Autonomie Services reform: a new lease of life for homecare in France

France is embarking on an ambitious reform to improve the efficiency and clarity of homecare services. With over 10,000 structures involved in these fields, the aim is to enable citizens to live at home for as long as possible. However, the fragmentation of services, the complexity of procedures and the lack of coordination have been major challenges. It was against this backdrop that the "autonomy services" reform was launched.

Reported reform

In France, home help and care are provided by a multitude of structures. As a result, the range of services on offer is too fragmented. For users, this makes it difficult to understand what is available on a day-to-day basis. The procedures for accessing these services are often complex. This situation also hampers the coordination of interventions in people's homes, limiting the effectiveness of services.

What are Services Autonomie?

Autonomy Services (SAD) are emerging as a response to these challenges. They replace the Services d'Aide et d'Accompagnement à Domicile (SAAD), the Services de Soins Infirmiers à Domicile (SSIAD), and the Services Polyvalents d'Aide et de Soins à Domicile (SPASAD). The aim is to create a unified structure. This will simplify access to services and improve the coordination of interventions.

SAD missions

SAD's mission is to facilitate coordination between care and assistance structures. They thus offer a more comprehensive response to people's needs. This includes prevention, identifying frailties, supporting caregivers, and detecting and combating abuse. By simplifying day-to-day procedures, SADs become the single point of contact responsible for organizing the response to users' assistance and care needs. Enhanced coordination between professionals aims to improve the overall quality of support.

Key points of the July 13, 2023 Decree

The decree of July 13, 2023 represents a major step in the implementation of this reform. It lays the legal and organizational foundations for the creation and operation of SADs. The main points addressed include defining missions, coordinating professionals, and simplifying administrative procedures for users.

Towards a Digital Future with Ségur du Numérique en Santé

This reform is part of a broader initiative to modernize France's healthcare system. The Ségur du Numérique en Santé, launched at the same time, paves the way for the integration of digital technologies into autonomy services. This will enable better data management, more efficient coordination and greater personalization of services, thus contributing to the continuous improvement of care quality.
In conclusion, the reform of autonomy services represents a major step forward in the provision of homecare services in France. By simplifying procedures, reinforcing coordination and integrating digital technologies, it aims to offer a response that is better adapted to users' expectations, while ensuring high-quality, long-term care.