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HEALTH / ARS Reform: Are the Northern Islands destined to gain autonomy? | Faxinfo

July 28, 2026

HEALTH / ARS Reform: Are the Northern Islands destined to gain autonomy? | Faxinfo
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At a time when the Regional health agencies (ARS) are subject to a national reflection on their organizationThe Northern Islands could to see the emergence of a more autonomous local structureDuring his last press briefing on the territoryThe director general of the ARS Guadeloupe, Saint-Martin and Saint-Barthélemy, Philippe Luccioni-Michaux, detailed the planned changes for strengthen the agency's local presence.

This reflection is part of a movement committed on a national scale following the Covid-19 health crisis. Often perceived as being far removed from local realities, the ARS (Regional Health Agencies) could soon have more decision-making territorial levels. A decree is currently being prepared in order to strengthen operational capacity at the local level. In this context, the Northern Islands delegation could to move towards official status of “territorial management”. A development that would give more legitimacy and resources to its territorial director, Paul Guibert, already the ARS representative in the territory. “A bit like a sub-prefect,” explains Philippe Luccioni-Michaux. By doing so, the Northern Islands would be equipped with a a true local contact capable of coordinating local stakeholders and leading health projects. “We need someone capable of bringing everyone to the table,” summarized Paul Guibert, referring to elected officials, parliamentarians, healthcare professionals, and hospital administrators.

A “mini-ARS” closer to the territory

Beyond this change in status, the reform could be accompanied by additional technical and human resourcesThe ambition is to have a “local mini-ARS” while remaining integrated into the regional organization in GuadeloupeIn the long run, certain funding could also be addressed on a more localized basis to better meet the specific needs of Saint-Martin and Saint-Barthélemy. grant application procedures are also among the topics currently under study. While the final details of the reform remain contingent on the publication of the regulatory texts, the Regional Health Agency (ARS) hopes to see this new fully operational organization within a year. _Vx

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Saint-Barth: France Santé to relieve pressure on emergency rooms

The availability of local medical care is expanding in Saint-Barthélemy with the implementation of a France Santé system at the Irénée de Bruyn Hospital Centre. Supported by the Regional Intervention Fund (FIR), this structure, inaugurated on June 25 by Philippe Luccioni-Michaux, will ensure from August 3 some general medicine consultations From Monday to Thursday, from 8am to 13:30pm.

The ambition of the France Santé network? To guarantee a Access to a doctor in less than 30 minutes and an appointment within 48 hoursIn Saint-Barthélemy, the system also aims to relieve pressure on emergency services by referring patients whose condition does not require hospitalization to general practitioners. Eight similar systems have now been identified in Guadeloupe and the Northern Islands. The Regional Health Agency (ARS) intends to continue developing this network in order to improve access to healthcare throughout the territory.

See also: https://www.faxinfo.fr/sante-hopital-un-nouveau-directeur-attendu-le-15-juillet/

Source: https://faxinfo.fr/en/sante-reforme-des-ars-les-iles-du-nord-appelees-a-gagner-en-autonomie/

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