Technical Proposal for Healthcare & Medico-Social Public Contracts
The healthcare and medico-social sector generates a considerable volume of public contracts: nursing home management, medical supplies, hospital catering, biomedical equipment maintenance, healthcare environment cleaning and medico-social support services. These contracts require thorough knowledge of health regulations, HAS certification and specific care quality and safety requirements.
Regulatory Framework: ARS, HAS and Public Health Code
Healthcare contracts are governed by a dense regulatory framework that conditions market access and service quality.
ARS authorisations and CPOM
Every healthcare facility must hold an ARS (Regional Health Agency) authorisation. The CPOM (Multi-Year Objectives and Resources Contract) binds the facility to the ARS for 5 years with quality, activity and efficiency targets. The proposal must demonstrate understanding of these constraints. For outsourced services (catering, cleaning, maintenance), compliance with the facility's authorisation requirements is imperative.
HAS certification of healthcare facilities
HAS certification (V2024) is mandatory for all public and private healthcare facilities, evaluating care quality and safety. A service provider's proposal must show its contribution to certification criteria: intervention traceability, hygiene protocols, staff training and compliant document management.
Medico-social facilities: CASF and external evaluation
Nursing homes, specialised institutions and other medico-social structures fall under the CASF (Social Action and Families Code). External HAS evaluation is mandatory, covering user rights, support quality and risk management. The proposal must integrate understanding of these specificities: facility project, personalised care plan, dignity and abuse prevention.
Hygiene, Safety and Risk Management in Care Settings
The care environment imposes hygiene and safety requirements well above standard levels.
Hygiene protocols and infection prevention
The proposal must present care-adapted hygiene protocols: hand hygiene, bio-cleaning (differentiated zone 1-4 protocols), linen management (clean/dirty circuits), air quality control (NF S90-351 for operating theatres), water management (Legionella prevention). The facility's Operational Hygiene Team validates protocols — the provider must demonstrate coordination capability.
Clinical waste (DASRI) management
DASRI follow a regulated circuit: source separation, standardised packaging, storage (maximum duration by production), transport (ADR) and treatment. The proposal must detail the agreement with an approved contractor, waste tracking forms and complete traceability. DASRI non-compliance carries criminal liability.
Patient safety and adverse event management
Care safety culture requires a system for reporting and analysing serious adverse events. The proposal must present: proactive risk management (risk mapping, FMEA), reactive analysis (morbidity-mortality reviews), adverse event reporting system, and identity vigilance for providers in patient contact.
Care Quality and User Rights
User rights and support quality are central to medico-social facility evaluation.
Personalised care plan and dignity
Each resident must benefit from a personalised plan co-developed with them. The proposal must demonstrate how the provider contributes to quality of life: service adaptation to individual needs (dietary requirements, allergies, cultural preferences), respect for life rhythm, cognitive stimulation and autonomy maintenance.
Digital health: EHR, HDS and interoperability
Digital health transformation imposes specific requirements: health data hosting certification (HDS mandatory), system interoperability (HL7 FHIR), GDPR-compliant Electronic Health Records with access rights management. IT providers must demonstrate HDS-compliant infrastructure and data access traceability.
Staff training and CPD
Continuing Professional Development is mandatory for all health professionals. The proposal must present: staff training plan (emergency procedures, hygiene, dignity, fire safety), required qualifications, staffing ratios compliant with regulations and absence management policy. HR indicators are increasingly requested.
Frequently asked questions
Related guides
Ready to win more public contracts?
Join SMEs that respond 3x faster to public tenders.
Start for free →1 free project • No commitment • Setup in 2 minutes