Hospital crisis: we must “bring the administration down to the floors”, says François Braun


The Minister of Health detailed this Saturday morning the procedure to follow the day after the announcements of the President of the Republic to caregivers.

The course is clear for the overhaul of our health system, said the Minister of Health this Saturday, January 7 at the microphone of France Info. Now it’s up to me to hold the helm“. The day after Emmanuel Macron’s announcements on the hospital and his “endless sense of crisis“, François Braun evoked this Saturday morning a “brave speech“.

During a visit to the southern Ile-de-France hospital center in Corbeil-Essonnes, Emmanuel Macron announced numerous measures, favoring a more organizational than financial approach. For the Minister, if the measures taken in the past had been insufficient, the solutions envisaged by the President are this time promising.

Reform with the means at hand

The axis favored by the executive consists first of all in reorganizing the working time of caregivers. In the continuity of the presidential remarks, the minister mentioned the reduction in the time of doctors devoted to administration as well as the offloading of basic tasks to caregivers. To do this, doctors will have to surround themselves with a team that will allow them to organize their time and take on more patients. A way to manage the shortage with the means at hand. “We must reform our system with the means we have today“, insisted the minister.

A carer requires 3 to 5 years of training, a doctor, ten years“, he recalled. The shortage of health personnel cannot therefore be compensated for immediately other than by a reorganization of working time. At least initially. The executive proposes in particular to recruit 6000 medical assistants. This will allow “give meaningto the profession, according to the minister. It’s necessary “bring the administration downstairs“, he continued.

Recognize the “difficulty” of night hours

Health professions appeal to young people“, he continued. But the problem,it is the young people who stop health studies “or those who finally”won’t settle“. They are nearly 30% to stop studying along the way. “We need to train them better.“by adapting their learning”on today’s terms“, proposed the minister. For example, we must recognize thearduousnessof the night time.

Regarding the 35 hours, the minister clarified the president’s words: “we want to make this operation more flexible“. For him, it is not a question of eliminating them but of counting the “additional time» carried out by caregivers as real tax-free overtime. It’s necessary “get out of the bureaucratic straightjacket of the hospital“.

Give-and-take principle

The Minister also clarified a point concerning private doctors who are asking for the consultation fee to be doubled. If the discussions will be on the table until February, they will be mainly in “depending on the commitment at the level of the territories», doctors and health professionals.

For the Minister, it is the principle of give and take that must prevail. “The French want a doctor at night or on weekends“, he continued. If doctors manage to organize themselves at the territorial level thanks to on-call systems, the increase will then be possible.

The “unjustifiable” laboratory strike

Regarding the triple epidemic of Covid, flu and bronchiolitis finally, the news is “good“. However, the Minister called for caution in the aftermath of the Christmas holidays, synonymous with reunions with family and friends. “I haven’t seen many French people with masks on the metro“, he remarked.

Asked about the laboratories’ strike, which refuses to report information on the results of the Covid tests, François Braun said to himself “exceeded : taking the health of the French hostage is something I will never accept, but refusing to bring up these tests is unjustifiable in my opinion“.



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