According to Chantal Marchand, president of the Association of managers of health and social services, “the managers are not immune to the experiences of other actors in the network”.
January 7, 2020 4: 00
Senior managers in the health network still out of breath
The health of the executives of the network of health and social services has barely improved in 2018-2019 compared to the previous year, show the data provided to the Sun by the ministry of Health.
In 2018-2019, 902 executives were in disability (salary insurance or CNESST), compared to 961 in 2017-2018, 926 in 2016-2017, 862 in 2015-2016 and 919 in 2014-2015.
The total number of management positions in the network, to him, has not ceased to decrease since 2014-2015, from 11 214 2014-2015 9453 in 2018-2019, still show figures from the ministry.
Thus, by 2018-2019, they are 9.5% of frames that were disability, compared to 10.1 % in 2017-2018, 9.6% in 2016-2017, and 8.1% in 2015-2016 and an 8.2 % in 2014-2015.
For the president of the Association of managers of health and social services (AGESSS), Chantal Marchand, “from 11 200 to 9400 frameworks to provide the same guidance, this is something!”
Mrs. Merchant notes that under the targets established in 2015 by the ministry of Health in anticipation of the implementation of act 10 amending the organisation and governance of the health care network, currently there is a “shortfall” of 300 posts.
However, the workload of the managers in the network has not decreased, quite the contrary, points out the president of the AGESSS. Since act 10, the managers have a greater number of facilities, and mandates to cover, and more staff to their support, she says.
Me Anne-Marie Chiquette, head of litigation at the Association of managerial staff of the network of health and social services (REA), abounds in the same direction. “Gaétan Barrette has cut the number of executives in support to the teams as territories to manage are larger, there are more tasks to manage. The frames, run, turn off lights here and there. […] One is in a madhouse, it doesn’t work. There must be a post-mortem. The youth centres, it is necessary to get that out of the CIUSSS and CISSS”, considers Me Chiquette, who complained that “finance hospitals on the backs of the children”.
According to it, the current system “ejects” the good frames. “We écœure, it is their added responsibilities. They eventually get sick or go away, so that you end up with people who have less experience.” The management teams are at this point reduced that they are not even able to follow the disability employee network, shows Me Chiquette.
“It falls to the front like flies. It is a system that is not sustainable. It is not the budget deficit, but there is a human deficit,” sums up the lawyer, who is said to receive calls from executives “who want to estimate their annuities to know when they will be able to go”.
Me Anne-Marie Chiquette believes that there should be more frames of the vicinity to support the teams operations. “The job is difficult. The professional may be the best in the world, but it takes someone to give him a small pat on the back, of the times,” she said.
“Not supermen and surfemmes”
According to Chantal Marchand, “the managers are not immune to the experiences of other actors in the network”. “These are not supermen and surfemmes. But we’re talking about least, managers themselves talk about less because they don’t want to give up their work teams”, noted the president of the AGESSS.
However, “managers also need love,” said Ms. Merchant. According to it, more than half of disabilities in the framework are linked to diseases of a psychological nature.
If she believes that the “change of tone” made by the government caquiste has had the effect of removing “a little pressure” from the shoulders of managers, Chantal Marchand also notes that it is rendered “at the crossroads”.
“For managers who have been there since act 10, which remained in place to support the teams, to support care and services, it ends up being heavy to wear,” said Ms. Merchant.
“Gaétan Barrette has cut the number of executives in support to the teams as territories to manage are larger, there are more tasks to manage. The frames, run, turn off lights here and there. […] One is in a madhouse, it doesn’t work ”
Me Anne-Marie Chiquette, head of litigation at the Association of managerial staff of the health network and social services
The president of the AGESSS emphasized that it is “in a context of an ageing population, shortage of workforce and retirements”. “You can’t think that this reform will correct themselves just with a change of tone,” she said.
Recalling the electoral commitment of the Coalition avenir Quebec to decentralize the health network, the chair of the AGESSS wondered if “the arm will follow”.
“In the same way that every time the government announces an investment in home support or the protection of the youth, for example, I wonder if we are going to provide a means for managers to refresh it, to meet the objectives. I hope that it has been thought also to hire managers,” says Chantal Marchand, who dreams of an instance “where all the actors of the network could work together to discuss and coordinate their efforts to determine the priorities and the solutions to put in place”.