Quality of care and strengthening of the skills of healthcare professionals: François Braun received the recommendations of the mission entrusted to Professor Bertrand Millat on the implementation of accreditation in healthcare facilities

François Braun, Minister of Health and Prevention, was presented with the report of the mission entrusted to Bertrand Millat, Professor Emeritus at the University Hospital of Montpellier, on the generalization of the accreditation of doctors and medical teams of specialties in risks.

Built since 2006 on the notion of loss ratio, the accreditation system has so far mainly interested freelancers. Today the challenge is to extend accreditation to all professionals who carry out their specialization in the public and university hospital sector. This system will promote physicians and care teams to voluntarily engage in a process of reporting and analyzing the adverse events associated with care.

Led by the High Authority for Health (HAS), the accreditation system is carried out within recognized organizations (OA). To support OAs and allow for the generalization of accreditation in all health facilities, the Ministry is now proposing a new method of financing by the Health Insurance that removes all obstacles to the commitment of salaried and hospital doctors.

A decree supplemented by an ordinance now provides for OA funding by the Health Insurance up to 500 euros per year for each doctor who undertakes accreditation, regardless of his or her status.

It is within this generalization that the Ministry of Health and Prevention has entrusted Professor Bertrand Millat with the mission of supporting its deployment, to:

  • Restoring meaning to care, in a coordinated and collective system aimed at their relevance, safety and quality;
  • Better to consider the patient’s experience;
  • Promote the initial and continuing training of professionals and thus create a solidarity culture of safety.

A group of user representatives, healthcare professionals and HAS met throughout the first half of 2022 to propose an action plan.

This report is the materialization, with a series of recommendations to support this generalization within healthcare facilities and help build a true culture of quality of care and patient safety.

The generalization of accreditation also responds to the priority of the Minister of Health and Prevention of supporting the search for meaning by health professionals. It is an opportunity for caregivers to question their daily practices in order to improve in particular the relationship with patients and their entourage, but also the bonds that unite a team.

Based on the recommendations of the report, the departments of the Ministry will therefore implement, in the coming months, actions to promote and support the institutions and teams that voluntarily engage in this system.

The National Council for Periodic Certification (CNCP) was also established by the Ministry of Higher Education and Research and the Ministry of Health and Prevention, under the auspices of Professor Lionel Collet, to provide France with a mechanism for validation periodic of health professionals skills.

The establishment of this council is the culmination of an approach initiated during the great health conference of 2016, after which Pr Serge Uzan was tasked with establishing a mechanism for the regular validation of doctors’ competences. Since then broadly extended to all seven health professions called “on order” (doctors, pharmacists, midwives, dentists, masseurs-physiotherapists, nurses and podiatrists-podiatrists), the periodic certification was included in the law of 24 July 2019 on the organization and transformation of the health system, in order to concretely improve the quality of care.

It is in this context that Prof. Lionel Collet, President of the collegial body of the CNCP, started work on the implementation of this new body.

The CNCP is responsible for defining the principles of the strategy, promotion, dissemination and scientific guidelines of the periodic certification. The establishment of the collegiate body allows for quick consultations, in agreement with the seven professional commissions, to define the scientific guidelines necessary for the development of the reference systems for certification specific to each profession and specialty.

Consult the report presented by Prof. Millat to the Minister of Health and Prevention


Press contacts

Office of Mr. François BRAUN

sec.presse.cabsante@sante.gouv.fr – 01 40 56 60 60

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