In a letter addressed to the National Council of Advanced Practice Nurses (CNP IPA) and its members (Unipa, Anfipa, Cosipa, Inter Aripa), Stéphanie Rist, Minister of Health, Families, Autonomy and People with Disabilities, undertakes to “relaunch work to increase the deployment of IPAs, particularly in cities” .

Concretely, this relaunch will include:

  • on simplifying the patient journey: IPAs will be authorized to establish the health certificates necessary for the creation of MDPH files, in order to streamline procedures for users.
  • on the effective implementation of direct access for IPAs in professional territorial health communities (CPTS). A decree will allow any IPA having joined a CPTS, in the departments concerned by this experiment (Mayotte, Martinique, Loiret, Hérault, Val-d’Oise and Yonne) to directly care for patients.
  • on strengthening continuity of care: the conditions for carrying out rapid diagnostic orientation tests will be simplified by removing redundant training obligations with the initial IPA curriculum
  • on the evolution of a treatment approach based on a list of pathologies towards a logic of population virtue. In the meantime, multiple sclerosis should quickly appear in the list of stabilized chronic pathologies in the field of neurodegenerative diseases.
  • on prescription and in particular regulatory developments

The Minister concludes her letter by announcing the creation of a committee to monitor these measures specific to IPAs managed by the General Directorate for Healthcare Supply (DGOS) and reaffirms its support for anchoring and developing the IPA profession in the service of patients and territories.

For the Unipa union which welcomes the dynamic initiated by the Ministry of Health, “This letter marks an important step. It reflects a political will expected by the profession: meeting the needs of the population, particularly in terms of access to care, consolidating our practice model, securing our intervention framework and allowing coherent deployment across the entire territory. »

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