December 16, 2015 – The Atlas « Health and the Grand Paris Express » focuses on the impact of the future metro network on health care provision and the health of the inhabitants of Ile-de-France

Health and the Grand Paris Express
The Ile-de-France Regional Health Authority (ARS), the Paris Urbanism Agency (APUR) and the Grand Paris Transport and Development Organisation (SGP) have published the Atlas « Health and the Grand Paris Express », which gives the first complete overview of health care provision in the future station neighbourhoods. The results presented in the atlas are available to professionals and local authorities affected by the Grand Paris Metro, and highlight some important factors which could be used to modify health care provision and make it possible to develop the urban environment taking health into consideration in a demographic context in the midst of transformation.
Co-ordinate health care facilities, improve access to them and optimise the way they operate
By creating new connections between territories, the Grand Paris Metro should improve access to health care facilities for all the inhabitants of Ile-de-France. Thanks to new public transport links, over a hundred health care establishments (hospitals and clinics), as well as a strong network of socio-medical centres will be better served. This is well-illustrated by the fact that a number of future Grand Paris Metro stations are in close proximity to important health care centres: /This is clearly-illustrated by the names given to a number of future Grand Paris Metro stations:
  • Villejuif-Institut Gustave Roussy station (lines 14 and 15 south), will give priority access to the most important cancer treatment centre in Europe,
  • Kremlin-Bicêtre-Hôpital station (line 14 south) situated in front of Bicêtre Hospital,
  • Drancy-Bobigny station, serving Avicenne Hospital,
  • La Courneuve « Six Routes » station near Delafontaine de Saint-Denis Hospital.
  • The Créteil l’Echat – Hôpital Henri Mondor station
As a result, both patients and health professionals who run the establishments will benefit from shorter journey times, the development of alternative routes and the fuller timetable of the Grand Paris Metro. 
Anticipate growing health care needs in certain territories where health care provision is weak
In parallel, health care needs will necessarily increase in metropolitan territories and station neighbourhoods which are set to expand and accommodate a higher population. Against this backdrop, the challenge is to make regional access to local health care centres more equitable, paying particular attention to certain territories.
It is true that access to health care and the density of facilities and professionals vary from one end of a line to the other, and particularly between one line and another. For example, there are only 3.76 GPs per 10,000 inhabitants in the rapidly-changing station neighbourhood of Saint-Denis-Pleyes, as opposed to an average density twice as high in a number of other neighbourhoods. Several neighbourhoods, mainly situated on Lines 16 and 15 east, are in a similar situation to Saint-Denis Pleyel: Stade de France, Fort d’Aubervilliers, Bobigny P. Picasso, Le Blanc-Mesnil and also Les Grésillons, have accumulated a number of inequalities in health care provision: great difficulty in accessing care, higher exposure to environmental pollution and a high level of chronic conditions such as over-weight, obesity, type-2 diabetes and cardio-vascular illnesses, all of which have a higher incidence than the rest of the metropolis.
As part of the process of putting together this Atlas, the Ile-de-France Regional Health Authority (ARS) and the Grand Paris Transport and Development Organisation (SGP) established a working method based on a common protocol. It will allow health considerations to be included as and when transport and urban development projects connected to the Grand Paris Express are implemented.
"This Atlas shows clearly that the future Grand Paris network can bring concrete improvements to the life of the inhabitants of Ile-de-France, by creating new access to local public services and connecting up territories and infrastructures. It is an invaluable piece of work for the Grand Paris Transport and Development Organisation -la Société du Grand Paris-, in particular for our station neighbourhood development projects. It will help us to work with our partners so that the metro supports development policies implemented by local authorities which take medical services and access to health care into consideration." 
Philippe Yvin, Chairman of the Grand Paris Transport and Development Organisation-Société du Grand Paris-

TYPE OF ESTABLISHMENT

INVENTORY

Health care establishments

Out of 402 health care centres in Île-de-France, 238 are in the Greater Paris Metropolis -Metropole du Grand Paris- (59 %) and of these 27 are in station neighbourhoods.

Psychiatric establishments

There are 89 psychiatric establishments in Île-de-France. 60 are in the Greater Paris Metropolis -Metropole du Grand Paris- and of these 10 are in station neighbourhoods. 400 day-care and partial hospitalisation facilities supplement this provision.

Residential care homes for dependent elderly persons

In Île-de-France, 647 establishments have been counted and of these 44 % are in the Greater Paris Metropolis -Metropole du Grand Paris- (which however accommodate 56 % of the population,). Among these, 46 are in station neighbourhoods plus 4 projects out of the 14 which are underway.

Centres for the disabled 
Out of 1529 centres in Île-de-France, 759 are in the Greater Paris Metropolis -Metropole du Grand Paris- and of these 101 are in station neighbourhoods. There are also 343 smaller centres.
21 projects are underway of which 6 are within the boundaries of the GPE.

Collective physical exercise organisations

There are 390 organisations in Île-de-France and of these 318 are in the Greater Paris Metropolis -Metropole du Grand Paris-. 56 are in station neighbourhoods as well as 6 out of the 32 projects which are underway.

Maternity homes

There are 87 maternity homes in Île-de-France, 50 of which are situated in the Greater Paris Metropolis -Metropole du Grand Paris- and 7 in station neighbourhoods.

For more information:  The Impact on Health Care Assessment (EIS) in Plaine Commune

On the subject of the Station Neighbourhoods Observatory:
For some years, the work of the Station Neighbourhoods Observatory of the Grand Paris Express, a partnership tool bringing together the Grand Paris Transport and Development Organisation (SGP), the Ile-de- France Regional and Interdepartmental Department of Infrastructure and Development (DRIEA) and the Paris Urbanism Agency (Apur), has contributed to a greater understanding of the territories affected by the Grand Paris metro. In particular, the aim has been to measure the urban and social changes which the Grand Paris metro station neighbourhoods will undergo.
Press contacts :

ARS -  Emilie Puech - email - 01 44 02 01 06 - www.ars.iledefrance.sante.fr

Société du Grand Paris - Camille Ruols : 01 40 41 54 96 -  Aloïs Nuffer : 01 40 41 54 84 - email

Apur - Renaud Paque - email - 01 42 46 21 59 - www.apur.org