In 2015, the initiative provoked major strikes. Will the new director of the Paris Hospitals (AP-HP) experience the same fate? Two months after his arrival at the head of the organization, Nicolas Revel wants to review the organization of the working hours of his 100,000 agents, according to a document presenting his “30 courses of action”, consulted Thursday by AFP.
The new director of the AP-HP wishes to move quickly and “to lay down an institutional framework” which “would be developed by the end of January 2023”, he specifies in this document distributed internally, which first of all “purpose to feed a time of exchange until mid-October”. On this subject, identified as “a key factor for attractiveness”, the stated objective is “to introduce more flexibility”, because “there is no consensus” on the pace of work, which varies according to the services 7 to 12 hours a day.
A thousand nursing positions are vacant and 18% of beds in medicine, surgery and obstetrics are closed, according to figures communicated by the management of the Public Assistance-Hospitals of Paris (AP-HP) at franceinfo. According to the radio, “Nicolas Revel suggests more flexibility on schedules to meet the expectations of young people who prefer to work 12 hours in a row but come less often during the week. »
Deficit of 200 million euros
Anxious to “retain” his staff, Nicolas Revel intends to use “all the levers” at his hand, for example by “significantly” increasing the number of social housing reserved for AP-HP agents, or by recruiting more nurses out of their own schools. But the boss of the Hospitals of Paris must also define in the coming months “a realistic and “assumable” trajectory of return to financial equilibrium”, while the deficit of the AP-HP should exceed 200 million euros, for the third consecutive year.
A challenge all the more complicated that “it is impossible to envisage a reduction in our workforce”, he assures. On the contrary, the recruitment of “secure” nurses by the end of the year will make it possible to fill several hundred vacant positions. Resources that will have to be distributed as best as possible, knowing that nearly 20% of beds and operating theaters are still closed. “Choices will have to be made” to “meet the most critical care needs,” he explains.