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US News Covid-19: in Ile-de-France, the "reinforced" white plan is reactivated in hospitals, due to an expected influx of patients

17:30  08 october  2020
17:30  08 october  2020 Source:   francetvinfo.fr

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The ARS has made this request to the Ile-de-France establishments, in order to anticipate tensions at 15 days due to the resurgence of the epidemic. The AP-HP must reorganize its care and redeploy its staff in the departments, or even cancel leave already taken by the teams. The peak of patients is expected to occur around All Saints' Day.

  Covid-19 : en Ile-de-France, le plan blanc © Provided by Franceinfo

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In fact, the white plan has never been deactivated since the start of the crisis. Its first level makes it possible in particular to activate crisis cells and monitor hospital tensions. But the ARS has this time decided to launch level 2 (reinforced white plan), already activated during confinement but paused since. This decision was taken because of not very encouraging 15-day forecasts made by epidemiologists from ARS and Public Health France.

This reinforced white plan first of all allows the directors of establishments to readjust the programming of interventions. "We are not reliving what we experienced in March," insists the ARS despite everything, contacted by franceinfo. "But this time around, we cannot deprogram interventions again like we did in March. In a sense, the tension is therefore likely to be higher." Thus, the ARS considers that from 700 patients hospitalized in intensive care throughout the region, a quarter of care should be deprogrammed, and that from a thousand, 60% should be deprogrammed.

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Unscheduled care, mobility, canceled leave

Level 2 of the white plan also allows managers to take internal organizational measures, with a certain degree of autonomy. This human resources component gives the heads of establishments the flexibility to redeploy certain nursing staff on Covid missions or to recall staff. But in practice, certain establishments thus began to deprogram non-urgent activities at the end of September.

The Public Assistance - Hospitals of Paris sent a note to the directors of human resources on 2 October. The service constraints are "likely to lead to the cancellation of a majority of the days of leave (CA, RTT ...) initially scheduled", specifies first of all the document on the issue of working time, consulted by franceinfo.

We ask managers to be operational and to be able to adapt overnight to respond to an influx of patients in the departments. The expected peak falls during the All Saints holidays. We know it is a subject.

ARS of Ile-de-France

to franceinfo

"These vacation cancellations will relate in particular to the All Saints' Day holidays", specifies the text. "The unions were not consulted and we are angry," slips a union representative to franceinfo. In return, the days worked on days of leave or rest "planned before the date of publication of the note" will be paid in overtime. These will be revalued by 50% "like all overtime worked from October 1". This measure should be understood as a "monetization of canceled vacation days".

The AP-HP is also announcing measures for staff who have to cancel their vacation, with the payment of home care costs for the children of "agents who have canceled their leave to ensure continuity of care" (50 hours maximum per child).

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This is interesting!