#2026-244Decree No. 2026-244 of 1 April 2026 on Technical Operating Conditions for the Treatment of Chronic Renal Failure by Extrarenal Purification
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This French decree updates the Public Health Code requirements for facilities providing dialysis and other extrarenal purification treatments for chronic kidney failure. It strengthens the minimum multidisciplinary team composition by requiring at least one nephrologist and one state-qualified nurse in the core professional team. A full re-evaluation of the patient must now be conducted by a larger team including a dietitian (and psychologist or social worker as needed) between three and six months after starting treatment, then at least annually. Supportive care teams must include a dietitian, psychologist, and social worker. Facilities must also implement a formalized alert management system for patient-related and dialysis machine-related issues. Existing authorization holders have one year from the decree's entry into force to comply.
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Key Changes
- Minimum core team for dialysis activity now requires at least 1 nephrologist and 1 state-qualified nurse (Art. D. 6124-64)
- Patient re-evaluation must occur 3-6 months after starting substitutive treatment, then at least annually, by team including nephrologist, nurse, dietitian ± psychologist and social worker
- Supportive care team must include at least a dietitian, psychologist and social worker (Art. D. 6124-64-2)
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Obligations
What this law requires
Achieve compliance with all new technical operating conditions within one year from the decree's entry into force
Maintain a multidisciplinary team for chronic renal failure treatment by extrarenal purification that includes at least one nephrologist and one state-qualified nurse (infirmier diplômé d'Etat)
Conduct a full re-evaluation of patients between three and six months after starting extrarenal purification treatment
Conduct annual re-evaluations of patients undergoing extrarenal purification treatment after the initial three to six month evaluation
Ensure re-evaluation team includes at least one nephrologist, one state-qualified nurse, one dietitian, and when clinically necessary, a psychologist and social worker