After two months of discussions, the conclusions of the Ségur de la Santé are presented Friday, July 10 to the trade unions. If a draft agreement was found on wages, Ségur also had to explore avenues for reorganizing the entire health system. And on this aspect of the discussions, we cannot speak for the moment of great progress.
The Ségur de la santé negotiations between unions and the government ended on the night of Wednesday July 8 to Thursday July 9. Un draft agreement has been reached for the upgrading of paramedical and non-medical professions. It includes envelopes of 7.5 billion for caregivers, 450 million for doctors and 124 million for students and interns. It is not yet known whether the agreement will be ratified. For the moment, only the CFDT has announced that it is signing it.
But this Ségur also had to explore avenues for reorganizing the entire health system. And on this aspect of the discussions, we cannot speak for the moment of great progress.
On administrative simplification, not really new
One of the main projects was administrative simplification: there is too much paperwork, too many procedures in the public hospital, all the professionals complain about it. For example, at the AP-HP, in the Parisian hospitals, there are as many administrative staff as doctors (counting interns). It’s too much, the organizations say. This is more than with our neighbours, especially in Germany, whose health system was put forward a lot during the Covid-19 crisis.
Unions demand that caregivers participate more in decision-making. We need a management team, everyone agrees, but the medical arguments must weigh more. And on this point, there is nothing really new.
On territorialization, bed closures resume
One of the other sites was the “territorialization” care, i.e. the distribution of hospitals and care centers in the territory. This concerns in particular the famous bed closures and there are not really any proposals that have emerged. The government has refused to put a moratorium on the issue. Bed closures had been suspended during the health crisis but are now resuming, including in intensive care units. There is also the question of the ARS, the regional health agencies, created 10 years ago and particularly criticized during the Covid. “EThey are useless and very expensive”even say some unions.
This Ségur will once again have put everyone’s positions on the table in all these areas. Already known positions that have not changed in the last two months. Now, we have to be patient, there are arbitrations, which will allow us to move forward even if the decisions will not satisfy everyone. But if we stick to the presentation of each person’s arguments, the Ségur will leave a bitter aftertaste.