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13803

Question 13803 — health professions

answeredFrance· National Assembly· FR

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11 November 2018

Summary

Mrs. Annie Chapelier draws the attention of the Minister of Solidarity and Health to the need to extend the legal possibility, for nurses, of carrying out vaccinations to all adults, with the exception of the first injection, without a medical prescription. Nurses constitute the largest health profession in France with 680,000 professionals including 120,000 working in a liberal capacity, therefore traveling daily at patients' homes. Since 2008, nurses have vaccinated vulnerable people against influenza without prior medical prescription, with the exception of the primary vaccination. According to figures from the CNAMTS, this public health measure enabled the vaccination of more than a million people during the last campaign. Decree No. 2018-805 of September 25, 2018 relating to the conditions for carrying out anti-flu vaccination by a nurse extends the scope of intervention to all people for whom influenza vaccination is recommended in the current vaccination schedule. A measure supported by the Government, welcomed by MP Annie Chapelier. In the momentum that has been given, the MP recommends expanding the legal possibility of vaccination for nurses. A skill already acquired, nurses are effectively trained in all kinds of injections and in the prescription administration of products such as those derived from blood. This would actually make it possible, on the one hand, to simplify and improve the vaccination journey for a greater number of people. On the other hand, it is a question of seizing the opportunity of a more autonomous mode of exercise and reinforced recognition for professionals. Finally, for the health system, it is simply a cost-saving measure limiting the cost of health insurance coverage, the act of injection for an anti-flu vaccination by a nurse varying from 4.5 to 6.3 euros. Also, she asks him what is going on with conventional negotiations on the subject.

Machine translation from French. The official text remains authoritative.

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