Paragraph 1: Direct access to specialised technical facilities

When a patient requires specialised medical or surgical care within a very short timeframe and his or her vital or functional prognosis is at risk, he or she is referred directly, by or in liaison with the SAMU, to the technical support centre best suited to his or her condition.

A health care organisation which has a technical platform enabling it to provide the treatment referred to in article R. 6123-32-1 on a single site and in a highly specialised manner may sign an agreement with a health care organisation authorised to carry out an activity referred to in article R. 6123-1, with the aim of receiving and providing ongoing care for patients involved in the activity for which it…

The conditions under which patients involved in the specialised activity referred to in article R. 6123-32-1 are referred to the establishment referred to in article R. 6123-32-2 and the conditions under which the latter takes charge of them are laid down in a special agreement or within the framework of the network referred to in article R. 6123-26. The agreement lays down the procedures for monitoring and regular evaluation of…

The establishment referred to in article R. 6123-32-2 which has signed the agreement referred to in this article shall enter into an agreement with the health care establishment authorised to carry out the activity referred to in 3° of article R. 6123-1, setting out the terms and conditions under which patients who do not fall within the scope of the activity for which it is specialised are referred to and…

Any establishment referred to in article R. 6123-32-2 which has signed the agreement referred to in this article must inform the public that it provides ongoing care for patients in the field in which it specialises.

The regional health plan specifies the specialised activities involving direct patient care and provides for their location within the health region. An establishment’s participation in such direct care is included in the multiannual contract for objectives and resources mentioned in article L. 6114-1. This contract sets out the terms and conditions of this participation.