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13732

Question 13732 — dependency

answeredFrance· National Assembly· FR

Introduced

24 March 2026

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répondue

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31 March 2026

Summary

Mr. Hubert Ott draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the particularly worrying situation of accommodation establishments for dependent elderly people (EHPAD), particularly those in the private non-profit associative sector. Indeed, several actors in the field report growing difficulties jeopardizing the operation and sustainability of their structures. These establishments are today faced with an acute shortage of staff, particularly for nursing assistants and nurses. This situation was notably aggravated by the elimination of subsidized jobs, which nevertheless constituted an essential system for these structures. In fact, these contracts made it possible to support people in a path of professional integration or reintegration, in consistency with the social missions of the sector and to encourage, in many cases, their sustainable recruitment within establishments. Furthermore, the significant pay gap between healthcare professionals working in public hospitals and those in the associative medical-social sector places establishments in this sector in a situation of unbalanced competition. Finally, uncertainties regarding the number of Open places in nursing training institutes (IFSI) from the start of the 2026 school year also raise fears of a lasting worsening of this shortage, as do persistent questions regarding the maintenance of civic service missions, which provide valuable support to the teams' daily lives. In this context, the growing use of temporary work, which has become essential to ensure continuity of care, leads to very high costs and weakens the already precarious financial balance of establishments, while affecting the quality and continuity of support for residents. In this context, players in the sector are warning of a real risk of deterioration in the care of dependent elderly people, or even of cessation of activity for certain establishments. Also, he asks what concrete measures the Government intends to take implemented to strengthen the attractiveness of elderly professions, improve the conditions for recruitment and training of professionals, financially support EHPADs, and in particular those in the private non-profit associative sector, and guarantee the sustainability of support for the elderly. He also questions him about the timetable envisaged for the presentation of an ambitious “old age” law, long awaited by the entire sector.

Machine translation from French. The official text remains authoritative.

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