Palliative care: a national plan to address disparities in access



“While the supply of palliative care has increased, disparities persist”. Olivier Véran detailed Wednesday September 22 a fifth national development plan for palliative care and support for the end of life. Objective: to make this care accessible to all French people.

“It is unacceptable that territories are weakened for reasons of remoteness from care structures, lack of professionals trained in palliative care or lack of teams able to travel to the home or ensure the permanence and continuity of care”, estimated the Minister of Health in a speech delivered on the occasion of the congress of the French Society for Support and Palliative Care (Sfap).

→ INVESTIGATION. End of life: “How can we properly support the dying in these conditions? “

One of the priorities of the plan is therefore to ensure “An efficient and organized presence wherever necessary”, primarily in the 26 departments where there are currently no palliative care units, and in the six regions where there are no mobile pediatric palliative care teams.

Midazolam soon available to city medicine

To achieve this, the government has planned to commit 171 million euros over the period 2021-2024, including 59 million new measures. From 2021, nearly five million euros will be used to strengthen mobile palliative care teams, said Olivier Véran. In 2022, 16 million euros will finance new measures.

The minister also confirmed that midazolam, a drug used for sedation, would be made available to city medicine at the end of the year. “This openness necessarily involves the support of primary care professionals, and in particular treating physicians and nurses who must not remain without support when they accompany their patients”, he assured.

The minister announced this new plan in March, in response to the relaunch in Parliament of the painful debate on end of life and euthanasia.

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