Question 9603 — health establishments

Summary

Mr. Guillaume Florquin draws the attention of the Minister of Labor, Health, Solidarity and Families to the particularly worrying financial situation of public hospitals and accommodation establishments for dependent elderly people (EHPAD) in the Hauts-de-France region. According to data recently communicated by the Hauts-de-France Regional Hospital Federation, the debt of public hospitals now amounts to at 330 million euros. At the same time, 74% of public EHPADs in the region would be in deficit in 2024, while hospital activity remains on the rise (approximately +3.7% (FHF) in the number of stays at the national level in 2024). This budgetary drift leads certain establishments to defer routine maintenance, to delay payment to their suppliers, or even to abandon renovation projects that are nevertheless essential for safety and security. to the quality of care. The causes identified are multiple: inflation in energy and purchasing costs, uncompensated salary increases, sustained increase in demand for care, as well as activity-based pricing (T2A) deemed unsuitable for the health realities of the territory. Faced with this unprecedented situation, the Hospital Federation is warning of the risk of disruption in access to care for residents of Hauts-de-France, even though the regional public offer represents more than 110,000 professionals, 78 health establishments and more than 230 public EHPADs. Also, he asks what immediate measures the Government intends to take to support the cash flow of public hospitals and EHPADs in deficit in the Hauts-de-France region and in what time frame these measures could be translated into concrete terms to guarantee continuity and the quality of care for the inhabitants of the 20th district of the North and, more broadly, of all of Hauts-de-France.

Machine translation from French. The official text remains authoritative.

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