2023-07-10 21:37:17
The emergency department of the Lariboisière hospital (AP-HP), in Paris, on October 14, 2020. LUCAS BARIOULET / AFP
The judgment should be a milestone, while putting a brake on one of the major real estate projects carried out by the Assistance Publique-Hôpitaux de Paris (AP-HP). The administrative court of Montreuil canceled, Monday, July 10, the decree by which the prefect of Seine-Saint-Denis declared of public utility the project of realization of the hospital-university campus of Grand Paris Nord. Be a serious setback for the future CHU de Saint-Ouen, which should bring together the activities of the Bichat (Paris 18th arrondissement) and Beaujon (Clichy, Hauts-de-Seine) hospitals by 2028, as well as a university structure comprising research and training activities in medicine from the University of Paris Cité. The AP-HP immediately announced that it was appealing, while demolition work on the site in Saint-Ouen-sur-Seine (Seine-Saint-Denis) began at the end of June.
To decide the future of this 21st century hospital which represents an investment of 1.3 billion euros, the administrative judge had to plunge into a battle of figures. That relating to the number of beds which has been opposing for months the applicants – SUD-Santé, the Inter-hospital Collective (CIH), the Inter-emergency Collective and representatives of residents and users, whose legal action dates back to May 13, 2022 – at the AP-HP. And he ruled in favor of the first, who denounced the decline in the supply of care in the future hospital behemoth of Seine-Saint-Denis, a department which is already sorely lacking. A symbol of the cost-saving hospital policy implemented throughout the country during the 2010s, marked by the « rationalisation » and the reduction of beds in major building projects, which the government has promised to end as it emerges from the Covid-19 crisis.
“The court noted that the operation led to a reduction, on a like-for-like basis, of the number of hospital beds from 1,131 to 941, the number of outpatient places from 207 to 173 and the number of births that can be accommodated from 3 238 to 2,000”indicates the administrative body, which at the same time dismisses all of the arguments of the AP-HP.
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“Excessive” disadvantages
The Ile-de-France group of 39 hospitals ensured that the level of care would be maintained, whether through 150 beds “hoteliers” provided nearby (for patients who do not require supervision), or even 96 beds “severable” that the AP-HP claims to be able to deploy in times of crisis. It also highlighted technical indicators, such as the improvement in ” turnover rate “ on an outpatient basis (from 1 to 1.3), which should make it possible to accommodate more patients.
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