Posted Jul 20, 2022, 5:00 PM
Private hospitals are on the rise. The Federation of Private Hospitalization (FHP) is calling for financial aid from the State to increase the salaries of nurses and other private healthcare professionals.
The challenge is to stem what is turning into a haemorrhage. “Working conditions are deteriorating at an incredible speed. In this month of July, we now have resignations and work stoppages every day! warns the president of the FHP, Lamine Gharbi.
Regarding caregivers, a category that does not include doctors, “20% of positions are no longer filled, compared to 7% before the health crisis and departures are accelerating, forcing us to close an increasing number of services” , continues the president of the FHP.
Lamine Gharbi is due to meet the new Minister of Health, François Braun, on Thursday, one of whose priorities is to help the hospital system, out of breath after the Covid-19 crisis, to get through the summer despite shortages. of staff.
The FHP is particularly concerned that the public authorities have multiplied by five the remuneration of overtime at night worked this summer in the public hospital, which increases the pay gap between public and private.
“Totally unfair” competition
“A nurse who does two nights of 10 hours overtime in the month at the public hospital this summer is paid 100 hours. It’s totally unfair competition… We can’t fight when you have public remuneration that is much higher, ”denounces Lamine Gharbi.
The one who is also president of the group of private establishments Cap Santé wants the State to ensure “equal treatment between the public and the private sector” in terms of remuneration. To have more means, the FHP asks in particular that the government revalues the price of the medical acts carried out in the private sector.
Because the concern of hospitals does not stop at the question of overtime pay this summer. The FHP fears a growing gap in the remuneration of caregivers linked to the ongoing revaluation of salaries in the public sector.
Increase in minimum wage
Faced with galloping inflation, the government announced a revaluation of 3.5% of the index point on 1er July for the remuneration of civil servants. “The State pays public nurses up to 700 euros net monthly more at the end of their career than those in the private sector. How is it possible that health professionals who perform the same missions are treated differently? » protests Lamine Gharbi.
In addition, private hospitals will have to take into account the 2% increase in the legal minimum wage (SMIC) on 1er August, which increases the pressure on their finances. SMIC, revaluation… the FHP demands that the State cover the need for private financing to compensate for the wage difference, i.e. 180 million for the next six months.
“A third of the private hospital is loss-making, the rest has a margin of 1 to 3%. It is insufficient to pay caregivers more, given what the state pays us for acts and hospital stays, ”explains Lamine Gharbi. The price of medical procedures was only increased by 0.7% in 2022. However, “the private sector is financed by the State mainly through activity, unlike the public sector which depends on it for only half of its financing”, he underlines.
The FHP is also concerned about cost inflation. “A joint study by public and private hospital federations shows that inflation at 5.4% generates an additional cost of 1.2 billion euros in 2022, of which around a third is in the private sector. To absorb it, it would be necessary to increase the prices of the acts by 6%, ”adds Lamine Gharbi.
Difficult for the government to accede to such a request. To convince, the FHP can recall that private establishments – outside the associative sector – treat 9 million patients per year, provide 15% of emergencies, 38% of major surgeries and 64% of day surgery.