🤝 MSP and CPTS: who carries out, who coordinates, who finances? AVECsanté provides guidelines and two tool sheets: express diagnosis and Who does what? . 🗺️ Eight regional examples describe role distributions: ICOPE, childhood obesity, chronic pain, ETP, TND, Health Cafés, welcome booklet
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1️⃣ SUMMARY
The coexistence of multiple coordination mechanisms can raise questions about the role, scope and responsibilities of each (p. 4). The guide distinguishes two scales: the MSP, a care delivery structure operating at the level of a patient population, and the CPTS, an organisation facilitating the work of providers at the level of the population of a territory, according to the principle of subsidiarity (p. 5, 11). It addresses the governance of CPTS (p. 13), the complementarity of coordinations (p. 14) and the dialogue between health projects in terms of prevention (p. 17-18). It presents two tool sheets (p. 10, 15-16), the viewpoints of the presidents of France Assos Santé and the Federation of CPTS (p. 12, 19) and eight regional summary sheets (p. 20-35). It is informed by interviews with regional actors working in MSP and CPTS (p. 5).
2️⃣ WHAT TO REMEMBER
1️⃣ Two distinct roles. According to the guide, the MSP is a structure for delivering care; the CPTS is not intended to be, nor to employ a healthcare professional for the provision of care or prevention services (p. 8). Clear and non-competitive funding is among the conditions for collaboration (p. 5).
2️⃣ The role of MSP in governance. Three configurations of CPTS statuses are described, including one where MSP can join as legal entities (p. 13). For AVECsanté, it seems necessary for MSP to be able to integrate into the governance of CPTS (p. 13). Example: weighted votes at the CPTS of Bièvre (p. 13, 29).
3️⃣ Prevention, an area of overlap. Shared area between MSP and CPTS, prevention faces a risk of overlap to anticipate: similar actions, repeated solicitation of the same professionals, reduced clarity for users (p. 17). The guide deems it necessary to strengthen the resources dedicated to prevention within MSP (p. 18).
3️⃣ TO ACT
1️⃣ Existing tool cited — Express diagnosis MSP-CPTS (p. 10). Nine statements to check Yes / Partially / No, ideally in collectively, with several team members and/or the coordinator of the MSP. The guide then suggests choosing 1 or 2 subjects to work on as a priority, to be put on the agenda of a next MSP-CPTS exchange (p. 10).
2️⃣ Existing tool cited — Grid “Who does what?” (p. 15-16). Ten questions to define roles before the launch of an action, or to clarify them when overlaps appear, starting from the need to be resolved and not from the available devices or funding (p. 15). An example provided concerns chronic pain (p. 16).
3️⃣ Existing tool cited — “When it gets stuck?” (p. 18). Five questions to put the need back at the centre in case of disagreement between MSP and CPTS. If dialogue is not enough, the regional federation AVECsanté can support MSP teams (p. 18). Contact details for regional federations: p. 37-38.
4️⃣ 3 PRACTICAL QUESTIONS
1️⃣ Can a CPTS pay professionals to carry out prevention actions?
According to the guide, the CPTS facilitates preventive actions carried out by providers (communication, search for premises…) but is not intended to pay health professionals to carry them out (vaccination, preventive assessment, screening, ETP, workshops…) (p. 5, 17). Regional examples describe other funding by CPTS: equipment (p. 9, 21), training (p. 27, 29), transfer of a system and territorial animation (p. 25).
2️⃣ Does a CPTS need individual health data?
The guide indicates that the missions of the CPTS do not actually require the holding of individual health data (p. 7). Example: the CPTS Entre-deux-Mers collects the contact details of people looking for a general practitioner and deletes them once the user is directed (p. 7). The president of France Assos Santé expresses a different viewpoint: CPTS could, under certain conditions, become repositories of territorial health data (p. 12).
3️⃣ How can a MSP sit on the governance of a CPTS?
Three possibilities are described: statutes without colleges; colleges by sector without a college for coordinated practice; colleges for coordinated practice with MSP membership as legal entities, with a reflection to be made on the weighting of votes (p. 13). Examples vary: presidency necessarily coming from an MSP in Balagne (p. 21), no membership of MSP as legal entities in Douar Mor (p. 25), no representation of legal entities on the board of directors in Grand Lons (p. 35).
5️⃣ TO GO FURTHER
1️⃣ Blog Practices in Health —access and organisation of care - https://www.pratiquesensante.com/7-1-acces-et-organisation
2️⃣ Senate, Evaluation and Control Mission of Social Security — "Funding of CPTS: for a control in service of the actions of health professionals", information report by Corinne Imbert and Bernard Jomier, adopted on 15 October 2025 (summary). External source, complementary on the question of funding for CPTS; this is not a practical tool. Consulted on 19 October 2026.
https://www.senat.fr/rap/r25-032/r25-032-syn.pdf
6️⃣ #️⃣ HASHTAGS
#healthcarepractices #CoordinatedPractice #MSP #CPTS #PrimaryCare #HealthPrevention #HealthPathway #TerritorialCoordination
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