Chapter V: Permanence of care

The purpose of the permanent care service provided for in Article L. 6314-1 is to meet the need for unscheduled care: 1° Every day from 8 p.m. to 8 a.m. ; 2° Sundays and public holidays from 8am to 8pm; 3° Depending on the needs of the population, assessed on the basis of medical activity and existing care provision: Saturdays from midday, Mondays preceding public holidays, Fridays and Saturdays following…

I. – In each permanent care service territory, the doctors mentioned in article R. 6315-1 who volunteer to take part in this service and the permanent care service associations draw up the duty roster for a minimum period of three months. This schedule specifies the name, procedure and location of each doctor. It is sent to the relevant Conseil Départemental de l’Ordre des Médecins no later than forty-five days before…

Access to the outpatient emergency doctor is subject to prior telephone medical regulation, accessible throughout the country via the national outpatient emergency number (116 117) or the national emergency medical assistance number (15). The director general of the regional health agency determines which of these two numbers is used at regional level. He shall include it in the specifications mentioned in article R. 6315-6. Doctors who volunteer to take part…

Doctors take part in on-call duty and regulation activities on a voluntary basis. If the Departmental Medical Council notes that there are no or insufficient numbers of volunteer doctors, it will seek the opinion of the regional union of health professionals representing doctors, representatives of doctors in health centres at departmental level and associations involved in on-call duty, with a view to completing the on-call roster. If, following these consultations…

The regulating doctor, working under the conditions defined in article R. 6315-3, decides on the appropriate response to the request for care. The regional health agency determines the conditions under which patients may be transported to a place of consultation when they are unable to travel by their own means. Apart from cases involving urgent medical assistance, the regulating doctor may give medical advice, particularly therapeutic advice, which may lead…

The principles governing the organisation of on-call care are set out in a regional specification drawn up by the Director General of the Regional Health Agency, in accordance with the objectives set out in the regional health plan. The regional specifications describe the general organisation of the health care provision ensuring that requests for unscheduled care are dealt with, and mention the fixed consultation points. It also describes the organisation…

For the application of the fifth paragraph of article R. 6315-6, army doctors receive lump-sum remuneration directly and remuneration for acts performed as part of their on-call duty is paid into the defence budget.