A €500 million agreement to increase the pay of self-employed nurses is currently under discussion in negotiations between unions and the national health insurance system. This funding aims to address a long-standing demand from the profession, which denounces a lack of financial recognition despite its central role in home healthcare.
These discussions are part of a cycle of negotiations that began in 2025, with the aim of modernizing the agreement governing the practice of self-employed nurses and adapting their remuneration to the evolution of their missions.
A profession that has been in limbo for years
Self-employed nurses have long been demanding a significant increase in their fees, with some unions citing more than fifteen years without any notable change in rates. This stagnation, combined with rising costs and the expansion of their responsibilities, is fueling growing discontent within the profession.
Beyond the issue of salary, negotiations also focus on the recognition of new skills, such as nursing consultation, care coordination, and direct access to patients, introduced by recent reforms to the profession.
A key issue for the organization of care
The €500 million allocation would represent a significant investment for the national health insurance system, in a context of budgetary constraints. It could allow for the revaluation of certain procedures, the creation of new flat-rate payments, and better consideration of arduous working conditions and travel.
These discussions are considered crucial for the future of the healthcare system, as independent nurses provide a large share of home care in France. The outcome of the negotiations will largely determine the attractiveness of the profession and the ability to maintain a local healthcare service across the country.
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