Question 17809 — professions and social activities

Summary

Mr. Jérôme End draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the particularly worrying situation of family carers, faced with recurring difficulties due to the precariousness of their status, the inadequacy of their remuneration or even the complexity of the regulatory framework in which they operate. The mission of approved family caregivers is to accommodate people with disabilities or the elderly in their homes, in a family living environment. Today in France there are nearly 8,000 family caregivers for 13,500 people welcomed, including 68% disabled adults and 32% elderly people. Since its creation in 1989, the family reception system has undergone several developments aimed at improving the working conditions of those caring for them and make their status more attractive. Despite this, the number of foster carers in France has continued to decline for 10 years, since there were more than 9,700 in 2013 and 46% of them are over 60 years old. In a response to a written question published in 2023, the Government indicated that it wanted to support this mode of reception and strengthen its attractiveness. The options envisaged concerned, firstly, the extension to all receptionists families of the right to unemployment insurance, whether or not they have the status of employees, in order to limit the precariousness of the activity and to guarantee the hosts a replacement income between two receptions. To date, less than 2% work under salaried status, most concluding private contracts. Secondly, strengthening the role of departments relating to the connection between supply and demand for reception and support for receptions. Thirdly, the development of part-time reception and sequential reception, in particular via the simplification of a certain number of administrative procedures, in order to allow receptionists to have respite time. If these measures responded to real and legitimate expectations of family caregivers, they have unfortunately not been implemented to date. This reception solution However, it undoubtedly contributes to responding to the issues linked to disability and loss of autonomy and must absolutely be supported. The hosts play a fundamental role in the care of fragile and vulnerable people throughout the territory, offering local and personalized support and ensuring the people welcomed a quality of life often praised by families and professionals. sector. In order to better protect them and strengthen the attractiveness of their profession, it is first necessary to provide them with greater economic security. To date, when a foster person enters an establishment, is hospitalized for a long period of time or dies, the host's income drops sharply and can become zero. The possibility of aligning their social rights with those of family assistants, in particular by opening a real employment contract giving right to the unemployment insurance scheme, therefore deserves to be studied. The extension of rights to unemployment insurance would make it possible to secure the transition periods between two people accommodated and to protect the profession from the precariousness of the private contract by mutual agreement. A sustainable revaluation of remuneration and financial compensation specific to the activity of hosts family members must also be considered, in view of the evolution of the cost of living and the ever-increasing demands placed on them in the context of their functions. Measures must also be taken in view of the particularly demanding working conditions of family carers. These often ensure a continuous presence, twenty-four hours a day, seven days a week. The difficulty in finding alternative solutions to allow taking leave sometimes leads to professional burnout and harms the attractiveness of the profession. The establishment of a real right to respite appears essential. In its response to a written question published in April 2025, the Government indicates that “to consolidate family reception, several areas of reform have been identified as part of the work carried out with the associations of the sector: improve the working conditions of family hosts, strengthen support for reception, better secure them and facilitate administrative procedures for family hosts and people welcomed”. However, it seems that no new concrete measures have been taken since then to guarantee the viability of their activity and improve their status. He therefore asks him to please clarify the state of progress of this work and their implementation schedule. While the multi-year programming law for autonomy has been postponed sine die and the Government finally announced in April 2026 a national autonomy conference in September 2026, he asks whether it is planned that concrete measures be considered in this framework to ensure the recognition, security and attractiveness of family reception.

Machine translation from French. The official text remains authoritative.

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