I. – For the application of the second paragraph of article L. 6146-1-2, the director and the chairman of the establishment’s medical commission inform the establishment’s medical commission and the nursing, rehabilitation and medical-technical care commission, which are consulted for their assent, of the result of the consultation of the establishment’s technical committee.
For the application of the third paragraph of article L. 6146-1-2, the procedures for the participation and expression of personnel in the operation of the structures created must be determined before the appointment of the heads of these structures.
II. – When the hospital is a party to a regional hospital grouping agreement as provided for in article L. 6132-1, a university hospital agreement as provided for in article L. 6143-3 or any other cooperation agreement relating to the organisation of medical operations and the provision of care, the decision to freely organise the hospital as referred to in article L. 6146-1-2 may not be taken without making the necessary changes to the agreement to bring it into line with the planned organisation.