the senators denounce the insufficiency of the Ségur de la santé

Doctors treat a patient with Covid-19 in Strasbourg, in October 2020.

With a bouquet of eighty recommendations made public on Thursday, March 31, the senators investigate the hospital crisis, brought to light and aggravated by two years of health crisis. Reduction in the number of beds, shortage of nurses, closure of emergency services due to lack of medical personnel… At the request of the Les Républicains group, a commission of inquiry on « the situation of the hospital and the health system in France » was formed in the fall of 2021 and listens, since December, to medical and administrative directors of establishments, hospital doctors and caregivers, city care professionals or even public bodies and local elected officials.

Although the 295-page report does not contain any devastating recommendations, it does bring to the fore an issue desperately absent from presidential campaign debates, much to the chagrin of the caretakers. She makes a diagnosis and proposes a set of remedies for the hospital that now finds a wide echo in the political class.

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“To stop the negative spiral in which the establishments are drawn”, the commission, chaired by the socialist Bernard Jomier, and whose rapporteur is senator LR Catherine Deroche, asks to guarantee a “sustainable financing consistent with health needs”but also to return “Freedom and autonomy for health teams and establishments” and “Attractiveness and meaning in the caring professions”.

Better databases

The senators return to one of the triggers of this report: what happens to the part of closed beds in the hospital on a recurring basis, due to lack of personnel? The publication of the shock figure of 20%, presented in a report by the scientific council on October 5, 2021, was immediately questioned by the Minister of Health, Olivier Véran, who had wielded, a few weeks later in December, after a research. by the general direction of health provision, the figure of 2% fewer full hospital beds than in 2019.

Recalling the series of very different percentages on these closures, the authors of the report regret a “Failure to measure and monitor capacity reductions and staffing shortages” of the Age part, estimating that the location “little evolved” since the conclusion of the Court of Auditors in 2006. “The Ministry of Health does not have reliable information on the number and distribution of hospital personnel. The resulting opacity, added to the lack of knowledge of medical work time, does not allow sufficiently precise knowledge of the healthcare offer to guide decisions.wrote the institution of rue Cambon.

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