\u00c0 sept mois de l\u2019\u00e9lection pr\u00e9sidentielle de 2027, le r\u00e9seau Una, syndicat d\u2019employeurs f\u00e9d\u00e9rant 539 structures d\u2019aide et de soin \u00e0 domicile (principalement des associations, mais aussi des CCAS\/CIAS et quelques mutuelles et fondations), a pr\u00e9sent\u00e9 le 9 septembre 2026 un ensemble de propositions visant \u00e0 r\u00e9former en profondeur la politique de l\u2019autonomie \u00e0 domicile. Selon sa pr\u00e9sidente, Marie-Reine Tillon, l\u2019autonomie serait insuffisamment prise en compte dans les programmes \u00e9lectoraux alors que le \u00ab virage domiciliaire \u00bb fait consensus sans \u00eatre r\u00e9ellement structur\u00e9.<\/p>\n
Una propose de faire de l\u2019accompagnement \u00e0 domicile un droit universel opposable et de garantir \u00e0 toute personne, de l\u2019enfance au grand \u00e2ge, un parcours de vie \u00e0 domicile sans rupture, y compris pour les situations les plus complexes (personnes \u00e2g\u00e9es en perte d\u2019autonomie, personnes en situation de handicap, familles). Le r\u00e9seau d\u00e9nonce les situations dans lesquelles des personnes restent sans accompagnement \u00e0 domicile faute de services disponibles, situations d\u00e9j\u00e0 document\u00e9es par le D\u00e9fenseur des droits.<\/p>\n
L\u2019organisation demande que la pr\u00e9vention \u00e0 domicile devienne une priorit\u00e9 nationale, avec une organisation et des moyens d\u00e9di\u00e9s, et appelle \u00e0 une meilleure reconnaissance des m\u00e9tiers du domicile, notamment via un rapprochement progressif des r\u00e9mun\u00e9rations avec celles des professionnels exer\u00e7ant en \u00e9tablissement. Elle pr\u00e9conise \u00e9galement une refonte du syst\u00e8me d\u2019autorisations, avec l\u2019abandon des appels \u00e0 projets jug\u00e9s trop complexes, et une r\u00e9forme du financement des services d\u2019aide et de soin \u00e0 domicile.<\/p>\n
Sur le plan financier, Una estime que le syst\u00e8me actuel n\u2019est plus adapt\u00e9, ne couvre pas les co\u00fbts r\u00e9els des services et n\u2019est pas soutenable pour les d\u00e9partements. Le syndicat plaide pour la mise en place d\u2019un cadre national de financement garantissant l\u2019\u00e9galit\u00e9 de traitement entre services et territoires, via une prise en charge par la solidarit\u00e9 nationale du co\u00fbt de revient r\u00e9el des services, sous la forme d\u2019une dotation de fonctionnement d\u00e9l\u00e9gu\u00e9e par la branche autonomie. Ce nouveau dispositif impliquerait la fin du syst\u00e8me actuel de concours vers\u00e9s aux d\u00e9partements par la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) au titre de l\u2019allocation personnalis\u00e9e d\u2019autonomie (APA) et de la prestation de compensation du handicap (PCH).\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" \u00c0 sept mois de l\u2019\u00e9lection pr\u00e9sidentielle de 2027, le r\u00e9seau Una, syndicat d\u2019employeurs f\u00e9d\u00e9rant 539 structures d\u2019aide et de soin \u00e0 domicile (principalement des associations, mais aussi des CCAS\/CIAS et 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