EMERGENCIES A survey by the Fédération Hospitalière de France warns of the structural difficulties of public establishments and the particularly complicated summer ahead

Care: 99% of hospitals and nursing homes have difficulty recruiting paramedics

Rally in front of the Ministry of Health on the occasion of the day of mobilization for the hospital. — ROMUALD MEIGNEUX/SIPA

  • The Fédération Hospitalière de France conducted a survey in April and May 2022 to find out about HR tensions in 400 public establishments.
  • Almost all of these establishments, hospitals and nursing homes are having difficulty recruiting paramedics.
  • With increasing absenteeism, the summer promises to be very tense, especially in emergencies. This is why the boss of the FHF is asking the Regional Health Agencies to put in place a continuity of care plan that would combine hospital and city.

The figure is chilling: 99% of hospitals and nursing homes are experiencing difficulty recruiting paramedics. From where? comes this figure? From a survey carried out by the French Hospital Federation (FHF) in April and May 2022 among 400 public health establishments. and medico-social, bringing together more than 380,000 non-medical professionals. In detail, 80.3% constantly encounter recruitment difficulties, and 18.9% occasionally.

“ Objectivize a complicated debate ”

“ It’s an important HR survey which comes to objectify a complicated debate, underlines Frédéric Valletoux, president of the FHF. We have been hearing about a wave of departures since the Covid-19 crisis. We talk about it on emergencies, but it concerns all floors. ”

The concerns differ between establishments and areas. “ Hospital establishments place the recruitment of nurses at the top of their needs, specifies Zaynab Riet, general delegate of the FHF. In nursing homes, the priority is to find caregivers. » The services that struggle the most to attract are geriatrics, emergencies and psychiatry. “ Recruitment difficulties are largely concentrated at night, continues Zaynab Riet. We will have to carry out a project to find out how to better recognize night professionals, better articulate professional and personal life. »

It’s in hospitals, excluding university hospitals, that the situation in terms of non-medical human resources « has deteriorated the most, with in particular a doubling of unfilled nursing positions (6.6% in April 2022 compared to 3% in 2019).

A 3% increase in staff

“ Contrary to the frequent image of a “leakage of carers”, public establishments have registered an average increase of 3% in their full-time equivalent workforce in three years, “says Zaynab Riet. An astonishing figure, especially since all types of establishments are affected by this increase.

Why didn’t it reduce the proportion of vacancies among nursing aides and nurses? “ The use of the hospital is accentuated, the care is heavier, the patients received require more time, she lists. This increase in staff is not felt due to absenteeism, too. ”

Indeed, absenteeism (sick leave, maternity, long illness) has increased significantly. : he passed 7.4% in 2012, at 9% in 2019, to stabilize at 10% in 2021. It « weakens the daily functioning of the teams », insists the report.

This high absenteeism, combined with to the difficulty to recruit, reduced « capacity catch-up » deprogrammed care during the Covid-19 epidemic, warns the FHF. Should we, in this context, call back unvaccinated caregivers? The debate had raged during the presidential election. “ Agents suspended for non-vaccination represent only 0.3% of the staff, or approximately 4,000 to 2009. 5,000 professionals in all professions, caregivers and non-caregivers, out of 1.2 million agents. They cannot therefore be considered as a “pool” », nuances the FHF.

The FHF asks for a continuity plan. care by region

How to help emergencies spend the summer in this context of impasse and to a few days of the rendering of François Braun's flash mission? “ We remind you of our request that the Regional Health Agencies (ARS) coordinate continuity plans; care, to ensure that there is coordination of attendance schedules at; the hospital and the opening of surgeries, explains Frédéric Valletoux. Hospitals are in a very difficult situation, structurally and even more tense since the Covid crisis. We are at bones, especially in emergency departments. We launch a call to responsibility collective. So that a solidarity in the territories is exerted until’’ September, and especially late July-early August. » To see if this track will be taken up by the Elysée in early July.