Chapter IV: Representative bodies and staff expression.

In each public health institution, the institutional medical committee draws up the institution’s medical strategy and its medical project in conjunction with the group’s shared medical project. It participates in their implementation. It contributes to defining the policy for continuous improvement in the quality, appropriateness and safety of care, as well as in the conditions under which users are received and treated; it proposes an action programme to the Director,…

The institutional medical committee is made up of representatives of medical, odontological, midwifery and pharmaceutical staff. It elects its chairman. Its composition and operating rules are laid down by regulation.

Civil servants, State workers and contract employees under public law working in an armed forces hospital or in another component of the armed forces health service, made available to a public law grouping of health cooperation resources, are represented on the social committee of the establishment of this grouping under the conditions provided for in article L. 6144-3-1. Subject to service requirements, special leave of absence, which is not taken…

Military personnel on duty in an armed forces hospital or in another component of the armed forces health service, made available to a public healthcare cooperation grouping or assigned in accordance with the provisions of 2° of article L. 4138-2 of the Defence Code within such a grouping, are consulted in accordance with the procedures laid down by decree by the Conseil d’Etat on the matters mentioned in article L….

The staff of public health establishments benefit either from the provisions of article L. 6146-2 or, for staff not covered by these provisions, from a right to direct and collective expression on the content, working conditions and organisation of their work, the terms and conditions of which are defined by regulation.

The Director may decide, after consulting the Supervisory Board and with the approval of the establishment’s medical commission and the establishment’s social committee, to set up on an experimental basis, for a period of four years, an establishment committee replacing these two bodies to give an opinion on the draft decisions mentioned in article L. 6143-1. The establishment committee is made up of equal numbers of representatives appointed by the…

The regulatory measures provided for in articles L. 6144-2, L. 6144-5 and L. 6144-6 and, unless otherwise provided and insofar as is necessary, the procedures for applying the other provisions of this chapter shall be determined by decree in the Council of State. This decree defines in particular the resources available to the establishment’s medical committee to fulfil its tasks.