The minister of Health, Olivier Véran, announced on Tuesday that "the 33 measures" to " accelerate the transformation of the health system ", including 4 000 beds " on request ", a reduction of the share of activity-based pricing, and the acceleration of telemedicine. The Segur of health must be "an accelerator that is intended to promptly initiate the changes that our healthcare system needs," said the minister in concluding this consultation of six weeks led by Nicole Notat, former number 1 of the CFDT, and launched in the wake of the health crisis.

Among the measures presented, the minister announced a budget of 50 million euros to create 4 000 beds "on demand" in hospitals this winter. This will allow "to provide for the opening or reopening of beds in the structures according to the needs" for institutions to "adapt to the over-activity is seasonal or epidemic," said the minister.

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"Put an end to the mercenary activities of the acting medical"

This request is a claim of recurrent health care workers, reminiscent of the numerous closures of beds in recent years. According to the latest official figures, some 4 200 hospital beds were eliminated in 2018 in France, where the 3 042 hospitals and clinics had exactly 395 670 beds at the end of the year.

To the public hospital, Olivier Veran has also insisted on the need to "put an end" to the "mercenary" of the acting medical, which "has given rise to too much abuse, too long," proposing to do " block by the public accountants remuneration in excess of the regulatory limit ", or allow the regional agency of health (ARS) to denounce the abuse before the administrative courts. An envelope of staffing will be made available to institutions to " accelerate the reduction of the share of T2A ", the very much maligned activity-based pricing, in the financing of hospitals.

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To accelerate the development of tele-consultation, the arrangements put in place during the crisis of the Covid will be extended, and the principle of prior knowledge of the patient prior to a teleconsultation will be eased. Last week, during his general policy speech, the Prime minister, Jean Castex had promised to invest six billion euros in the health system.

A quarter of the places in long-term care facilities, renovated

So, 2.1 billion will be spent "over five years" to the transformation, the renovation and the equipment in the medico-social establishments, including the long-term care facilities that cater to the elderly, has detailed Olivier Véran. "At least a quarter of places in long-term care facilities will be renovated, accessible, and compliant with the energy-efficient renovation ", he promised.

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Approximately € 2.5 billion will be committed over five years "to allow" hospital projects in priority and investments city-hospital ", and 1.4 billion euros will be dedicated to bridge "three years" the " delay on the digital health." This envelope is added to the recovery of the debt hospital to the tune of € 13 billion, to $ 8.1 billion provided for in the "agreements of Segur" for the wages and the upgrading of business and the 15,000 hires promised to the hospital.