The appointment was expected, it was announced at the end of the first council of ministers of the brand new government, Monday, July 4. Nicolas Revel takes the head of the Assistance Publique-Hôpitaux de Paris (AP-HP) from July 5, according to the report published by the Elysée. The former director of Jean Castex’s cabinet at Matignon was expected to succeed Martin Hirsch, boss of the Ile-de-France juggernaut of 39 hospitals since 2013, after the latter announced his departure on June 17 in a difficult context.
In addition to two years marked by the crisis due to Covid-19, the Ile-de-France group has been hit hard by the crisis that many hospitals have been going through for months, forced to close beds in the departments, for lack of caregivers. At the AP-HP, between 1,400 and 1,700 nursing positions remain vacant, while 10% to 20% of beds had to be closed.
Between the difficulties in recruiting and the caregivers who continue to leave the hospital, the new director will have to solve a complicated equation, while a seventh wave of Covid-19 begins to be felt in hospitals, in the first row in Ile. -of France. Not to mention the summer months which are always tense on human resources.
Disappointed with Hollandism
Two years ago, almost to the day, this senior official from the left entered Matignon with Jean Castex. A health specialist, he is one of the faithful of Emmanuel Macron, with whom he formed a pair at the Elysée, occupying, like the current Head of State, the post of Deputy Secretary General under the quinquennium of François Hollande. Enarque, senior adviser to the Court of Auditors, Nicolas Revel notably followed social affairs, including health, in a period of strong savings for hospital budgets.
Son of the academician Jean-François Revel and the former journalist at World Claude Sarraute, this disappointed with Dutchism, had previously been director of Bertrand Delanoë’s cabinet for a long time, at the Paris City Hall.
In the world of health, he became widely known as Director General of the National Health Insurance Fund (CNAM), from 2014 to 2020. Linchpin of the reforms carried out by the ministers Marisol Touraine then Agnès Buzyn, he was responsible for finding how to set up the generalized third-party payment promised by François Hollande but violently rejected by liberal doctors. Also to its credit, the revaluation of the consultation with the general practitioner, which went, in 2017, from 23 to 25 euros, the conditional reimbursement of teleconsultations, or the establishment of the “zero charge remainder” for optical, dental and hearing aids.
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