2023-10-20 12:37:49
To give even greater resonance to the measures in place thanks to successive national plans – including the current one which ends in 2024 – while ensuring their continuity, the Ministry of Health is implementing concrete actions to improve the quality of life of people as well as the means allocated to professionals to contribute to it.
Progress thanks to the 2021-2024 national plan
To strengthen access to care throughout the territory, the 5th national plan dedicated to the development of palliative care and end-of-life support focused on the organization of provision in this area, training of teams working there, home support, information to the general public, research.
In 4 years, it will have notably resulted in:
– the creation of new palliative care units, primarily in departments requiring the reinforcement of their expert teams
– the increase in mobile palliative care teams (including pediatrics) in mainland France and overseas and their capacity to intervene “outside the walls” of the hospital
– the generalization of telephone support in palliative care to all territories, to guide professionals and put them in touch with expert specialists
– earlier planning in the care pathway for treatments capable of relieving sick people
– strengthening the training of all professionals involved in care and support (and not only in palliative care)
– providing citizens with information useful for the exercise of their rights, their decision-making and their guidance.
An essential step: the establishment of palliative care sectors
To support the action of all stakeholders involved in the palliative approach, an instruction was distributed in June 2023 to all regional health agencies (ARS) to facilitate the structuring of dedicated territorial sectors.
In support of the 2021-2024 national plan, this text aims to strengthen the network of existing and future structures, optimize professional organizations, mobilize city professionals more massively, improve access to palliative expertise, introduce more upstream palliative care in care pathways.
Thus, the instruction constitutes a “toolbox” allowing ARS to:
– structure their sectors in line with local needs
– support teams specialized in palliative care, to clarify their missions and their articulation with other actors in the sector (medical-social or even social)
– further encourage home care
– have the necessary flexibility to adapt to each territory: by pooling resources, perpetuating existing organizations, etc.
Instruction of June 21, 2023 relating to the continued structuring of territorial palliative care sectors in the perspective of the 2024-2034 ten-year strategy
The establishment of these sectors foreshadows the spirit in which the future ten-year strategy dedicated to the end of life is being designed.
A major perspective: the 2024-2034 ten-year strategy
In order to amplify the state’s ambition, a ten-year end-of-life strategy will see the light of day from 2024.
To foreshadow it, Agnès Firmin le Bodo, Minister Delegate in charge of territorial organization and health professions, mandated Professor Franck Chauvin to carry out the work in conjunction with 3 qualified personalities, hospital and liberal health professionals. , foreign experts. A consultation process will also be carried out with other stakeholders, including carers, volunteers and families, as well as ethics specialists.
In accordance with the guidelines set by the Prime Minister, the ten-year strategy will be presented at the end of 2023 and will pay particular attention to the deployment methods and the operational dimension of the expected transformations. It will also take into account the conclusions rendered in April 2023 by the citizens’ convention on the end of life, whose members expressed themselves on the need to strengthen access to palliative care.
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