For overdue emergencies, Borne prescribes “short-term responses”
The day after the delivery of the “flash mission” on emergencies, Elisabeth Borne affirmed to “retain all the proposals” in order to unclog hospitals this summer, without explicitly mentioning the most controversial measures.
The government “retains all the proposals” of the “flash mission”, which suggested 41 measures to it, confirmed the Prime Minister during a trip to the Pontoise hospital center (Val-d’Oise).
A visit that looked like a demonstration of efficiency, which left him with the impression of a “magical world”, proof that “when we all get started with good will, we achieve something”. Were it not for those few patients who remained on stretchers in the emergency room corridors.
Banal symptom of a crisis that has become acute since Samu-Urgences de France identified at the end of May at least 120 services forced to limit their activity for lack of caregivers, everywhere in France, including large university hospitals such as Bordeaux, Toulouse or Grenoble.
An alert which earned its president, Dr. François Braun, to be commissioned by Emmanuel Macron himself.
Without waiting for its conclusions, the executive had already drawn first measures at the beginning of June, in particular overtime paid double in the hospital and the authorization to “exercise immediately” for student nurses and caregivers out of school.
The head of government therefore supplemented the ordinance with other “short-term responses”, starting with an “additional remuneration” for night work, with “a doubling of the increases for nursing staff” and an increase 50% for on-duty doctors.
A way of “recognizing the difficult conditions of night work”, but which will first be “experienced for three months” before possible sustainability.
Liberal doctors will also be entitled to “a 15-euro increase in consultations if they welcome someone who is not part of their patient base”, to “encourage them to take people in unscheduled care”, added Ms. Thick headed.
– “Decrease the pressure” –
Beyond this financial aid, all means are good to “mobilize all health professionals” and relieve emergencies: “facilitated procedures” for retired doctors who return to service, medical care centers authorized to remain “open on Saturday morning”, new acts released for pharmacists, physiotherapists and other caregivers, “for example renewing a prescription for chronic care”.
But increasing supply is not enough, demand must also be reduced. Even if it means referring to the Samu as a first resort: “What we want is that everyone can take the reflex of the 15th and not systematically come to the emergency room”, declared the Prime Minister, judging “impossible that the hospital can meet all the care needs of the French people”.
An essential point for Dr. Braun, who estimated Friday on RTL that “this message will make it possible to reduce the pressure on the emergency services from next week in the territories in difficulty”.
Predicting nevertheless “a very probable increase in calls”, he deemed it necessary to “increase the number of medical regulation assistants” to respond to them. Without insisting on the generalized filtering of emergencies by the Samu, the flagship proposal of her report that Ms. Borne was careful not to mention explicitly.
Criticized by some emergency physicians, including the emblematic Dr Patrick Pelloux who denounced in advance “a break in public service” likely to cause “avoidable deaths”, the measure will therefore remain in the hands of each hospital.
The government has also not mentioned any obligation or reinforced constraint on duty for liberal doctors, whose mere mention last month by the president of the French Hospital Federation (FHF) Frédéric Valletoux immediately provoked an outcry. of the profession.
The latter, however, addressed a partial satisfaction to the Prime Minister in a press release, considering that she had “been able to provide the necessary answers”. However, according to him, “these are very short-term measures that will have to be supplemented by ambitious measures from the start of the school year”.
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