A non -final version of Doctor Braun’s report draws the contours of the means to be deployed to allow emergencies to spend the summer. The Prime Minister is expected to decide on the measures to be taken on Friday.
Le Monde with AFP
forty -one proposals to overcome a “high risk” summer. During a final working meeting in Matignon, Thursday, June 30, the members of the “Flash Mission” entrusted to Doctor François Braun proposed a non -final version of their “41 recommendations to preserve our response to urgent care and/or not programmed this summer “, that Le Monde was able to get.
After these last negotiations carried out in the presence of the Minister of Health, Brigitte Bourguignon, health insurance and the federation of associations of patients France Assos Health, he now returns to the Prime Minister, Elisabeth Borne, to decide. The results will be officially made on Friday or Monday “at the latest,” government spokesperson Olivia Grégoire said on Wednesday. Announcements eagerly awaited by the hospitals who have been alerting the hospital to the hospital for weeks, and at the forefront of its emergency services.
It is also François Braun, president of Samu-Urgences de France, who had alerted at the fact that at least 120 emergency services were forced to reduce their activity or prepared there, prelude For some of an “atrocious” summer.
The issue of regulation
Too many patients, not enough caregivers: the impossible equation spares no hospital, including the big CHUs as in Bordeaux, Toulouse and Grenoble, recently forced to restrict access to their emergencies.
Among its first recommendations to solve the problem of permanent influx in emergency, the mission recommends “regulating admissions”, either with “paramedical sorting at the entrance” of emergencies, either by a “medical regulation systematic systematic “By the SAMU telephone standard – 15.
It is even suggested to “authorize the suspension of partial activity of an emergency service” in certain territories well provided in care offers, in particular at night, “subject to the capacity to manage an emergency vital “. All this for the sake of optimizing human resources “by pooling the means of several emergency services on a single site in predefined schedules”.
On Twitter, the spokesperson for the Association of Urgents of France (AMUF), Christophe Prudhomme, has strongly denounced “The end of the public service open twenty-four hours a day (…) with the consequence of avoidable deaths”.
These measures should be accompanied by an information campaign recommending that you call 15 before moving, as well as “upgrading of the workforce” of medical regulation assistants to absorb the increase to provide for Calls.
Budget efforts
Other budgetary efforts are requested to better pay the liberal doctors to regulation (up to 100 euros gross of the time “tax exemption”) and in consultation (with an increase of 15 euros per act requested by the SA ).
Ditto for hospital staff, with a revaluation of night work and bridges of July 14 and August 15, as well as a premium for the teams of psychiatric, pediatric and gynecological emergencies. So many arbitrations to be carried out for the health authorities.
Recommendations also include a facilitated appeal to replacement and retirees, telemedicine, liberal nurses, firefighters … So many assorted tracks “of impact indicators”, in order to decide at the start of the school year “of the prosecution or the abandonment of these measures “.
No trace, on the other hand, of any obligation of individual custody for city doctors, fiercely opposed to this type of constraint.