Book I: Health establishments

The authorisation holder organises continuity of care for hospitalised patients by guaranteeing the intervention of a doctor within a timeframe compatible with the safety of care. This organisation may be common to several sites of the same health care organisation or several health care organisations, provided that these sites are located close to each other.

The authorisation holder participates, where necessary, in the permanent care service referred to in Article L. 6111-1-3.

I. – The holder of the authorisation organises, on site, by agreement or, where applicable, as part of the shared medical project of the regional hospital grouping referred to in II of Article L. 6132-1, the possibility of transferring any patient whose state of health so requires to an inpatient facility, appropriate to their age, covering the following activities: 1° Critical care ; 2° Continuous surveillance ; 3° Surgery; 4°…

I. – The holder of a medical authorisation to care for adult patients must organise access to geriatric or multidisciplinary medical expertise, on site or by agreement, within a timeframe that is compatible with the safety of care. II. – In conjunction with emergency medicine, general practitioners, the medico-social sector and the support systems for coordinating complex healthcare pathways mentioned in article L. 6327-1, it helps to ensure that elderly…

The holder of a medical authorisation for the care of children and adolescents participates in the territorial paediatric care network, which aims to strengthen cooperation in order to facilitate continuity in patient care and meet the need for expertise. It also participates in the paediatric critical care network.

The holder sets up a system for managing medical beds or participates in a system set up either by the hospital grouping itself, when it is part of a regional hospital grouping, or jointly with other establishments.