The Court of Auditors points out the functioning of the general social security fund (CGSS) of Martinique, in a report published on Wednesday, October 30. “Very degraded until 2023, the service provided to policyholders increased in early 2024 for most of the fund’s activities”underlines the Court of Auditors in the summary of this report, considering however that “The situation remains generally fragile and unsatisfactory for local users”.
For example, “The CGSS processed the retirement application files in 183 days, almost 60% more than the national average”financial magistrates require. Regarding the disease branch, “The unprocessed attendance sheets represent more than 300,000 euros of assistance that could not be reimbursed”the Court of Auditors points out again. Created in 1947, the CGSS of Martinique manages 3 billion euros in refunds and 1.7 billion in direct debits.
“Lack of human resources management”
In addition to the dysfunctions of the service, the governance and management of this central body of the Martinique health system are the subject of strong criticism by the Court of Auditors. “The successive boards of directors do not respect all current regulations and have abused the use of the organization’s resources”accuses this report.
“In July 2023, the current president of the board of directors requested to benefit from a work team similar to that of agents (email address, computer)” In addition to compensation, the Court of Auditors cites, for example, remuneration that does not appear in the Social Security code. The report also highlights “Major deviations in public procurement” AND “lack of human resources management”.
In their conclusion, the financial magistrates consider that“Now a new collective project is essential, based on a management committee, an organizational chart and deeply renewed internal processes”. Otherwise, they add, “the fund should[a] be placed under the provisional administration regime” to achieve “his recovery”.
