Ehpad: the government promises to continue to learn the lessons of the Orpea affair

Posted Sep 20, 2022, 6:09 PM

The executive wants to continue to learn the lessons of the Orpea scandal. The government intends to adopt several measures to improve the control of accommodation establishments for dependent elderly people (Ehpad) on the occasion of the 2023 Social Security budget presented next Monday.

“The objective is to secure the means that we have (…) to be able to sanction operators who contravene the established rules”, explained this Tuesday the Minister of Solidarity, Autonomy and Disabled People, Jean-Christophe Combe, during a press conference organized by the Association of Social Information Journalists (Ajis).

Ehpads have been in the spotlight since Victor Castanet's book, "Les Fossoyeurs" (Fayard editions) published last January, accused the group of retirement homes Orpea of ​​having a management method leading to mistreatment. of elderly people and collect public money for their own benefit to the detriment of its residents.

Strengthen transparency

In reaction to these revelations, the government of Jean Castex had announced a control plan for the 7,500 nursing homes of France over two years. He had also promised to strengthen the means of the Regional Health Agencies (ARS) for these checks.

The new government is determined to go further. The executive wishes within the framework of the Social Security financing bill (PLFSS) "to give greater powers to inspections, in particular to Igas" (Editor's note: General Inspectorate of Social Affairs), explained Jean-Christophe combe.

Igas had been charged, with the General Inspectorate of Finance (IGF), with a mission on Orpea. The two administrative control services had considered that the group had unduly captured more than 50 million euros public money. An analysis that challenge the group .

The PLFSS should also contain measures intended to “reinforce the transparency of the economic model” of Ehpad operators by requiring the communication of “a certain number of data related to their mode of operation”, specified Jean-Christophe Combe.

Improve the attractiveness of professions

These statements come after senators denounced this summer in a report the “blind spots” of controls carried out on nursing homes. According to these parliamentarians, controls should not be limited to establishments but focus on the financial organization of groups of retirement homes.

"Today the system needs to regain confidence, quality, security, it is a duty that we have vis-à-vis our elders", declared Jean-Christophe Combe to justify the effort of transparency. "I am convinced that this is one of the elements of the unattractiveness vis-à-vis the care and support professions", he continued.

Establishments caring for the elderly regularly warn of their difficulties in recruiting and retaining care staff (nurses, care assistants, etc.). The government also promises to include measures in the PLFSS to improve the attractiveness of some of these professions.

Support against inflation

Among other things, it intends to free up financial resources to enable establishments in the private non-profit sector to increase the remuneration of their teams, similar to what has been done in the public service with the revaluation of the index point of civil servants .

The Minister also promises to "support operators in the face of the effects of inflation", while many establishments are warning about their bill skyrocketing purchasing energy, medical products or services.

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