European Hospital & Healthcare Employers’ Association

10-year anniversary of the EPSU-HOSPEEM Code of Conduct on Ethical Cross-Border Recruitment and Retention

MEDIA RELEASE

In their first Working Group meeting of the European Social Dialogue in the Hospital Sector, on 04 April 2018 HOSPEEM and EPSU looked back to the signing of the EPSU-HOSPEEM Code of Conduct on Ethical Cross-Border Recruitment and Retention on 8 April 2008 and renewed their commitment to promote, guarantee and defend decent recruitment and working conditions for migrant workers, from the EU and from outside the EU, in hospitals and healthcare facilities across Europe. 

HOSPEEM and EPSU issued a Joint Media Release on the 10 years anniversary of the Code of Conduct. It represents an important instrument to support the free movement of workers across the European Union while preventing unethical competition between the Member States and employers in terms of cross-country recruitment process, fair and transparent contracting and the induction of migrant workers at the new workplace. This also holds for their equal and non-discriminatory treatment regarding labour law, social protection provisions and the access to training and career progression and the freedom of association.  

The EPSU-HOSPEEM Code of Conduct on Ethical Cross-Border Recruitment and Retention was inspired by social partner-based or/and public policy tools already in use in different European Union Member States. At international level, the World Health Organisation (WHO) on 21 May 2010 adopted and set into practice the WHO Global Code of Practice on the International Recruitment of Health Personnel. The Global Code, non-binding in nature, addresses a number of similar issues already covered with in the EPSU-HOSPEEM Code of Conduct. 

In the meeting on 4 April 2018, HOSPEEM and EPSU members reiterated their commitment to the 12 key principles of their 2008 Code of Conduct and to the promotion of ethical recruitment and retention practices at European, national, regional and local level in the upcoming years, both in their own work and in the broader context of the European Pillar of Social Rights. 

Tjitte Alkema, Secretary General of HOSPEEM reflected on the impact of the Code of Conduct: “10 years ago, our Code of Conduct was an inspiration for the work of the World Health Organisation. Nowadays, given the migration flows to and within the European Member States, it is still very relevant. 

EPSU General Secretary Jan Willem Goudriaan welcomed the constructive dialogue there has been with the European employers since the Code of Conduct. “We sought to ensure decent working conditions for all, to prevent the exploitation of migrant workers and to make sure public health systems are not undermined by unfair recruitment practices. Our Code was and is a significant contribution to achieve sustainable quality care for all.”  

At the meeting on 4 April 2018, several HOSPEEM members and EPSU affiliates commented on the use and positive effects of the EPSU-HOSPEEM Code of Conduct on Ethical Cross-Border Recruitment and Retention. They also referred to different models of how the 12 principles of the Code of Conduct have been incorporated in their national contexts, either into legislation, by means of collective agreements and/or by using enterprise-based agreements. 

Kate Ling, NHS Confederation, United Kingdom, gave an overview on the use by the employers in the NHS and about the effects of the Code of Conduct in the United Kingdom, showcasing some good practice examples: “NHS organisations should only use recruitment agencies that comply with the Code, which includes guarantees to give overseas recruits good induction, training and employment protection. A key tenet of the UK Code is that recruitment of staff from abroad should not damage healthcare systems in developing countries.  Active recruitment from developing countries shouldn’t take place unless there is a government-to-government agreement. For example, the UK and India have a scheme called Earn Learn and Return where staff from India can come to the UK to fill shortages in specialist areas, and in return they get the opportunity to gain specialist expertise and develop skills that they can then take back with them after they leave the UK to improve healthcare in India. So, both countries benefit.” 

Tjitte Alkema wrapped up the Working Group meeting, reflecting on the freedom of movement of persons in the European Union and the respective aim of the Code of Conduct: “We are in the European Union: one of the fundamental rights is the freedom of movement of people within the European Union. Our Code of Conduct is trying to establish a fair system of mobility in which people are not exploited and countries are not suffering from the mobility of workers. The Code of Conduct is however only as strong as the partners that support it. It only works if we also identify incorrect application, put them on the table and make them transparent. The WHO Code and the Code of Conduct of the Social Partners are complementary in the European setting.”

PDF - 304.4 koMedia release

HOSPEEM has also published an article on the event and the 10-year anniversary celebration.

HOSPEEM Activity Report 2017

The HOSPEEM Activity Report 2017 is published. This activity report presents basic information on the history of HOSPEEM, on the membership structure as well as on the main activities carried out during the year.

2017 has been a productive year with a number of achievements: the start of the new joint HOSPEEM-EPSU project on effective recruitment and retention policies including the June conference “Working together, learning together – Switching to the learning mode”, the start of the HOSPEEM-EPSU new work programme 2017-2019 for the European social dialogue, the high-level metings with European Commissioner Vytenis Andriukaitis and the Bulgarian Minister of Health Prof. Nikolai Petrov, the joint HOSPEEM-HOPE workshop “AMR and workplace learning – The case for a multi-professional approach in hospitals” at the European Parliament.

PDF - 304.4 koDownload the report

 

HOSPEEM-EPSU project – Media release: Social Partners’ Conference on Continuing Professional Development

                                                        

 Social Partners’ Conference on Continuing Professional Development

“Working together, learning together – Switching to the learning mode”

MEDIA RELEASE

On 19 and 20 June 2017, HOSPEEM and EPSU – with the support of the Dutch HOSPEEM member Nederlandse Vereniging van Ziekenhuizen (NVZ) – organised the conference “Working together, learning together – Switching to the learning mode” in Amsterdam to pursue and deepen their thematic focus on Continuing Professional Development (CPD) and Life-Long Learning (LLL).

The event built on the HOSPEEM-EPSU Joint Declaration on Continuing Professional Development and Life-Long Learning for All Health Workers in the EU adopted in November 2016. In this document the sectoral social partners in the hospital and health care sector recognise CPD as paramount for the maintenance and improvement of the quality of care and patient safety. Access to CPD and career options are presented as supportive of effective recruitment and retention policies. The joint declaration highlights that CPD and LLL initiatives should be considered as a long-term investment in the (productivity of the) health workforce and not as a cost factor. Social partners have a major role to play when it comes to CPD, in partnership with competent authorities and other relevant stakeholders. The declaration also states that undertaking CPD is a shared responsibility of employers and workers and depends to a large extent on the intrinsic motivation of employees to invest in their own development. HOSPEEM and EPSU finally recall the importance of taking local specificities into consideration and respecting the different national legal and regulatory frameworks when designing CPD systems.

The conference provided a forum for exchange and debate on a number of social partner-based initiatives presented by representatives of HOSPEEM members and EPSU affiliates from Belgium, Denmark, Finland, France, Germany, The Netherlands, Sweden and the United Kingdom and on the key role played by social partners in this field. It offered the opportunity to learn more about supportive regulatory frameworks for CPD and about policy measures aimed at facilitating access to CPD, updating or upgrading qualifications, skills, competence and professional practice, the provision of quality services by a hospital/health care workforce fit for practice and at a high level of patient safety. In addition, several researchers shared their insights and experiences during the plenary sessions or during one of the four thematic break-out sessions organised. Balazs Lengyel of DG SANTE presented the main insights and selected conclusions and recommendations from the study “Mapping CPD and LLL for health professionals in the EU” – focusing on nurses, midwifes, doctors, dentists and pharmacists – issued in 2015 and commissioned by the European Commission.

A range of aspects related to CPD was covered by the presentations and discussions at the HOSPEEM-EPSU conference. These include: How to ensure sustainable models of financing of CPD for all types of health workers? How to best make CPD available for all health workers in an equal manner across all age groups, occupational groups, working patterns and all types of contracts? What can social partners at the different levels do to give better access to groups often under-represented in CPD and LLL, such as health workers aged 45+, part-time workers or workers with lower formal qualifications (mainly health care support staff)? Which models of CPD to use to support increasing demands of working in teams bringing together different health professions? How to best organise CPD on the backdrop of an increasing digitalisation of health care services (e-health; m-health; telemedicine)? How to build CPD as a key element into team and personal development planning and organisational development strategies? How to develop a partnership approach in designing, organising, implementing and assessing CPD policies and tools at national, sectoral and enterprise level?

Looking at the health professions, a particular focus was given to nurses, health care support staff and doctors. This was also underpinned by four short testimonial videos of Dutch nurses produced by NVZ about how they have benefited from CPD in their professional career and various work contexts so far and which expectations they have as to the organisation of CPD in the future.

The conference was opened by a group interview involving Bas van den Dungen, representative of the Dutch Ministry of Health, Elise Merlijn, FNV, The Netherlands, representing EPSU, and Kate Ling, NHS, United Kingdom, representing HOSPEEM. The social partner representatives highlighted some of the trade unions’ and employers’ priorities in the field of CPD and LLL, the key opportunities and problems to be addressed. The participants watched a video message by Commissioner Andriukaitis in which he expressed his support for the Joint HOSPEEM-EPSU Declaration on CPD and LLL for all Health Workers in the EU and for the ongoing work of the sectoral social partners in the hospital sector in the field of CPD.

During the conference, participants were asked to write down and share the most relevant “take home messages” to them. This input as well as visuals of a graphic recorder were used by the chairpersons and the moderator of the closing panel, Nico Knibbe, LOCOmotion, The Netherlands. Wrapping up the conference, Sabine Scheer, NVZ, The Netherlands, representing HOSPEEM, Kirsi Sillanpää, Tehy, Finland, representing EPSU, and Alice Casagrande, FEHAP, France, pointed to their key “learning experiences” during the conference and highlighted the take home messages they consider most relevant.

This conference was a key step for the sectoral social partners in the hospital and health care sector, HOSPEEM and EPSU, in identifying successful approaches, instruments and formats of CPD, both from the management and workers’ perspective. It brought together more than 100 participants from 18 EU Member States and 4 non-EU countries, including 35 participants from the Netherlands. The event was organised in the framework of the HOSPEEM-EPSU EU-funded project “Promoting effective recruitment and retention policies for health workers in the EU by ensuring access to CPD and healthy and safe workplaces supportive of patient safety and quality care” (2017-2018) and a contribution of the hospital and healthcare sector social partners to the 2016-2017 EU-OSHA Campaign ”Healthy Workplaces For All Ages”.

EPSU’s and HOSPEEM’s work on this issue will continue in 2017 and 2018. A report on the conference, also containing the key take-home messages, will be published by the end of 2017. It will be disseminated at national and at EU level and will feed into the future work of the Sectoral Social Dialogue Committee for the Hospital Sector on CPD.

Amsterdam/Brussels, 23 June 2017

PDF - 304.4 ko Media release

Contact:

HOSPEEM: Emilie Sourdoire, Policy Officer, e.sourdoire@hospeem.eu, +32/2/2292158

EPSU: Mathias Maucher, Policy Officer “Health & Social Services”, mmaucher@epsu.org, +32/2/2501093


HOSPEEM-EPSU Joint Work Programme 2017-2019 for the European Sectoral Social Dialogue in the Hospital Sector

At the first meeting of the Sectoral Social Dialogue Committee for the Hospital Sector (SSDC-HS) in 2017, HOSPEEM and EPSU reached a final agreement of the Joint Work-Programme 2017-2019. It is structured around four major thematic priorities, i.e. recruitment and retention of health workforce, Continuing Professional Development and Life-Long Learning, Occupational Health and Safety and well-being, and Health care policy. Each sub-theme is presented with specific objectives, deliverables and a timeline.

PDF - 304.4 koDownload the Joint Work Programme – EN

 

HOSPEEM-EPSU Project 2017-2018 on effective recruitment and retention policies

               

In 2017-2018 HOSPEEM and EPSU have been provided with financial support from the European Commission for a joint project in the field of recruitment and retention entitled: Promoting effective recruitment and retention policies for health workers in the EU by ensuring access to CPD and healthy and safe workplaces supportive of patient safety and quality care(01.02.2017-01-01-2019).

Objectives 

The project will provide an appropriate framework to continue to focus on continuing professional development (CPD) as a first joint policy priority for HOSPEEM and EPSU. The work will serve to collect, discuss and evaluate social partner-based initiatives and policy measures on a range of aspects linked to the aim of facilitating access to CPD and guaranteeing quality services supportive of patient safety and provided by a workforce fit for practice. It will build on the HOSPEEM-EPSU Joint Declaration on Continuing Professional Development and Life-Long Learning for All Health Workers in the EU.

The project will secondly be geared towards the follow-up to results and recommendations of the HOSPEEM-EPSU joint project (2014-2016) in the field of occupational safety and health (OSH). The prevention, management and reduction of “musculoskeletal disorders” (MSD) and “psychosocial risks and stress at work” (PSRS@W) have been identified by HOSPEEM and EPSU members as two key priorities for their future joint work. In June 2016 they agreed on a “Summary Document” – available in EN, FR, DE, ES, RU and SV, setting out a number of follow-up activities to support policy implementation EPSU and HOSPEEM have agreed to consider in a next step

PDF - 304.4 ko Download project detailed description

 Timeline:

Expected results

The project will produce a report from each conference and a brief document summarising the main insight, conclusions and recommendations of the project. The information collected, the project results and recommendations will be fed back into the regular work of the Sectoral Social Dialogue Committee for the hospital/health care sector (SSDC HS) to be further discussed and assessed, in particular in view of their use to influence EU-level policy making. 

Implementation

Conference on Continuing Professional Development, 19-20 June 2017

This first conference took place on 19-20 June 2017 in Amsterdam (co-organised by NVZ and Dutch partners, supported by HOSPEEM).

Conference on Occupational Health and Safety (Musculoskeletal Disorders and Psychosocial Risks and Stress at work), 23-24 May 2018

This second conference took place in Vilnius on 23-24 May 2018 (co-organised by LSADPS and supported by EPSU).

Dissemination

Social partners’ dissemination workshop on OSH and CPD, 3 December 2018

This dissemination workshop will take place in Brussels on 3 December 2018 (organised by HOSPEEM and EPSU, hosted by MEP Jana Žitňanská, ECR, Slovakia and MEP Brando Benifei, S&D, Italy).

EPSU also has set up a page with project-related information.

 
This project has received funding from the European Commission

Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector: Main activities and outcomes in 2014-2015

In this document you can find the highlights of the work of the HOSPEEM-EPSU Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector.

In 2014-2015 the Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector dealt with a range of topics, carried out project-related activities and agreed on several documents.

 Download the document:

EN

FR

DE

ES

IT

EC study on Recruitment and Retention of Health Workforce in Europe

On 6 July, the European Commission published the final report of the study of DG SANTE on recruitment and retention of health workforce in Europe. HOSPEEM and EPSU provided a social partner-based input into the study. It identifies and analyses effective strategies for recruiting and retaining health professionals and aims to serve as a source of inspiration for the development of organisational strategies and human resources policies in Europe. Read the full study.

HOSPEEM-EPSU Framework of Actions “Recruitment and retention”

Staff recruitment and retention are key issues in hospitals and healthcare. For this reason, HOSPEEM and EPSU, the EU-level social partners in the healthcare sector agreed, on 17 December 2010, a framework of actions (read press release). This agreement constitutes an important basis for social partners at European and national level to develop concrete action to tackle staff shortages and qualification needs now and in the future.

The key topics of the framework of actions are:

  • supporting the recruitment and retention of workers;
  • improving work organisation;
  • developing and implementing workforce-planning mechanisms;
  • encouraging diversity and gender equality in the health workforce;
  • promoting initial training, lifelong learning and continuous professional development;
  • achieving the safest possible working environment.

For each topic, the framework sets out a number of principles and aims along with actions to be taken by the sectoral social partners.
Download the framework of actions: ENFRDE, ES, SV, BG, CZ, FIN, IT, PL

Follow-up (as of October 2014):
In their framework of action, HOSPEEM members and EPSU affiliates committed to implement initiatives and measures aimed at recruiting and retaining staff along the lines of the priorities set out in the agreement.
On 25 June and 1 October 2014, on the occasion of the second and third working group meeting of the Sectoral Social Dialogue Committee of 2014, several presentations were given about the actions taken by social partners in the following countries:

Mechanisms to access the labour market: jobs for the future and generation contract (Les dispositifs d’insertion: les emplois d’avenir et le contrat de génération), Olga Ville and Sylvie Amzaleg FEHAP / HOSPEEM France, 1 October 2014
The response of NHS Employers to current retention challenges faced by NHS England, Steven Weeks, NHS Employers / HOSPEEM UK, 1 October 2014
The recent challenges for the recruitment and retention of workers in the hospital sector in Italy and the response of the Italian government, Marta Branca and Elvira Gentile, ARAN / HOSPEEM Italy, 1 October 2014
Challenges in the leadership in health and social sector, Kirsi Sillanpää, Tehy / EPSU Finland, 1 October 2014
Austrian joint contribution on follow-up to HOSPEEM-EPSU Framework of Actions, Ulrike Neuhauser, KAV / HOSPEEM Austria, Karl Preterebner and Willibald Steinkellner, GdG-KMSfB and Vida / EPSU Austria, 1 October 2014
Continuous Professional Development (CPD) for nurses and midwives in Cyprus, Zoyia Antoniou, PASYDY / EPSU Cyprus, 25 June, 2014

HOSPEEM and EPSU will also produce a report collating case studies from their own members.
The examples of existing/good practice will refer to strategies and measures agreed and implemented by the social partners themselves (also by means of collective agreements) or involving them (also including material developed by national affiliates/members for the use of their own members), and also legislation and government policies carried out in cooperation with social partners.

Further material and information provided by HOSPEEM member:

NHS:

Recruitment of young people via employment programmes
Retaining staff through good employment practices
Apprenticeship and traineeship programmes
Ageing workforce
“Nurse Back to Practice” programme
Social partnership forum
(Data on trends staff numbers in the NHS can be found via the Health and Social Care Information Centre monthly statistics)

CLAE:
Longer careers with the job life cycle model – guide to designing an age plan

 

 

HOSPEEM-EPSU Joint Work Programme 2014-2016 for the European Sectoral Social Dialogue in the Hospital Sector

At the last meeting of the Sectoral Social Dialogue Committee for the Hospital Sector in 2014, HOSPEEM and EPSU reached a final agreement of the Joint Work-Programme 2014-2016. The two broad thematic priorities that will lead the joint work of HOSPEEM and EPSU in the three years to come are occupational health and safety, and recruitment and retention of healthcare workforce.

Each theme is developed into specific objectives with clear deliverables and timeline. The planned activities and projects laid down in this document are also guided by transversal priorities agreed by HOSPEEM and EPSU so far. The final version of the HOSPEEM-EPSU Joint Work Programme 2014-2016 is now available.

Download the document – EN
Download the document – FR
Download the document – DE
Download the document – ES
Download the document – SV

 

 

A new book sheds light on health professional mobility in a changing Europe

Published by the European Observatory on Health Systems and Policies this new book sheds light on health professional mobility in Europe. As health professional mobility is growing in importance, relevance and complexity, new insights and tools to understand it, measure it and manage it are needed. The aim of this 2nd volume is to provide just this by focusing on the changing dynamics, mobile individuals and diverse responses. The book’s 16 chapters are written to inform the ongoing policy processes and enrich debates between decision-makers and observers across countries, sectors and disciplines.

“Health professional mobility in a changing Europe. New dynamics, mobile individuals and diverse responses” PROMeTHEUS volume II – Edited by James Buchan, Matthias Wismar, Irene A. Glinos and Jeni Bremner, the European Observatory on Health Systems and Policies, 2014

To download the book for free click here