IGAS in brief

The “Inspection Générale des Affaires Sociales” (IGAS) is the French Government audit, evaluation and inspection office for health, social security, social cohesion, employment and labour policies and organisations.

General presentation of the "Inspection des affaires sociales"

The “Inspection Générale des Affaires Sociales” (IGAS) is the French Government audit, evaluation and inspection office for health, social security, social cohesion, employment and labour policies and organisations.
Established in 1967, IGAS is a high level internal unit which has oversight over all social programmes and operations through internal audits and investigations. IGAS also contributes, as an internal consulting unit, to the efficiency and quality of government decision making. It is a major source of advice for the Government in the area of social policies. It is also one of the most trusted sources of information and expertise for all public and private stakeholders and the general public in these areas.
Led by a General Inspector, currently Mrs. Nathalie Destais, it includes around 130 professionals from various backgrounds (ENA – National School of Administration, hospitals, labour administration, medical doctors, pharmacists, engineers, etc…).

Areas of intervention include :
- Health
- Social security
- Social cohesion
- Labour and employment
- Vocational training
- Public management
- Public sector strategy

Types of intervention include :
- Audits
- Evaluation
- Consulting
- Inspections
- Interim management

Around 140 assignments are carried out each year

IGAS comes under the authority of the ministers in charge of health, social and labour affairs and may also be consulted by the Prime Minister and other ministers (for example : Ministers of housing, urban policy, immigration and the civil service).
IGAS has jurisdiction over all institutions, whether public (governmental, regional and local authorities, agencies, joint commissions, etc.) or private (companies, NGOs and charities, etc.), if they receive public funding or appeal to public generosity.
In each IGAS mission, carried out by teams of two to four inspectors, the General Inspectorate investigates, upon the request of ministers, how public policies and departments operate and submits strategic and operational recommendations.
To fulfil its missions, IGAS has developed a comprehensive and effective quality audit, evaluation and inspection approach : meetings and investigations based on documented evidence and on-site investigations, conducted over several weeks by teams of experts in the field who are in charge of writing the report ; subsequent peer review of the analysis and recommendations of the report, and a bilateral procedure for some reports.
The reports are written in an independent manner by IGAS members.

IGAS in figures (2018)

- 130 inspectors and 25 administrative staff
- 137 assignments per year
- Around 36% of assignments are related to health, 26% are related to labour and employment policies, 23% to social cohesion and 15% to social security.
- 2 to 3 inspectors per mission – Average duration : 4-5 months
- 40% of assignments are conducted jointly with other general inspectorates (finance, interior, education, justice).

An overview of recent reports

195 reports have been published on line since 2016.
60 to 70 reports are published on-line each year :
www.igas.gouv.fr (in French)

Examples of reports published recently (in French) include :

-  Health facilities - Psychosocial risks faced by health workers : recommendations for more effective management - Medical accountability : recommendations for improving practices (2016)
-  Regulation of the community pharmacy network (2016)
-  Survey on serious adverse events arising during a clinical trial (2016)
-  Survey on proprietary pharmaceuticals containing sodium valproate (Depakine ® , Depakote ®, Depamide ®, Micorpakine ® and generic equivalents) (2016)
-  Development of medicine-related outpatient hospital treatments (2016)
-  Relevance and effectiveness of public policy tools aimed at encouraging treatment adherence (2015)
-  Managing air pollution peaks (2015)
- Assessment of methods in pediadric parenteral nutrition (2015)
-  Free and confidential access to contraception for minors (2014)
- National Health Strategy : Synthesis of Regional debates (2014)
- Perspectives for the development of out-patient surgery in France (2014)
- Medical economic assessment in Health (2014)
- Evaluation of the financing and management of Hospital Investment (2013)

-  Evaluations of targets and management agreements (COGs) (2017)
-  Health care abroad for social policyholders (2016)
-  IGAS 2015 Annual Report : social protection of 16-29 year olds (2015)
- Financing by the Social Security of legal guardians for the protection of majors (2014)
- Inspection of investments by compulsory supplementary retirement schemes : General Report (2013)

-  Assistance mission in the département of Mayotte on coordinating childhood protection (2016)
-  Long-term care units (2016)
- Correlations between handicap and poverty : Difficulties in accessing entitlements and resources (2014)

-  Collaborative platforms, employment and social protection (2016)
-  Evaluation of the customary fixed-term contract (CDDU) (2016)
-  Unmet training needs in light of economic requirements – the issue of emerging or rare training programmes (action plan) (2015)
-  Apprenticeship stimulus plan : supporting apprentices to secure their training/career paths (2015)
-  Continuing professional development for farmers (2015)
- Non-financial barriers in the development of apprenticeships (2014)
- Interactions between health and work (2013)
- Professional Equality policy in France : Elements of comparison with Quebec, Belgium and Sweden (2013)

Informations pratiques
Recherche sur le site

Certains acteurs du champ sanitaire sont actuellement sollicités au téléphone par des personnes se présentant comme des membres de l'IGAS, ou mandatées par ce service, pour obtenir des informations sur leurs activités et leur clientèle.

L'IGAS invite les personnes sollicitées à ne communiquer aucune information dans ces circonstances. Elles doivent savoir que les inspecteurs de l'IGAS ne procèdent pas à des investigations inopinées par téléphone et qu'ils ne s'adressent jamais de manière anonyme aux organismes qu'ils contrôlent ou auprès desquels ils recueillent des informations.