It is the third university hospital in France and one of the main employers in Marseille. The AP-HM, public assistance-hospitals of Marseille, occupies a central place in our health system and yet… A report by the General Inspectorate of Social Affairs sharply denounces the management of the AP-HM. Management “archaic”, clientelist systemfinance “disturbing”, “privileges” granted to the majority union, the list of grievances is long. And as Le Figaro reminds us, this is the tenth report in ten years. The latest “is no more tender than the previous ones. And for good reason, past recommendations have only rarely been acted upon,” underlines the journalist from Le Figaro.
The Igas criticizes in particular the too close proximity between the town hall of Marseille and the hospital: “A large number of recruitments of unqualified personnel have taken place for many years on the recommendation of elected officials. A certain number of these agents, who consider themselves protected, pose problems because of their disrespectful, even threatening behavior towards local managers. The authors of the report also point to “the traditional role of recruitment consultant” of the FO union. “Certain categories of personnel do not perform the minimum work expected of a public service agent”.
Igas also denounces the “ambitious and costly investment policy” which has put the AP-HM in a “worrying” financial situation.
Faced with a damning report, the management of the AP-HM was quick to react. Jean-Jacques Romatet, Director General of the AP-HM since January 2013, assured that “Human resources management has been redesigned from top to bottom. What is highlighted in the report is totally finished”. Financially, the general management has put in place a plan to return to balance for 2014 but the road will be long: 10% of the debt of the AP-HM is classified as toxic, notes Le Figaro.
If the AP-HM is today in the eye of the storm, the Marseille University Hospital is not the only one to have financial difficulties. A report by the Court of Auditors last April revealed that the medium and long-term debt of hospitals had tripled in 10 years.
