Nancy-Metz controversy about CHRU Metz-Thionville

Is the Faculty of Medicine of Nancy blocking the “universitarization” of the RHC, as the elected officials of metropolitan France claim? A written question to the Minister of Health, a motion from the metropolitan council and an email to elected officials, to understand the issues.

The Moselle senator, Jean-Louis Masson, reopened the debate on the “universalization” of the Metz-Thionville regional hospital center by addressing a written question to the Minister of Health on April 4, 2022.
The senator explains that: “30 of the 32 regional hospital centers (CHR) in France have gradually been transformed into university hospital centers (CHU), which have the material and human resources to provide highly specialized care. The two remaining CHRs, those of Orléans and Metz-Thionville, were considered, for almost a decade, as in turn benefiting from the status of CHU… However, the process of transformation into a CHU has been initiated from Orléans, but not for Metz-Thionville.
Hence a feeling of injustice for all the inhabitants of northern Lorraine since, for lack of the necessary equipment, serious cases are transferred to Nancy or Strasbourg.

A university hospital agreement with Nancy

The case is not new. For years, Moselle elected officials have been pleading for the CHR of northern Lorraine to be “university” through cooperation within the University of Lorraine, which covers both the north and the south, the cities of Metz and Nancy , a bit like what is done between the cities of Nîmes and Montpellier. Several letters and petitions have been sent to the health authorities. In vain.
On February 28, 2022, the Metropolitan Council of Metz, chaired by François Grosdidier, “expressed the wish to implement the universityization of the CHU of Metz-Thionville in order to fight against medical desertification.

“Respect for commitments

President (and rapporteur) François Grosdidier recalls that since 1971, Metz has been campaigning for the “academization” of its hospital, which in 1976 obtained the label of Regional Hospital Center (RHC) by merging with that of Thionville (…) “Le Le file of “academization” made a decisive step forward on November 19, 2019, he said. Indeed, based on the model used in Nîmes-Montpellier, a hospital-university agreement was signed with the University of Lorraine. This was to result in the creation of university hospital (HU) posts of different grades at the CHR. Unfortunately, since that date, the implementation of these commitments has remained a dead letter. A series of multiparty meetings have been canceled and postponed indefinitely (…) The elected representatives of the Eurometropolis can no longer bear this inertia and wish, by this wish, to show their unity and their determination to see the terms of the agreement adopted and transcribed in reality.

Why is it stuck?

Senator Masson, in his written question to the Minister, specifies that, following a collective letter from the elected representatives of Metz, “contacts have been made with the ‘higher education’ adviser in the Minister’s office. It seems that, unlike the other faculties of medicine, the dean of Nancy did not apply for the hospital-university posts and the territorial posts essential to allow the CHU of Metz-Thionville to develop qualitatively.
A “voluntary omission” writes the senator who wonders if it is “acceptable for a dean of a faculty located in one city to block the upgrading of hospital equipment in another city serving more than half of the inhabitants of Lorraine ?

No HU posts for the Metz-Thionville CHR

This was confirmed in an email from Dr Khalifé Khalife, 1st deputy mayor of Metz and vice-president of the Moselle departmental council, to his colleagues: “François Grosdidier, mayor of Metz, and I had a long discussion with Mr. Sébastien Delescluse, “higher education” adviser to the Minister of Health, about the “universalization” of the Metz-Thionville University Hospital. Unfortunately and to our great surprise, we learned that the Dean of the Faculty of Medicine of Nancy did not ask, unlike his colleagues in France, for HU posts for the CHR, in particular territorial posts on which we were counting. This omission, added to Nancy’s inertia towards PASSLASS, confirms, if need be, the reluctance of this faculty and its leader… Once the electoral period is over, we will continue with your support and that of the ARS this work to give back to the Moselle the essential tool to improve the medical offer on the North-Lorrain territory.
The Nancy-Metz quarrel is relaunched…

CHR Metz-Thionville in numbers

The CHR Metz-Thionville is a two-site establishment 30 km away, Metz and Thionville, comprising a total of 8 establishments. La Mercy Hospital (Metz), Bel-Air Hospital (Thionville), Mother and Child Hospital, Hayange Hospital (Hayange), Félix Maréchal Hospital (Metz) and two retirement homes in Metz (Saint-Jean and The Park).
With nearly 2,085 beds and more than 5,500 employees, the Center Hospitalier Régional de Metz-Thionville is recognized as the largest hospital in its health territory (600,000 inhabitants) covering a full range of activities. It is also a reference structure that best meets the needs of the population: mother-child unit, psychiatry and child psychiatry, medical specialties, surgery, emergency department, burns department, palliative care, geriatrics.

Nancy University Hospital

  • 1,577 beds and 184 places
  • 9,740 professionals
  • Medical staff (excluding students): 1,490 (FTE) including approximately 430 interns per semester (FTE)
  • €813 million annual budget
  • €36 million invested in 2018
  • 5,923 professionals trained in CHRU schools and training institutes

The University of Lorraine

  • 13,355 health students including 2,007 in PACES
  • 3 faculties involved: medicine, pharmacy and dentistry
  • 10 research laboratories within the Biology, Medicine, Health (BMS) scientific center and more than 180 teacher-researchers who work there
  • 1 Virtual Hospital of Lorraine in Nancy – HVL Located in the heart of the Brabois Health Campus, on an area of ​​3,000 m², the HVL has 6 simulation platforms, which makes it a learning structure dedicated to initial training and continuing public and private health professionals; a place of innovation and research; a place where the recommendation of the Haute Autorité de Santé applies: “Never the first time on the patient”
  • 1 Pierre Janet Center in Metz – CPJ. The CPJ is a department of the University of Lorraine, unique in France, dedicated to developments and innovations in the field of psychotherapy. It is made up of 3 Poles working in synergy: Research, Training and Consultation. Since 2016, 237 students have trained at CPJ by taking advantage of the program’s 10 training courses. With its 5 consulting rooms and 23 psychotherapists, the Pôle de Consultation CPJ has treated 3,200 patients since it opened in May 2017.
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