Tours, Tuesday 10 May 2022 – In Tours, SOS Médecins will no longer provide consultations between midnight and eight in the morning.
To offer home care at any time of the day or night, this is how the SOS Doctors’ Association has been promised since its establishment in 1966. But in Tours, the duration of care is no longer guaranteed: since 24 April, SOS Doctors no longer offers any consultations in deep wet », That is, between midnight and kl. Two general practitioners left the association at the beginning of the year and with only ten general practitioners taking turns, « we have decided to withdraw from this space to focus on the 20.00 midnight period and the development of unplanned care consultations during the day says Dr. Adam Liance, Chairman of SOS Médecins Tours. To ensure the service in the deep night in a sustainable way without exhausting the workforce, it would take about twenty general practitioners, estimates Dr. Philippe Paganelli, President of the Medical Order of the Indre-et-Loire.
700 euros for deep night shift
However, every effort has been made to find new staff and ensure the maintenance of the activity in the deep night. At the beginning of March, the prefect had convened the departmental committee for emergency medical care, continuity in health care and transport (Codamups), which brings together the order council, the elected representatives of the liberal doctors and the representatives of health. services. ’emergency. The committee had then launched a consultation with general practitioners in the city to find volunteers with the support of a significant increase in remuneration: 400 euros for service from 20:00 to midnight and 700 euros for service in deep night, against 180 euros for the guard. all night before.
But despite this pricing, which we found attractive, 50 GPs said they were interested in being on call from 8pm to midnight and only four to provide service in the deep night. ” Money is one thing to remove the blockage of the situation, but they are still inadequate says Dr. Liance. The working conditions in the deep night are truly particularly stressful for the practitioners of SOS Doctors, who also have to run their own practice during the day. On April 18, two doctors from the association were attacked in less than 24 hours, prompting the service to strike for 24 hours.
A risk of saturation of emergencies
Dr. Liance, however, tries to minimize the impact of the shutdown of the service in the deep night, recalling that the medical activity there is ” weak “.” This can vary from 0 to 10 visits, the largest concerns death certificates, police detention or consultations in detention centers, requests for care from the population represent approximately 3 to 4 inquiries he says.
Nevertheless, without the presence of SOS Doctors, these few night calls will have to be performed by SAMU and the emergency department at the University Hospital in Tours, which are already very busy. On April 30, three police officers were barricaded for several hours in the emergency room, where they came to investigate detainees. ” If we do not find a solution, some nights with fights or accidents, we end up with all the police forces in the emergency room worries Charles Fourmaux, chief of staff of the prefecture. ” It may be necessary to provide a short circuit to the emergency room to prevent the police from having to wait. suggests Dr. Liance.
SOS Médecin’s difficulties in Tours and more generally in France are not new. Fewer and fewer general practitioners agree to provide the service, faced with deteriorating working conditions and less and less attractive remuneration. In July last year, the volunteers from SOS Doctors were not integrated in the revaluation of home visits: they are still paid 35 euros, against 70 euros to the Liberals for a visit to a patient over 80 who suffers from a long-term illness (ALD) . On September 27, the service went on strike nationwide to condemn this lack of consideration. ” Our profession is dying and no one will do it in 5 to 10 years if nothing is done prophesied Dr. Antoine Campagne from SOS Médecins Tours.