Cooperation protocols enable healthcare professionals to work together to meet patients\' needs. One of the challenges of these protocols is to offer a wider range of care by reducing the time taken to access care, while also optimising the patient\'s pathway. Four cooperation protocols have been validated for emergency services.

Transforming healthcare provision to better meet healthcare needs and ensure continuity of care requires the development of coordinated practice. Whether it\'s a multi-professional health center (MSP), a primary care team (ESP), a territorial professional health community (CPTS) or a health center (CDS), whatever the way it\'s organized, this type of practice enables the coordination of the various professionals involved in primary care.

To meet the care needs of heart failure patients, a nationwide cooperation protocol has been developed. This heart failure cooperation protocol (PCIC) enables nurses to acquire new skills by delegating medical acts.

The prevalence of management concerns in hospitals and a highly normative conception of health care are converging today in a standardization of care. The latter is undoubtedly at the root of the current malaise among caregivers. Indeed, the New Public Management approach is encouraging them, despite themselves, to carry out their missions to the detriment of the values of care. A more appropriate form of management would, on the contrary, be based on a continuity to be sought between care values and management values, around the notion of support. This would mean reinstating concern for interpersonal relationships at the heart of care management missions.

Since September 2021, at the Paris Psychiatry and Neurosciences University Hospital Group, an advanced practice nurse has been providing post-emergency consultations for people who were initially seen in the emergency department, for whom an indication for outpatient care was given and who had problems accessing care. Collaboration with the nursing team is an important element not to be neglected in the implementation of this new profession.

The patient partnership is a new approach in which the patient, through his knowledge acquired from his experience with the disease, is a stakeholder in decisions about care, the organization of the health system and choices in terms of health policy. A team from the Blois hospital (41) was able to share the experience of a patient partnership during the analysis of a complex medical situation with a young man with sickle cell disease in a vaso-occlusive crisis. She reports here this new and enriching experience.

The permanent increase in the need for care and in the number of patients means that many general practitioners no longer have the time to accompany patients in need of therapeutic education. This is why the Asalée cooperation protocol has been developed in medical practices or health centres with nurses dedicated to this support. In addition to nursing skills in therapeutic education, the proper functioning of the protocol is based on the quality of the doctor-nurse pairing.

In a context of tense bed management in hospitals, the implementation of cooperation protocols between hospital services and home care providers has become necessary in recent years. The Albi hospital in the Tarn region has set itself the objective of developing care pathways in conjunction with the city in order to better structure the supply of care in the region and also to encourage exchanges between healthcare professionals. The \"Vidaza (Azacitidine®) cooperation protocol for day hospital - home hospitalization\" illustrates this approach in the field of oncology.

The cooperation protocol system allows healthcare professionals to engage in a cooperative approach to better meet patients\' needs. The aim of these protocols is to offer a wider range of care by reducing access times and optimizing the patient\'s care pathway. Here is an example of an innovative approach taken in this context within a hospital rhythmology unit.

The Cosi home nursing service (Ssiad), created in 2000, is committed to working in partnership, considering that cooperation and good coordination are at the origin of a sustainable and quality home care. With this in mind, the directors of Ssiad took over the management of a home assistance and support service in 2011 in order to offer personal assistance and care, and thus to provide comprehensive care. Now a multi-purpose home help and care service, Cosi continues to evolve to best meet the needs of users.