At the end of August 2018, the member LREM Charlotte Lecocq made public a report on health at work. The goal : to simplify its organization and, above all, strengthen the prevention. ” If we consider the budget of 13 billion euros allocated to stops working and stops diseases, only 4% are oriented towards prevention. The institutions are acting when it is too late. More France will invest in prevention, the less it will cost to repair “, stressed the mp, when questioned by “The Cross” in August 2018.
→ MAINTENANCE. Health at work, how to strengthen the prevention
Put to sleep, the debate has been aroused by the crisis of the sars coronavirus. A trigger, a column published last may 15 at the JDD, in which 158 members of the majority – in which the head of The Republic on Stanislas Guerini – called” a major reform of the health at work “. They expressed clearly that the occupational health services had not been competent enough in managing the health crisis :” Companies have found themselves alone and feeling helpless for several days, which in a climate of anxiety, has contributed to penalize the maintenance of economic activity in some sectors. “
To insert the nail, in a report published at the beginning of June, it is the general Inspection of social affairs (Igas), which assessed a lack of effectiveness of occupational health Services to business (SSTI), which are distinguished from health Service to self-employment (STTA). As noted by the national Institute of research and safety (INRS), a company or institution may choose to organize a SSTA when his numbers reach or exceed 500 employees. When the staff of employees is less than 500 employees, the employer must adhere to a SSTI.
It is in this climate that, on Monday 15 June, the negotiations have started between trade unions and employers, two days after he received a letter of guidance from the ministry of labour. ” It was in the nick of time ! “judge Serge Legagnoa, present to the negotiations for Force Ouvrière.
Thursday, June 18, the president of the Medef Geoffroy Roux de Bézieux went to the CMIE (Centre medical interentreprises Europe), a service of health at work in paris. Created in 1964, this association following more than 350 000 employees, is one of the largest health services in France and is part of the networks SSTI – on which the Medef has the hand for the most part – rightly pointed out by the Igas and the report Lecocq.
Sustainability of tele-consultation
At this meeting, Claudine Sulitzer, the president of CMIE has highlighted the role that his centre had been during the health crisis. In particular, on the use of tele-consultation with employees followed. The containment has, according to it, permit” remove a lock “because the tele-consultation are little used by the physicians of the work (the argument of medical confidentiality are often placed on the table).
The director would like to see the temporary authorization, granted by the ministry of labour for the containment, perpetuates. Just as the use of questionnaires pre-visit, that the employee completes on his / her computer or smartphone, before the medical visit. Two applications to which the president of the Medef was indicative of his support.
Impossible to track an employee changing from department
Beyond the crisis of the coronavirus, Claudine Sulitzer has detailed other dysfunctions, which, to her, prevent the full effectiveness of the system. The SSTI does not have, for example, not have the freedom to choose their place of anchorage. They must have a approval geographical, granted by the Direccte (regional Directorates of companies, competition, consumption, labour and employment).
→ FORUM. Health reform at work : employees and enterprises be the winners ?
” This certification is obsolete “judge Claudine Sulitzer. His association has an agreement on all the arrondissements of Paris but can be present partially in other departments of the Île-de-France and has none in the Yvelines (78). ” So if an employer or an employee changes department, it is not necessarily possible to follow “, she says.
The next negotiations between trade unions and employers will take place on the 23rd of June, and then the debate will resume on 3 September, at which time a bill must be tabled in Parliament. “ It has a bit the impression of working under a sword of Damocles, regrets Serge Legagnoa. It is necessary to allow time for the social partners to negotiate in order not to succumb to the emotion of the epidemic. All the problems are not there. There are structural considerations, such as the shortage of occupational physicians, which also explain the inefficiencies. “