a New setback for the agreements of Ségur of health. The deputies have retoqué partially a proposal for a law LREM and have largely voted for the deletion of article 7 of the text “, to improve the health system by the trust, and simplification “, carried by Stéphanie Rist. 176 members voted in favour of the amendments of removal, 21 against, with a backdrop of the defence of small hospitals.
meps also voted for an amendment of the government going back on a measure adopted during the debate in commission for a single number “health” , the 113. They have, however, retained the establishment of a service of access to health care (SAS). Article 7 provided for a “continuation of the integration groupings, hospital territory through the prism of common directions” and had already been watered down in committee.
“This measure was not included in the Grenelle of health”
Insufficient for the members of parliament who were pleading to ” leave the territories to act “, according to the Modem Agnès Firmin Le Bodo. The text LREM planned to entrust the establishment support of the GHT, the joint management of any establishment of its group being in a position of vacancy of the post of its director. At the end of a year, the director general of the regional Agency of health (ARS), could prolong the interim after notice of a strategic committee and local elected officials.
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“This automation of common direction by forcing the cooperation is unacceptable,” blasted The LR Thibault Bazin. It is perceived in our territories as an organization that will move the decision of small hospitals, ” stressed the mp LREM Lot, Huguette Tiegna. “This concentration of powers (…) does not correspond to our conception of health democracy “, was moved by the communist Pierre Dharréville. “This measure was not included in the Grenelle of health,” noted the mp, IDU, Valerie Six.
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Against a single number for health
The rapporteur of the text is opposed to the deletion, but has not been able to count on the support of ministers at the bench, Olivier Véran and then Adrien catch that deferred to the “wisdom” of the Assembly. Put in place in 2016, the public hospitals have the obligation to participate in these groups of institutions. With two objectives : to increase the effectiveness of the care offered to the public and search for a rationalization of modes of management. According to the Court of Accounts, the GHT prove to be too heterogeneous to have ” a significant impact on the supply and consumption of health care “.
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The Court considers that this heterogeneity ” should be corrected in the next few years “. It also calls for the establishment of “common directions” and for the merge, where this is possible, hospitals, neighbors, in a ” single entity “. The implementation of the ” 113 ” which was intended to replace the different existing numbers in connection with the health, including the 15 for the urgent medical assistance, and the 116-117 for the permanence of the care, has also been the subject of an outcry from elected officials of all stripes, on a background of dissension around an emergency number, similar to 911 american. The amendment the government adopted preserves the principle of a service of orientation and guidance in the health system, experienced in 2021 in 22 territories drivers.
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