IPA access starts in six regions

Direct access to advanced practice nurses (IPA) will begin on December 1, 2026, in six French departments as part of a five-year experiment. The initiative is designed to improve healthcare access by allowing patients to consult IPA directly without a prior doctor’s referral.

Legal framework established

The experiment is based on a law passed on May 19, 2023, and regulated by a decree issued on October 23, 2026. This decree, published in the Official Journal on October 24, 2026, outlines the conditions and geographical scope for the implementation of direct IPA access.

IPA union supports the initiative

The National Union of IPA (Unipa) views the initiative as a significant step forward in improving healthcare access. The union believes that IPA can play a vital role in addressing the growing demand for medical services and reducing the burden on doctors.

Medical association urges caution

The general branch of the CSMF, a major medical association, has expressed caution about the experiment. It emphasizes the importance of maintaining coordination between IPA and doctors to ensure the quality and continuity of patient care.