Title IV: Public health establishments

The establishment’s governance and participative management project defines the strategic guidelines for the management of medical, paramedical, administrative, technical and logistical staff and teams, with a view to steering, leading and motivating them to collectively achieve the objectives of the establishment’s project. It sets out the procedures for appointing hospital managers. It takes into account the individual and collective needs and expectations of staff in their professional environment, in particular…

The psychological project provided for in article L. 6143-2 includes several sections relating to the clinical activities of psychologists and their training and research activities, as well as the ways in which they are organised in the establishment.

The Director General of the Regional Health Agency will ask a public health institution to present a recovery plan, within a period of between one and three months set by the Director General, in one of the following cases: 1° When the Director General considers that the institution’s financial situation so requires; 2° When the institution is in a situation of financial imbalance that meets criteria defined by decree. The…

By reasoned decision and for a period not exceeding twelve months, the Director General of the Regional Health Agency shall place the public health institution under the provisional administration of either inspectors from the Inspectorate General of Social Affairs or the Inspectorate General of Finance, or management staff from the establishments mentioned in 1° and 2° of article 2 of law no. 86-33 of 9 January 1986 on statutory provisions…

Any agreement between the public health institution and one of the members of its Management Board or Supervisory Board is subject to a decision by the Supervisory Board. The same applies to agreements in which one of these persons is indirectly involved or in which he deals with the institution through an intermediary. Before entering into an agreement, the person concerned must declare to the Supervisory Board that he or…

The decisions of the Supervisory Board referred to in Article L. 6143-1 and the acts of the Director referred to in Article L. 6143-7 are enforceable subject to the following conditions: 1° The decisions of the Supervisory Board referred to in 2°, 5°, 7° and 8° of article L. 6143-1 are enforceable if the Director General of the Regional Health Agency does not object within two months of either the…

The Supervisory Board is composed as follows 1° No more than five representatives of the local authorities, their groupings or the metropolitan area, appointed from among their members by the decision-making bodies of the local authorities, their groupings or the metropolitan area, including the mayor of the municipality in which the main establishment is located or his representative, the chairman of the departmental council or his representative or, in Corsica,…

No person may be a member of a supervisory board : 1° In more than one capacity ; 2° If he is subject to the incapacity provided for in article L. 6 of the Electoral Code; 3° If he is a member of the Management Board; 4° If he/she has a direct or indirect interest in the management of a private health institution, either personally or through his/her spouse, ascendants…

The Director, who chairs the Executive Board, is responsible for the general policy of the institution. He represents the institution in all civil acts and acts in legal proceedings on behalf of the institution. The Director is competent to settle the affairs of the institution other than those listed in 1° to 15° and other than those falling within the remit of the Supervisory Board listed in article L. 6143-1….

The Director is appointed : 1° For university hospital centres, by decree issued on the report of the Minister for Health and the Minister for Universities and Research; 2° For regional hospital centres, by decree based on a report by the Minister of Health; 3° For the establishments mentioned in 1° of article 2 of the aforementioned law no. 86-33 of 9th January 1986, by order of the Director General…