Several studies over the years have shown that the health needs of Francophones living in minority language settings are not always met, due to a lack of adequate services in their own language. Moreover, Francophones are often reluctant to request services in their own language.

Active offer is a proactive approach that aims to make French-language services more visible, making patients feel that they can use their minority language from the outset. This approach is in line with the principles of patient-centred care and social responsibility. Active offer for administrative and nursing staff does not necessarily mean speaking the language, but knowing where to refer patients for services in their own language. Implementing active offer does not require perfect bilingualism, but rather openness to the French-speaking community.