Question 4146 — dependency

Summary

Mr. Laurent Mazaury draws the attention of the Minister of Labor, Health, Solidarity and Families to the difficulties encountered by caregivers and the need for better national coordination to strengthen access to respite stays as part of the government strategy. The number of overstretched caregivers has increased significantly in recent years, reaching almost 11 million, mainly due to of the aging of the population. These caregivers, essential to the daily care of millions of vulnerable people, are exposed to serious psychosocial risks: sleep disorders, exhaustion, overwork, even depression. Although respite mechanisms exist, their access remains unequal and their financing fragmented. According to a study by the France Répit Foundation, 53% of caregivers say they lack daily respite, a need significantly greater than lack of financial support (25%). More serious, according to Silver Eco, 30% of caregivers die before their sick or disabled loved one. These data illustrate the urgency of consolidating the respite offer within the framework of the second multi-annual national strategy 2023-2027, which is committed in particular to strengthening access to these systems. The current obstacles to access to respite stays result from the breakdown of offers and diversity of financing. This penalizes caregivers as much as operators. It seems essential to strengthen coordination between national and local actors to create a more understandable and equitable framework. If the existing respite systems mainly focus on the temporary care of the person being cared for (accommodation, day care, relay), few of them include an offer specifically intended to directly support and accompany caregivers themselves, which constitutes a major gap. Supplementary pension funds, grouped within Agirc-Arrco, play a central role but their intervention remains heterogeneous from one territory to another. Likewise, civil service pension funds are still little involved in financing these schemes, creating inequality of access. A National consultation bringing together the Ministry of Health, regional health agencies, the CNSA and these different stakeholders could make it possible to harmonize financing and access arrangements. Finally, the MP insists on the need to promote universal respite measures, inspired for example by the model of thermal cures, financed by health insurance. These devices would not only contribute to preserving health caregivers, but also to reduce expenses linked to avoidable pathologies, such as burn-out or depression. In this context, he wishes to know if it intends to harmonize the financing of respite stays, in particular by integrating supplementary pension funds (Agirc-Arrco) and those of the public service in a common strategy for equitable national financing. He also asks him what tools are envisaged to strengthen coordination between institutional actors and simplify procedures for caregivers. Finally, he would like to know what avenues of reflection it is developing to guarantee equal access to respite throughout the territory, in line with the objectives of the multi-annual national strategy 2023-2027.

Machine translation from French. The official text remains authoritative.

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