The restitution of the “Flash Mission” on nurses in advanced practice took place this Wednesday, July 8, 2026 at the National Assembly. The Social Affairs Commission and the rapporteurs of this Mission*, in the presence of representatives of the different political groups, recommended 20 recommendations to place the profession of IPA in a reality which truly corresponds to its practice on the ground, to meet the needs of our health system et to the quality of patient pathways and their efficiency.
Ten years after the creation of this new profession of advanced practice nursing, the results remain very mixed in terms of expectations. We count at 1is January 2026 only 4,000 IPAs in practice (400 in private practice) and 2000 IPA students in training. There advanced practice is certainly a reality on the ground but its development remains hampered by a training and structuring framework unchanged since 2018. According to Mission Flash, a number of subjects deserve to be quickly reconsidered – initial training, cost, diploma, evolution of qualifications, population approach, creation of positions in the field (hospital, city), particular situation in overseas territories, remuneration, research… so that the profession of IPA – which is not there to replace that of doctor –, finds its real placeand that its expanded missions and skills are carried out in complete complementarity – and recognition – with those of all health professionals.
The presentation of the report by the rapporteurs is available on this link but also on youtube
The national union of advanced practice nurses (UNIPA) was quick to react, welcoming “ a convergence of findings » and calling “ to statutory and salary recognition of IPAs without delay“. Read the UNIPA press release.
“UNIPA would like to thank the Social Affairs Commission of the National Assembly for initiating this flash mission dedicated to Nurses in Advanced Practice. We also extend our sincere thanks to the four rapporteurs – Anchya Banama, Josiane Corneloup, Nicole Dubré-Chirat and Stéphane Viry – for the quality of their work, their attentive listening throughout the hearings and the consideration given to advanced nursing practice. These exchanges helped to highlight the expertise of IPAs, their daily commitment to patients and their essential contribution to improving access to care and the transformation of our health system.
Upon reading the conclusions of the mission, UNIPA is pleased to note that many findings and recommendations are consistent with the analyzes and proposals that it has been making to public authorities for several years. This convergence confirms that the obstacles to the deployment of advanced practice are now well identified and that the levers to respond to them are now widely shared. UNIPA regrets, however, that two major issues for the future of the profession have not been the subject of recommendations.
The first concerns the revaluation of the index scales for Advanced Practice Nurses in the hospital civil service, although already highlighted in the Flash Audit of July 2023 of the Court of Auditors. It is no longer acceptable that professionals holding a master’s degree, exercising advanced clinical responsibilities and directly contributing to improving access to care, do not benefit from statutory and salary recognition commensurate with their skills. This situation harms the attractiveness of the profession and lastingly compromises the development of advanced practice.
The second concerns the creation of statutory scales specific to IPAs in State and Territorial Civil Services. The absence of a dedicated statutory framework maintains inequalities in treatment between the different sides of the Civil Service and slows down the deployment of IPAs in many sectors where their expertise is nevertheless essential. This recognition can no longer be postponed.
UNIPA will remain fully mobilized alongside parliamentarians, the Government and all
health actors so that the recommendations of this mission are quickly translated into progress
concrete. IPAs constitute an essential response to the challenges of access to care, prevention,
monitoring of chronic diseases and developments in our health system. »
*Vice-president Hadrien Clouet, deputy of the group La France insoumise – Nouveau Front Populaire (Haute-Garonne, 1st constituency) and rapporteurs Stéphane Viry, deputy of the Libertés, Indépendants, Outre-mer et Territoires group – Anchya Bamana, deputy of the National Rally (Mayotte) – Nicole Dubré-Chirat, deputy of Ensemble pour la République (Maine-et-Loire – 6e constituency) – Josiane Corneloup, deputy of the Right Republican Saône-et-Loire group (2nd constituency).
