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Health: the deputies partially retoque a bill "Segur"

2020-12-02T13:11:54.278Z

The deputies partially revoked a draft law LREM translating part of the agreements of the “Ségur de la santé”, by slowing down, Tuesday evening, December 1, a new stage in the integration of regional hospital groups (GHT), and in removing the creation of a single "health" telephone number, 113. Left and right and even in the ranks of the majority, the deputies largely voted for the deletion of art



The deputies partially revoked a draft law LREM translating part of the agreements of the “Ségur de la santé”, by slowing down, Tuesday evening, December 1, a new stage in the integration of regional hospital groups (GHT), and in removing the creation of a single "health" telephone number, 113. Left and right and even in the ranks of the majority, the deputies largely voted for the deletion of article 7 of the text

"aimed at improving the system health through trust and simplification ”

, led by Stéphanie Rist.

176 deputies voted in favor of the deletion amendments, 21 against, against the backdrop of the defense of small hospitals.

Read also: Funding, organization, territories: the other Ségur health projects are skating

The deputies also voted on a government amendment reverting to a measure adopted during the debate in committee providing for a single “health” number, 113. However, they kept the establishment of a service access to care (SAS ).

Article 7 provided for a

"further integration of regional hospital groups through the prism of the common departments"

and had already been relaxed in committee.

Insufficient for the deputies who pleaded to

"let the territories act"

, according to the Modem Agnès Firmin Le Bodo.

The LREM text provided for entrusting the support establishment of the GHT with the joint management of any establishment in its group that found its director vacant.

At the end of one year, the director general of the Regional Health Agency (ARS) could extend this interim after consulting a strategic committee and local elected officials.

"This automation of common management, by forcing cooperation is unacceptable,"

blasted Le LR Thibault Bazin.

It is

"perceived in our territories as an organization which will move away from the decision of small hospitals"

, underlined the LREM deputy of Lot, Huguette Tiegna.

"This concentration of powers (...) does not correspond to our conception of health democracy," said the Communist Pierre Dharréville.

"This measure did not appear in the Grenelle de la santé"

, noted the deputy UDI, Valérie Six.

Read also: Ségur de la santé: what to remember from the plan announced by the government

The rapporteur of the text opposed the deletion but could not count on the support of the ministers on the bench, Olivier Véran then Adrien Taquet, who relied on the

"wisdom"

of the Assembly.

Established in 2016, public hospitals are required to participate in these groupings of establishments.

With two objectives: to increase the efficiency of the public health care offer and to seek a rationalization of management methods.

According to the Court of Auditors, GHTs are too heterogeneous to have

"a significant impact on the supply and consumption of care"

.

The Court considers that this heterogeneity “

should be corrected in the coming years”

.

She also pleads for the establishment of

"common departments"

and for the merger, where possible, of neighboring hospitals into a

"single legal person"

.

Read also: Do ​​public hospitals in Paris have more than 30% of closed beds?

The introduction of the "113" which was intended to replace the various existing numbers related to health, in particular 15 for urgent medical assistance and 116-117 for on-going care, was also the subject of. 'an outcry from elected officials from all sides, against a backdrop of dissension around a single emergency number, similar to the American 911.

The adopted government amendment preserves the principle of an orientation and guidance service in the health system, tested in 2021 in 22 pilot territories.

Source: lefigaro

All business articles on 2020-12-02

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