2024-03-26 11:53:15
The day following a major communication campaign launched on March 18 at a press conference, Daniel Guillerm, President of the National Federation of Nurses (FNI), deciphers the position that his union has chosen to adopt in a context conducive to demagoguery and sterile postures.
Comments collected by Alexandre Terrini, Pi+ press agency
How does the FNI position itself in light of recent developments in the collective of angry liberal nurses?
Daniel Guillerm. Things have evolved to the extent that Sniil, which is nevertheless a representative union signatory to all amendments to the national convention, has joined the collective, which has claims which, it must be said, are totally above ground as they free themselves from any financial sustainability. For example, the request for the repeal of economic stabilizers, that is to say the six-month application period between the signing of a conventional text and its entry into force, or even the tariff requirements which we know that they cannot be satisfied when there is not a day without the Government reminding us of the need to make substantial savings.
In this context, there is no point in generating false hopes for the profession. It is necessary, on the contrary, in responsibility, avoid adding fuel to the fire.
More precisely ?
D.G. Our position is to do not indulge in one-upmanship. Negotiations with supervisory authorities are not based on the hackneyed principle of asking a lot to get a little. Furthermore, Health Insurance intends to invest provided it knows what return on investment it will have. It is a significant principle to which, moreover, we adhere, particularly within the framework of the promotion of home support to avoid an increase in necessarily more costly hospital expenses. It’s up to us to subscribe to this postulate if we want to obtain something.
“The FNI does not want to break ties with the Government or with the Cnam”
Aren’t you afraid of finding yourself isolated by advocating such a speech?
D.G. This won’t be the first time we preach in the desert (smile). The FNI has always taken its responsibilities. If it had limited itself to adopting the positioning of other unions, we would have sat on 885 million euros. To say that the profession has achieved nothing is therefore false. On the other hand, it is fair to say that within the framework of ambulatory shift and thedomiciliary approachthis is not enough to cope with the demographic challenge who awaits us.
Furthermore, certain demands made by the collective are legitimate. The unlocking the AMI key letter is a priority as liberal nurses are locked into a price-volume market with Health Insurance, which is unsustainable for the profession and for the signatory unions. However, already asking for a sum of money for the Idel while we still have not obtained the framework letter intended for define the scope of future conventional negotiations amounts to putting the cart before the horse. For now, we are speaking in a vacuum.
So, but what to do?
D.G. At this stage, the FNI does not want to break ties with the Government or with the Cnam because it is the only one that is likely to get us to success while remaining within the conventional field. The objective of our action is to press the Governmentin particular Bercy, to unblock the situation and issue this famous framework letter which will then have to be validated by the Uncam Council.
In our eyes, this letter must relate both to the recognition of the profession and on financial valuation to respond to the current malaise of Idel (Liberal state registered nurses, Editor’s note). For its part, the Cnam cannot envisage a negotiation which is purely economic.
In fact, she wants this negotiation to also include restructuring measures. In this case, include in the conventional field the new prerogatives of the referent nurse and those which will be contained in the re-engineering of the profession currently underway. We have been very firm on this point to the extent that the expectations of this reengineering will not produce their effects for five or six years.
However, the schedule does not allow us to wait that long. It imposes concrete and rapid measures. This is why the FNI is waiting foropening of conventional negotiations very soon.
How can we push the Executive to get moving?
D.G. We decided to question the President of the Republic within the framework of an open letter published in the regional press and a campaign digital to promote our demands. We have not been in the streets because we want to maintain a form of credibility. We prefer to defend our positions which are more viable than those contained in the manifesto signed by Sniil. I don’t want there to be a confusion between what we are asking for and what the other unions and the collective are asking for because I think they are making a big mistake in being so out of step by freeing themselves from the economic context.
“What is happening today is weakening conventional dialogue”
Are we at a turning point in union life as far as liberal nurses are concerned?
D.G. The entry into the dance of Sniil, who signed a joint manifesto with the collective, clearly marks a rupture. What happens today will inevitably leave its mark. That weakens conventional dialogue. The risk is to see the authorities explain that it is becoming impossible to discuss with the profession and that therefore, they will legislate further through regulations without much prior dialogue with the representatives of independent nurses. In addition, we are in the tail of what is happening with doctors, all of whose representative unions have followed in the footsteps of doctors’ collectives.
The FNI has not chosen this option and will not give in to these fears. We remain a conventionalist, lucid and realistic union… which does not prevent us from being demanding.
While we tend towards a certain Poujadism…
D.G. This is what has been going through society since the yellow vest movement. Many professions are no exception to this. As far as the Federation is concerned, we wish to be part of the vision of the 1945 ordinances and of a Social Security system that must be defended like a treasure.
But, once once more, this does not mean that we should not have legitimate and realistic demands, provided that conventional procedures are respected. It is not enough to block roads and roundregardings to generate hope within the profession, to make things happen and to say that money will flow freely. And, contrary to what some like to say, this speech is completely audible to our sisters and brothers. The regular increase in the number of our members attests to this.
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