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HEALTH

French PM calls for extra health restrictions as another town sees an explosion in cases

The day after the announcement that Nice and the French Riviera would be subject to a weekend lockdown, the French PM has joined calls for extra measures in the northern French town of Dunkerque.

French PM calls for extra health restrictions as another town sees an explosion in cases
The town of Dunkerque has reported soaring Covid levels. Photo: AFP

Prime minister Jean Castex on Tuesday said there should be ‘additional braking measures’ put in place in Dunkerque, echoing calls from city mayor Patrice Vergriete for ‘urgent’ action from the government.

The mayor said: “I am asking for an urgent meeting with the Prime Minister to review the health situation in our area. Dunkerque deserves today all the attention of the State, as well as the conurbation of Nice and the Alpes-Maritimes département.”

Health minister Olivier Véran is expected to visit the coastal town on Wednesday, while local representatives have been involved in discussions with the Prime Minister on Tuesday about what extra measures could be proposed.

Cases in the town are extremely high – 900 cases per 100,000 people, almost five times the national average and higher than the rate in Nice, which is now subject to a package of extra measures including a weekend lockdown.

The cases seems to be concentrated in the town, as the incidence rate of the département of Nord is 294 per 100,000, and the town is also showing very high rates of the UK variant of the Covid virus, up to 70 percent of cases are the new variant first discovered in the UK.

Hospital intensive care units in the region are running at 80 percent capacity for Covid patients, well above the national average of 67 percent. 

The imposition of the weekend lockdown in Nice and the Riviera marked a change in France’s strategy, which has been largely on a national level since localised restrictions were tried briefly over the summer.

Overall cases in France continue at a ‘high plateau’ of around 20,000 new cases a day, but this masks large regional variations in both case numbers and rates of new variants of the virus.

READ ALSO MAP Which départements are France’s Covid variant hotspots?

The government describes the situation as ‘fragile’ while for the moment another national lockdown has been decided against.

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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