The cross-border region is not prepared for the challenges ahead in terms of medical facilities: ageing of the population, cancer, diseases, etc. Nevertheless, the area has excellent hospitals that can represent asupplementary high-quality medical offer and constitute a dynamic network.Through this project, the partners want to buy a PET scan for the cross-border area, and to this end, undertake the necessary steps to obtain an authorisation and adequate financing. In addition, they complementeach other in patient follow-up and rehabilitation care. Finally, they strengthen cooperation between hospitals by implementing a common cross-border emergency management: they create a cross-borderhealthcare catchment area and share hospital resources. Achievements: All the necessary preliminary studieson the feasibility of a cross-border PET scan in the Dunkerque hospital have been carried out.A medical emergency drill took place in Flanders at the Plopsaland amusement park.The number of nurse internships corresponds with the original project provisions. These internships helped to convince nursing students to do a professional internship in Flanders.181 language courses were followed in French and Dutch. These training courses were developed for medical and administrative staff and for the project partners.Many meetings were held to define the medical project in the border area and to determinethe requirements which an organised area of cross-border healthcare access shouldfulfil. The establishment of the ZOAST should be possible in 2013.