2024-05-02 15:38:55
The National Union of Liberal Nurses (Sniil) and the collective of angry liberal nurses together launched a call for “unitary mobilization” on March 19 and then on April 4. The objective? Request the “urgent opening of conventional negotiations”. John Pinte, National President of Sniil, tells us more regarding this rapprochement, their demands as well as the continuation of their mobilization.
What reasons pushed Sniil and the collective to come together?
John Pinte: For several months, even years, we have felt a growing anger within the profession. Deterioration of working conditions, lack of perspective on the future… nurses and, in particular, the liberal nurses that we represent, have the feeling of being forgotten by health policies, even if this is not entirely fair since in reality, they have recently obtained the extension of their vaccination skills, been included in prevention appointments at key ages of life, been authorized to sign death certificates in place of doctors on the entire territory…
This being said, theinflation weighs heavily on our exercises. Furthermore, the fact that the public authorities think a lot regarding our profession – Mr. Frédéric Valletoux also announced, in mid-April, that he wanted to entrust more tasks to nurses by creating a nursing consultation in particular – means, I think, that we we no longer know very well, today, what we are made for.
What does it mean to be a nurse today? And where are we heading tomorrow? Many questions arise, not to mention that we share more and more actions and skills with other professions, such as pharmacists. We therefore have this feeling of loss of meaning. We were counting on the reengineering of our profession, promised for 2023, to know where we are going, rethink our skills and our expertise, open negotiations which would include measures to compensate for inflation… However, it was postponed and is still not finalized to this day.
We have demands, but we don’t feel like they are being heard. The collective has this possibility of mobilizing the profession, while being aware of the need to rely on a union representative of the profession which, alone, has the possibility of negotiating with Health Insurance. The collective contacted us at the end of February and, following a few days of discussions, we found common ground on a certain number of subjects to defend.
What subjects are these?
J.P. : We wish theopening of emergency negotiations in order to find an agreement with the CNAM to compensate for the impact of inflation by upgrading the nursing key letters which have not changed since 2009 and then, secondly, to obtain progress on our profession and our skills , in connection with the re-engineering of the profession in progress, as well as the revaluation of our actions.
At the same time, we are requesting the opening of work on the recognition of the arduousness of our profession and on the simplifications to be made in order to find a quality of life at work. There is also an urgent need to restore meaning to the profession and make it more attractive. Liberal nurses must find peace in their daily practice. The health system cannot afford the luxury of seeing our profession slowly disappear due to exhaustion and discouragement, while we are the rare professionals who still go to patients’ homes.
Where is the movement today?
J.P. : On April 4, a delegation from Sniil and the Collective of Angry Liberal Nurses was received at the Ministry of Health. We were able to speak with an advisor to the minister for almost an hour, then with Frédéric Valletoux. We had already met the minister, a few days following his appointment. We had the feeling that he realized that there was an urgency to act even if, obviously, for the authorities, the notion of “urgency” consists more of the “medium term”.
Mr. Valletoux informed us that he wanted, as a first step, to complete the work of reengineering our profession – a project which should be finished by the summer, according to him – and to begin negotiations on pricing measures to compensate for inflation. .
At the same time, the minister suggested that we work on redefining our skills and upgrading our actions, the objective being to prepare tariff negotiations which might be held at the end of 2024 or the beginning of 2025 (1). Deadlines which remain difficult for the profession to understand, because there are always fears that they may be, in fine, still postponed… but we nevertheless felt a desire to change things. Concerning the arduousness of the profession, Frédéric Valletoux is committed to quickly obtaining feedback from Igas in order to be able to move forward on this subject and in particular on theend of career planning.
Sniil then reiterated its requests on April 5 during a meeting with Cécile Lambert, advisor to the Prime Minister. We also took our demands to the Cnam, which, following a framework meeting organized on April 18, officially launched working groups in four areas:
the clarification of the rules and procedures for controlling overpayments, essential in our eyes to reduce the moral and administrative pressure weighing on the shoulders of independent nurses; the framing of acts associated with the Nursing Care Assessment (BSI) and heavy patients, work within the framework of which we would like to see an increase in the daily rate for the care of the most dependent patients; new skills for nurses (application of the Rist law, referent nurse, on-call ambulatory care); and, finally, the ecological transition and the reduction of waste of medicines or medical devices (dressings, etc.).
We are now discussing new joint actions with the collective. We want to make progress as quickly as possible.
(1) Among the most common procedures not upgraded for several years are, for example, simple dressings (€6.30) or even intramuscular injection (€4.50).
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