the essential
Between investments and development of the medical offer, the Cahors hospital center has seen its activity strengthen and its staff return. The only downside is the return of a significant deficit that will have to be controlled.
Make no mistake, despite its 13 million euros forecast deficit, the Cahors hospital is in great shape. Because if the financial aspect has deteriorated, it is precisely because the establishment has considerably developed its activity. “This deficit promises to be significant and we will work to reduce it,” warns Laurent Orsini, who has been acting general director since Monday, following the appointment of Pierre Nogrette in a hospital in Seine-Saint-Denis.
“In fact, the adaptation of our medical practices has generated more day hospitalizations, on an outpatient basis, around 2,000. However, they are less well paid than a full hospitalization, with an overnight stay in the hospital, where we records 2,000 fewer. Same thing with consultations, that's 20,000 more per year, compared to 2019, but they remain poorly paid despite the staffing requirements and daytime resources. like at night cannot be reduced further”, admits Laurent Orisini.
At the same time, the pivotal hospital center of Lot has given itself the means for its development, by investing. “There was the creation of the palliative care unit for €2.5M, the only one within 200 km around,” says the director with pride. The plan to renovate the historic buildings is underway for €15M and the start of work which will take place next year In 2025, we will have a high-performance MRI. There will also be the renovation of the emergency rooms for an amount of €4.5M and the overall renovation of the service. oncology. Without forgetting the establishment of the regulated mobile geriatrics unit which visits elderly patients to improve the quality of emergency care.
The Cahors hospital employs 1,150 staff, including 128 doctors.
More activities, more equipment… And a greater range of care too, according to Laurent Orisini who joined Cahors in 2021 as director of financial affairs and performance. “For a hospital and a city of this size we have many specialties in surgery and medicine: urology, visceral, cardiology, neurology, rheumatology, dermatology, palliative care, geriatrics, infectious diseases, etc. With solid teams in addition,” he points out, indicating that this is to the credit of former director Pierre Nogrette.
With 1,150 employees (full-time equivalent), including 128 doctors, the hospital center has found its full teams. “We have overcome the shortage of caregivers. The trend is national, but in Cahors we have an advantage. It is also these very involved medical and paramedical staff who are the strength of our establishment.”
It is therefore not surprising to see the Lot prefecture popular with medical interns, who are three times more numerous in the hospital today, and some of whom, having subsequently graduated, choose to return to work there. Moreover, another project will see the light of day between the City, the hospital and their partners. This is a health campus, which will be located not far from the Valentré bridge, which will notably have 27 boarding accommodations and will accommodate other services.
A new general director will be appointed in January by the ARS.