Transcript Action Plan for the EU health workforce

Future health care needs
and the challenges for
nurses
24 September 2014
Leon van Berkel
European Commission
Health and Consumers Directorate-General
Healthcare Systems Unit
Health and
Consumers
Overview
 What are the trends?
 What can the EU do?
 Limited legislation
 Action Plan for the EU Health Workforce
Health and
Consumers
WHAT ARE THE TRENDS?
Health and
Consumers
3
Employment in Health & Care Sector
 18 million jobs or 8,4 % of all jobs in the EU
 Key driver for jobs in medium to long term
Healthcare as % of total
employment
Employment in all other
sectors
8.6%
204,000
8.4%
202,000
8.2%
200,000
8.0%
198,000
7.8%
196,000
7.6%
194,000
7.4%
192,000
2008
2009
2010
2011
2012
2013
2008
% of total employment
2009
2010
2011
all other sectors
Health and
Consumers
2012
2013
Main Drivers
Problems to be tackled
Underlying issues
Ageing population and
workforce
Increasing demand for health
workers
Rise of chronic diseases and comorbidities
Change in models of care
delivery (less hospital-centric,
more community/primary care)
Mobility of Health Workers
Unequal distribution
Limited data
Pressure on policy maker
Increasing need for better
workforce planning
Health and
Consumers
WHAT CAN THE EU DO?
Health and
Consumers
6
What can the EU do?
• EU Treaty – Public Health- Art 168
 No Direct legislation on health systems
of Member States.
 But, indirect legislation related to health
workforce:
•
•
Directive on Professional Qualifications
Working Time Directive
Health and
Consumers
What can the EU do?
 Promote European cooperation
 Exchange of best practice
 Support European networks
 Promote European research
 Europe 2020
 Fiscal Consolidation
 Investment for growth
Health and
Consumers
Investing a way out of the crisis
Fiscal Consolidation
Investment for growth
Cross-border directive
European Semester
Action plan on health workforce
Economic adjustment programmes
'Investing in health'
Reflection process on health systems
Health and
Consumers
Action Plan
1. Improve
Workforce planning
Joint Action on Health Workforce Planning and
Forecasting
CPD-study
2. Anticipate Skills
Needs
Sector Skills Alliance on Elderly Care
Pilot Network of Nurse Educators on Healthcare
Assistants (HCA)
3. Recruitment and
Retention
Recruitment and Retention study, mapping of best
practices
4. International
Ethical Recruitment
WHO-code
Health and
Consumers
Action Plan
Joint Action on Health Workforce
Planning and Forecasting:
• Start 11 April 2013
• 6 Million Euro
• 28 countries
• 30 associated and 45
collaborative partners
• End in 2016
1. Improve
Workforce planning
2. Anticipate Skills
Needs
3. Recruitment and
Retention
5
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•
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4. International
Ethical Recruitment
Health and
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professions:
Nurses
Midwives
Doctors
Dentists
Pharmacists
Specific goals:
1) Increased capacity in planning and forecasting by
adopting fit-for-purpose models
2) Identifying Minimum data set for planning and
forecasting models
3) Increased capacity in data collection and analysis
4) Improvements in the field of data understanding
5) Improved use of these models and data resulting in
more evidence based health workforce planning
6) Supported the implementation of WHO Code of
Practice
Health and
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Action Plan
A) Pilot Network of Nurse
Educators (July 2014):
• Demand of Health care
assistants (HCAs) will
increase  more efforts are
needed to invest in their
competences.
1. Improve
Workforce planning
2. Anticipate Skills
Needs
3. Recruitment and
Retention
•
Also recommends setting up a
Common Training Framework
(CTF) for HCA
4. International
Ethical Recruitment
•
Follow up in Health Program
2014, feasibility study for a
CTF for HCA (18 months,
starting end of 2014)
Health and
Consumers
Action Plan
1. Improve
Workforce planning
B) Sector Skills Alliance in
Elderly Care
• 6 countries
2. Anticipate Skills
Needs
•
VET providers, healthcare
providers and policy makers
•
Developing a basic unit of
elderly care work (ECVET for
Elderly care)
•
Final conference on 3rd of
December 2014
3. Recruitment and
Retention
4. International
Ethical Recruitment
Health and
Consumers
Action Plan
1. Improve
Workforce planning
C) EU mapping study on CPD
• CPD systems vary across
professions and countries
2. Anticipate Skills
Needs
•
Almost all countries have a
registration/licensing
requirements for nurses
3. Recruitment and
Retention
•
24 out of 31 European
countries have a mandatory
CPD for nurses
4. International
Ethical Recruitment
•
Importance of CPD for patient
safety
•
Final report will be finished in
November
Health and
Consumers
Action Plan
Mapping study of innovative and
effective recruitment and
retention strategies in the EU:
• > 250 strategies been
identified across Europe,
Australia, Brazil and South
Africa
1. Improve
Workforce planning
2. Anticipate Skills
Needs
3. Recruitment and
Retention
4. International
Ethical Recruitment
Health and
Consumers
•
8 case studies for more in
depth research
•
Results will be presented in
spring 2015
Action Plan
1. Improve
Workforce planning
WHO Global Code of Practice on
International Recruitment of
health professionals:
2. Anticipate Skills
Needs
Data availability on the mobility
and migration of health
professionals:
• The Joint Action will come
with recommendations to
overcome data gaps
3. Recruitment and
Retention
4. International
Ethical Recruitment
Health and
Consumers
Conclusion
Action Plan for EU health workforce
European networks and research to assist EU
member states to share good practice:
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

health workforce planning/forecasting
better anticipation of skills needs
recruitment and retention
continuous professional development
international recruitment of health professionals
Health and
Consumers
For further information
http://ec.europa.eu/health/workforce/policy/index_en.htm
Health and
Consumers