The funding disparity directly affects the continuity of service and the well-being of the beneficiary!
The budgetary disparity (the gap between €24.58/h provider rate and €12-17/h gré à gré salary) has an indirect but devastating consequence for the beneficiary: it renders their home care service deeply unstable. The insufficient funding for coordination and HR Engineering in the gré à gré mode undermines the ancrage salarial (salary anchor or guaranteed minimum hours) for care workers.
The Paradox of Instability for the Beneficiary: Without ancrage salarial (the guarantee of a smoothed monthly volume of hours, stable paid leave, and full social security), the care worker profession becomes precarious. The Department, by effectively imposing « payment by the actual hours worked » to fund only the salary, externalizes the risk. The result is massive professional turnover. The beneficiary is the first to suffer: they lose the quality of the human connection, must constantly get used to new people, and endure a breakdown in the continuity of care, which is particularly anxiety-inducing and detrimental to their autonomy.
The Role of the Autonomy Coordinator: Our Home HR Engineering intervention guarantees stability for the beneficiary. We manage contracts, ensure legal compliance, and, above all, implement the ancrage salarial for care workers. We assure professionals a better salary (€17/h or more) and professional stability, thus ensuring the continuity of service essential for the beneficiary’s well-being.
Our Proposal to the Department: We are the solution to pay the care worker better, ensure consistent service quality, and transform the savings realized from the rate disparity into concrete security and stability for the beneficiary, without creating an overcost compared to the provider mode.