Criticized last year for their management of the health crisis, regional health agencies (ARS) need "means to carry out their missions" and increased control by local "counter-powers", according to a report parliamentarian presented on Wednesday.
Neither witchcraft trial, nor "great evening of the ARS": Agnès Firmin-Le Bodo, deputy Agir, and Jean-Carles Grelier, deputy LR, took stock of the ten years of these administrative "superstructures" created in 2010, not the one of their action in the face of Covid-19.
Far from wanting their removal, the two parliamentarians suggest to "preserve the current scope of the missions of the ARS", which includes the hospital, city care, medico-social and health monitoring.
On condition of "giving them the real means of their action, both financial and human", which notably involves the "preservation" of staff cut down year after year.
Reinforcement of the departmental level
Better still, an "ambitious policy in terms of recruitment" must support the "strengthening of the departmental level" of the ARS to "restore legitimacy" to them in the field.
An objective which also requires "strengthening the local counter-powers", by transforming the current supervisory board into "real board of directors" responsible, among other things, "to approve the budget".
This responsibility would go hand in hand with "the greatest possible latitude" in the use of credits today largely "marked".
In the same vein, the ARS should “have more confidence” in hospitals, by moving from a logic of “a priori authorization” to “mechanisms of control and inspection a posteriori”.
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