In its approach aimed at improving working conditions and patient care at the Ibn Sina Hospital Centre (CHIS), the National Union of Higher Education (SNESup), Faculty of Medicine and Pharmacy of Rabat section, has undertaken actions with various officials for several months. The SNESup, Faculty of Medicine and Pharmacy of Rabat section, denounces the manner in which the administration developed the HER restructuring project for the following reasons:

1- The project is proposed without a legal basis, whereas a hospital reform is in full preparation and should be the basis for any restructuring. At a time when a national consultation is underway for the implementation of a health system reform, the teachers of HER consider themselves stakeholders in this integrated reflection.

2- The reflection commission whose members were appointed by the administration excluded the directors of the UPRs and the professional skills falling under this hospital.

3- The Consultative Medical Commission (CMC), a regulatory tool that guarantees democratic management of the hospital, was completely sidelined. Taking these realities into account, and convinced of the need for a participatory approach in the development of any reorganisation project, the hospital's teachers denounce the hasty manner of the project's preparation and the proposals that resulted from it.

The erroneous and unfounded analysis of the figures put forward by the administration led to a new division of services, and an organisation into hubs bringing together incompatible specialties or activities, because it only took into consideration indicators such as the average length of stay or the average occupancy rate, which are influenced by the delay in retrieving test results, by the dysfunction of the operating theatre, the lack of anaesthetists, the cruel lack of means and human resources... All these dysfunctions are ignored by the establishment's chief physician, etc.

Thus, and regarding the future of the care of the Moroccan child and of an entire hospital that has a dual mission, that of care for the population and that of training future doctors, the teachers reject imported piecemeal solutions that do not take into account local and epidemiological specificities, denounce the archaic and non-democratic management of the hospital, and request that any change in management or restructuring be developed within a framework of dialogue and a policy of sharing for guaranteed success and the adherence of professionals, and solicit the intervention of the two supervisory ministries.