Section 3: Participation of private healthcare professionals in the work of public health institutions

The contract provided for in article L. 6146-2, concluded between the self-employed healthcare professionals mentioned in that article and public health institutions, takes account of the strategic guidelines provided for in the multiannual contract of objectives and resources concluded between the institution and the regional health agency in application of article L. 6114-1. This contract, sent by the director of the institution to the director general of the regional health…

Under this contract, the healthcare professional undertakes to comply in particular with: 1° The recommendations for good professional practice drawn up by the Haute Autorité de santé and learned societies; 2° The establishment’s project, the establishment’s internal regulations and the action programme provided for in article L. 6144-1 with regard to the policy of continuous improvement in the quality and safety of care and the conditions under which users are…

The contract provided for in article R. 6146-17 is signed for a maximum of five years, renewable by amendment. The request for renewal is sent by the healthcare professional concerned to the director of the establishment no later than three months before the end of the contract. The revision and renewal of the contract are approved by the Director General of the Regional Health Agency under the conditions set out…

In public health establishments authorised in application of the provisions of the second paragraph of article L. 6146-1 not to create centres of activity, the director of the establishment may, on the proposal of the chairman of the establishment’s medical commission, appoint a doctor qualified in general medicine who has signed a contract with the establishment as referred to in article R. 6146-17, responsible for coordinating medical activities, organising medical…

Each healthcare professional who has concluded a contract as referred to in article R. 6146-17 sends the director of the establishment a monthly statement containing a list of the procedures performed on each patient. On the basis of these documents and taking into account the information transmitted in application of the third paragraph of article L. 6113-7, the establishment determines the amount and pays the fees provided for in article…

Medical professionals practising on a self-employed basis in public health establishments are compensated for their participation in the establishment’s duty of care as provided for in article L. 6111-1-3, on Saturday afternoons, Sundays and public holidays as well as at night. This is a flat-rate allowance in addition to the fees provided for in article L. 6146-2. It is set by an order of the ministers responsible for social security…

Doctors practising on a self-employed basis in public health establishments are entitled to a flat-rate allowance to compensate for loss of income resulting from their participation in training courses provided as part of the establishment’s training policy and in meetings of the establishment’s deliberative or consultative bodies. The amount of this allowance is set per meeting or per half-day of training in accordance with the rates set in application of…

With the agreement of the Director, private practitioners’ locums may provide care in the public health establishment in compliance with the provisions of the contract referred to in article R. 6146-17. The Director General of the Regional Health Agency is informed immediately.