Cross-Border Healthcare in Europe: Promoting Equal Access to Quality Care Adapting Healthcare Workforce to an Evolving Labour Market Tjitte Alkema, Secretary General of HOSPEEM Brussels, 1 st July 2015
Hospital employers’ perspective on the Recognition of Professional Qualifications in the EU Positive achievements: • Automatic recognition of professional qualifications for the 5 main healthcare professions (doctors, nurses, midwives, dentists and pharmacists) • Internal Market Information System (IMI) • Many successful examples of targeted recruitment to fill shortages • Some success factors: preparation; help with relocation; housing; practicalities; good clinical induction; pastoral support and cultural/social integration. Pitfalls and issues of concern: • General system/compensation measures • Continuing competence/continuous professional development • Necessary employers ’ vigilance when checking fitness for purpose • Tension between freedom of movement and patient safety • Brain drain - Detrimental impact on health services in some exporting EU countries • Implementing acts 2
CPD for the Health Workforce: a key challenge Rapid developments in healthcare raise significant issues around training of healthcare staff Pyramid on CPD related topics Quality of care and Patient safety Continuous Professional Recognition of Professional Development and Life-Long Qualifications Learning Quality of care and patient safety are paramount 3
Work carried out by the European Sectoral Social Partners for the Hospital Sector on CPD & LLL Setting up of a joint HOSPEEM-EPSU Working Group on Continuous Professional Development and Life-Long Learning (CPD and LLL) • First meeting in March 2015, second meeting in June 2015 Expected deliverable: joint declaration on access to Life-Long Learning (LLL) and Continuous Professional Development (CPD) for all healthcare staff in the EU by the end of 2015 • Structure: statement of principles on CPD/LLL for health workers in the hospital sector, followed by examples of existing good practices • Joint declaration build around thematic areas identified as relevant for the social partners in the hospital sector • Focus on post graduate training Some core elements : • CPD/LLL not limited to the 5 automatically recognised health professions under Directive 2013/55/EU • Training available for everybody across the entire life course with a special focus on 45 + workforce • Equality of access • Mutual responsibility of the employer and the employee 4
The importance of Health Workforce Management and Planning Workforce planning mechanisms need to take into account present and future health care demand and respect ethical recruitment principles Participation of HOSPEEM in the EU Joint Action on Health Workforce planning and forecasting as collaborating partner – Active involvement in WP4 « Data for health workforce planning » Estimate future needs in terms of skills and competences Increase capacity in HWF planning and forecasting, data collection and analysis Share expertise and good practices ; Exchange knowledge 5
Recruitment and Retention of Health Workforce: a critical issue Adoption by HOSPEEM and EPSU of a Framework of Actions on Recruitment and Retention (FoA on R&R) on 17 December 2010 • Supports the recruitment and retention of workers in the hospital sector 5 thematic areas covered by the FoA on R&R: Improvement of work organization Development and implemention of workforce planning mechanisms Encouragement of diversity and gender equality Initial training, life-long learning and continuous professional development Achievement of the safest possible working environment Drafting by HOSPEEM and EPSU of a joint follow-up report to the Framework of Actions on R&R: • Collection of good practices and challenges faced • Synthesis report to be submitted to the European Commission • Provide a social partner-based input into the study of DG SANCO on Effective recruitment and retention strategies for EU health workers 6
Thank you for your attention! Tjitte Alkema : t.alkema@hospeem.eu Tel: +32 2 229 21 58 For more information: www.hospeem.org / hospeem@hospeem.eu 7
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