🇫🇷 France Ageing, Long-Term Care & Community Support Knowledge Hub

France has one of Europe’s largest health and social protection systems and is confronting the long-term implications of an ageing population, rising longevity and increasing demand for support with loss of autonomy. Its approach combines national social security arrangements, departmental responsibility, regional health planning, municipal services, the Allocation personnalisée d’autonomie (APA), professional homecare, residential care, healthcare services, family support and a mixed public, private and non-profit provider market. The first collection within this Knowledge Hub explores France Ageing, Long-Term Care & Community Support, with additional specialist collections being introduced as the library expands.

Although France has distinctive administrative structures, social protection arrangements and departmental responsibilities, many of the pressures it faces are shared internationally. These include financing increasing care needs, enabling people to remain at home for longer, supporting family carers, addressing workforce shortages, improving the quality and transparency of residential care, strengthening coordination between health and social care, reducing territorial inequalities, improving dementia and palliative support, adapting housing and adopting technology responsibly. France therefore offers valuable learning for providers, commissioners, municipalities, government agencies, health organisations, researchers, policymakers and system leaders across different countries.

This Knowledge Hub has been created to examine the French approach to population ageing, autonomy policy, the APA, GIR assessment, home-based support, services à la personne, EHPADs, family caregiving, prevention, dementia care, palliative care, workforce development, quality regulation, health and social care integration, housing adaptation, habitat inclusif, digital care, assistive technology, rights, choice, accountability and long-term system reform. It forms part of the interconnected international knowledge library across Impact Guru and Impact Insights Hub, supporting comparison between care systems and the practical application of international learning.

As the collection develops, articles will explore assessment and eligibility, departmental responsibilities, funding, the APA, homecare, family carers, prevention of loss of autonomy, EHPADs, residential care reform, dementia, end-of-life care, workforce recruitment and retention, professional development, public, private and non-profit provision, rural and territorial inequalities, health and social care integration, hospital discharge, digital technology, telecare, housing adaptation, inclusive housing, the fifth branch of Social Security, financial sustainability, ageing with disability, quality measurement, accountability and the future direction of French long-term care. The aim is to build a practical, evidence-informed resource that explains how national policy, departments, regional health agencies, municipalities, providers, families, funding, technology and evidence interact to improve outcomes for older people and communities.

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