13Fourth, the derogation in Article 48(4) of the Treaty, according to which the provisions on freedom of movement for workers are not to apply to ‘employment in the public service’, concerns only access for nationals of other Member States to certain posts in the civil service (Case C-248/96 Grahame and Hollanders [1997] ECR I-6407, paragraph 32). It does not concern the activities of a specialist doctor, which do not involve direct or indirect participation in the exercise of powers conferred by public law and duties designed to safeguard the general interests of the State or of public authorities (see, in that regard, Case 149/79 Commission v Belgium [1980] ECR 3881, paragraph 10).
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