A hospital plunged into suffering and placed under guardianship. The situation of the hospital center of Saint-Cyr-au-Mont-d’Or, near Lyon, led the regional health agency (ARS) of Auvergne-Rhône-Alpes to place the mental health establishment under administration provisional, starting November 15, for a renewable period of six months.
Composed of several pavilions distributed around an old castle, the hospital of Saint-Cyr-au-Mont-d’Or plays an important role in the west of the Rhône department, welcoming 12,000 patients per year, in long stays , consultation or emergency. It has 800 employees, including 70 doctors and 500 nursing staff. All the powers of the director, the management board and the supervisory board are suspended.
“These powers will be exercised by a provisional administration mission, comprising director and doctor, appointed by ministerial decree. They are asked to analyze the current dysfunctions, to establish a diagnosis of the causes, to evaluate the impact on the quality and the safety of the care and to put the measures allowing to remedy it “explains the press release from the ARS, published on its site, on November 7.
Petition from caregivers, letter to the prefect
The agency refers “conflictual relations within the governance which spill over into the internal work climate and contribute to harming the functioning of the hospital centre”. In its letter sent the same day to the establishment medical commission (CME), the tone of the ARS is much more alarmist. “Reports of proven serious events, combined with dysfunctional governance that is unable to resolve this situation, create a major risk for the quality and safety of care”, writes Jean-Yves Grall. The director general of the ARS takes care to underline: “This decision is in no way the satisfaction of any actor in governance against another. »
After a motion of no confidence from the establishment medical commission, on September 12, and a petition signed by more than 300 nursing staff, a letter undoubtedly precipitated the decision of the ARS. Fifty hospital practitioners of the establishment denounce “a deleterious mode of operation of the management”, in a letter of October 19, addressed to the prefect, the health authorities and the elected officials of the region. Doctors and department heads describe the work overload and “clan functioning” management, which would be the cause of many departures. “Suffering is currently everywhere, individual and collective, at all levels of the institution”says this courier, claiming “with force a rapid and objective investigation into the excesses of a management that has become blind and deeply malevolent”.
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