Paragraph 4 : Participation of medical transport companies in the on-call service for urgent medical transport

I.-The emergency medical assistance service referred to in article L. 6311-2 may call upon companies holding health transport approval for any request for urgent health transport, requiring a rapid response adapted to the patient’s condition. The company that responds to this request, in particular as part of the on-call service provided for in article R. 6312-18 : 1° Send a crew to the patient within the time limit set by…

In order to respond to requests for urgent medical transport from the urgent medical aid service mentioned in article R. 6312-17-1, a medical transport on-call service is provided in each departmental or interdepartmental area within the same region, at any time of the day or night. The departmental territory is divided into on-call sectors based in particular on the number of inhabitants, geographical constraints and the location of health establishments….

Departmental specifications setting out the framework and conditions for organising on-call medical transport services are drawn up by the Director General of the Regional Health Agency after consulting the medical transport sub-committee of the departmental committee for emergency medical assistance, permanent care and medical transport. It defines in particular 1° The division of the departmental or interdepartmental territory into on-call sectors, taking into account the needs of the population, the…

The most representative emergency medical transport association at departmental level proposes and coordinates the operational response of medical transport companies to requests for urgent medical transport mentioned in article R. 6312-17-1, in conjunction with the regional health agency, within the framework of the obligations set out in this paragraph and in accordance with the departmental specifications mentioned in article R. 6312-19. An order by the Minister for Health sets the…

On a proposal from the most representative departmental emergency medical transport association referred to in article R. 6312-20 and after obtaining the opinion of the medical transport sub-committee, the Director General of the Regional Health Agency shall draw up the on-call roster establishing the list of on-call companies so as to ensure, in each on-call sector and at each time slot when on-call duty is provided for in the specifications…

When drawing up the on-call roster, the most representative departmental emergency medical transport association mentioned in article R. 6312-20 will call on all the approved medical transport companies in the department and propose a distribution of on-call duties between the volunteer companies, taking into account their material and human resources. A medical transport company whose registered office is located in a sector not covered by an on-call service may be…

Ambulance coordination is provided on a continuous basis in each department. A professional is assigned, at least during the day, to ambulance coordination missions by the most representative departmental association of emergency medical transport mentioned in article R. 6312-20 or by the health establishment where the emergency medical aid service is based. In departments or during periods when the activity of urgent medical transport at the request of the emergency…

In accordance with the decree provided for in article R. 6312-21, an agreement is concluded between the health establishment where the emergency medical aid service is based, the most representative departmental emergency medical transport association and the fire and rescue service. This agreement is subject to approval by the director general of the regional health agency and the prefect of the department. In particular, it specifies: 1° The missions and…

The organisation of on-call duty and urgent medical transport as defined in articles R. 6312-17-1 and R. 6312-18 is monitored every six months by the medical transport sub-committee of the committee referred to in article R. 6313-1, which involves the local health insurance organisations. In particular, it includes the monitoring of detailed data on urgent medical transport as defined in article R. 6312-17-1, and on ambulance unavailability and shortages as…