MIL-OSI Translation: The Council of State is launching two projects to outline the future of the two power stations and the management of pre-hospital emergencies


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Source: Swiss Canton of Vaud – news in French

Press release

State of Vaud

Posted on June 27, 2022

Urgences Santé Foundation – 144 and Telephone Center for Doctors on Duty

Following the recommendations of the audit report initiated by the Department of Health and Social Action (DSAS) and the observations on the ground of the Chief of the Cantonal Driving Staff (EMCC) within the framework of its mandate to stabilize the Fondation Urgences Santé (FUS), the Council of State decided to extend the commitment of the EMCC. Scheduled for a transitional period of 18 months, it will enable the DSAS to carry out two studies on the future of the two FUS power plants. At the same time, these analyzes are intended to clarify the roles and missions of each participant in the emergency system in an overall strategic vision of the management of pre-hospital emergencies.

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The Fondation Urgences Santé (FUS) is a foundation governed by private law, with a Board of Trustees, with which the State signs an annual service contract. At the beginning of February, following in particular a proven deterioration in the atmosphere and working conditions, the Council of State mandated the head of the EMCC to continue to guarantee the missions and essential services delivered by the FUS to the population in matters of emergency and public health, as well as to restore a peaceful working environment.

Following its intervention, the EMCC defined the framework of the works which will make it possible to perpetuate the services delivered by the Telephone Center for Doctors on Duty (CTMG) and the Emergency Health Call Center 144 (CASU 144).

Also, based on the recommendations of the audit commissioned at the end of 2021 by the DSAS, and the findings of the EMCC, the Council of State is maintaining the provisional governance of the FUS under the aegis of the EMCC during a transitional phase. for a maximum of 18 months, i.e. until the end of December 2023 at the latest. This period will consolidate the measures put in place since the start of EMCC’s intervention, as well as the continued improvement of the processes and operation of two plants. The Council of State is also delighted with the positive results of the first actions undertaken by the EMCC and observes a gradual improvement in the situation and the working climate.

In the meantime, two projects piloted by the DSAS and by a Delegation of the Council of State – the first redefining the mission of the CTMG within community health and the second rethinking the place of 144 in the system organizing pre-hospital care of the canton – will aim to analyze the relevance and feasibility of attaching the two plants to a state or public-law entity, to identify which one, if any, and to define the terms of the process. Both the audit and the EMCC indeed recommend such internalization, in particular because it would make it possible to significantly improve the strategic governance of the power plants, while giving them a legal status guaranteeing a sufficiently strong position with the various and numerous partners. cantonal sanitary facilities.

Now confident about the future of the FUS, the Council of State thanks the EMCC for the quality of the work provided and the efforts deployed in its stabilization mandate. He also thanks all the employees of the FUS and the members of the Foundation Board, as well as the canton of Neuchâtel, for their cooperation and their commitment to finding lasting solutions. Their joint efforts have made it possible to guarantee a quality emergency response at all times for the benefit of the population of Vaud and Neuchâtel.

Office of information and communication of the State of Vaud

Information for the press only

DSAS, Rebecca Ruiz, State Councillor,021 316 50 04
DES, Béatrice Métraux, State Councillor,021 316 40 27
DES, Denis Froidevaux, Head of the Civil and Military Security Service,079 214 14 22


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