“The hospital is taken hostage by temporary work companies”: the FHF asks for a clear timetable for the application of the freeze on over-the-limit remuneration

In a column published in Liberation, the Hospital Federation of France calls for “a clear timetable” for the application of the reform governing the rates of medical interim that the Government has just postponed until next year, due to staff shortages to the hospital.

The day after the announcement of the postponement to 2022 of the implementation of article 33 of the Rist law, which was to allow public accountants to block remuneration above the regulatory ceiling, on October 27, the Hospital Federation of France has decide to “launch an alert” in a column published in Release. “We say yes to a two-step application, but for that, a clear timetable must be announced, as well as strong measures to moralize the interim. It is high time to call the blackmailers of the public hospital to order ”, writes the president of the FHF, Frédéric Valletoux.

He denounces, in fact, the “abusive tariffs ” temping companies, which take advantage of recruitment difficulties at the hospital, in particular in specialties on call (emergency physicians, anesthetists, obstetricians, resuscitators, pediatricians, cardiologists, etc.). “Hospitals are sometimes forced to use temporary medical services to ensure this continuity. And too often, for example, unregulated temping companies impose abusive and unregulated tariffs ”, adds Frédéric Valletoux. As a reminder, the maximum gross salary for a 24-hour working day has thus been set at 1,170.04 euros since 2020.

A report on the “mercenariat“medical published by Olivier Véran in 2013, while he was still a deputy, estimated at 500 million euros per year the additional cost of these practices for Health Insurance. A budget which, if it was recovered by hospitals, would be equivalent to “to the annual salary of 10,000 nurses ”, according to the FHF. The latter also accuses the temping companies of “Knowingly circumventing the law” and thus, weaken the hospital and the health system “With the risk of unexpected closures of emergency and maternity services”. She also accuses them of contributing “to the Social Security deficit” to “profit a few”And even “Knowingly prepare to circumvent the law, for example by increasing the costs of managing contracts”.

Finally, the FHF calls on the Government to establish a “charter of moralization” for temporary work associating temporary work companies, the National Council of the Order of Physicians and Hospital Federations. Pending the implementation of article 33, Frédéric Valletoux wishes “That the new modalities of supervision of the interim come into force concomitantly with the new contracts and hospital medical statutes, and in particular by the territorial solidarity premium”.

[avec Libération]

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