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27 records where Fabrice Le Vigoureux is listed as a sponsor, author, or other actor. Search with topics and years
Question· Question écrite9944answered
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the profession of speech therapist and more particularly to the situation of the provision of speech therapy care in public health establishments. Speech therapy concerns many French families, adults and children with voice, speech, language, communication disorders, etc. In 2013, a first step forward was made place thanks to the reform of speech therapy studies carrying the certificate of ability in speech therapy of three to five years of training, being recognized as a master's degree. However, today, public service speech therapists are paid in hospitals on a basis equivalent to two or three years of post-baccalaureate studies. No salary increase was carried out, leading to a gap between the level of skills and the level of remuneration. Today, a beginner speech therapist is paid 1.06 minimum wage, and it is easily understandable that a salary barely above the minimum wage at the start of their career, for a master's degree, does not attract young graduates. In addition, it takes fourteen years of seniority for a speech therapist to reach 2,000 euros net. Under these conditions, the positions, which are hardly attractive, are no longer filled and are gradually disappearing, the training offer is reduced because each year the number of internship and research opportunities at the hospital decreases, due to a lack of supervising professionals. All of these elements lead to a loss or even absence of speech therapy care while needs continue to grow. This non-recognition leading to a shortage of speech therapists in public or semi-public healthcare establishments poses a public health problem. important. Many hospital departments (neurological, otolaryngological, geriatric) express their concerns about the weakening of the profession. In addition, this situation disrupts the “city hospital” network, and private speech therapists are faced with considerable waiting lists. In Normandy, you have to wait around two years for the treatment of new patients. So, he asks to please indicate whether the Government intends to modify the salary scales of speech therapists in order to remedy this situation.
Question· Question écrite38345answered
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister for Europe and Foreign Affairs to the situation of the Bahais in Iran and more particularly in the village of Ivel. The human rights council has repeatedly expressed concern over discriminatory laws that prevent the Bahai community from forming religious associations, entering universities or finding employment in the public sector. THE Human rights violations of which the Bahais are victims in Iran are therefore proven and denounced, but they persist and nothing seems to suggest an improvement in their situation. Thus the village of Ivel, located in the province of Mazandaran, provides an illustration of the repeated and orchestrated persecutions since 1979. Thus in 1983, the village experienced a tragedy: for 3 days, 130 inhabitants of this village were locked in a mosque, deprived of water and food. This pressure, organized by local authorities and the clergy, aimed to force the Bahais to renounce their faith. In 2010, in this same town, using four bulldozers and several trucks, individuals demolished and razed around 50 apartments that belonged to these villagers. Most of the lands belonging to the Bahais were confiscated and even when they manage to obtain a certificate of ownership, they are regularly harassed and since August 1, 2020, their property rights have been illegal. For all these obvious violations of human rights and the campaigns of incitement to hatred against this community orchestrated by the regime, the external affairs office of the Bahais of France wished to draw attention to the fate reserved for the largest minority nun from Iran. He would therefore like to question him on France's position on the situation of the Bahais and whether actions are envisaged for the protection of this minority deprived of the most fundamental rights in the name of their religious affiliation.
Question· Question écrite37767answered
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the payment of the covid bonus to staff of private non-profit establishments. This health crisis has demonstrated the necessary investment of all health professionals, and particularly of public hospitals. But from the start of the crisis, establishments and services in the private non-profit health, social and medico-social sector began are mobilized to ensure the support and safety of the elderly, people with disabilities, young people placed in child welfare, people in very precarious situations and protected adults. The continuity of all of these services, involving a large number of professions, guarantees the safety of all. These missions, which are indeed those of the general interest, carried out by non-profit organizations deserve to be considered with all the recognition and attention given to the public sector. The upgrading of doctors working in private, non-profit health establishments seems to be a start to taking into account this sector, which is essential and essential for the health of the French. Also, to promote better management of the careers of caregivers in these establishments, he would like to know what the prospects for salary increases are for all professionals in this sector.
Question· Question écrite33427open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Labor, Employment and Integration to the situation of childminders and the reporting procedures and malfunctions of the Pajemploi site. Intended to simplify administrative formalities for employer parents who have their children looked after by an approved childminder, the Pajemploi site is a service offering from the Urssaf network. Each month, parents Employers declare the hours worked by the childminder as well as the remuneration on the Pajemploi website. However, for example, it is only possible to declare in peak hours and therefore impossible to take precisely into account the hours worked. The processing of additional hours and overtime is often late, which sometimes causes disputes and difficulties, both for parents employers as well as for childminders. Furthermore, when a child is ill, the rule is to apply the same restraint as in the absence of the childminder. The latter therefore finds herself penalized financially, while continuing to work because most often, childminders welcome several children. Many other operations question the recognition of this profession, however essential given the lack of places in crèches. In addition to questioning the functioning of the Pajemploi site, he would like to know the developments which would allow better consideration of the profession of childminder, in compliance with labor law.
Question· Question écrite33413open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the conditions of remuneration of midwives. Recognized as part of the medical professions, the status of midwife currently only offers remuneration which is more similar to that of medical auxiliary professionals. Although having allowed a salary increase of 183 euros per month for midwives, the Ségur de la santé has not not open the debate on the very recognition of this status of medical profession and its translation in terms of salary. The medical competence and the responsibilities that these professionals bear on a daily basis in the exercise of their profession nevertheless correspond well to the classification of this profession among the medical professions. As of January 1, 2020, there were 23,174 professionals who would therefore be affected by this situation. Beyond Ségur de la santé, he would like to know the Government's position regarding the statutory remuneration of these professionals, whose presence and commitment are essential for obstetric services to continue to operate.
Question· Question écrite33332open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of National Education, Youth and Sports to the terms of validation of the 2021 baccalaureate for professional sectors. For the 2020 baccalaureate, and in order to take into account the confinement period, the Minister indicated that it would be accepted that the internships last less long, before specifying that a minimum of 10 weeks of training periods would be required in professional environment throughout schooling. To date, although the health situation does not require confinement, some companies are struggling to find their operations, and the search for an internship is often unsuccessful. Many high school students, first or final year students, do not yet have an internship. The uncertainties are very high and some students even become discouraged with regard to classroom teaching, others despair at the idea of validating a diploma, and finally others already think that the terms of validation of the baccalaureate will be the same as in 2020. Although the evolution of the health situation over the coming months is uncertain, it nevertheless seems that, in terms of their operation, the usual internship sites are not necessarily prepared to welcome more interns before the start of the 2021 school year. offer a framework and precise perspectives to candidates for the 2021 baccalaureate, he asks if the terms of the exam could be known soon in order to remove uncertainties for students, teachers and their families.
Question· Question écrite27755open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the conditions of support for Smur transport: “mobile emergency and resuscitation service”. Indeed, for several years, the practices of establishments have been heterogeneous and conflicts have accumulated between health establishments, mutual insurance companies and patients. These transports correspond to the exercise of the public service mission of aid urgent medical. They are thus financed by the “general interest mission” envelope of the Smur management establishment. However, during primary Smur transport (from the place of care to the place of hospitalization), certain establishments request the patient's financial participation via the billing of a co-payment. Without their legality being assured, invoices of 500 to 750 euros on average are thus recovered from patients. It would seem that the insufficiency of the “general interest mission” (MIG) allocation granted to establishments motivates the invoicing of a co-payment. In a context of increased attention to patients' out-of-pocket costs and the fight against inequalities in access to care, he would like to know the Government's position on these practices.
Question· Question écrite24845open
France · National Assembly
Mr. Fabrice Le Vigoureux alerts the Secretary of State, to the Minister of Ecological and Inclusive Transition, responsible for transport, about the frequent malfunctions encountered by users of the Paris-Cherbourg intercity line. Thanks to the vote on the mobility orientation bill (known as the “LOM law”), the main objective of French rail policy should shift from “all TGV” to improving the quality of service for users and maintenance of the rail network. In this perspective, the Paris-Cherbourg line must be the subject of particular attention. Since January 1, 2019, trains on this line have been running almost 1,000 hours late for a punctuality rate of less than 70%, compared to 87% nationally! The cause is often worn-out infrastructure and a new timetable poorly adapted to the realities of commuting mobility in the region. So much so that a Paris-Caen journey, for example, takes longer today than in the 1970s. Ultimately, this situation risks affecting the attractiveness of the cities served, and, consequently, local economic activity. Also, he hopes that he will be able to provide the most precise answers possible to the following three questions: firstly, what are the benefits of the Cherbourg-Paris line? can it expect from the commitment, made within the framework of the “LOM” law, of a redeployment of railway credits towards the maintenance and upkeep of intercity and regional lines? Secondly, what would be the planned phasing of work on the Paris-Cherbourg line, in particular those relating to the Saint-Lazare leapfrog and the Paris-Mantes section? Finally, he asks him what the terms of delivery of the trains would be. new for this line (calendar, amount of financial contribution granted by the State).
Question· Question écrite2001answered
France · National Assembly
Mr. Fabrice Le Vigoureux questions the Secretary of State, to the Minister of State, Minister of Ecological and Inclusive Transition, on the current installation of Linky meters by Enedis following Law No. 2015-992 of August 17, 2015 relating to the energy transition for green growth: how are the risks and benefits of installing meters assessed? To what extent can information be transmitted to mayors in order to to respond objectively and transparently to the concerns expressed by residents, more particularly about the technology used (on-line power line), the reliability of the meter itself and the information that will be transmitted to Enedis? To date, the information available on https://www.ecologique-solidaire.gouv.fr/reseaux-electriques does not allow these questions to be answered and some mayors are requesting an approach proactive information in the face of increasing cases of installation refusals, petitions and opposition groups in their territories. He would therefore like to know his position on the subject.
Question· Question écrite19038open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Labor to the situation of people who wish to create their business before the end of their conventional termination process, and more specifically to their right to the return to work assistance allowance (ARE). Article 60 of Law No. 2018-771 of September 5, 2018 provides that “the job search condition required to benefit from replacement income is satisfied as soon as when the interested parties are registered as job seekers and carry out, on their own initiative or at the suggestion of one of the organizations mentioned in Article L. 5311-2, positive and repeated acts with a view to finding a job, creating, taking over or developing a business. » As part of a “classic” conventional termination, the person can register or pre-register with the Pôle emploi organization so that the Return to work assistance allowances are paid at the end of the process, depending on the employee's rights. If the business creation occurs a few weeks after the opening of its rights, the ARE is then adjusted. However, in the context of a business creation which would take place before the effective end of the employment contract, the compensation procedure seems vague, or even non-existent. The person who wishes to create his company can find itself without resources: it cannot receive the ARE despite the absence of profits generated by the newly created company. Thus, he questions him on the answers that the Government can provide so that these future players in entrepreneurial life can develop France's economic activity with complete peace of mind.
Question· Question écrite18839open
France · National Assembly
Mr. Fabrice Le Vigoureux alerts the Minister of Europe and Foreign Affairs about the medical company I2M, located at 16 bis Fossés Saint Julien in Caen, in Calvados, managed by MM. Desnos and Hamel. For more than 30 years, I2M has been at the origin, thanks to its studies and investigations, of the creation and marketing of the first devices to treat and stop hyperhidrosis, characterized by excessive sweating of the hands, feet and armpits. If the effectiveness of the treatment protocol is no longer to be proven, it becomes problematic to meet national and international demand. The reason for this difficulty in fulfilling orders lies in the scarcity of notified bodies, the only ones competent to carry out an assessment of the conformity of medical devices, and thus issue laboratories with a CE certificate of conformity. valid for a period of 1 to 5 years. Furthermore, during this period, the notified body is responsible for verifying at least every year that the requirements continue to be met, with a thorough check at the end of the period when the certificate is renewed. However, if in 2012 there were 87 organizations in the European Union, today there are estimated to be between 25 and 30 and only one is French-speaking. The decrease in the number of notified bodies is partly explained by the tightening of the criteria for authorization of approval. Indeed, the new European regulations, 2017/745/EU and 2017/746/EU published in the Official Journal in May 2017, state “new technical and regulatory requirements for manufacturers”. Thus, organizations must deal with a growing need for laboratories that must imperatively validate their innovation or verify that the requirements continue to be met. Faced with these increasing demands, some organizations have even decided to no longer accept new clients, thus placing these companies in a delicate position. Also, he asks what levers can be implemented to allow laboratories to market their products by meeting the requirements of notified bodies within the set deadlines and thus limit this obstacle to commercialization and French innovation.
Question· Question écrite17875open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of National Education and Youth to the care of intellectually precocious children (EIP). Indeed, EIPs are among the students with special needs that are still too little known and their profiles are diverse. Knowing how to detect them is important to better manage them. However, to date, screening for intellectual precocity is not systematic. It is put in place only when the student shows discomfort at school or a learning disorder. In this context, what measures can be considered to detect these EIP more quickly and improve their individualized support systems so that they can fully integrate into the educational curriculum and flourish within society.
Question· Question écrite17849open
France · National Assembly
Mr. Fabrice Le Vigoureux questions the Minister of Territorial Cohesion and Relations with Local Authorities on the threshold effects that impact new municipalities. When a new municipality is created, all the rights and obligations of the historic municipalities are taken over by the new municipality. But this creation can also generate particularly restrictive additional obligations with regard to the state. Within its constituency, several municipalities of less than 2,500 inhabitants have grouped together to form a new municipality of 6,000 inhabitants. This exceeding of the threshold of 5,000 inhabitants generates in particular the obligation to create a reception area for travelers, an obligation to have at least 20% social housing (SRU law) and additional administrative means contrary to the aim of rationalizing means desired by the law relating to the new territorial organization of the Republic of August 7, 2015, known as the NOTRe law. In this context, he asks what measures can be considered in order to attenuate these threshold effects, allow better rationalization of costs and means and prevent a voluntary project of grouping of municipalities from being slowed down, deferred or reconsidered in the light of new disproportionate obligations with regard to the state.
Question· Question écrite13340open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the working conditions and their consequences on the quality of life of seniors in accommodation establishments for dependent elderly people (EHPAD). Indeed, since the start of 2018, staff in the sector have mobilized on several occasions to alert the Government. These dedicated and committed staff must be able to devote more of their working time to elderly people who request their support. The evolution of French demography is significant. Today, France has 1.5 million people aged 85 and over. By 2050, there will be 4.8 million. It is necessary and urgent to provide these establishments with additional financial resources, but also human resources. The Government presented, on May 30, 2018, its roadmap “ old age and autonomy” which includes several short-term measures to improve the quality of care and support in EHPADs as well as at home. This plan provides, in particular, to increase the number of caregivers for residents thanks to an additional envelope of 143 million euros which is added to the 217 million euros already planned over the period, i.e. 360 million euros from 2019 to 2021 intended for the recruitment of staff caregivers in EHPADs. This is progress, but EHPADs encounter many difficulties in recruiting due to the lack of attractiveness of these professions. Thus, he asks her what measures she plans to implement to create the additional positions necessary for the demographic evolution of France, but also to recruit and motivate staff in this sector in order to restore working conditions for professionals and acceptable living conditions for vulnerable seniors.
Question· Question écrite11144open
France · National Assembly
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the decree published on February 13, 2018 relating to chiropractic training (JORF no. 0037). This decree contains a framework of activities and skills necessary for chiropractors. The intervention framework of this profession is defined by Decree No. 2011-32 of January 7, 2011 which limits their interventions to “acts of manipulation and mobilization manual, instrumental or mechanically assisted, direct or indirect, with or without a force vector, having the sole aim of preventing or remedying disorders of the musculoskeletal system of the human body and their consequences, in particular at the level of the spine, excluding organic pathologies which require therapeutic, medical, surgical, medicinal or physical intervention. However, the decree of 13 February 2018 considers that the profession of chiropractor consists of treating “neuro-musculoskeletal disorders” by means, in particular, of joint mobilization defined as follows: “unlike spinal manipulation, mobilization is not a forced maneuver. Mobilization maneuvers can be either active or passive and are aimed at one or more consecutive joints with the aim of encourage their mobility as completely as possible within the limits of joint physiology. At no time does it involve any sudden movement or acceleration.” By modifying the notion of "musculoskeletal system disorders" in the decree into "neuro-musculoskeletal disorders" and that of "manual mobilization" into "joint mobilization", the decree recognizes intervention skills broader than the rights allocated by the decree with the consequences of sharing an entire field of functional rehabilitation between chiropractors and masseurs-physiotherapists. Until now, the boundaries of the fields of intervention of health professionals were made with regard to the actions carried out. This made it possible to identify the professional according to the act to be performed. As a reminder, chiropractic is a regulated profession but is not a approved profession whose medical acts are registered in the public health code following the opinion of the National Academy of Medicine. The patient's care pathway is more complex since, from now on, the distinction between what is the responsibility of the physiotherapist and what is the responsibility of the chiropractor can only be made with regard to the functional state of the patient, even though no relevant indication in the text makes it possible to place the limit of intervention of one professional in relation to the other. The actions carried out by the physiotherapist and the chiropractor are impossible to distinguish. In addition, this decree establishes a dual regime of access to the same care. Indeed, for the same pathology, the patient will be able to access the chiropractor unconditionally and with direct access, while access to the physiotherapist is subject to obtaining a prescription. Therefore, she asks him if a revision of this decree is possible in order to clarify the activities and skills specific to each of these two professions and thus remedy this legal confusion.
Question· Question écrite13153open
France · National Assembly · 21 November 2023
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Health and Prevention to the opportunity to strengthen the recognition of professions linked to nutrition, particularly in the face of the development of illegal practices and abuses in the use of derived terms. Two types of health professionals are recognized by law in matters of nutrition: the dietitian-nutritionist and the doctor-nutritionist. Recognized by the health code and its article L. 4371-2 which states that "only persons holding a state diploma may practice the profession of dietician", the activity of dietitians-nutritionists is strictly regulated. These professionals must hold a BTS in dietetics or a DUT in biological engineering with a dietetic option including a minimum of 1,800 hours of training. Nutritionist doctors, for their part, are doctors who have followed a additional training in nutrition of approximately 150 hours. However, the growth in demand from French people in this area, particularly under the effect of social networks, has given rise to numerous abuses. The illegal exercise, although punishable by one year of imprisonment and a fine of 15,000 euros, has developed on the one hand and activities derived from non-professionals have emerged on the other hand, such as "nutritionists" - the qualifier not being regulated - or even “nutrition experts”, “nutrition coaches” and “nutri-therapists”. These non-professionals, sometimes offering expensive services to people in need of real medical monitoring, do not hold recognized qualifications and do not have formal training or training. Also, the deputy wishes to know on the one hand whether the controls in order to fight against the exercises illegal are sufficiently implemented and if measures are taken to allow better monitoring of social networks and, on the other hand, if a legislative development is envisaged in order to combat abuses in the activities of non-professionals and thus to better protect recognized titles in order to ensure real protection of their health for French people. Finally, with the aim of contributing to the reduction of cost of treating diet-related pathologies, he would like to know if the ministry is considering reimbursement for dietary consultations.
Question· Question écrite8616answered
France · National Assembly · 6 June 2023
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Culture to the difficulties in recruiting teachers encountered by artistic educational establishments (music, dance, theater schools and conservatories) and believes that the remuneration of artistic teachers must be improved in order to prevent a greater shortage of personnel and a decline in vocations in this profession. Art teachers, experts in their discipline, whether musical, theatrical or choreographic, play a crucial role in the development and fulfillment of the children enrolled in these structures. Despite this, they are poorly paid compared to their counterparts in national education. Grouped in the cultural sector - artistic education of the territorial civil service, they have two distinct job frameworks: assistant of artistic education (category B position) and artistic education teacher (category A position). Despite demanding artistic studies, the starting salary is less than 1,500 euros per month and you must wait to accumulate more than 20 years of seniority to be able to reach 2,000 euros per month. Excluded from the implementation of the RIFSEEP in local authorities, the non-increase in the index scales of remuneration of arts teachers contributes to a shortage of qualified personnel in the establishments concerned, which will have a direct impact on the quality of specialized teaching and the artistic and cultural education of students. If specialist teachers are not paid enough, this may also cause them to seek higher paying jobs in other fields, resulting in a loss of expertise and skills for the public specialized education system. Furthermore, it is important to emphasize that the remuneration of arts teachers should not only reflect the value of their work, but also their level of expertise and qualification. Specialized teachers, who often began practicing from childhood, must undergo specific training and obtain specific certifications to exercise their profession. Arts education establishments, in a proactive stance, have had to and have been able to adapt to the different methods of supporting new audiences (group pedagogy, artistic and cultural education, audiences with disabilities within the framework of the application of the law of February 11, 2005). Finally, it is important to emphasize that the remuneration of artistic teachers has an impact on their motivation and commitment within their establishment. Arts teachers need to be motivated to provide educational services tailored to the specific needs of students and to work collaboratively with other education professionals. Fair and equitable remuneration can help maintain specialist teachers' motivation and commitment to their profession. In short, improving the remuneration of arts teachers, as is the case in national education, is crucial to prevent a shortage of qualified personnel. This will also make it possible to maintain the motivation and commitment of artistic teachers in their missions, which is essential to offer quality teaching to child apprentice musicians, dancers and actors registered in artistic educational establishments and in conservatories. He wants to know the perspectives on this subject.
Question· Question écrite4078answered
France · National Assembly · 13 December 2022
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Health and Prevention to the situation of the medical physicist profession. This profession plays a crucial role in public health by guaranteeing the safety of patients and nursing staff during examinations using radiation techniques in both radiotherapy and nuclear medicine departments. The profession of medical physicist has been recognized and integrated in the public health code by the order of January 20, 2017. The profession of medical physicist is accessible through competitive examinations from the National Institute of Nuclear Sciences and Techniques (INSTN), after a master 2 specialized in medical physics. However, although the number of medical physicists in training is increasing (from 40 to 45 per year since 2018), the number of students trained does not meet the needs. growing needs linked to increased activity and the deployment of new practices. In a note dated January 11, 2022, the Nuclear Safety Authority proposed several avenues for training more medical physicists, such as the mechanism for validating acquired experience (VAE) or the recognition of a foreign diploma of equivalent quality to practice the profession of medical physicist. Furthermore, a project of Decree eagerly awaited by the profession specifying the missions of medical physicists and the acts requiring their intervention began in 2018 but is slow to be published. The profession of medical physicist must be a priority so that the radiation protection of patients and healthcare personnel is ensured in all circumstances. This is why he requests it in order to know the action of the Government towards the profession of medical physicist both in terms of workforce development and in terms of recognition of the profession by health establishments.
Question· Question écrite2292answered
France · National Assembly · 18 October 2022
Mr. Fabrice Le Vigoureux draws the attention of the Minister Delegate to the Minister of the Interior and Overseas Territories and the Minister of Ecological Transition and Territorial Cohesion, responsible for local authorities, to the subject of difficulties linked to governance and the operation of management centers. Certain establishments, such as the Calvados territorial public service management center (CDG14), must comply with regulations that may appear unsuitable for their situation, particularly with regard to elections to the board of directors. Indeed, the decree of June 26, 1985 relating to management centers provides that “each list of candidates must include twice as many applications from full and alternate representatives as there are seats to be filled. Each candidacy of a titular representative is accompanied by that of a substitute.” The CDG14, which was to elect 46 directors in 2020, encountered difficulties in gathering double the number of candidates, i.e. 92. This is why it is requesting it so that adjustments are proposed to provide more flexibility to management centers in the organization of board elections.
Question· Question écrite44142open
France · National Assembly · 1 August 2022
Mr. Fabrice Le Vigoureux questions the Minister Delegate to the Minister of the Economy, Finance and Recovery, responsible for public accounts, on the value added tax rate applicable for liquid and gas leak detection services. Article 279-0 bis of the General Tax Code subjects improvement, transformation, development or maintenance work on premises to the reduced rate of 10% of VAT. housing completed more than two years ago. In a response to a written question dated May 3, 2016, the former Minister of Finance and Public Accounts indicated, citing the tax doctrine (BOFiP-taxes reference BOI-TVA-LIQ-30-20-90-30) that “generally speaking, study services are subject to the standard VAT rate. This is particularly the case when these study services such as leak detection services are carried out in isolation. However, the notion of “isolated service” remains quite ambiguous, which plunges many companies into a situation of legal uncertainty whose tax consequences can be particularly significant. Indeed, for identical services, some companies apply the reduced VAT rate while others favor the normal rate, which creates distortions of competition. It should be noted that these structures whose activity consists of searching for liquid or gas leaks are not intended to act alone. In fact, their service is part of a global economic operation, very often prescribed by insurers which results in the repair of water damage noted by policyholders. This is why, in the light of these elements, he would like to be able to obtain from him a clarification regarding the notion of “isolated service” which conditions the applicability of the reduced rate of value added tax for liquid and gas leak detection services.
Question· Question écrite25718open
France · National Assembly · 30 June 2020
Mr. Fabrice Le Vigoureux draws the attention of the Minister of Solidarity and Health to the serious consequences of taking cyproterone acetone (Androcur) in women suffering from hormonal imbalance. A study carried out by the National Medicines Safety Agency (ANSM) estimated the number of women affected by a meningioma (benign brain tumor) following taking Androcur between 2007 and 2015 at 500. This figure does not hold true. account of women operated on during this period. The real number of women concerned would therefore be closer to a thousand. Furthermore, a warning concerning the risks associated with taking this medication was issued in 2008 and special monitoring was decided in 2009 by the European Medicines Agency (EMA). Despite this, Androcur continued to be prescribed to patients on a long-term basis. In 2018, the ANSM and the CNAM formed the Epi-Phare scientific interest group (GIS) whose mission is to coordinate and carry out pharmaco-epidemiology studies with the aim of informing public authorities in their decision-making and responding to the growing demand for studies based on complex and massive data from the national health data system (SNDS, formerly SNIIRAM). It indeed seems essential to be able to identify in the most possible way reliable as possible, the risks linked to health products in order to ensure health safety and transparency of data for French women. He would like to know if there are resources allocated to the proper functioning of these studies on the themes "endometriosis and meningioma" and "desire for pregnancy and meningioma", which are essential for doctors, in order to ensure good care for patients. Likewise, he would like to know if, in In the event of a change in instructions, patients and doctors are informed quickly and individually.
Question· Question écrite17575open
France · National Assembly · 2 May 2019
Mr. Fabrice Le Vigoureux questions the Minister of the Economy and Finance on the concerns expressed by car driving learning professionals from the National Council of Automotive Professionals (CNPA) regarding the emergence of new online platforms connecting learner drivers with independent instructors. The latter operating as self-employed do not justify any approval prefectural (only the platform being approved), are not subject to the same charges as traditional driving schools and use attractive, sometimes dubious slogans to promote their training platform talking about rates “10 times cheaper” for the code, well below reality. Finally, the independent instructors, used by the platforms, operate with their own vehicle while the Approved establishments must provide proof of ownership or rental of teaching vehicles. Also, he asks what measures can be considered to guarantee fairer and more equitable economic competition between traditional driving schools and online platforms.
Question· Question écrite17563open
France · National Assembly · 2 May 2019
Mr. Fabrice Le Vigoureux questions the Minister of Solidarity and Health about the difficulties encountered by patients in accessing medical transport. Indeed, in certain French cities, patients in day hospitalization are forced to forgo care due to a lack of suitable medical transport available. In fact, these patients require adapted transport for their home-facility journeys and do not can do it by private vehicle or by public transport. Calling numerous medical transport companies several days in advance, they were refused transport. Also, he asks him to kindly indicate whether precise studies can be carried out jointly by the stakeholders concerned to determine the causes of the shortage of medical transport and propose solutions to this harmful situation. for patients.
Question· Question écrite18335open
France · National Assembly · 3 February 2019
Mr. Fabrice Le Vigoureux alerts the Minister of Labor to the financial situation of the Training Insurance Fund for Craft Business Managers (FAFCEA). The FAFCEA is responsible for financing the continuing professional training of artisans. However, this organization has suspended its funding since March 15, 2019. This situation is believed to be due to the transfer of the collection of contributions to the continuing training of artisans to the URSSAF since January 1. 2018. It appears that 170,000 companies have not been identified and called to contribute. Consequently, with collection increasing from 72 million euros in 2017 to 33.8 million in 2018, the FAFCEA forecast result would be in deficit of 32 million euros for the 2018 financial year. While we are witnessing a permanent evolution of professions and growing training needs, particularly in the areas of digital and ecology, he asks what measures can be implemented very quickly in order to rebalance the financial situation of the FAFCEA and allow artisans to preserve their access to continuing professional training.
Question· Question écrite18294open
France · National Assembly · 3 February 2019
M. Fabrice Le Vigoureux attire l'attention de M. le ministre de l'agriculture et de l'alimentation au sujet des inquiétudes formulées par le groupement de défense sanitaire (GDS) du département du Calvados. Acteur essentiel depuis 70 ans dans le département, le GDS effectue un travail primordial dans le domaine de la santé et de la protection animale. Depuis 2014, la fédération régionale des GDS est reconnue par le ministre en charge de l'agriculture en tant qu'organisme à vocation sanitaire dans le domaine animal. L'inquiétude émane de la publication de l'ordonnance 2019-59 du 30 janvier 2019, relative à l'exercice et au transfert, à titre expérimental, de certaines de ses missions dans le réseau des chambres d'agriculture parmi lesquelles les missions d'information générale, d'appui, de diagnostic et d'assistance sur la réglementation relative à la santé et à la protection animales. Le domaine de la réglementation en matière de santé et de la protection animales constitue un des socles de l'action des GDS. C'est la raison pour laquelle le transfert de ces missions pourrait conduire à leur disparition en tant qu'entités indépendantes. Aussi, il lui demande de l'éclairer sur les évolutions mises en œuvre pour conserver un réseau sanitaire indépendant, apolitique, maillé sur le territoire grâce à des éleveurs élus investis et à 1 400 collaborateurs, qui, au quotidien, assurent le conseil, le suivi et le soutien au plus près des éleveurs.
Question· Question écrite18285open
France · National Assembly · 3 February 2019
M. Fabrice Le Vigoureux interroge M. le secrétaire d'État auprès du ministre de l'économie et des finances et du ministre de l'action et des comptes publics, chargé du numérique, sur le maintien des données statistiques des communes nouvelles. La loi portant sur la nouvelle organisation territoriale de la République du 7 août 2015, dite loi NOTRe, a favorisé les regroupements de communes dans un objectif de rationalisation des moyens. Cependant, les communes nouvelles, bien qu'il s'agisse d'un regroupement de territoires, ne peuvent pas être administrées de la même manière qu'une commune « classique », entité disposant d'un continuum habité. Ainsi les orientations de l'INSEE, qui ne considèrent plus les communes historiques, vont priver les maires d'indicateurs précieux pour l'administration de leurs territoires disparates. Les données statistiques sont, en effet, un élément important d'aide à la décision. L'INSEE supprime unilatéralement, dès la création de la commune nouvelle, l'élément statistique à l'échelle des communes historiques. Une commune historique de 3 000 habitants et une autre de 300 ont besoin d'éléments statistiques différents pour leur bourg. L'indicateur IRIS (îlots regroupés pour l'information statistique) correspond à un découpage du territoire en maille de taille homogène (la taille visée étant de 2 000 habitants par maille) et constitue la brique de base en matière de diffusion de données infra-communales. Le découpage en IRIS peut être affecté par les modifications de la géographie communale (fusions de communes, créations ou rétablissement de communes, échanges de parcelles). Aussi, il lui demande s'il n'est pas envisageable d'ajuster ce découpage pour les communes nouvelles ou de maintenir les entités statistiques sur les communes historiques, au moins sur une période transitoire.
Question· Question écrite10521open
France · National Assembly · 6 October 2018
M. Fabrice Le Vigoureux attire l'attention de M. le ministre de l'éducation nationale sur la situation des AESH, accompagnants d'élèves en situation de handicap. Ces personnels, souvent en situation de précarité, sont contraints d'enchaîner durant de nombreuses années des contrats à durée déterminée, rémunérés au taux horaire du SMIC, sur la base de 24 heures hebdomadaires, soit au mieux 1 027,52 euros brut par mois. Ils sont peu nombreux à être pérennisés dans leur fonction grâce à un contrat à durée indéterminée. De plus, le décret n° 2016-74 du 29 janvier 2016 reconnaît la qualification en diplôme de niveau V pour cette profession. Cependant, ce classement ne correspond pas réellement aux compétences mises en œuvre par les accompagnants. En effet, ces personnels doivent être en capacité de transmettre les attendus de l'éducation nationale tout au long du parcours de l'élève : de la première année de maternelle à l'obtention du baccalauréat, voire au-delà. L'accompagnant peut être amené à se substituer à l'enseignant dans ses tâches administratives, éducatives ou disciplinaires. Une reconnaissance pleine et entière de cette fonction au sein des établissements scolaires est nécessaire et semble davantage correspondre à une qualification de niveau IV. À l'heure où le Gouvernement s'est donné comme priorité de faire de l'école le vecteur de l'inclusion sociale, cette profession est indispensable pour favoriser l'insertion scolaire et sociale des élèves en situation de handicap. Ainsi, il lui demande quelles mesures le Gouvernement entend mettre en œuvre afin d'améliorer la condition des accompagnants d'élèves en situation de handicap, l'attractivité de leur métier, leur formation, leur rémunération et leur carrière.