The director of Public Assistance-Hospitals of Paris announced the reopening of 400 beds by the end of the year, presented as the result of a recruitment policy carried out since last January. Good news for the public hospital or just an announcement? Professional organizations denounce a “communication operation”.
“We are going to achieve the objective we set for ourselves, of recruiting 400 more nurses this year than last year,” declared Nicolas Revel, general director of Assistance Publique-Hôpitaux de Paris during a press conference.
Could these be the first effects of the plan unveiled in January 2023 to improve the working conditions of hospital staff? To explain this renewed attractiveness, the AP-HP refers us to one of the 30 proposed measures: the public establishment is committed to doubling the housing supply for its staff.
These recruitments will not compensate for departures. The turnover at the hospital continues.
Astrid Petit, midwife, CGT-Santé representative
A plan that Astrid Petit, midwife in the AP-HP home hospitalization service and CGT-Santé representative, does not believe in. She denounces a “major communications operation” around these new hires. For her, the observation is much less encouraging: “Young recruits often leave after two years. May the director succeed in retaining staff and pursue a real upgrading policy. These recruitments will not compensate for departures. The turnover at the hospital continues.”
The AP-HP can do even better since, according to its general director, professions such as radio technicians, operating room nurses and even midwives remain in tension.
According to management, these recruitments will essentially allow the reopening of beds: 300 in the medicine, obstetrics and surgery departments. The remaining hundred will be reserved for follow-up care and psychiatric services. But would this be enough to fill the gaps in this specialty considered to be the poor relation of medicine in France for many years? According to AP-HP figures, the rate of closed beds would drop from 19% to 16.5%.
We propose to reopen beds but it is by eliminating a nurse position
Pierre Schwob Tellier, night nurse and member of the Inter-Urgences collective
France Info, 09/21/2023
Pierre Schwob Tellier, night nurse and member of the Inter-Urgences collective declared on France info “in surgery, we propose to reopen beds but it is by eliminating a nursing position”. For him this therefore amounts to having “more patients with fewer staff”. In some services, “where more than half of the workforce is missing, we are largely working with temporary agencies and temporary workers”.
Comments confirmed by Astrid Petit, she also points out the explosion of overtime and the disorganization of teams with staff “interchangeable, moved from service to service”. According to her, these bed openings do not represent much. The AP-HP has 18,000 beds spread across its 37 establishments. Like other staff, she rather expects the general director “that he stops the plan to close the Beaujon and Bichat hospitals” which would cause the elimination of at least 300 beds.
Hospitals affected by bed reopenings / Source: AP-HP
Hauts-de-Seine
Louis Mourier Hospital in Colombes: 11 beds in the neonatology department
Raymond Poincaré Hospital in Garches: 8 beds neurovascular department
Ambroise Paré Hospital in Boulogne-Billancourt: 4 beds vascular surgery department
Paris
Tenon Hospital: 15 beds infectious diseases department
Lariboisière Hospital: 7 beds neurosurgery department
Rothschild Hospital: 15 beds physical medicine and rehabilitation department
Val de Marne
Bicêtre Hospital in Kremlin-Bicêtre: 29 beds in internal medicine department, 12 in neurology
Paul Brousse Hospital in Villejuif: 12 beds for follow-up care and rehabilitation for young adults
Henri Mondor Créteil Hospital: 8 beds in the nephrology department
Albert Chenevier Hospital in Créteil: 20 psychiatric beds
Seine-Saint-Denis
Avicennes Hospital in Bobigny: 8 beds in the surgery department, 5 beds in thoracic surgery, 5 beds in digestive surgery, 5 beds in the acute geriatrics department, 10 beds in endocrinology
Réné Muret Hospital in Sevran: 6 addiction beds, 18 geriatric beds
Jean Verdier Hospital in Bondy: 8 beds, internal medicine department
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