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Bastia: “The hospital is saturated, under-equipped and obsolete …”

Collective Corse Santé which represents the users believes that Bastia hospitalout of breath a lot of difficulty to meet the needs in the face of the Covid 19. Despite work and facing an abysmal deficit, he pleads today for a new establishment.

For almost a year, the Bastia hospital center has had to deal with an unprecedented pandemic. In a difficult context, the latter is obliged, for this, to shake up his entire organization. The daily life of the agents is to move services, requisition beds, postpone operations, due to a lack of resuscitation beds. The Covid-19 completely changed the organization of a hospital that was opened, in part, in 1977 and which is now out of breath with, in addition, a deficit of 71 million euros.

The Corse Santé collective, which brings together many health associations, represents some 10,000 families throughout Corsica and its objectives are to inform and defend health and medico-social users. Its representatives, Nonce Giacomoni, the president, and Danièle Franceschi, the general secretary, are now pleading for a project, already mentioned by the mayor of Bastia, that is to say the construction of a new establishment. And the arguments are not lacking because the current health crisis has shown that this tool is completely outdated. An achievement that will help save lives. It is also the first lesson to be learned from this never-ending pandemic …

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The pandemic has brought to light all the problems of this old hospital. Problems that you have listed and which are very numerous …

Bastia hospital is saturated and under-equipped, it is now obsolete. The degradation and small size of the current premises pose a problem of quality of care, in terms of reception conditions, hygiene, security, but also the impossibility of extending or redeveloping buildings with extremely expensive work. The management, which is perfectly aware of the state of this establishment, has started major works. All current sites are very expensive for a result that is not sustainable; it’s actually tinkering.

It is true that the list of problems is long. There is the lamentable state of the psychiatry department, the oncology department which is declining and chemotherapy in day hospitals is done most often in the corridors. The pediatrics which had been rehabilitated was dismantled precisely to free up beds in the Covid service, the neonatal care is in a real state of precariousness. The use of temporary doctors is very important: around 30% especially in emergencies / anesthesia / resuscitation but also in many other departments, general medicine, radiology, gynecology …

The hospital is facing a pandemic, with exemplary character so far, but it shows its limits …

Right, he was showing his limits before and more acutely during the crisis. Everyone agrees that the current leaders, the health actors are doing what they can. The fight against this pandemic has been well managed so far but it is to the detriment of other pathologies. The postponement of care is detrimental to patients, especially since this pandemic has become established over time. We can say that despite the efforts of the management and the establishment medical commission (CME) and all the nursing staff, these postponements of care are still very important, and will be even more so with the arrival of the third wave looming.

Your collective has already proposed a radical solution: we must build a new hospital.

Of course. Because to fully understand the situation of the Bastia hospital, it is above all the number of patients treated that must be known because it is constantly increasing. While the hospital has 500 beds, it covers an enormous population pool of almost 178,000 people. Of these, nearly 30% are over 60 years old. In Corse-du-Sud, the basin is 158,000 individuals who will soon have a brand new hospital. We are delighted with the opening of an efficient hospital in Ajaccio. But, as representatives of users for the whole of Corsica, we reject what is emerging, that is to say to impose a hospital per region. Everyone will understand that the geography of Corsica, its road network, the difficulties in crossing the Col de Vizzavona in winter, the influx of tourists in the summer plead for the construction of a new hospital in Bastia. It is a certainty, it must be built to improve the regional healthcare offer.

A hypothesis strongly supported by the mayor of Bastia, very recently in our columns …

This construction project was discussed at the last supervisory board. The possibility of building a new hospital was noted. The management of the hospital, the establishment medical commission (CME), and even the ARS endorsed Pierre Savelli’s proposal. Because the mayor of Bastia who is also the chairman of the supervisory board has indicated that he is in charge of finding the land essential for its construction. To allow better patient care but also to reduce the need for very expensive temporary work. This solution is not a figment of the imagination, it has become essential.

It takes time and money to build a hospital like in Ajaccio …

You can build a hospital center in five years. We can cite the example of the Melun hospital because the proposal was approved in 2013 and the start of construction in 2014. The inauguration was carried out in 2018! Another example: in Orléans, the hospital was built in three years. We can also mention the case of Guyana, with a project launched in 2014, and the hospital received its first patients in 2018 for a 27,000 m building.2, and many others. This is proof that building a hospital quickly is possible elsewhere, so why not in Bastia.

In terms of funding, this is another area, but we know that the State has taken charge of 96% of the initial 135 million for the new Ajaccio hospital. Guyana’s hospital was funded at 100%. Other hospitals have obtained funding from the State, the French Development Agency (AFD), the Caisse des Dépôts et Consignations. We can also imagine other financing and concerning Bastia, why not knock on the door of the Recovery Plan? Our collective firmly believes and it is not the only one, that a hospital can be built by 2026 …

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