Question 10148 — health professions

Summary

Ms. Anne Le Hénanff draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the concerns raised by the draft decree implementing the law of June 27, 2025 relating to the nursing profession. This law, adopted unanimously by Parliament, was a major step forward for the country's 640,000 nurses, in recognizing their autonomy, their prescribing capacity, direct access to their expertise as well as their role in coordinating and guiding care pathways. It also created, in article L. 4311-4-1 of the public health code, the nursing specialty of national education and higher education, the result of a broad parliamentary consensus. However, the draft implementing decree currently prepared by management general provision of care seems to deviate in a worrying manner from the spirit and letter of the law. On the one hand, it limits specialized practice to only the three already existing specialties (nurse anesthetists, operating room nurses, childcare nurses), thus excluding the specialty newly established by the legislator. On the other hand, it fails to fully recognize direct access to nurses, reducing their autonomy to simple list of administratively defined acts, restricts their prescribing power and eliminates the mission of patient guidance. These provisions would constitute a significant regression, in contradiction with the will expressed by the national representation and expected by users of the health system. They would also risk compromising the improvement of access to care in a context marked by medical desertification, as well as weakening parliamentary democracy by denying the achievements of a law adopted unanimously. She also asks him what measures he intends to take to guarantee that the decree faithfully respects the law of June 27, 2025; explicitly affirm direct access to nurses; fully devote the autonomy of the profession, particularly in terms of prescribing and coordinating care pathways and ensure the effective implementation of the nursing specialty of national education and higher education.

Machine translation from French. The official text remains authoritative.

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