Question 17310 — hospital public service

Summary

Mr. Peio Dufau draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the situation of teachers of adapted physical activity (EAPA) working in health establishments. For several years, these professionals have gradually integrated numerous hospital and medico-social establishments, where they participate fully in the functioning of multidisciplinary teams. Their interventions are recognized as decisive in the prevention and treatment of numerous pathologies, particularly those linked to aging and loss of autonomy. Their presence is even made compulsory in certain services, notably within day hospitals and medical care and rehabilitation services (SMR). However, this profession does not have any statutory existence within the function. public hospital. Recruitments are carried out under private law contracts, on fixed-term or permanent contracts, while the rare tenures occur within corps and grades that do not correspond to their qualifications or their missions. This situation generates strong heterogeneity in remuneration and career development. While public health policies give an increasing place to adapted physical activity in prevention of loss of autonomy, management of chronic illnesses and many other pathologies, the absence of an identified statutory framework raises a question of coherence between the ambitions displayed by public health policies and the practice conditions offered to the professionals responsible for their implementation. In the response to the written question from Ms. Annie Vidal published in the Official Journal of July 1, 2025, the Ministry recalls that two job descriptions for teacher and adapted physical activity coordinator have been included in the health professions directory and indicates that raising awareness among health establishments of good recruitment practices must be considered. One year after this announcement, the MP wishes to know what assessment can be made of this approach, whether instructions or recommendations have been sent to the establishments and what effects they have produced on the conditions of recruitment, remuneration and tenure of EAPAs. More broadly, he asks if the Government plans to open a consultation bringing together representatives of the profession, hospital employers and trade union organizations in order to study ways of better securing the professional careers of EAPAs and harmonizing their conditions. recruitment.

Machine translation from French. The official text remains authoritative.

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