The report, adopted in consensus by the syndical organizations UCR-CGT, UNIR-CFE-CGC, UCR-FO, FGR-FP, FSU, UNRPA, outlines various aspects concerning the employment and services of home assistance for vulnerable elderly individuals. It highlights several challenges faced by this sector, including issues with access to rights and benefits, the implementation and revision of personal aid plans, the principle of equal choice for modes of intervention, and tensions between local practices and principles of equality. The report suggests improvements such as enhancing autonomy support, expanding the range of services provided, integrating key social actors, and developing partnerships with institutional actors.
In terms of financial aspects, the report forecasts a substantial increase in public expenditure related to home assistance services, emphasizing the need for sustainable funding mechanisms. It also discusses the costs incurred by service providers, detailing the structure of these costs, the pricing models used, and the conditions under which professionals work, highlighting recruitment difficulties.
Moreover, the report addresses the issue of direct employment of caregivers at home, examining its advantages and constraints, and suggesting ways to inform and assist private employers while promoting the professionalization of care providers. The document also includes insights into the cost-effectiveness of direct employment compared to using service providers, and discusses potential future developments in the sector.
Overall, the report aims to improve the quality and accessibility of home assistance services for vulnerable elderly people through policy recommendations and improvements in the operational environment.
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