the increase in prices increased further in 2022 in Reunion to reach an unprecedented level over a full year: + 3.9% according to INSEE. As an illustration, the children's center of the Frédéric Levavasseur Association working exclusively in Reunion (which welcomes children and adolescents from 3 to 20 years old with motor or intellectual disabilities or multiple disabilities or even with ASD) expressed its difficulties to the MP: the various reasons mentioned above almost led to a major strike movement within it in February 2023. These employees mention financial difficulties in managing their daily lives with the increase in all areas of everyday life: insurance, complementary mutual insurance, shopping, access to leisure activities, etc. This feeling of injustice linked to Ségur took on a greater magnitude in January 2023. These support functions (logistics, administrative, management, kitchens, etc.) are essential to the functioning of this type of structure. If we take the example of some of the logistics agents: without drivers, no transport can be put in place to ensure multidisciplinary support missions. They have knowledge of young people, their behavioral disorders and medical risks (particularly epilepsy) and have been trained in their support; likewise, for the cooks who prepare suitable meals every day (finely mixed, mixed fat, ketogenic, controlled fats, etc.). This risk of disengagement is always present. All the professionals - "forgotten by Ségur" - are waiting for the minister's position by the end of the year. In such a context, he asks him if he plans to extend the Ségur bonus to all employees in the medical-social sector.

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