The status of Advanced Nurse in Practice (IPA) aims in particular to reduce the workload of doctors by broadening the skills of certain nurses on targeted pathologies.
The National Assembly adopted on the night of Wednesday to Thursday the opening of “direct access” for patients to nurses in advanced practice (IPA), one of the measures of a bill on access to care strongly criticized by doctors.
Article 1 of this text, voted on at first reading by the deputies with 62 votes to 3, also provides for the possibility for these nurses to make certain prescriptions.
But the deployment of these “expert nurses” is still limited, due in particular to an insufficient number of patients referred to them by doctors and unattractive remuneration. The article adopted on Wednesday aims to upgrade this status by giving patients the possibility of going directly to these paramedics without going upstream through a doctor, but within the framework of a “coordinated exercise” with the latter.
The deputies also adopted an amendment by the LFI group, supported by the government, providing that the decree determining the terms of a “primo-prescription” by these IPAs must be taken by the Council of State after consulting the High Authority for Health. .
Doctors worried about the text
The bill by Renaissance MP Stéphanie Rist, whose examination must continue on Thursday, also plans to establish “direct access” to physiotherapists and speech therapists.
Socialists and Communists announced that they would abstain on the overall vote for the text, deemed too unambitious to fight against medical desertification. Environmentalists announced their side a favorable vote, despite reservations.
“We condition our final vote on how much attention you give to our proposals,” said LFI MP Farida Amrani during the general discussion.
The LR group “will be constructive,” said MP Justine Gruet, warning however that a positive final vote on the text would be conditional on the deletion of the article on IPAs.
Doctors’ organizations are alarmed by certain measures in the text, which they believe circumvent the prerogatives of liberal practitioners.
