The FO-SPS federation, the first organization to warn about the continued reductions in hospital resources despite the health crisis, sees its alarming finding confirmed by a study of social ministries. FO-SPS calls more than ever to break with the financial logic of “ My health 2022 And open a public debate.
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Supporting figures, the FO-SPS (public and health services) federation warned in June about the continued reduction in hospital capacity despite the health crisis. The count then carried out by the FO sections of the establishments, listing the deletions of beds due to a political decision or in connection with the lack of personnel, had caused a stir. And again, this assessment was only very partial
, comments Didier Birig, secretary general of FO-SPS. A study by the statistical department of social ministries has just confirmed the alarming observation made by the federation: despite the pandemic, the executive has not put a stop to its policy of reducing hospital resources. On the contrary, reveal the experts of the Drees, it amplified it !
More than 5,700 full hospital beds closed in 2020
Their statistical study is final. At the end of 2020, at the end of the first year of the crisis, the 2,983 French hospitals (including 1,342 public structures) had only 386,835 full hospital beds. A decrease of 5,758 beds compared to 2019 (or -1.5%). Worse, they note, the 2020 decline in full hospitalization capacity is much greater than that between 2013 and 2019 (-0.9 % per year).
The context of the epidemic could explain it
, estimate the statisticians, because of the transformation from double rooms to single rooms to limit contagion
and massive deprogramming
care, to be able to reassign staff to critical care services.
It is undeniable that the shift towards ambulatory care continued in 2020: 1,369 so-called “ by day »Were opened in this first year of the health crisis, for a total of 80,089. the desire to reorganize the offer
, but is also registered on background staff constraints that do not allow the beds to be maintained
. Clearly, the current health policy, by causing a deterioration in the working and employment conditions of hospital staff, is fueling the disaffection of hospital staff.
The subject must be arbitrated by the French
It is urgent to break with the financial logic of the plan
, insists Didier Birig, who calls on the executive to My Health 2022
. This is a strong demand from hospital staff, whose working conditions depend on the workforce and the number of beds.change paradigm
. The subject must be arbitrated by the French. They expect the public hospital to be up to the challenges and likely future other health crises, with quality care
. To ensure this, as well as the improvement of the working conditions of staff, the FO federation demands that the creation of 15,000 agent positions, promised during the “ Health Segur In the summer of 2020, becomes a reality.
Since June, FO-SPS has kept the Ministry of Health under pressure, demanding a second phase of the Ségur de la Santé
on hospital capacities, in beds and staff. His request that a working group be set up – reiterated several times – has still not been answered. Neither his request thata sincere assessment of the number of beds effectively removed or closed
is carried out. The ministry claims that 4,000 beds were created in the crisis. Where are they ?
, asks Didier Birig.
This ministerial assertion only echoes the announcement made at the end of the “ Health Segur “: The minister had promised a budget of 50 million euros to finance – from winter 2020 – the opening or reopening of 4,000 beds in hospitals on demand
, so that they can adapt to seasonal or epidemic overactivity. Even the Drees 2020 Hospital Capacity Study is silent on the subject: the temporary deployment of beds to deal with the pandemic is not systematically (…) found in (the) inventory at the end of the year
, she notes.
Midwives demand massive recruitment
For midwives, on strike again from October 23 to 26 at the call of several unions including FO-SPS, the point of no return has been reached, for too long. Midwives in the hospital public service are far below the staffing threshold allowing even correct working conditions
, notes Gilles Gadier, in charge of the file at the FO-SPS federation. This requires the doubled in staff, up to a patient / midwife
. That is to say.
Dissatisfied with the ministerial proposals dating from mid-September, far below the recommendations of the IGAS made in the summer to upgrade their profession, midwives in hospitals also ask for a salary up to their responsibilities and skills
. For FO-SPS, this involves the revaluation of 200 index points plus their remuneration (against 22 index points proposed in mid-September by the ministry, in addition to a monthly bonus of 100 euros net, Editor’s note). In order to limit the causes of student burnout, which generates 20 % dropouts, they also require a sixth year of study.
Improving working conditions, through recruitment, and the salary scale of midwives is the first prerequisite for making the profession attractive in the hospital public service.
, comments Gilles Gadier. The federation is waiting, alongside the midwives, for ministerial arbitrations.
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