2023-09-29 08:20:11
Data from the National Observatory of Violence in the Health Environment (ONVS) has highlighted for several years nearly 20,000 reports of violence once morest healthcare professionals per year, which represents around 30,000 attacks on people and 5,000 property crimes each year. This data complements the feedback that is regularly provided by the Orders and Federations and which testifies to an increasingly worrying phenomenon of violence. To stop this phenomenon, the Ministry of Health and Prevention has developed, with the contribution of two qualified personalities, a plan for the safety of health professionals, presented today by Agnès Firmin Le Bodo, Minister Delegate in charge of Territorial organization and health professions.
We are fully committed to improving the working conditions of all healthcare professionals. This involves necessary actions on the attractiveness of professions, the recognition of skills, the development of a climate conducive to their missions. It is not acceptable that those who care for us are threatened in the exercise of their missions. The consequences of this violence are major. This is why we have made the safety of healthcare professionals a priority for the Ministry of Health and Prevention, declared Aurélien Rousseau.
Faced with violence once morest caregivers, the Government wanted everyone to take responsibility. This is why the mobilization that we are calling for with the Minister of Health and Prevention also concerns users of the health system. Our message is clear: they are also guarantors of the zero tolerance that we advocate, in particular through the respect owed by patients to caregivers and the duty of the latter to report violence, declared Agnès Firmin Le Bodo.
For several months, the Government has been working with patient representatives, supervisors, academics, hospital managers and ordinal representatives, and of course with representatives of health professionals to identify new solutions to physical and verbal attacks.
As part of this preparatory work, Doctor Jean-Christophe Masseron, president of SOS Médecins, and Nathalie Nion, senior health executive at AP-HP, submitted, on June 8, their recommendations to better understand violence towards caregivers, better prevent them and better protect victims.
The action plan presented today by Agnès Firmin le Bodo is structured around three axes:
- Raise public awareness and train caregivers;
- Prevent violence and secure the exercise of professionals;
- Report attacks and support victims.
This action plan is deliberately ambitious; its implementation must mobilize all stakeholders in order to stem this phenomenon. These themes will be included in the social dialogue agenda that the Ministry of Health and Prevention will conduct with the Orders and representatives of health professionals over the coming months.
It is linked to measures deployed elsewhere by the Government to protect all public officials. In this context, a major strengthening of the criminal protection of caregivers has been enshrined (expanding contempt for self-employed health professionals, strengthening of sanctions once morest theft of medical equipment or violence committed in health establishments, filing of complaints by the director of the establishment). Significant progress in terms of partnership policy between internal security forces, public prosecutors and health professionals has also been made. They will be the subject of an interministerial circular in the fall.
Beyond these already effective measures, the action plan includes 42 measures, including:
Patients and healthcare professionals must also commit to a zero tolerance approach to violence and its perpetrators. This is why this campaign will carry two essential messages relating to the respect due to caregivers and the need to systematically report violence, a sine qua non condition to no longer trivialize it.
This training will include a common core as well as content dedicated to agents and their supervisors. It will be available with a remote part, which will notably highlight good practices already in place in certain administrations or companies, and a face-to-face workshop time
Measure 20 : Fund alert systems for the most exposed liberal professionals.
Caregivers who work alone in an office or who carry out consultations at home are likely to have to face tense situations alone, and sometimes in a foreign environment. In this case, being able to alert and ask for help discreetly thanks to a bracelet, a button hidden in a pocket or other, can be.
Measure 28 : Create an offense of contempt once morest health professionals.
Refusing the trivialization of violence means, beyond physical violence, not allowing insults or degrading remarks once morest caregivers to pass. While contempt already covered agents carrying out a public service mission, we are creating here a specific contempt which concerns all health professionals, whether they work in hospitals or in private practice.
Measure 34: Rethink the local management of Health – Safety – Justice Conventions to ensure effective feedback.
For this, in each department the prefects and prosecutors, in partnership with the directors general of the ARS, will be responsible for leading a meeting of the security staff devoted to the question of the safety of caregivers, involving all the actors of the territories concerned (establishments signatory to the agreement, representatives of the departmental or regional councils of the orders, etc.).
Measure 37: Allow directors of health establishments to file a complaint in the event of violence or threats once morest an agent.
Support for healthcare professionals who are victims, particularly on a legal level, was a central aspect raised during the consultation conducted in the first half of 2023. Allowing directors of healthcare establishments to file a complaint in place of the victim, with their agreement, is a way of supporting the agent and even alleviating the fear of reprisals which is often the cause of a refusal of prosecution.
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