In each department, the Director General of the Regional Health Agency, after consulting the health transport sub-committee, determines, in accordance witharticle L. 6312-4 , the theoretical number of vehicles assigned to health transport, excluding vehicles assigned exclusively to health transport carried out as part of emergency medical assistance. This number is obtained by applying the indices provided for in article R. 6312-29 to the population of the département. It may then be increased or reduced within the limits set by the order referred to in the same article.
The increase or decrease takes into account demographic, geographical or health facility characteristics, seasonal use, the local competitive situation in the medical transport sector, the utilisation rate of existing medical transport vehicles and, where applicable, the existence of vehicles assigned to the performance of contracts concluded with an assistance company or a public health establishment.