member of the Party of the European Left – Mining Basin Section.
Hospital Center : What future for emergencies?
According to the latest information the Regional Health Agency is considering an alternative closure of the SMUR (Mobile Emergency and Resuscitation Service) to alleviate the difficulties of the Paray-le-Monial Hospital. But the situation of the emergency services has undergone a particular evolution in recent years:
May 27, 2014 – Secretary of State Ségolène Neuville, responding to deputy Christophe Sirugue who questioned him about the future of the Hospital Center, affirmed: “a first interhospital medical federation (FMIH) will be set up before the summer with regard to emergency room… “. October 7, 2014 – The Regional Health Agency (ARS) recommended an organization of emergencies within the framework of an FMIH and that a discussion was to be planned according to the orientations of the FMIH, the technical platforms proposed and economic efficiency. December 30, 2014 – The founding agreement of the FMIH “Urgences du Territoire Morvan-Saône et Loire Nord” was signed by the founding members (CH d’Autun, Chalon and Montceau) and by the associate member (Hôtel-Dieu du Creusot). The FMIH had to restart the territorial envelope of the MIG (Mission of General Interest) SMUR allocated by the ARS. June 26, 2015 – The order of the Director General of the ARS indicated that the orthopedic surgery and traumatology on-call sites at 1is level were limited, initially, to the first part of the night (until midnight), Saturday afternoon, Sunday and public holidays. Trauma emergencies likely to require an intervention in the second part of the night had to be directly directed by the regulation on the referral sites in each hospital territory, or on the CHU as the case may be. This restriction of the PDSES mission (permanence of care in health establishments) concerned the sites of Beaune, Semur, Autun, Montceau, Paray, Cosne. Ultimately, as soon as the GHT (Groupement Hospitalier de Territoire) have stopped their medical project, these on-call charges will be grouped together in full on the GHT reference site. Given these different data and the closure of the surgery, will the emergency reception service and the SMUR of the Montceau Hospital Center continue to operate 24 hours a day, 7 days a week with the current staff?
For a new health policy – After the Bachelot law of the presidency of Nicolas Sarkozy and the Touraine law of the five-year term of François Hollande, which worsened the health disaster, the renunciation of care and the medical deserts, the Government of Emmanuel Macron continues and amplifies the same policy of restriction budgetary, despite the health crisis we are experiencing, opening the health sector to competition and commodification. The public hospital is sick of austerity policies: elimination of posts and beds (15 beds would be eliminated at La Guiche Hospital), closures of services in local hospitals, unbearable waiting times for the sick, unsustainable working conditions for employees on the verge of exhaustion. While, on the contrary, it would be necessary to create jobs and train staff to meet the needs of the population, to fight against social and territorial inequalities which hinder access to healthcare, to support aging and loss of autonomy with dignity. , disability.
