The course is open to successful candidates of the internal or external competitive examinations. Order of 26 December 2007 from the 2nd August 2005 gives the EHESP responsibility for providing such training.

Initial training

Duration: 2 years

Initial training consists of 35 weeks of theoretical training and a 48-week work placement as well as the submission of a professional thesis.

The course objectives are

  • Develop in-depth knowledge about how to run an institution, with the focus on: mission, general and technical management of the establishment,,
  • Familiarise students with the culture of their particular profession so as to better understand its purpose and values,
  • Utilise the experiences of the students to facilitate acquisition of skills through a mix of theory and practice,
  • Enable students to carry out their job by providing support until they take up a specific professional role.

In first year, students learn the basics of operations management, public health and missions. In second year, they top up their knowledge with a period of work experience.

The EHESP has put in place a series of cooperation agreements with a network of partners who possess expertise in both the management and health and social fields. These partnerships enable the EHESP to offer its students specific course content not available through its own general course offering.

Main partners

  • Masters in “law of local and regional authority health and social welfare intervention” in Angers
  • Masters in “Governance of institutions and organisations” at the IEP (Political Science Institute) in Bordeaux
  • Masters in “International economics and strategy” in Grenoble
  • Masters in “Marketing and management of health sector companies” in Lille
  • Masters in “Law and management of health and social welfare organisations” – IFROSS (Training and research institute attached to Université Jean Moulin 3) in Lyons
  • Masters in “Social enterprise management” in Lille and Toulouse

Please note that students who complete their statutory training automatically obtain a CAFDES (Social Institution Manager Certificate)

Job adaptation training

Duration: 12 weeks

For category A career brackets seconded or recruited externally. The training lasts for 12 weeks over a period of 12 to 24 months (4-week work placement – 8 weeks of theory). The objective is to teach the basics needed to do the job as regards mission and general and technical management.

From now on a certificate will be issued upon completion of job adaptation training.


EHESP Public service courses are reserved to people who have passed a national competitive entrance exam.
To find out more about the eligibility criteria for the competitive examinations, visit the website of the Centre national de gestion (CNG).


Status: Category A executive

The role of a Social Care Institution Manager varies according to whether he or she is head of the institution or an assistant manager on the management team.

As head of a corporate body he or she acts as its legal representative. He or she implements the hospital strategic plan and coordinates execution of the board of management’s decisions. He or she is responsible for the educational and social activities carried out by the institution. He or she is responsible for expenditure and appoints staff.

Where the establishment is unincorporated (e.g. children’s shelters and centres for emergency housing and social reintegration), the director carries out his duties under the competent authority of the public corporation to which he reports.

The Social Care Institution Manager works in the following institutions and reception centres:

  • Persons with social or family difficulties: children’s shelters, social children’s homes, centres for emergency housing and social reintegration).
  • Persons with a mental, physical or sensory disability or a polyhandicap: medical-educational institutions, assisted employment establishments and services, specialised reception centres…
  • Elderly persons (residences for elderly dependent people, district hospitals), coming within the public hospital remit.

The Social Care Institution Manager may also be employed as an assistant manager in hospitals.

The activities of the Social Care Institution Manager have a dual dimension


  • Position the health, welfare and care establishment as a provider of a holistic approach to patient care and support, enabling them to achieve the best possible level of social integration
  • Prepare, contribute to and manage implementation of the institutions’s strategic plan;
  • Operate a policy of continuous improvement of the quality of services for the benefit of patients;
  • Ensure that the rights of patients are promoted and respected.


  • Develop management practices to direct change within the context of a continually evolving regulatory environment and an ever more restrictive budgetary framework;
  • Ensure the efficient organisation of the establishment’s educational, medical psychological, technical and administrative services;
  • Manage human resources and provide financial, economic and logistical management;
  • Develop effective communication policies and an information system suited to the dynamics of the institution.

Career development is determined by the centre national de gestion (national centre for management) which is part of the Ministry for Health and Social Welfare. It consists of two grades: normal grade and special grade as well as clerical grades.


Office responsible for Social Care Institution Management Program – t. +33 (0)2 99 02 23 98

Modified on 11 April 2024