Section 8: Permanence of care in health care institutions

Articles in this section · 9

Article R6111-41

French Public Health CodeIn force

Updated 1 Nov 2023

As part of the regional health plan provided for in article L. 1434-2, the Director General of the Regional Health Agency shall draw up a section dedicated to the organisation of the permanent care service referred to in article L. 6111-1-3. On the basis of the diagnosis defined in article R. 1434-4, this section assesses the needs of the population and sets targets, for the areas defined in a of 2° of article L. 1434-9, in terms of the number of establishments per medical speciality and per organisational method and, where applicable, takes into account the activities and equipment mentioned in the decree provided for in II of article L. 6147-7. It is binding on health establishments and other holders of authorisations for healthcare activities and heavy equipment, as well as on establishments and services applying for such authorisations.

This section is drawn up for a period of five years, following the procedure set out in article R. 1434-1.

However, it may be revised each year if this is justified by changes in the needs of the population or in healthcare provision. In this case, by way of derogation from the provisions of article R. 1434-1, the revised plan is drawn up by the Director General of the Regional Health Agency, after consulting the specialised commission on healthcare organisation of the Regional Conference on Health and Autonomy. The deadline for issuing an opinion is two months. If no opinion is issued within this period, the opinion is deemed to have been given.

Mariela Petrova

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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

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

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