A new interministerial plan for the safety of healthcare professionals

2023-09-29 08:40:06

Presented by the delegate minister, Agnès Firmin Le Bodo, the plan has a dual objective: to better understand the violence committed once morest caregivers and to better protect the victims. It aims to restore meaning to health professions and make them more attractive in a context of shortage of caregivers.

The plan for the safety of health professionals was developed on the basis of the report submitted on June 8 by Dr. Jean-Christophe Masseron, president of SOS Médecins, and Nathalie Nion, senior health executive at AP-HP.

It is the result of consultation with establishment security managers, patient representatives, academics and healthcare professionals, initiated at the start of the year.

Significant interministerial work, involving the Ministries of the Interior, Justice and Transformation and Civil Service, has notably enabled significant progress in the area of ​​criminal protection for caregivers.

If health is a common good, then it is our collective responsibility to ensure that caregivers work in conditions of satisfactory safety: we owe it to them, declare the ministers.

Key figures : 20 000 reports of violence were recorded in 2022

Nurses represent 45 % violence committed once morest caregivers

(Source : ONVS)

The key measures of the plan around a triple axis

The plan for the safety of healthcare professionals is built around three axes, each meeting several objectives. The 42 measures presented were developed to prevent violence, create a peaceful environment and support victims. Decryption of the most decisive.

Axis 1: raise public awareness and train caregivers

Acting upstream to avoid attacks is the best way to protect healthcare professionals. This is the challenge of this axis with a double objective:

  • Make the patient an actor in the safety of caregivers.
  • Train all health professionals to deal with situations of violence.

Measure 1 : organize a national campaign to raise awareness among the general public of the respect due to caregivers with 2 essential messages of respect due to caregivers and the need to report violence to no longer trivialize it.

Measure 8 : conduct a training campaign with a common core dedicated to agents and their supervisors.

Axis 2: prevent violence and secure the exercise of professionals

There are various means to respond appropriately to threats to secure the practice of healthcare professionals. This axis presents them with 4 main objectives:

  • Widely disseminate a true culture of building safety in hospitals and in towns.
  • Equip health professionals to respond to violence.
  • Rethink the safety of property and people in hospitals.
  • Strengthen criminal sanctions once morest attackers.

Measure 20 : finance alert systems for the most exposed self-employed professionals (caregivers working in isolation in offices or carrying out consultations at home). Devices using bracelets or buttons hidden in a pocket.

Measure 27 : create an offense of contempt for health professionals working in hospitals or in private practice by creating a specific contempt.

Measure 30 : extend to health establishments the increased penalties for acts of violence resulting in total incapacity for work (ITT). A measure which more firmly condemns the perpetrators of assaults in establishments.

Axis 3: report violence and support victims

When certain situations of violence might not be avoided, victims must be able to be supported and reports better reported. This is what this last axis provides, which is structured around three major objectives:

  • Systematize the reporting of attacks to objectify the phenomenon
  • Offer real support to victims to encourage them to report
  • Supporting victims of assault over time

Measure 33: rethink the local management of health and safety agreements to ensure effective feedback. In each department, prefects and prosecutors, in partnership with the directors general of the ARS, will lead a security staff meeting, involving stakeholders from the territories concerned.

Measure 36: allow directors of health establishments to file a complaint in the event of violence or threats once morest an agent. Judicial support intended to support the agent and alleviate the fear of reprisals.

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