Doctors and nurses can double or even triple their income by choosing this type of contract. Another symptom of malaise in hospitals.
“If I say yes, on three shifts, I earn … my monthly salary,” slipped bitterly an anesthetist, holder of Assistance Publique-Hôpitaux de Paris (AP-HP). Like his colleagues, he receives temporary offers several times a day via e-mail or text message: 1,800 euros net for 24 hours of work in Épinal or 1,500 euros for a day on maternity leave in Valence. But the award goes to this amazing announcement from Bourges Hospital: “negotiable rates” for this summer! The same for a center of Ille-et-Vilaine. At AP-HP, anesthesia care is paid between 320 and 470 euros gross depending on the grade.
The public hospital is suffering and the severe shortage of staff is only a symptom of the current crisis. In a Coué method issue, last Thursday at the 2022 Emergency Congress, Health Minister Brigitte Bourguignon nevertheless said that the carrots were not cooked: “I will not accept political instrumentalisation or that we make the French believe that the system is collapsing everywhere Talking about the harsh reality would mean discouraging future recruits!
Temporary work is on the rise, although the situation, especially for the established nurses, started to get worse in 2016.
On this date, the general management of AP-HP initiated a reorganization of working hours, which signed the start of a wave of departures. “Before, we worked day, afternoon or night,” explains one nurse. Since this reform, with the nursing staff, we have to change every fortnight and people have traveled. How to organize with children? Find a nanny who takes your kids every other week at. 5 or 22! “So when Martin Hirsch, the head of the AP-HP, described as ‘mercenaries’ the supporters of” this soft substance from the temporary time, the proprietors, like the temps, looked red and lamented this ‘saliva in the figure’ “.
A novice substitute earns just as much, if not more, than me at the end of my career
A nurse says: “Many of my fasting anesthesiologist friends are temps during their rest period, which is forbidden. And some even in their own hospital! There is a tacit agreement to tolerate these situations as we lack weapons. “A 26-year-old temp receives 26 euros gross per hour to work in hospitals in the Paris region, or, in a month, 3,600 euros gross … 1,400 euros more than her friend of the same age. The latter has no anger:” She wins what we should all win! “A nurse with thirty years of seniority confides:“ A temporary beginner pockets just as much, if not more, than me at the end of his career. If the system for the minister does not collapse, then how do you qualify these situations?
An anesthetist tells the story of a colleague, a hospital doctor: “Instead of receiving strangers, we prefer to ask someone from the service to come in addition, paid as a temporary worker. This is common with AP-HP. The colleague in question receives 15,000 euros gross per month (instead of 9,000) thanks to this “internal interim”.
Anaïs is a nurse, she is 30 years old and started her career in the public hospital with a stay at Necker: “They welcome us as soon as we leave school, and tell us that we are not entitled to vacation for two years, and no one is shocked.To justify an RTT the manager asked me about the reason for my absence and I had to say I had a gynecologist time.I resigned to work as a temporary worker.Before I earned 1,800 euros net for 150 hours, today, in the meantime, I earn 2,970 euros net for 140 hours. “
Also read. SOS Public Hospital: our revelations about the pay of shame
Although wages are higher, this is not the main attraction for temps. The right plus? Flexibility. “We made this choice so as not to be harassed by leaders who are constantly asking us to help by playing on the sensitive chord. If we are five instead of ten in our service, is it my fault? another nurse.Another concludes: “To reduce the use of temps, it would be necessary to retain the incumbents instead of abusing them. »