Category: Information

2026 membership fee calls and composition of our working groups
The CPTS Val de Guyenne is opening its membership campaign for the year 2026.

Therefore, we invite all healthcare professionals in the area, whether already members or not, salaried or self-employed, to https://cpts-valdeguyenne.plexus-sante.fr/publique/campagne/2cptsjoin

If you're not yet a member, you might be wondering why you should join? We'll explain everything!

1) First, let's distinguish between the different membership statuses

By joining the CPTS, whether you are a self-employed healthcare professional, an employee or a medical-social structure, you can (if you wish) actively participate in our working groups and our actions in the field.

Depending on your membership status, you will be able to vote on the decisions and directions of the association or have an advisory vote.
- Active members : self-employed healthcare professionals in the area (active or retired), participate in the working groups and activities of the CPTS), benefit from ICPA (Integrated Care Pathway), vote on the association's decisions, and are eligible to stand for election to the Board of Directors and/or the Executive Committee
- Partner Member – Individual : Healthcare professionals employed by a local medical-social structure or a partner structure, have only an advisory vote, but may join working groups
- Partner Member – Legal Entity : a medical-social structure within the territory or a partner structure, has only an advisory vote, but may join working groups
2) The 5 reasons to become an active member (self-employed healthcare professionals)

The CPTS health project is the result of an in-depth diagnosis of the territory and is oriented, among other things, towards the development of new practices (coordinated practice, technological innovations).

The 5 main reasons to join the CPTS are:
1) Developing coordinated practice
2) Improving the patient journey
3) Implementing innovative ideas
4) Developing your network
5) Enhancing your skills

IMPORTANT: Participation in actions and working groups is subject to compensation (ICPA).

You will also have the opportunity to join our mailing list and our Whatsapp group for professionals and to have a professional listing in our online directory

I am a member of the CPTS

3) Join our working groups

A working group comprises approximately 5 active members, often guests (partners and/or supervisory bodies and/or elected officials).

Depending on the missions, the working groups are intended to define together the actions on the ground (access to care, prevention) or co-write the protocols for support or coordination of pathways (link between city and hospital, etc.).

Each working group has a lead member and the actions are defined in Action Sheets.

Mission 1 – Access to healthcare

Working group “New practices”:
- Actions: Assisted teleconsultations, Unscheduled Care & On-Call Services, Advanced Practice Nurses (APNs)
- Lead member: to be defined
- Member of the working group:
  - IDEL: Aude BORTOLIN, Carole CALZAVARA, Elodie HOCQUELET, Gwladys MENINI, Nathalie ORTOLAN, Mélanie PREVOT, Flavie THIRIAU, Isabelle VANDEWALLE
  - Massage Therapist/Physiotherapist: Valérie PEROSA
  - Speech therapist: Laure KERUZORE
  - Doctor: Angélique KONINCKX
  - Pharmacist: Dominique BIERVOIS, Corinne LAGNIAU
  - DAC 47: Céline DE MARCHI
- Status: Working group complete, actions already underway
- Consult the dedicated action sheets:
Working group "Access to a primary care physician":
- Actions: Creation of a group of volunteer doctors, census of users without a primary care physician, including those with long-term illnesses, and sectorization
- Lead member: to be announced
- Member of the working group: to be announced
- Status: to come
- See the dedicated action sheet here
-> We are looking for volunteers (especially doctors)

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"Gynecobus" working group:
- Actions: Logistical organization of consultation days in the territory
- Lead member: Carole CALZAVARA
- Member of the working group:
  - IDEL: Carole CALZAVARA, Gwladys MENINI
  - Doctor: Angélique KONINCKX
  - CHIC: Stéphanie HEBRARD
- Status: in progress
- See the dedicated action sheet here
"Medicobus" working group:
- Actions: Logistical organization of consultation days in the region, reception and pre-consultation (nurse), recruitment of volunteer doctors
- Lead member: Carole CALZAVARA
- Member of the working group:
  - IDEL: Carole CALZAVARA
  - Doctors: Dr. CHAUVINEAU, Dr. HAURE, Dr. KONINCKX,
  - CPTS Grand Agenais
- Status: ongoing; first meeting of doctors on June 29, 2026
- See the dedicated action sheet here
-> We are looking for volunteer independent nurses

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Mission 2 – Multi-professional pathways

"City-Hospital Link" Working Group:
- Actions: Define and draft coordination protocols between healthcare professionals and medical-social structures in the area
- Lead member: to be defined
- Member of the working group: to be defined
- Status: Coming soon – Q4 2026
- See the dedicated action sheet here
Working group "Care pathways for the elderly or in situations of frailty":
- Actions: define and write protocols for identification and coordination between professionals
- Lead member: to be defined
- Member of the working group: to be defined
- Status: Coming soon – Q4 2026
- See the dedicated action sheet here
Working group "Supportive Care":
- Actions: Define and implement actions to improve end-of-life care (palliative care)
- Lead member: to be defined
- Member of the working group: to be defined
- Status: Coming soon – Q4 2026
- See the dedicated action sheet here
-> If one of these working groups interests you, let us know so that we can include you when the time comes!

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Mission 3 – Prevention

Working group on "organized screenings":
- Actions: Define and implement organized cancer prevention and screening programs
- Lead member: to be defined
- Member of the working group: to be defined
- Status: from late August/early September
- See the dedicated action sheet here
Working group “Vaccination & Barrier gestures”:
- Actions: Define and implement actions to prevent and improve vaccination coverage
- Lead member: to be defined
- Member of the working group: to be defined
- Status: from late September/early October
- See the dedicated action sheet here
Working group “Therapeutic Patient Education (TPE) Diabetes – Cardiovascular”:
- Actions: Define and deploy patient therapeutic education programs
- Lead member: to be defined
- Member of the working group: to be defined
- Status: from the end of 2026
- See the dedicated action sheet here
Working group "Nutrition & Malnutrition":
- Actions: define and deploy population prevention and education actions
- Lead member: to be defined
- Member of the working group: to be defined
- Status: from the end of 2026
- See the dedicated action sheet here
-> If one of these working groups interests you, let us know so that we can include you when the time comes!

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Mission 4 – Health Crises

Working group “Identification of the HSE plan”:
- Actions: defining HSE actions and drafting protocols and training plans
- Lead member: to be defined
- Member of the working group:
  - IDEL: Carole CALZAVARA
  - Doctor: Angélique KONINCKX
  - HSE Officer, CHIC: Philippe CALZAVARA
  - Firefighter: Léa TATTO
- Status: in progress
- Action sheet currently being drafted
Mission 6 – Support for healthcare professionals

Working group "Welcoming healthcare professionals":
- Actions: defining the reception protocol between EPCI and CPTS, drafting a partnership agreement, an inter-professional directory and a welcome booklet
- Lead member: to be defined
- Member of the working group:
  - IDEL: Carole CALZAVARA,
  - Massage Therapist/Physiotherapist: Valérie PEROSA
  - Speech therapist: Laure KERUZORE
  - Doctor: Angélique KONINCKX
  - Pharmacist: Dominique BIERVOIS
  - Partners: ARS NA, Bienvenue Docteur, ComCom Duras, CCPL, Seyches Town Hall
- Status: in progress
- Action sheet currently being validated
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June 9, 2026
General Assembly 2025-26 and activity report

The General Assembly of the CPTS Val de Guyenne took place on Thursday, June 4, 2026 at the Salle des Associations in Monteton in the presence of healthcare professionals from the territory, our partners (CHIC Marmande-Tonneins, CPTS Grand Agenais, Agoralib, the DAC 47) as well as many local elected officials.

We warmly thank the Monteton Town Hall for making the magnificent community hall available.

Find the detailed and illustrated activity report for our year 2025 and early 2026.

Activity Report of CPTS Val de Guyenne – June 4, 2026 Download

Memberships for 2026 are now open!!

Memberships 2026

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June 5, 2026
What is the SAS, Service d'Accès aux Soins, in Lot-et-Garonne?
The Healthcare Access Service (SAS) is a new medical referral service accessible via the emergency number 15, designed to facilitate access to non-urgent care for the population of Lot-et-Garonne. Established as part of the Ségur de la Santé (a major healthcare reform initiative), it is part of a broader effort to overhaul the healthcare system, aiming to improve the coordination and efficiency of healthcare services in both community and hospital settings.

For the public: How does it work?

What is the SAS and what is its purpose?

The SAS (Service d'Aide Médicale - Medical Referral Service) is a medical guidance and assistance service that directs patients to the right care at the right time, without going through the emergency room when there is no life-threatening emergency. It is a concrete response to requests for care that are neither urgent nor scheduled, but still require intervention from a healthcare professional within 48 hours.

How do I use it?

Your primary care physician first
If you need non-urgent care, try contacting your primary care physician first. If they are unavailable, especially outside of their office hours, if they cannot be reached, or if you do not have a primary care physician, proceed to the next step.

Use the map of healthcare facilities on Santé.fr
This online map shows the locations of on-call doctors' offices and open health centers: https://www.sante.fr/carte-des-lieux-de-soins. If you cannot find a solution, or if your situation requires more specific guidance, proceed to step 3.

Call 15
The SAS, like the SAMU (Emergency Medical Service), can be reached by dialing 15. A medical dispatcher will direct you according to your needs. You may also be referred for a teleconsultation if appropriate.

What types of care are involved?

The SAS (Service d'Accès aux Soins - Healthcare Access Service) covers unscheduled care, such as medical advice, consultations with on-call doctors or nurses, or examinations that are not urgent but must be addressed within 48 hours. Examples include a consultation for a persistent fever, an injury, or a follow-up examination after treatment.

In practical terms, how does this work?

Why is SAS useful?
- Relieving pressure on emergency services : By directing patients to appropriate care, the SAS avoids overloading emergency services with non-urgent cases.
- Optimizes healthcare resources : Independent healthcare professionals and emergency services can thus manage urgent cases more efficiently.
- Rapid access to care : You get a quick response (within a few hours or 48 hours) depending on the nature of your need.
For healthcare professionals: How does the SAS work?

What is the mission of the SAS for you?

The SAS is a medical regulation that coordinates so-called "unscheduled" care between independent healthcare professionals and hospital emergency departments. Its objective is to reduce unnecessary emergencies through more appropriate management of unscheduled care.

How is the SAS organized?
- Joint regulation : Emergency services (SAMU) and independent professionals (doctors, nurses, etc.) work together via a shared regulation system to direct patients to the right care.
- 24/7 access : The service operates 24 hours a day, 7 days a week, with extended regulation hours for non-urgent care outside of the on-call hours for outpatient care (PDSA).
- Complementarity with the PDSA : The SAS covers the hours and needs not covered by the PDSA, which itself operates in the evening, at night, and on weekends/public holidays.
- Regulation and guidance Regulators assess needs and direct them towards:
  - Medical or nursing consultations (on-call services)
  - Teleconsultations (if possible and if the patient wishes)
  - Medication prescriptions (possibly electronic)
  - Examinations or direct admissions to a healthcare facility if necessary
_sas_infographic_operation_sas_version_july_2025 Download

What are the benefits for healthcare professionals?
- Reducing pressure on emergency services : your time is better used for life-threatening emergencies.
- Support for patients outside your opening hours : the SAS ensures continuity of care for non-urgent patients.
- Remuneration and recognition : your participation in the SAS is remunerated and recognized for consultations and actions carried out within this framework.
To go further

Santé.gouv.fr: https://sante.gouv.fr/systeme-de-sante/segur-de-la-sante/le-service-d-acces-aux-soins-sas

Everything you need to know about the SAS

The remuneration of professionals involved in the SAS

SAS: True or False

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March 27, 2026
State-registered nurses are now authorized to distribute the screening kit to eligible insured individuals
Ameli announced in March the new authorization for state-certified nurses to conduct organized colorectal cancer screening.

Performed every two years, colorectal cancer screening relies on an immunochemical test to detect occult blood in the stool. This allows for the early detection of lesions and significantly reduces mortality from this cancer.

State-registered nurses (both self-employed and salaried) are now authorized to provide screening kits to eligible patients, just like doctors and pharmacists : https://www.ameli.fr/…/depistage-organise-du-cancer…

1) How do you train to distribute kits?
- Download the National Cancer Institute training materials by clicking here.
- Download the presentation materials for the screening KIT by clicking here.
- You can also contact your local cancer center (CRCDC): https://www.depistagecancer-na.fr/
2) How to order kits?
- Nurses with access to amelipro can obtain kits free of charge from their amelipro account. Orders are limited to two boxes of 20 kits each, for a total of 40 kits per order.
- Salaried nurses (working in particular in health establishments, ESMS, etc.) must contact their CRCDC to place an order.
3) To whom should the kit be given?

First, ensure that the patient is eligible for organized screening:
- Men and women aged 50 to 74 inclusive at average risk of developing this cancer,
- Without suggestive symptoms, personal or family history of adenoma, cancer or disease
The medical eligibility questionnaire is available in the training materials of the National Cancer Institute.

Note: You can provide a screening kit to your eligible patients, even if they have not yet received an invitation or do not have it with them.

4) How to accompany the handover of the kit?

When you receive the kit, you must:
- Explain how the test will be carried out;
- Remember that this is a simple, non-invasive examination and is 100% covered;
- Check the expiry date of the kit (because an expired test will not be analyzed).
When you see your patient again after the kit has been delivered, you can check that the test has been carried out or, if not, remind them of the importance of getting tested.

Note: Remember to indicate the kit delivery in the DMP, to inform the attending physician.

A printable instruction manual can be downloaded from this link: https://www.ameli.fr/sites/default/files/Documents/meme-kit-depistage-cancer-colorectal-mode-emploi-2023_institut-national-cancer_assurance-maladie.pdf

5) How is this new prevention mission remunerated?

Remuneration and billing arrangements will be communicated to you following the ongoing collective bargaining negotiations with the unions of self-employed nurses.

Key points to remember

Consult the Ameli user guide

Consult the National Cancer Institute's training program

Print the instructions for use Patient

If anything is unclear or you need more information, contact your CPTS coordinator or via our Whatsapp group for healthcare professionals in the area.

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March 26, 2026