The National Assembly has issued 27 recommendations aimed at preventing any future cases like that of Joël Le Scouarnec, a former surgeon convicted in May 2025 for nearly 300 rapes and sexual assaults. The mission, created by the Social Affairs Commission and the Laws Commission of the Assembly in April, was formed to analyze the case and propose reforms. The rapporteuses—Gabrielle Cathala (LFI), Laure Miller (EPR), Sandrine Rousseau (EcoS), and Annie Vidal (EPR)—conducted extensive research and hearings to address systemic failures in the handling of such crimes. Among the proposals is an extension of the "honorability certificate" mechanism, currently used in child protection, to the entire health sector. This certificate is a document verifying that a professional has no criminal convictions. The rapporteuses also suggest that the Regional Health Agency (ARS) should be able to suspend any health worker under investigation for sexual or criminal offenses at every stage of a legal case. They recommend extending the ARS's power of provisional suspension to all health professionals and allowing it to last until the conclusion of the legal process. Additionally, the report suggests that health professionals and institutions should be able to access the automated judicial file of sexual or violent offenders (FIJAISV), under certain conditions, every three years. Two of the deputies, Gabrielle Cathala and Sandrine Rousseau, want to transfer disciplinary authority over sexual offenses from medical boards to the ARS, with the involvement of medical representatives. Another proposal, supported by all except Cathala, is to increase the maximum sentence for rape to 30 years if multiple aggravating factors are present. The report also calls for a dedicated budget for major trials involving serial sexual crimes, reimbursement of legal costs for victims in installments, and a "civil party leave" to compensate for income lost during trials. To develop these recommendations, the rapporteuses held more than 20 hearings with individuals involved in the Le Scouarnec case. Their findings revealed systemic issues in preventing and detecting sexual offenses by health professionals, as well as shortcomings in the judicial handling of such crimes and the lack of support for victims. The mission was initiated following an audition by the victims’ collective and the formation of a working group by the four deputies. The report clarifies that its purpose is not to re-trial Le Scouarnec or assign individual blame, but to analyze institutional failures that allowed him to continue his work and commit crimes for decades despite a 2005 conviction for child pornography and numerous warnings. The rapporteuses noted that Le Scouarnec was convicted in 2005 for possessing child pornography but continued working with children. In 2006, the Medical Council of Finistère was informed of this conviction, but no sanctions were imposed, and the surgeon was allowed to continue his practice. He was arrested in 2017 by the gendarmes. In May 2025, he was sentenced to 20 years in prison for the rapes and sexual assaults committed between 1989 and 2014. In August 2026, the Lorient prosecutor's office announced that the investigation into his crimes had uncovered 40 new sexual assaults and 10 additional rapes.