Annual fees for self-employed nurses are around 9 billion euros There are around 95,000 self-employed nurses in France, or 20% of the total number of nurses. The number of self-employed nurses grew by 9% between 2017 and 2021, outpacing overall population growth. The sector expects further acceleration due to the "avenant 10" agreement in 2023, which proposes to increase the lump-sum travel allowance by 10%. 30% of salaried nurses plan to become self-employed within the next five years The geographical distribution of self-employed nurses is uneven, with disparities in patient-to-nurse ratios across regions and départements. Nurses are subject to fixed tariffs, and are prohibited from direct advertising or working from commercial premises. The aging of the French population is accentuating the need for home care and independent nursing services. Players in the independent nursing market in France The Agence Régionale de Santé (ARS) focuses on the equitable distribution of healthcare. I