Question 14623 — health professions

Summary

Mrs. Emmanuelle Anthoine alerts the Minister of Solidarity and Health on the updating of the general nomenclature of professional acts of liberal nurses and more generally on the future of this liberal profession. Indeed, with regard to the nomenclature of professional acts, it no longer corresponds to the acts prescribed by doctors, becoming in fact a significant source of errors in billing. The consequences are sometimes very burdensome for these self-employed professionals who, several years later, may be asked to reimburse overpayments, sometimes very heavy, while in the vast majority of cases the errors are made in good faith due to the unsuitability of the nomenclature. Liberal nurses are at the heart of the outpatient development project through the care they provide at home. It is therefore appropriate to give them better means and increased safety in the exercise of their profession and this involves, among other things, the definition of a new, modern and better adapted nomenclature, in order to limit the difficulties linked to the billing of acts (such as for example taking blood pressure or administering medications) which the nomenclature does not recognize but which patients nevertheless ask them to carry out. However, the future of this liberal profession which plays a vital role in the French health system seems in danger: its role of prevention, education, coordination and organization of care is devalued or even denied. Also, in order to remedy this situation, professionals propose the creation of a new act: the VSCI which would consist of a nursing clinical monitoring visit, making it possible to monitor patients and transmit the assessment. assessment carried out via secure and encrypted messaging to the general practitioner. Likewise, they deplore that their flat-rate travel allowances (IFD) have only been increased by 0.50 cents in 15 years while fuel taxes are exploding. These nurses who fulfill a real public service mission, whose involvement allows many people to avoid being hospitalized and who participate fully in the territorial organization of care, aspire to real political and financial investment in favor of their profession. In view of these elements, she asks what answers the Government intends to provide to these various questions.

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