In the months of November and December, the ARS will organize territorial co-building meetings within the framework of the National Council for the Refoundation.
Press release from the Burgundy-Franche-Comté regional health agency of November 14, 2022:
General practitioner, continuity of care, attractiveness of the health professions, prevention: many keywords that evoke the major health problems for the French today. Challenges that are also starting points for the reflection wanted by the President of the Republic within the National Council of the Refoundation in Health. This CNR Sanità opens a vast dialogue as close as possible to the field in all regions. In Burgundy-Franche-Comté it is held from 18 November to 9 December.
The National Council for the Refoundation (CNR) was installed on 8 September 2022 by the President of the Republic. It aims to implement a new method to build, together and as closely as possible with the French, concrete solutions on the great transformations to come, especially in the field of health.
Therefore, on 3 October the Minister of Health and Prevention launched the CNR in health.
In Bourgogne-Franche Comté, regional co-building meetings will be led by the regional health agency, in close collaboration with the prefectures, elected officials, the health insurance network and health democracy bodies. They will be held between November and December 2022. Objective: highlight existing local initiatives, find new solutions for access to health care, propose the changes that should be brought about at a national level to encourage their diffusion; remove blockages by changing regulations.
The four themes
o Give access to a treating doctor or a treating team to all, especially the most vulnerable
o Ensure continuity of care and response to unplanned care needs
o Mobilize local levers of attractiveness for the health professions
o Make prevention part of the daily life of all French people.
The calendar
More than 20 meetings will be held simultaneously across the region, on 4 consecutive Fridays, starting November 18, 2022.
How to participate?
Meetings are open to all, subject to availability, and the public is encouraged to register for the viewing date(s) of their choice.
The application form is available online at the website of the ARS Bourgogne-Franche-Comté, section of the National Refoundation Council, health Fridays.
The method
ARS Bourgogne-Franche-Comté has decided to maintain different consultation spaces by department, in territories corresponding to a relevant distribution of public health action (territorial professional health communities, local health contracts, etc.)
Time is also reserved for consultation at departmental level.
Each consultation will follow the same “driver” with the aim of encouraging exchanges, enhancing existing experiences, imagining new solutions, identifying obstacles to overcome, expressing new needs.
– Reception in the plenary room/Presentation of the stakes of the consultation
– Work workshop on the 4 priorities
– Restitution in the plenary of the works of the various laboratories
– Discussion on other topics desired by the participants.
An implication of democracy in health
Interested in these consultations are the CRSA (Regional Conference of Health and Autonomies) and the CTS (Territorial Health Councils). These healthcare democracy bodies, which represent structures, users, professionals, etc. and who have a consultative role with the ARS, have mobilized to actively contribute to the discussion.
A plenary session of the CRSA is in particular scheduled for 12 December 2022 for the return of the various consultations.
The regional contribution to a national approach
The territorial co-construction meetings organized in Burgundy-Franche-Comté will contribute to the building of the CNR which is organized in 4 sections at national level:
– These consultations led by the regional health agencies until December 2022.
– Working groups entrusted to qualified personalities with the support of the administrations and the General Inspectorate of Social Affairs (IGAS), involving all interested parties (orders, health professionals, health facilities, institutions, users, associations). They will focus on priority and urgent government actions:
− Ensure equitable access to health care everywhere and for all;
− Strengthen the role of health prevention;
− Strengthen the attractiveness of the health professions;
− Promote “better living in hospital”.
This work will run until spring 2023 with intermediate deadlines, adapted to each of the themes. They will aim to make agreements, prepare the necessary legislative and regulatory changes and enrich the toolbox to better respond to the health needs in the territories. These national debates will be supported by the provisions adopted with the social security financing bill for 2023, as well as by the negotiation between health insurance and liberal medicine representatives, in particular to facilitate access to health everywhere on our territory in a renewed logic of the rights and duties of each.
– Prospective projects carried out at the national level on the ecological transition, the long-term evolution of the health professions and demographic needs, as well as the sustainability and performance of our health system as a whole. The first conclusions are expected by mid-2023 with the aim of determining now the multiannual strategy to be adopted so that our health system is better prepared for these future challenges.
– A digital consultation to extend, to all citizens and all professionals, the scope of consultation on the issues dealt with in the national working groups.
All the work carried out on these four components will be closely coordinated so that all the proposals formulated at national and local level are immediately shared with all stakeholders and their impact evaluated in the monitoring of the government’s priority objectives.
“It is on the territory, by bringing all the players around the table, that we find the answers more easily, that we manage to create synergies between the city and the hospital, between the private and the public, between the different professions, that we overcome sterile competition, attitudes that delay us and distance us from the interests of citizens”.
“Adaptation to territories, differentiation, are not just words. We had all experienced it, everywhere in France, during the health crisis. It is not the same scheme that has been put in place, both for city-hospital cooperation, and for the deployment of vaccination, for operations “from the outside towards” (…) I would like us to be able to capitalize on this strength of initiative in the territories”.
François Braun, Minister of Health and Prevention
Conclusion of the launch day of the National Council for the Refoundation in Health
October 3, 2022
