The provision of health services – step by step

1. 5. 2014 | Source: Point of Single Contact (PSC) Czech Republic

The provision of health services is regulated by Act No. 372/2011 Coll., on health services and the conditions for providing them (hereinafter “Health Services Act”). Health care in the Czech Republic can only be provided on the basis of authorization to provide health services. The administrative authority whose purview includes healthcare facilities where health services are provided decides on the grant of authorization to provide health services. Exceptional cases where health services can be provided without authorization are set out by law.

The conditions for granting authorization to provide health services

The conditions for granting authorization to provide health services to a natural or legal person are governed by section three of the Health Services Act, especially the Art. 16:

1. A natural person is granted authorization to provide health services on the basis of a written application if

a) he has reached 18 years of age,
b) has full legal capacity,
c) has good character,
d) holds a residency permit in the Czech Republic if he is required to have such a permit,
e) is qualified to work independently in the medical profession in the healthcare discipline he will provide as a health service, and he is a member of the chamber if membership in the chamber is a requirement for this profession, or he designates a professional representative,
f) is authorized to use a healthcare facility for providing health services if he meets the requirements for technical and material equipment,
g) the requirements for staffing in the provision of health services are met,
h) The State Institute for Drug Control issued a favourable opinion in accordance with the Act 15 paragraph 2, if it concerns the provision of pharmaceutical care,
i) The State Office for Nuclear Safety has issued a license for activities under the Atomic Act if medical instruments used for exposure purposes are to be used in the provision of health services,
j) The Public Health Authority has approved the rules of operation of the healthcare facility in accordance with law on protecting public health,
k) The Ministry of Health (hereinafter “Ministry”) has approved the provision of curative and rehabilitative spa care if it concerns the provision of this care,
l) None of the obstacles to authorization referred to in the Art. 17 exist.

2. A natural person who will provide health services only in a healthcare facility operated by another provider shall be granted authorization to provide health services on the basis of a written application if

a) he is qualified to work independently in the medical profession in the healthcare discipline he will provide as a health service, and he is a member of the chamber if membership in the chamber is a requirement for this profession, or he meets the conditions referred to in paragraph 1, letter a) to d) and I),
b) he is authorized to use a healthcare facility used by another provider for providing health services if he meets the requirements for technical and material equipment,
c) the conditions referred to in paragraph 1, letter g) to k) are met.

The authorization referred to in the first sentence cannot be granted for providing health care in general practice, in general practice for children and adolescents, in dentistry and gynaecology and obstetrics, if it concerns the activities of the registered provider.

3. A legal person is granted authorization to provide health services on the basis of a written application if

a) the statutory body of the legal person or its members, or supervisors of state administrative units or the administrative units of local authorities if the provision of health services are to be provided by these units, are of good character.
b) a professional representative has been appointed who meets the conditions referred to in the Art. 14 paragraph 1 to 3,
c) the conditions referred to in paragraph 1, letter f) to k) are met.
d) None of the obstacles to authorization referred to in the Art. 17 letter b) to e) exist.
e) It was founded by the regional authority as a subsidiary organization under the Emergency Medical Services Act and is authorized to use the national emergency hotline 155, if it concerns the provision of emergency medical services.

4. The authorization to provide medical services cannot be transferred or passed on to another person. Another person may provide health services using the authorization only if he continues in the provision of health services under the Art. 27 of the Act.

The application for granting authorization to provide health services

The application requirements for granting authorization to provide health services is set out in the Art. 18 of the Act. The applicant can be a natural or legal person (hereinafter “provider”). A natural or legal person who has full legal capacity, good character and the professional qualifications appropriate to the type and extent of the health care provided can apply for authorization to provide health services. If the provider is a legal or natural person who does not have the professional qualifications appropriate to the type and extent of the health care provided by the provider, he is obliged to appoint a professional representative who must meet the requirements of full legal capacity, good character and professional qualifications appropriate to the type and extent of the health care provided by the provider under the Art. 14 of the Health Services Act. The grant of authorization for the provision of health services may be requested in person, by mail or data box under the Art. 18 of the Health Services Act.

The application for the grant of authorization to provide health services may be submitted at the appropriate regional authority in accordance with the place where the provision is to be made or at Prague City Hall. The necessary forms can be found on their website, where the application forms are available for download.

For the application, it shall be necessary to provide:

  • Proof of qualifications to work independently in the medical profession;
  • Proof of education;
  • Proof of medical fitness to practice in the profession (medical report);
  • Proof of good character (in certain cases, the regional authority itself shall take care of this; for foreigners, however, it is necessary to obtain certain documents according to the law);
  • Operating Rules and the decision on approving the Operating Rules of a medical facility issued by the public health authorities;
  • Document that shows the applicant has permission to use the premises for the provision of health services;
  • Statement that the medical facility is technically and materially equipped for providing health services;
  • List of healthcare workers and other professionals who will perform in the medical profession in an employment or similar relationship to the applicant in the scope of the requirements for minimum staffing of health services. Documents concerning staffing (proof of education, etc.) do not need to be submitted to the regional authority, but documentation on the available staff is desirable.

Related information:

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