HOSPEEM-EPSU response to road map consultation on Cross-border healthcare – evaluation of patients’ rights (Directive 2011/24) 

HOSPEEM and EPSU were active in the process leading to the establishment of the Directive 2011/24, which regulates parts of the fundamental cornerstones of Member States’ health systems, such as the capacity to plan for the current as well as future needs within their respective systems. Reiterating the main messages from our joint letter from 15 December 2010, we would like to take the opportunity to underline that the Directive should aim to contribute to the quality and accessibility of patients’ care. Equal access to health care is a fundamental human right, which must be facilitated – to the extent possible – in the proximity of patients’ living surroundings or directly at the patient’s home, including through the use of digital solutions.

 It is paramount to support Member States to strengthen their national health systems, address the existing challenges and identify opportunities to create resilient health systems to improve patients’ cross-border healthcare access: This includes investment in health workforce and healthcare infrastructure comprising investment in working conditions to address health workforce shortages and medical deserts, access to continued professional development and life-long learning, coherent occupational safety and health prevention practices and guidelines as well as to reinforce equality in the access to healthcare between Member States and within them, taking into account the concept of integrated care. 

Download the HOSPEEM-EPSU response to road map consultation on Cross-border healthcare – evaluation of patients’ rights (Directive 2011/24) 

Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector: Main activities and outcomes in 2020

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 2020 the Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector  dealt with a wide range of topics in the framework of the EPSU-HOSPEEM Joint Work Programme and carried out project-related activities.

Download the document

Input for new initiatives at EU, national, regional or local level in the frame of the Action Plan on the European Pillar of Social Rights

Brussels, 13 November 2020

The European Hospital and Healthcare Employers’ Association (HOSPEEM) welcomes the opportunity to provide input to the envisioned Action Plan on the European Pillar of Social Rights, in particular on Principle 8, which encourages the EU Member States to support the increased capacity of social partners to promote social dialogue.

Since HOSPEEM’s recognition as European sectoral social partner in 2006, we have been active in capacity building of national employers’ organisation in forms of EU-funded projects, focusing among others on East Central and Southern Europe, including accession countries [1],[2],[3] and by participating in the Eurofound research study on capacity building for effective social dialogue in the European Union. Besides HOSPEEM’s recruitment efforts, we met with former European Commissioner Marianne Thyssen’s cabinet staff, raising awareness and inquiring support from the European institutions. Likewise, we have sent meeting requests to various Permanent Representations to the EU to discuss this very topic.

As the recently published Eurofound representativeness study for the human health sector revealed, there are nine EU Member States[4] where employer organisations exist and active in collective bargaining but are not affiliated to HOSPEEM. As a direct consequence, those organisations and countries do not have the opportunity to represent their national interest and contribute to the agenda-setting and decision-making in the frame of the European Sectoral Social Dialogue Committees. Additionally, their voices are not being heard when, for example, European sectoral social partners close framework agreements which can be transposed in binding legislation across the EU (cf. Council Directive 2010/32/EU). The study also noted that there are seven EU Member States[5] where “there is no sectoral employer organisation”.

Whereas HOSPEEM sees Eurofound’s findings as an excellent opportunity to increase its membership and hence its representation at European level, we also believe that European institutions and Members States miss the opportunity to draw on the full potential of EU legislation, such as TFEU Art. 154, further strengthening the delivery of a strong social Europe for just transitions.

We are aware that the existence of autonomous employer organisations, with the mandate to negotiate collective bargaining at the national level, is still limited in various EU Member States among others due to historical and organisational national structures. We, therefore, welcome the European Commission Communication on the 2020 European Semester: Country-specific recommendations highlighting that “a well-functioning social dialogue is key to ensure that measures taken are successful, inclusive and sustainable” and that “in some Member States there is clearly room for a better functioning social dialogue”.

To echo the quadripartite statement on the Relaunch of Social Dialogue[6], HOSPEEM would like to stress that trust, formal and timely consultation with the social partners as well as support through robust EU-funding is a pre-requisite for a well-functioning social dialogue. Furthermore, the independence of social dialogue and social partners from the national government and political influence is essential, to fully representing the interest of workers and employers alike.

We, therefore, call upon the European Commission, in collaboration with EU Member States and consultation with European social partners to develop coherent structures and implement robust mechanisms as well as initiatives for:

  • the formation of employer organisations on a national level; and
  • encourage already established employer organisations to become actively involved in European sectoral social dialogue structures while respecting national specificities and autonomy.
[1] HOSPEEM (2008) HOSPEEM-EPSU Project on Strengthening social dialogue in the hospital sector in the new Member States and candidate countries https://hospeem.org/activities/projects/strengthening-social-dialogue-in-the-hospital-sector-in-the-new-member-states-and-candidate-countries/
[2] HOSPEEM (2011) HOSPEEM-EPSU Project on Strengthening social dialogue in the hospital sector in the Baltic countries https://hospeem.org/activities/projects/strengthening-social-dialogue-in-the-hospital-sector-in-the-baltic-countries/
[3] HOSPEEM (2019) HOSPEEM-EPSU Project on Strengthening social dialogue in the hospital sector https://hospeem.org/activities/hospeem-epsu-project-2019-2020-on-strengthening-social-dialogue-in-the-hospital-sector-in-the-east-south-and-central-europe/
[4] Austria, Bulgaria, Estonia, Luxembourg, Romania, Slovenia, Slovakia, Spain, and Portugal (The Bulgarian employers’ organisation left HOSPEEM in beginning of 2020 and the Belgian employers’ organisation joined HOSPEEM mid-2020.)
[5] Cyprus, Czech Republic, Greece, Croatia, Hungary, Malta, and Poland
[6] co-signed by the European Commission, the European Council, and the cross-sectoral social partners in June 2016

Download the HOSPEEM response to the EPSRS (Pdf)

EU-OSHA Campaign – Healthy Workplaces Lighten the Load

Brussels, 29 October 2020

The EU-level Sectoral Social Partners for the Hospital Sector (SSDC HS), the European Hospital and Healthcare Employers’ Association (HOSPEEM) and the European Federation of Public Service Unions (EPSU) became official campaign partner of the EU-OSHA Campaign 2020-2022 Healthy Workplaces Lighten the Load.

Marta Branca, Vice-Secretary General of HOSPEEM, said: “Sustainable participation of all health professionals is the most direct contribution to dealing with potential workforce-related issues. HOSPEEM will continue to promote the creation and maintenance of the safest possible workplaces and to promote active participation in continuing professional development (CPD) and life-long learning (LLL) for all health professionals. Ergonomic design is needed to improve healthcare facilities and to overcome the possible future decline in numbers of healthcare workers. I am convinced that our work and initiatives in the field of musculoskeletal disorders (MSD) and Occupational Safety and Health (OSH) in the framework of the EU SSDC HS will lead to safer and healthier workplaces across Europe.”

Jan-Willem Goudriaan, General Secretary of EPSU, stressed that “MSDs are by far the most common work-related health problem among European workers. The social and economic consequences of this are now becoming abundantly clear. Millions of workers are no longer able to do certain tasks or even have to stop work altogether before retirement age. EPSU is strongly convinced that the wellbeing at work is a fundamental right, and we are ready to cooperate with employers to ensure it.”

Recent European statistics underline the need to address prevention of MSD in the health sector: The 2019 European Survey of Enterprises on New and Emerging Risks showed that 59% establishments in the sector reported existing risk factors such as painful positions and 54% lifting or moving people or heavy loads. These findings are supported by results from the 6th European Working Conditions Survey, which highlighted that 47% of respondents working in the sector reported backache in the past 12 months.

To keep MSD high on the European and national agenda, coordinated responses from social partners are needed that are also in line with the European Pillar of Social Rights, the EU’s Framework Directive on OSH and the EU Strategic Framework on Health and Safety at Work.
Next to becoming official campaign partners, we set out to:
1.) Update the existing HOSPEEM-EPSU Framework of Actions on Recruitment and Retention (2010);
2.) Continue the discussion among European social partners to exchange good practices and strategies in the field of MSD;
3.) Continue to exchange on the relevance of the current regulatory framework on MSD at European level.

Throughout the years, HOSPEEM and EPSU have considered MSD of great importance in the health sector, e.g. by carrying out a project on MSDs and psycho-social risks and stress at work. The cooperation of employers and trade unions is fundamental in successfully managing and preventing MSDs.

Download our Press Release published on 12 October

Webinar on musculoskeletal disorders in the health sector, 25 February 2021

Joint Statement on the 10th anniversary of the Multi-sectoral guidelines to tackle third-party violence and harassment related to work

Brussels, 16 July 2020

A decade ago, the European Sectoral Social Partners, EPSU, UNI EUROPA, ETUCE, HOSPEEM, CEMR, EFEE, EuroCommerce, CoESS identified third-party violence and harassment at the workplace as one of the key health and safety challenges to face within the European Economic Area and signed the Multi-sectoral guidelines to tackle third-party violence (TPV) and harassment related to work. In 2018, EUPAE and TUNED joined these organisations in their work to tackle this pressing issue.

To this date, the Guidelines remain the only instrument signed by multiple European sectoral Social Dialogue Committees and are considered one of the significant achievements of the European Sectoral Social Dialogue.

Today, the Guidelines’ signatories reaffirm that their respective sectors continue to address third-party violence and all forms of harassment related to work, ensuring that, in the upcoming years, each workplace has a targeted results-oriented policy, also in the context of initiatives of the European Pillar of Social Rights.

Download the Joint statement

CPD and LLL: Material and guidance

This dedicated webpage presents documents (guidance, handbooks, training material, good practice etc…) collected by national social partners on Continuing Professional Development (CPD) and Life-Long-Learning (LLL). Please note that this is work in progress and only an indicative list which does not necessarily reflect the latest documentation available.
Nb: HOSPEEM and EPSU would like to thank all the national social partners that contribute to this webpage by submitting materials – in particular the organisations indicated in brackets below.

I) NATIONAL SOCIAL PARTNERS, EUROPEAN COUNTRIES

General
CPD Programme at the Trauma Team- Töölö Hospital – Helsinki University Hospital – Finland (TEHY) – in EN
Lappeenranta seminar on the development of working life in the municipal and public sectors – Finland (KT) – in FI
A systematic approach to and long-term monitoring of the transformation of work in the local government sector – Finland (KT) – in FI
Introducing the contribution of patients in the training process – France (FEHAP) – in EN
Patients as teachers – a deep dive into professional education – France (FEHAP) – in EN, in FR
National CPD Strategy – Germany (VKA) – in DE
Research program RN2BLEND on the differentiated deployment of nurses in hospitals – Netherlands (NVZ and NFU) – in EN, NL
Program CZO flex level – Improvement of the training offer for specialized nurses and medical support staff– Netherlands (NVZ and NFU) – in NL
Program ZMT! – Healthcare Professionals Make the Future!, Netherlands (NVZ) – in NL
A nurse is a nurse is a nurse? Skills level differentiation – Netherlands (Radboud University Medical Center and NVZ) – in EN
CPD for support staff: a new career opportunity in nursing – United Kingdom (UNISON and Health Education England) – in EN
Implementing a just and learning culture – United Kingdom (NHS Employers) – in EN

Lifelong Learning
Vård och omsorgscollege – An example of social partners’ cooperation at local and regional level, i.e. skills validation – Sweden (National Council
Sweden, KOMMUNAL) – in SE
Learning in partnership – United Kingdom (NHS) – in EN
Learning Agreement/Union Learning Reps – United Kingdom (NHS) – in EN

Effective CPD
Definition of CPD priorities and negotiations of professional branches on CPD activities/programmes in the French hospital sector – France (CFDT) – in EN
Competence development of an ageing workforce in German hospitals – Germany (AT, Gelsenkirchen) – in EN
How to cooperate between trade unions, employers and education providers in setting up effective CPD in Sweden? – Sweden (Kommunal, Sweden and Health and care services college) – in EN
Working and learning in the service – Managing continuing professional development – United Kingdom (CenMEDIC) – in EN

Inter-professional cooperation and skills development
The BRIDGE model – A competency development programme designed to enhance interprofessional collaboration, shared knowledge and patient and citizen involvement across sectors – Denmark (Center for human resources, Capital Region of Denmark) – in EN
How does CPD support multi-professional team-based care? – Finland (Helsinki University, Central Hospital HUCH, Helsinki Burn Centre) – in EN

Funding of CPD
Roles and activities of a paritarian organisation to promote and support CPD for care workers – Belgium (Competentia) – in EN
APEF- Association Paritaire pour l’Emploi et la Formation – Belgium (Competentia) – in FR
From unskilled to skilled (3F, FOA and The Danish Regions (Wage and Tariff Board of the Regions) – Denmark (Danish Regions) – in DK
The Competence Fund – Denmark (Danish Regions) – in DK
Development and research fund in the regions – Denmark (Danish Regions) – in DK
Heidelberg Hospital: Acadamy of Health Professions – Germany (Ver.di) – in EN
How is, or should, CPD be financed? An example from the Netherlands – Netherlands (NVZ) – in EN

Innovative workplace learning
Crew Resource Management: a Dutch example of building health care teams focusing on effective communication and leadership – The Netherlands (NVZ, Gelre Hospital) – in EN
Good practice: Short video instructions at the moment of need, Jaco van der Worp – The Netherlands (NVZ, Groene Hart Hospital, Gouda) – in EN
Learn to escape! – The Netherlands (NVZ, Spaarne guesthouse) – in EN
The ‘Roadmap’: A Dutch example of organising support for Continuous Professional Development that fits within the ambitions of the organisation and its employees – The Netherlands (NVZ, North West Hospital Group, Alkmaar) – in EN

CPD for new models of care and new professional roles
Program JumP – Right care in the right place – Netherlands (NVZ) – in NL
No place like home – Gupta Strategists report – Netherlands (NVZ) – in EN

CPD related to the digitalisation of health care
Program VIPP – Digital access to your own medical data – Netherlands (NVZ) – in NL
Building a digital ready workforce – United Kingdom (NHS, HEE) – in EN
Informatics Workforce Report – United Kingdom (NHS, HEE) – in EN
NHS Digital Academy – United Kingdom (NHS, HEE) – in EN
Becoming Digital Competent Project – developing healthcare professionals competencies in digital solutions – Denmark (Danish Regions as well as several public partners, municipalities and educational institutions) – in EN, in DK
Increasing digital training capacity, Guy’s and St Thomas’ NHS Foundation Trust (NHS) – in EN
A guide to good practice for digital and data-driven health technologies – Department of Health & Social Care (NHS) – in EN

II) EUROPEAN INSTITUTIONS, AGENCIES OR INTERNATIONAL ORGANISATIONS

European Institutions
Directive on Recognition of Qualifications (2005/36/EC) modernised with Directive 2013/55/EU (20 November 2013)
Skills audits – Tools to identify talent : final report – Study – (EC), 2019
New Skills Agenda for Europe [COM(2016) 381 final] – (EC)
EC Handbook on classification of European Skills, Competences, Qualifications and Occupations (ESCO), 2018
Matching skills and labour market needs in the changing world of work – strategic approach on continuous lifelong learning – (Council of the EU), 2019
European Skills Index (CEDEFOP), 2018

Organisation for Economic Co-operation and Development (OECD)
Skills Outlook 2019 – Thriving in a Digital World
International Labour Office (ILO)

Lifelong learning: Concepts, issues and actions concept paper, 2019
The involvement of employer organisations in the governance of skills systems: a literature review, 2019
World Health Organization (WHO)
The toolkit for a sustainable health workforce in the WHO European Region, 2018


The year 2019 at a glance: HOSPEEM Activity report

The HOSPEEM Activity Report 2019 is published. This activity report presents key information on HOSPEEM and the main activities carried out during the year.

2019 has been a year rich in achievements for HOSPEEM ensuring that the views of hospital and healthcare employers are being heard at the highest level.

Firstly, the HOSPEEM-EPSU project on “Strengthening Social Dialogue in the hospital sector in the East, South and Central Europe” has successfully started with regional workshops taking place in Bucharest in June 2019 and in Rome in November 2019.

Secondly, several HOSPEEM experts and representatives shared their knowledge across Europe joining their efforts to actively represent members’ views in the European arena.

Thirdly, a new work programme 2020-2022 for the European sectoral social dialogue was successfully adopted.

Download the report

HOSPEEM-EPSU Joint Work Programme 2020-2022 for the European Sectoral Social Dialogue in the Hospital Sector

At the last meeting of the Sectoral Social Dialogue Committee for the Hospital Sector (SSDC-HS) in 2019, HOSPEEM and EPSU reached a final agreement of the Joint Work-Programme 2020-2022. It is structured around four major thematic priorities, i.e Occupational Safety and health, recruitment and retention of the health workforce,  Continuing Professional Development and Life-Long Learning, European/ EU-level healthcare policy. Each sub-theme is presented with specific objectives, deliverables and a timeline.

PDF - 304.4 koDownload the Joint Work Programme – EN

PDF - 304.4 koDownload the Joint Work Programme – streamlined version – EN

Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector: Main activities and outcomes in 2019

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 2019 the Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector  dealt with a wide range of topics in the framework of the EPSU-HOSPEEM Joint Work Programme and carried out project-related activities.

PDF - 304.4 koDownload the document

Patients as teachers: FEHAP initiative on the involvement of patients in the education of professionals

Alice Casagrande (FR), HOSPEEM Expert on CPD and LLL, spoke at the European Patients’ Forum Congress in Brussels on 13 November 2019 during the plenary session “Patients as teachers – a deep dive into professional education” as the FEHAP representative.  Alice Casagrande is  the Director of the LLL, innovation and voluntary work at the Fédération des Etablissements Hospitaliers et d’Aide à la Personne, Privés Non Lucratifs-FEHAP, the HOSPEEM member in France.

Ms Casagrande talked about the involvement of her organisation (an employer’s federation representing non-profit organisations) in a project called ‘Partners in Knowledge’. This promotes a commitment to involve patients and social service users in professional education. Inspired by the Vancouver statement on professional education (2015)  and the interprofessional health mentor programme of the University of British Columbia in Canada, Ms Casagrande underlined that we should not just be looking at medical students; other healthcare professionals – e.g. nurses, midwives, occupational therapists, dentists…- are also part of the overall health provision picture. This is based on the notion of interprofessional education, which entails that students should learn around or with the help of a patient, a disabled person or a carer. Involving the broader spectrum of healthcare providers will improve communication with one another in relation to person-centered care.

The project has been ongoing since 2015, with a small group of committed representatives from relevant stakeholders. Information on experimental programmes in health care and social services involving patients and social services users were collected. The Swedish ‘gap-mending model‘, where training involves those people in the services that are intended for them was one of these; this programme has found that such learning substantially reduces the distance between health and social care providers and the people concerned.

The work has led to the formulation of the ‘Partners in Knowledge’ statement, addressing the involvement of patients and social services users in continuous education, which has already been signed by the French health minister as well as by major students’ unions.

Watch the EPF congress video of the intervention (EN)

Visit the FEHAP “Partners in Knowledge” webpage (FR: “Associons nos Savoirs”) and its resources section (FR) for more information

Photo credits:

2019 © European Patients Forum

2019 © Photo StudioVercammen