French Public Health Code
In forceDoctors or medical teams inform the hospital medical boards, medical conferences or medical commissions of their involvement in the accreditation procedure and of the outcome of this application.
Before the expiry of the periods mentioned in the first paragraph of Article D. 4135-1 and within a period set by the Haute Autorité de santé which may not exceed two months, the approved body chosen by the doctor sends the Haute Autorité de santé the application for accreditation or renewal of its accreditation, together with a reasoned opinion. In the event of an unfavourable opinion from the approved body, the practitioner is invited to present his observations.
The Haute Autorité de santé issues a certificate of accreditation or renewal of accreditation to individual doctors and members of medical teams on expiry of the periods referred to in the first paragraph of Article D. 4135-1. On these dates, if no decision has been notified to the doctor or members of the medical team, the applications for accreditation or renewal of accreditation are deemed to have been rejected. The Haute Autorité de santé notifies doctors of their accreditation or renewal of accreditation to the regional council for continuing medical education referred to in article D. 4133-24 to which they belong, as well as to the establishment medical commission, the medical conference or the medical commission and the regional union referred to in article L. 4134-1 for the geographical area in which the doctor, where applicable, practises as a self-employed doctor.
The Haute Autorité de santé informs the Caisse nationale de l'assurance maladie, as well as the caisse primaire d'assurance maladie in the area in which the doctor practises, of the application for accreditation or renewal of accreditation of doctors, specifying the approved body concerned, as well as of decisions to accredit, refuse or withdraw accreditation of doctors.
Accreditation is valid for four years.
In the event of repeated breaches of the obligations mentioned in Article D. 4135-1, the accreditation holder may be given formal notice by the Haute Autorité de santé to comply with these obligations. If, at the end of the period set by this formal notice, which may not be less than three months, it is found that the breaches have persisted, the Haute Autorité de santé may, after receiving explanations from the party concerned, withdraw the accreditation. Withdrawal of accreditation is notified to the regional council for continuing medical education referred to in article D. 4133-24 to which the doctor belongs, as well as to the establishment's medical commission, the medical conference or the medical commission and the regional union referred to in article L. 4134-1 for the geographical area in which the doctor, where applicable, practises as a self-employed doctor.
If, in the course of the accreditation procedure, facts or shortcomings are noted that jeopardise patient safety, the approved body will inform the doctor concerned, who may submit his observations. The accredited body proposes corrective measures to be implemented and monitors these measures. If the doctor concerned rejects these measures, or if the follow-up shows that the same facts or breaches persist, the approved body will immediately send a detailed report to the Regional Medical Council. The Regional Medical Council will request an opinion from the relevant establishment medical committee, medical committee or medical conference, as appropriate. In the absence of a response from these bodies within fifteen days of the matter being referred to them, their opinion is deemed to have been given.
