Through Geraldine Robin
updated 25 Oct 21 at 22:10
The call, provided by various employers’ federations and associations of social sector and medico-social, is regional. Also, this Wednesday, October 27, 2021, various actions will be launched throughout the region, to crisis alert that cross those who call themselves ” the forgotten of Ségur “. A Bordeaux (Gironde), the mobilization will take place at 3 p.m., in front of the Prefecture, and will be marked by speeches before a walk in the direction of theRegional Health Agency (ARS).
On the employee side: vocations crisis, multiplication of departures, pay inequity. On the employers’ side: Job request, abandons projects inherent to structures. And for all, the put to danger both professionals and people helped, mostly vulnerable. Lack of means, lack of consideration, lack of staff… And to this, there is added the limited evaluation, of the Health Segur. In Gironde, weariness now mingles with anger.
“The forgotten ones of Ségur”
“We are the forgotten ones of Ségur”, protests Laurène Pinaud, territorial advisor Nexem, one of the structures at the origin of the call for mobilization. “Once again, the handicap and the social are totally excluded. However, agreements have been negotiated with Michel Laforcade, the former director general of ARS Nouvelle-Aquitaine, commissioned by Matignon to save the professions of autonomy. But ultimately, the upgrading only concerns certain typical paramedical trades in the medico-social sector. “
Help for people with disabilities, child protection, support for excluded and vulnerable populations … So many sectors, professions, and profiles concerned by this “forgetting likely to generate internal tensions, within the same establishment. “
Salary inequities denounced
Julien Bernet is the Managing Director of Hapogys, an association which welcomes and supports people with disabilities from all over the Gironde (cerebral palsy, motor disability, multiple disabilities, etc.) and which has 350 employees. For him, the current situation is particularly complex, especially since the salary increase of € 183 net per month will not be extended to all employees of the association.
In the field of disability, Ségur is applied very late and with a scope which, for us, is difficult to understand. Only caregivers benefit from the salary increase, while the particularity of our sector is the multidisciplinary nature of professionals. In addition, this only concerns establishments financed by Medicare. Caregivers at the start of their careers in hospital public service may earn more than specialist educators, for example. The wage differentials are huge. This is unacceptable for employees and unmanageable as an employer!
A situation which goes even more badly than the professions of the social, in particular in the associative sector, feel invisible for many years, and “are more and more precarious, in particular in tense sectors like the Gironde”.
Enough to exacerbate recruitment difficulties, or even generate a staff shortage.
“Our staff are not doing it anymore. Despite their attachment to our association, they are leaving. It’s all well and good, values, but at one point, you have to eat! In nursing homes and specialized homes, we have between 20% and 30% of vacancies, and just as much absenteeism. There is more and more turnover and we are even having trouble finding temporary workers … We have never seen that! Our employees feel discredited, put aside, despised. I understand them and fully support them. “
Degraded working conditions
Lack of resources, lack of recognition, professional exhaustion… Hardly surprising, in such conditions, that the sector is struggling to recruit. François Dabadie, educator specializing in child welfare can confirm this: he has seen colleagues in burn-out, in depression. He has attended departures for retraining or to work in better paid health sectors.
It’s a vicious circle: in our working conditions, we are witnessing an exodus of employees to other positions, but also work accidents, layoffs and absent staff. Calling on temporary workers does not allow people to be supported in the long term, because they have benchmarks and stability. With teams that change too regularly, this can quickly create safety problems, both for professionals and for those accompanied.
The educator, also a member of the Sud Santé Social 33 union, notes that the lack of personnel also concerns caregivers, particularly in the field of child psychiatry.
And to add: “We are in negotiations with our employers, concerning our collective agreements. There are currently five, the state would only like one. And that, even if it means flouting an essential principle: for equal work, equal pay. The proposals made by our employers would make us lose days of leave in connection with the arduousness of the work, the benefits linked to seniority, the maintenance of a fixed salary. We are also fighting for this. “
“Lack of staff can kill”
Faced with the lack of daily resources, both human and material, professionals are thus forced to work in degraded conditions, leaving to impact the lives of residents, people supported and their families.
We have difficulty properly performing daily tasks such as lifting residents, washing them, feeding them. We only operate in degraded mode. Three-person shifts are now done solo. How to properly provide care in these conditions? Our residents are not just bodies, they are also spirits. We come to ask families to come and pick them up. This is terrible! We are forced to break a moral contract, a relationship of trust, of the order of the intimate, because of the State.
The director of the association also recalls that in Gironde, three people died this year in a specialized reception center for lack of care. “The residents are extremely fragile, the slightest approximation can quickly be dangerous. Fractures, bedsores, the wrong way… Lack of staff can really kill ”.
Same observation on the side of François Dabadie: faced with children and adolescents at risk, the constant turnover and the lack of expertise of some temporary workers can have dramatic consequences. “We need more staff but also stable teams. The populations we support need expertise, specific knowledge. They are young people in great difficulty and vulnerable. “
“We have no recognition, neither symbolic nor concrete. The company has counted for years on our professional conscience, our commitment, our vocation. But she abused it too much. On the ground, the situation is catastrophic, ”he concludes.
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