Section 2a: Local protocols

Articles in this section · 1

Article D4011-4-1

French Public Health CodeIn force

Updated 3 Nov 2023

I.-The director of the establishment or regional hospital group declares the implementation of a local cooperation protocol mentioned in I of article L. 4011-4 to the director general of the regional health agency with territorial jurisdiction, using a dedicated online application on the website of the Ministry of Health. He submits the protocol and its appendices to this application, as well as the following supporting documents for each member of the volunteer team:

signed and dated commitment agreement;

-copy of an identity document;

-registration number on the medical register or specific professional file and supporting documents;

-sworn statement that the skills required to implement the protocol have been acquired.

The date on which the protocol is declared constitutes the date on which the protocol is actually implemented.

II - Each year, the director of the establishment sends the director general of the regional health agency with territorial jurisdiction data relating to local protocol monitoring indicators using a dedicated online application on the website of the Ministry of Health. These monitoring indicators provide information on at least :

the number of patients treated under the protocol;

-the rate of repeat procedures by delegating healthcare professionals, which corresponds to the number of procedures carried out by the delegating healthcare professional on the delegate's call, compared with the number of procedures carried out by the delegate;

-the nature and rate of adverse events, where applicable, which corresponds to the number of adverse events reported compared with the number of procedures carried out by the delegate;

-the satisfaction rate of healthcare professionals adhering to the protocol, which corresponds to the number of professionals who answered "satisfied" or "very satisfied" in relation to the number of professionals who expressed their level of satisfaction using a dedicated questionnaire.

It informs the Users' Commission about the implementation of the protocol and forwards the Commission's opinion on this implementation to the Director General of the regional health agency with territorial jurisdiction.

III. -When it proposes the deployment of a local protocol throughout the national territory in application of III of Article L. 4011-4, the National Committee for Interprofessional Cooperation shall first ensure that the protocol meets the conditions necessary for this deployment and in particular the quality and safety requirements defined by Article R. 4011-1, in conjunction with the health care organisation(s) implementing the protocol and the national councils and professional orders concerned.

Once this examination has been completed, it sends the protocol to the Haute Autorité de santé for an opinion, with any proposed amendments.

In the light of this opinion, the protocol may be deployed throughout France by order of the ministers responsible for health and social security.

Mariela Petrova

Need help applying this article to your situation?

A registered French Lawyer explains what applies to your business — in English, fixed fee.

within 48h

Fixed Fee

Talk to a lawyer
Common Questions

Working with a corporate lawyer in France — Q&A

Any time a strategic decision changes how the company is owned, governed or contractually bound — incorporation, fundraising, M&A, restructuring, shareholder agreements, or major commercial contracts. Earlier engagement always costs less than later remediation.

A notary (notaire) is a public officer who authenticates specific deeds (mainly real-estate transfers and certain family-law acts). A corporate lawyer (avocat) advises on strategy, negotiates and drafts company documents, and represents you in disputes. The two roles complement rather than overlap.

Yes — most of our clients are foreign suppliers, investors or holding entities. We bridge the gap between French law and your home jurisdiction's expectations and deliver everything bilingually.

The SAS (Société par Actions Simplifiée) is the default choice for most international structures: flexible governance, single shareholder allowed, no minimum capital, and works cleanly with foreign holding entities. We assess SARL, SA, SCI on the merits when the situation calls for it.

Yes — communications with a French avocat are protected by the secret professionnel (Article 66-5 of the Law of 31 December 1971). This protection is broader than the common-law attorney-client privilege and applies to written and oral exchanges.

We work on fixed fees for clearly scoped engagements (incorporation, contract drafting, audits) and on monthly retainers for ongoing advisory. Hourly billing is the exception, not the default. You always know the cost before work starts.

Typical timeline is 2–3 weeks from KYC kick-off to RCS registration, assuming standard documentation. Holding-company structures, foreign-shareholder identification or in-kind contributions can extend this — we flag the gating items at the first meeting.

Absolutely. We routinely coordinate with your in-house counsel, expert-comptable or notaire — pragmatic collaboration is the norm, not the exception. We send them everything they need to do their part without duplicating work.

Mariela Petrova

Mariela Petrova

Avocate au Barreau de Paris

Toque #C2396

15+ Years In Corporate Practice

English · French · Russian

Ready When You Are

Talk To A Corporate
Lawyer In France.

A 20–30 minute call, in English, to scope the engagement. No obligation, no preliminary fee. You will leave the call with a clear view of what the work will cover and what it will cost.

First EngagementFixed Fee

Talk to a French lawyer.

Reply within 24 hours.

Communications protected by professional secrecy — secret professionnel de l'avocat, Article 66-5 of the Law of 31 December 1971.

Continue Reading

Related corporate services in France

01 / Setup

Setting up a French company

Choose between SAS, SARL, SA or SCI — and structure your first French entity around how you actually plan to operate.

Read More
02 / Operating

French commercial contracts

Distribution, agency, supply, services and IP licences — drafted around the protections French law actually gives.

Read More
03 / Disputes

Business disputes & litigation

Shareholder conflicts, commercial breaches and pre-litigation strategy — handled by the same team that knows the file.

Read More