IPA access begins in six departments

Direct access to advanced practice nurses (IPA) is entering its operational phase in six French departments, as outlined in a decree and an order published in the Official Journal on October 24, 2026. The initiative is part of a broader effort to improve healthcare access and efficiency.

Law and regulations in place

The initiative, implemented under the law of May 19, 2023, aimed at improving access to care, is regulated by the decree of October 23, 2026, and is planned to last for five years, starting December 1, 2026. This provides a clear legal and administrative framework for the program’s rollout.

Professional reactions mixed

The National Union of IPA (Unipa) views this as a lever to improve access to care, while the general branch of the CSMF remains cautious and calls for preserving coordination with doctors. This reflects differing perspectives on the role of IPA in the healthcare system.

Program launch date set

The program will begin on December 1 in six departments for a duration of five years. This phased approach allows for monitoring and evaluation before potential expansion to other regions.