Nurses and other medical auxiliaries in Monaco will be able to take on an expanded range of responsibilities under new rules designed to allow greater cooperation between healthcare professionals…
The change appears in the latest Journal de Monaco, published on September 25, through Ministerial Order No. 2026-523. It modifies Monaco’s existing regulations governing which professional acts can be carried out by medical auxiliaries.
A significant element is the introduction of formal cooperation protocols within healthcare establishments, allowing certain tasks or medical acts normally performed by doctors to be delegated to appropriately qualified healthcare professionals.
Nurses will not be expected to step into a doctor’s role generally, with the expanded responsibilities applying only to specific tasks covered by an agreed cooperation protocol. Each protocol must operate within a defined framework, with medical validation, appropriate training and oversight intended to ensure patient safety. Patients must also be informed when they are being treated under such an arrangement.
The protocols will be monitored and evaluated, allowing them to be modified or suspended where necessary.
The reform could give healthcare teams greater flexibility in organising patient care whilst making better use of the skills of experienced nursing and other medical staff.
The new framework reflects a broader move towards closer cooperation between healthcare professions, but with doctors retaining responsibility for determining which activities can safely be delegated.
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