Written Question No. 06005 from
Ms. Lisabeth Doineau
(Mayenne – UC)
published in the JO Senate of 03/30/2023 – page 2114
Mrs. Lisabeth Doineau draws the attention of the Minister of Health and Prevention to the low remuneration of speech therapists.
Speech therapists bring their expertise to the assessment and rehabilitation of communication, language and swallowing disorders at all ages. They also intervene in the field of disability, with premature children, adults and those at the end of life, with cerebral-cerebral trauma, cerebrovascular accidents or cerebral tumours.
Speech therapists practice conventional fees fixed within the framework of agreements with health insurance. Conventional negotiations take place every 5 years and lead to the signing of amendments between the health insurance and the national federation of speech therapists.
The key letter, which governs the amounts of their fees, has not been revalued since 2012: neither in the amendment signed in 2017, nor in that of 2022. However, speech therapists are already among the health professionals with the most low income.
If the frequency of contractual tariff negotiations is maintained at 5 years, the letter key will not be upgraded before 2027, i.e. 15 years without any real change. The increase in the medical act of speech therapy (AMO) seems to be the only fair and just lever to upgrade the activity of the profession. The AMO, if it had followed inflation, should be more than 3.20 today, while it is stagnating at 2.50 .
No longer able to cope with the loss of their purchasing power, speech therapists are leaving the profession to retrain in other fields. The decrease in the number of speech therapists in an already tense demographic context is a public health problem, which leads to late interventions and an exacerbation of disorders.
Also, she asks him what measures he intends to take to enhance and improve the attractiveness of the profession.
Awaiting response from the Ministry of Health and Prevention.
