European Hospital & Healthcare Employers’ Association

Guidance (Guidelines, Handbooks, Tool Kits, Films)

GUIDANCE, HANDBOOKS, TOOLKITS

I) FROM EUROPEAN OR INTERNATIONAL INSTITUTIONS OR NETWORKS

European Commission / DG EMPL :
Film “From needlesticks to sharps. The added value (in 21 languages)

European Agency for Safety and Health at Work (EU OSHA), Bilbao
a) Information on prevention from sharp injuries at the workplace (available in many languages, the link is the one to the English language webpage)
b) E-fact 40 – Risk assessment and needlestick injuries
c) Factsheet 41 – Biological agents
d) E-fact 40 – Risk assessment for care workers

European Biosafety Network :
Implementation Guidance Toolkit for EU Council Directive 2010/32/EU (version of January 2013)

PDF - 583.9 ko EBN Toolkit Implementation Guidance Dir 2010/32/EU
This document was drafted in 2012 by the European Biosafety Network (EBN) and colleagues of UNISON.
More information on the EBN sent to the EPSU Secretariat and links to their website and other documents issues can be found in the file below.

PDF - 120.4 ko info EBN

World Health Organisation (WHO)
WHO – Policy Checklist for Bloodborne Exposure Control

II) FROM EUROPEAN COUNTRIES

Belgium
Prévention des Blessures Par Objets Tranchants (CSC SP)
PDF - 989.3 ko Guidance – Belgium : Prevention from Sharps Injuries” / CSC SP – in FR

Cyprus
a) Appendix A : Draft Safety and Health at Work Laws 1996-2011 The Safety and Health at Work : Framework Agreement on the prevention of injuries caused by sharp objects in the hospital sector and the broader health care sector : Regulations 2012
Παράρτημα Α : ΠΡΟΣΧΕΔΙΟ : Οι περί Ασφάλειας και Υγείας στην Εργασία Νόμοι του 1996 έως 2011 : Οι περί Ασφάλειας και Υγείας στην Εργασία (Συμφωνία – Πλαίσιο σχετικά με την πρόληψη των τραυματισμών που προκαλούνται από αιχμηρά αντικείμενα στον νοσοκομειακό τομέα και ευρύτερα στον τομέα παροχής φροντίδας υγείας) : Κανονισμοί του 2012
PDF - 259.2 koCY – Regulation Transposing FA

b) Ministy of Health : Central Committee : Hospital Infections : Instructions for management of contaminated sharps
ΥΠΟΥΡΓΕΙΟ ΥΓΕΙΑΣ : ΚΕΝΤΡΙΚΗ ΕΠΙΤΡΟΠΗ : ΕΝΔΟΝΟΣΟΚΟΜΕΙΑΚΩΝ ΛΟΙΜΩΞΕΩΝ : ΟΔΗΓΙΕΣ ΓΙΑ ΔΙΑΧΕΙΡΙΣΗ ΜΟΛΥΣΜΕΝΩΝ ΑΙΧΜΗΡΩΝ ΑΝΤΙΚΕΙΜΕΝΩΝ
PDF - 367.9 ko MoH – Instructions Management Contaminated Sharps

c) General Hospital Nicosia Office : Hospital Infection Control : Guidelines for the management of waste
ΓΕΝΙΚΟ ΝΟΣΟΚΟΜΕΙΟ ΛΕΥΚΩΣΙΑΣ ΓΡΑΦΕΙΟ ΕΛΕΓΧΟΥ ΝΟΣΟΚΟΜΕΙΑΚΩΝ ΛΟΙΜΩΞΕΩΝ : ΟΔΗΓΙΕΣ ΓΙΑ ΤΗ ΔΙΑΧΕΙΡΙΣΗ ΤΩΝ ΑΠΟΡΡΙΜΜΑΤΩΝ
PDF - 140.5 ko General Hospital Nicosia Hospital Control Guidelines Waste Management

Denmark
Arbejdsmiljoeweb : Stikboksen – et ressourcested om stikskader på sygehuse – in DK

Finland
a) Irmeli Vuoriliuto : Do not let a needlestick get you by surprise : Accident Hazard – Tehy Study on Needlesticks and Injuries that occured due to sharps injuries – in EN
PDF - 2.1 Mo Guidance : Finland : Tehy Study Prevention Needlestick Injuries – in EN

b) Information Leaflet Tehy

I) FIN
PDF - 113.1 ko TEHY leaflet – FIN

II) SV
PDF - 122.4 ko TEHY leaflet – SV

III) EN
PDF - 127.6 ko TEHY leaflet – EN

Germany
a) Modellprojekt “STOP Nadelstich – Sicherheit durch Training + Organisation + Produktauswahl”
b) Webseite UK NRW/bgw “Sicheres Krankenhaus”
c) Case Study (EU-OSHA) from University Hosptial Heidelberg : Needlestick — how to prevent needlestick injuries effectively ?

Hungary
Prevention of blood- and bodily fluid-borne viral diseases during health care
PDF - 235.6 koGuidance : Hungary : National Center for Epidemiology Guidance – in HU

N.B. : The guidance was issued in 2003 by the National Center for Epidemiology.
Summary information on the main contents : The guide addresses themes like vaccination, post-exposure prophylaxis, prevention, assessing the probability of transmission, disinfection, waste treatment, prohibiting recapping, etc. 10 years ago, safety devices were very rare so there is not too much information on them.

Italy
a) Azienda Ospedaliera “Maggiore Della Carità”, Novara : Disposizioni in merito alle contaminazioni con materiale biologico a seguito di infortunio
PDF - 129 ko Guidance : Italy : Guidance Hospital Novara – in IT

b) Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Catania : Servizio Prevenzione et Protezione : Procedure da adottare nella manipolazione di strumenti acuminati e/o taglienti
PDF - 158.7 ko Guidance : Italy : Guidance Hospital Catania – in IT

The Netherlands
a) Werkgroup Infectiepreventie : Ziekenhuisen : Accidenteel Bloedcontact (October 2012) – in NL
PDF - 180.7 ko Guidance : The Netherlands : Report WG Prevention Sharps Injuries – in NL

b) Amendments in Dutch Legislation in view of Implementation of Directive 2010/32/EU (August 2011) – in NL
PDF - 88.6 ko Guidance : The Netherlands : Amendments Dutch Legislation Implementation Directive 2010/32/EU – in NL

Spain
a) FSP UGT : Manual de Uso
PDF - 1.3 Mo FSP UGT Manual de Uso

b) Poster 1 “No Se Declaran Los Acidentes – Enfermera”
PDF - 361.2 ko FSP UGT Poster 1 “No se declaran los acidentes” – Enfermera

c) Poster 2 “No Se Declaran Los Acidentes – Enfermero”
PDF - 275.9 ko FSP UGT Poster 2 “No se declaran los acidentes” – Enfermero

e) Poster 3 “No Dejes Que Juegen Con Tu Salud”
PDF - 172.6 ko FSP UGT Poster 3 “No Dejes Que Juegen Con Tu Salud”

Sweden
a) Swedish Legislation (2005) : Arbeitsmijöverkets Författningssamling (AFS 2005:1) : Mikrobiologiska Arbeitsmijlörisker – Smitta, Toxinpåverkan, Överkänslighet (2005) – in SV
PDF - 411.8 ko Guidance : Sweden Legislation 2005 / Arbeitsmijöverkets Författningssamling (AFS 2012:7) – in SV

b) Swedish Legislation (2012) : Arbeitsmijöverkets Författningssamling (AFS 2012:7) : Mikrobiologiska Arbeitsmijlörisker – Smitta, Toxinpåverkan, Överkänslighet. Arbeitsmijöverkets Föreskrifter om Ändring i Arbeitsmijöverkets Föreskrifter (AFS 2005:1) om Mikrobiologiska Arbeitsmijlörisker – Smitta, Toxinpåverkan, Överkänslighet (2012) – in SV
PDF - 1.7 Mo Guidance : Sweden Legislation 2012 / Arbeitsmijöverkets Författningssamling (AFS 2012:7) – in SV

c) Description & Summary Project Prevention from Needlestick Injuries : Insatser för förebyggande av skador och smitta pga. vassa instrument, bl.a. stick- och skärskador inom hälso- och sjukvården (in SV)
PDF - 251.2 ko Guidance – Sweden : Project “Reduction of Sharps Injuries” – in SV

d) Study on the prevention from injuries with sharps injuries (in SV)

I) Summary in EN
PDF - 103.1 ko Summary Information IVN Study Sharps Injuries – EN

II) Detailed information in SV
Stick- och skärskador inom hälso- och sjukvården – Förebyggande insatser för skador och smitta pga. vassa instrument

United Kingdom
a) Joint Social Partners’ Guidance
PDF - 497.7 ko Guidance : United Kingdom : Joint Social Partners’ Guidance “Needlestick Injury” – in EN

b) NHS Employers / Partnership for Occupational Safety and Health in Healthcare (POSHH) & Safer Needles Network : Advise on the Prevention from Sharps Injuries
PDF - 521.4 ko Guidance : United Kingdom : NHS / POSHH : Advise Prevention Sharps Injuries – in EN

c) Royal College of Nursing (RCN) : Sharps Safety : RCN Guidance to support implementation of the EU Directive 2010/32/EU on the prevention of sharps injuries in the health care sector]
PDF - 843.9 ko Guidance : United Kingdom : RCN : Sharps Safety – in EN

d) UNISON : Needlestick injuries. A guide for Local Government safety representatives

FILMS

EC/DG EMPL film “From needlesticks to sharps – The added value” on the making of directive 2010/32/EU on the prevention of sharps injuries

During summer 2011 DG EMPL produced a video on the elaboration of the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU on 17 July 2009.

Based on the procedures stipulated in Art. 154 and 155 2 of the TFEU this autonomous agreement of the European sectoral social partners in the hospital sector on 10 May 2010 became Directive 2010/32/EU.

The video “From needlesticks to sharps – The added value” i.a. contains interviews with Carola Fischbach-Pyttel, General Secretary of EPSU, Godfrey Perera, Secretary General of HOSPEEM, François Ziegler, DG EMPL, Steven Hughes, MEP, and Ana Salegui, a Spanish nurse injured in 1991 and later in Spain becoming a spokesperson for other health workers suffering from a sharps injury.
It has been issued in 2011 in a version with English subtitles. As of February 2012 the film has also become available in all offical EU languages.

PSI Film “Sharp Sense – Promoting the safety of health care workers”


This project has received funding from the European Commission

Report Final Conference Barcelona 20 June 2013

Brussels, 26 June 2013/18 September 2013

Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector”

Final Conference – Barcelona, 20 June 2013

The final conference with about 95 participants from 24 out of 28 EU Member States (including Croatia to adhere to the EU as of 1 July 2013) took place on 20 June 2013 in Barcelona. It was hosted by EPSU affiliate Federación de Servicios Públicos Unión General de Trabajadores (FSP UGT) and organised by EPSU and HOSPEEM.

Please read the Joint HOSPEEM-EPSU Press Release.
PDF - 304.4 ko Joint Press Release

DRAFT programme (as of 24 May 2013) – in EN only

PDF - 365.6 ko Final Conference Barcelona DRAFT Programme (as of 24 May 2013)
N.B. : Event with simultaneous interpretation from and into the following five languages : English, French, German, Italian and Spanish

Please have a look into the final project report (comprising information on the three regional seminars, the final conference and the various EU countries covered, drafted by ICF GHK (Dr. Tina Weber)

Final Report Project + Final Conference – EN
Final Report Project + Final Conference – FR
Final Report Project + Final Conference – ES
Final Report Project + Final Conference – PL
Final Report Project + Final Conference – DE

Please have a look at photos taken at the event.

Presentations

We have uploaded below the slide sets used by the speakers for their presentations (in the original language and when this was not in English also translated into EN).

Implementation of Directive 2010/32/EU on prevention of sharps injuries in the hospital and health care sector :
Presentation to Project Closing Conference 20th June 2013, Barcelona (Dr. Tina Weber, ICF GHK)
PDF - 918.7 ko Presentation Weber

Austria
Nadelstichverordnung : Umsetzung und praktische Erfahrungen / Needlestick directive : Implementation and practical experience
Renate Waclawiczek, Head of the Department for Occupational Medicine, Salzburg Regional Hospitals (SALK), Salzburg
PDF - 204 ko Presentation Austria (Renate Waclawiczek) – DE
PDF - 187.6 ko Presentation Austria (Renate Waclawiczek) – EN

Bulgaria
Mise en application de la directive 2010/32/UE “Prévention des blessures par objets tranchants dans le secteur hospitalier et sanitaire” en Bulgarie / Implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and healthcare sector in Bulgaria
Slava Zlatanova, Vice-President, Federation of Trade Unions-Health Services – CITUB, Sofia
PDF - 470.6 ko Presentation Bulgaria (Slava Zlatanova) – EN

PDF - 472.5 ko Presentation Bulgaria (Slava Zlatanova) – FR

Germany
Richtlinie 2010/32/EU zur Vermeidung von Verletzungen mit spitzen und scharfen Gegenständen : Prozeß der Umsetzung in Deutschland / Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector : Process of transposition of directive in Germany & Die Rolle von ver.di bei der Implementierung der EU Richtlinie 2010/32/EU in Deutschland / The role of ver.di in implementing -EU Directive 2010/32/EU in Germany
Sabine Niemeyer, Federal Ministry of Labour and Social Affairs (BMAS), Bonn & Herbert Beck, ver.di, Head of Staff Council/Employee Committee of the University Clinic Heidelberg, Heidelberg
PDF - 157 ko Presentation Germany Part 1 (Sabine Niemeyer) – EN

PDF - 158.3 ko Presentation Germany Part 1 (Sabine Niemeyer) – DE

PDF - 596.9 ko Presentation Germany Part 2 (Herbert Beck) – EN

PDF - 588 ko Presentation Germany Part 2 (Herbert Beck) – DE

Ireland
Implementation of Good Practice in a Dublin Hospital
Dr. Blanaid Hayes, Consultant Occupational Physician, Beaumont Hospital, Dublin
PDF - 926.2 ko Presentation Ireland (Blanaid Hayes) – EN

The Netherlands
Effect of Directive 2010/32/EC, its impact at workplace level. How does it decrease the number of NSI’s in Dutch hospitals ?
Dr. Gerard Frijstein, Occupational Physician, Academic Medical Centre University of Amsterdam, Amsterdam

PDF - 637.3 ko Presentation The Netherlands (Gerard Frijstein) – EN

Norway
Presentation on situation in Norway
Bjørn Henriksen, Special Advisor, Employers’ Association SPEKTER
PDF - 160 ko Presentation Norway (Björn Henriksen) – EN

Spain
The use of guidance developed by FSP UGT when informing and training health workers and their representatives
Pilar Navarro Barrios, Head of Sector “Public Health Care”, FSP UGT
N.B. : No slide set available, oral presentation delivered by Pilar Navarro Barrios, FSP UGT. You can have a look to the user manual elaborated on page “Guidance (Guidelines, Handbooks, Tool Kits, Films)”

Sweden
A strategy and a toolkit to reduce sharp injuries in health care and medical services
Prof. Dr. Ann-Beth Antonsson (with contributions from Lisa Schmidt and Gabriella Östlund), Swedish Environmental Research Institute, Stockholm
PDF - 295.7 ko Presentation Sweden (Ann-Beth Antonsson) – EN

United Kingdom
Good Practice : guidance, handbooks and toolkits. The UK Partnership Guidelines – from theory to practice
Kim Sunley, Royal College of Nursing (RCN), London, & Dr. Ann Stansfield, Peterborough City Hospital / NHS Foundation Trust, Peterborough
PDF - 1 Mo Presentation United Kingdom (Kim Sunley & Ann Stansfield) – EN

Prevention of injuries with medical sharps :
Experiences and expectations from the perspective of nurses and doctors. The role of occupational safety and health (OSH) strategies, policies and measures
Dr. Paulo Cristiano do Nascimento Simões, General Surgery Consultant Hospital Santa Cruz-CHLO, Lisbon / Sindicato Independente dos Medicos (SIM), Portuguese member of European Federation Of Salaried Doctors (FEMS))

PDF - 1.5 Mo Presentation do Nascimento Simões (FEMS)

The file below contains a short presentation of HOSPEEM and EPSU as well as a summary of the activities and outcomes of the sectoral social dialogue committee in the hospital/health care sector in 2012.
PDF - 341.8 ko Presentation HOSPEEM & EPSU + Activities & Outcomes 2012 SSDC HS

 
This project has received funding from the European Commission

Report 3rd Regional Seminar Vienna 16 April 2013

Brussels, 25 April 2013

Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector”

Regional Seminar 3 – Vienna, 16 April 2013

The third regional seminar with nearly 110 participants from 8 EU Member States (Austria, Bulgaria, the Czech Republic, Germany, Hungary, Poland, Romania, Slovakia) as well as from Belarus, Croatia, Kosovo, Moldova and Russia took place on 16 April 2013 in Vienna. It was hosted by the Vienna Hospital Association representing the Austrian hospital employers and organised by HOSPEEM and EPSU.

JPEG - 45.1 ko

Wilhelm Marhold, Hospital Association Austria

JPEG - 6.2 ko

Christian Meidlinger, Secretary General, GdG-KMSfB, Austria

JPEG - 51 ko

Ulrike Neuhauser, Hospital Association, Austria

DRAFT agenda

a) EN (as of 10 April 2013)
PDF - 218.3 ko DRAFT agenda (as of 10 April 2013) – EN

b) DE (as of 10 April 2013)
PDF - 192 ko DRAFT agenda (as of 10 April 2013) – DE

Please read the report of the regional seminar, drafted by ICF GHK (Dr. Tina Weber) – in EN, FR and DE.

JPEG - 76.4 ko

Karl Preterebner, Federal Secretary “GdG Fachgruppenvereinigung für Gesundheitsberufe”, GdG-KMSfB, Austria, and Tina Weber, ICF-GHK (project consultant)

a) in EN
PDF - 342.6 ko Report Regional Seminar 3 Vienna – EN

b) in FR
PDF - 415.3 ko Report Regional Seminar 3 Vienna – FR

c) in DE
PDF - 372.6 ko Report Regional Seminar 3 Vienna – DE
N.B. : It is planned to translate the report into RU and other languages, too, if there is sufficient money in the project budget left.

We have uploaded below the slide sets in the orginal languages used by the speakers for their presentations and translated into EN.

In addition to the contributions documented below, the following colleagues made a oral presentation : Brankic Grguric (Croatia), Lajqi Jahir (Kosovo) and Zdzislaw Bujas (Poland).

JPEG - 62.3 ko

Brigitte Strahwald, Cognomedic GmbH, Germany and Herbert Beck, Ver.di, University Clinic Heidelberg, Germany

JPEG - 74.3 ko

Grguric Brankic, Croatian Trade Union of Nurses and Medical Technicians and Jahir Lajqi, Trade Union Health Federation of Kosovo

JPEG - 47.2 ko

Bujas Zdzislaw, Trade Unions Forum (FZZ), Poland

Presentations

Implementation of Directive 2010/32/EU on prevention of sharps injuries in the hospital and health care sector
Provisional results of EPSU-HOSPEEM Survey on the state of the art of the use and implementation of Directive 2010/32/EU and the role of the social partners in the transposition of EU-legislation into national rules (Dr. Tina Weber, ICF GHK)
PDF - 693.5 ko Presentation Weber

Austria
Nadelstichverordnung : Umsetzung und praktische Erfahrungen
Renate Waclawiczek, Head of the Department for Occupational Medicine, Salzburg Regional Hospitals (SALK), Salzburg
PDF - 582.3 ko Presentation Austria (Renate Waclawiczek) – EN

PDF - 545.6 ko Presentation Austria (Renate Waclawiczek) – DE

Belarus
National practice in the Republic of Belara in preventing the infectino of healthcare workers with blood-borne pathogens in the context of European Council Directive 2010/32/EU
Sviatlana Lukashyk, Trade Union of Professional Health Workers of Belarus, Minsk
PDF - 313.6 ko Presentation Belarus (Sviatlana Lukashyk) – EN

PDF - 498.9 ko Presentation Belarus (Sviatlana Lukashyk) – RU

JPEG - 48.8 ko

Sviatlana Lukashyk, Belarusian Trade Union of Healthcare Workers, Belarus

Bulgaria
Labour Law and relevant policy processes related to the implementation of Directive 2010/32/EU in Bulgaria
Slava Zlatanova, Federation of Trade Unions – Health Services, (FTU-HS/CITUB), Sofia
PDF - 826.9 ko Presentation Bulgaria (Slava Zlatanova) – EN

PDF - 1 Mo Presentation Bulgaria (Slava Zlatanova) – RU

Czech Republic
Praxe v České Republice
Ivana Štěpánková & Zbyněk Moravec, Trade Union of the Health Service and Social Care (OSZSP ČR), Prague
PDF - 980.5 ko Presentation Czech Republic (Ivana Štěpánková & Zbyněk Moravec) – EN

PDF - 1.5 Mo Presentation Czech Republic (Ivana Štěpánková & Zbyněk Moravec) – CZ

JPEG - 43.2 ko

Ivana Štěpánková, Trade Union of the Health Service and Social Care of the Czech Republic (OSZSP ČR), Czech Republic

Germany
Umsetzung in Deutschland / Das Modellproject “STOP-Nadelstich” : “Sicherheit durch Training, Organisation und Produktauswahl” / Die Rolle von ver.di bei der Implementierungder EU Richtlinie 2010/32/EU in Deutschland
Sabine Niemeyer, German Federal Ministry of Labour and Social Affairs (BMAS), Bonn / Brigitte Strahwald, cognomedic GmbH, Erlangen / Herbert Beck, ver.di, University Clinic Heidelberg, Heidelberg
PDF - 151.7 ko Presentation Germany (Part 1 : Sabine Niemeyer) – EN

PDF - 533.8 ko Presentation Germany (Part 3 : Herbert Beck) – EN

PDF - 168.3 ko Presentation Germany (Part 1 : Sabine Niemeyer) – DE

PDF - 2.5 Mo Presentation Germany (Part 2 : Brigitte Strahwald) – DE

PDF - 580.9 ko Presentation Germany (Part 3 : Herbert Beck) – DE

JPEG - 114.9 ko

Participants

JPEG - 49.7 ko

Alkema Tjitte, General Secretary, HOSPEEM

You’ll find below a the file a short presentation of HOSPEEM and EPSU including a summary of the activities and outcomes of the sectoral social dialogue committee in the hospital and health care sector in 2012.

PDF - 341.8 ko Presentation HOSPEEM & EPSU + Activities & Outcomes 2012 SSDC HS

 
This project has received funding from the European Commission

Report 2nd Regional Seminar Rome 7 March 2013

Brussels, 10 March 2013

Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector”

Regional Seminar 2 – Rome, 7 March 2013

JPEG - 86.4 ko

Elvira Gentile (ARAN, Director General Collective Bargaining), Godfrey Perera (HOSPEEM, Chief Executive), Mathias Maucher (EPSU, Policy Officer “Health and Social Services”), Marco Lo Verso (FP-CGIL, Responsible “Health Care”) [from left to right] during the opening plenary session

JPEG - 99.5 ko

Gabriela De Carli (National Institute for Infectious Diseases L. Spallanzani, Rome), Tina Weber (ICF GHK, Project Consultant)

The second regional seminar with about 80 participants from 8 European countries (Belgium, Cyprus, France, Italy, Malta, Norway, Spain and the United Kingdom) invited to attend the event took place on 7 March 2013 in Rome. It was hosted by Italian Agency for Collective Bargaining, ARAN (Rappresentanza Negoziale delle Pubbliche Amministrazioni) representing the Italian hospital employers and organised by HOSPEEM and EPSU.

DRAFT agenda (as of 27 February 2013) – in EN only

PDF - 528.8 ko Draft Agenda – SHARPS – Rome

JPEG - 98.7 ko

Tina Weber (ICF GHK, Project Consultant), Cliff Williams (UNISON), Maryvonne Nicolle (CFDT Santé-Sociaux, Secretary National Federation), Luis Mazón Cuadrado (University Hospital of Fuenlabrada, Madrid)

JPEG - 92.1 ko

Guy Crijns (CSC Services Publics), Tina Weber (ICF GHK, Project Consultant), Mathias Maucher (EPSU, Policy Officer “Health and Social Services”), Tjitte Alkema (HOSPEEM, Secretary General)

Read the report of the regional seminar, drafted by ICF GHK (Dr. Tina Weber) – in EN, FR and DE.

a) in EN
PDF - 338.4 ko Report Regional Seminar 2 Rome – EN

b) in FR
PDF - 342.9 ko Report Regional Seminar 2 Rome – FR

c) in DE
PDF - 358.2 ko Report Regional Seminar 2 Rome – DE
We have uploaded below the slide sets (in EN, except for France for which the slide set is in FR) to accompany the presentations given at the seminar.

JPEG - 87.5 ko

Tina Weber (ICF GHK, Project Consultant), Mathias Maucher (EPSU, Policy Officer “Health and Social Services”), Tjitte Alkema (HOSPEEM, Secretary General)

JPEG - 109.7 ko

Participants at the workshop

Presentations

Implementation of Directive 2010/32/EU on prevention of sharps injuries in the hospital and health care sector :
Provisional results of EPSU-HOSPEEM Survey on the state of the art of the use and implementation of Directive 2010/32/EU and the role of the social partners in the transposition of EU-legislation into national rules (Dr. Tina Weber, ICF GHK)
PDF - 685.9 ko Presentation Weber Rome – EN

France
Mise en oeuvre de la Directive 201/32/EU en France
Presentation M. Nicolle – FR
PDF - 1.3 Mo Presentation M. Nicolle – EN
Maryvonne Nicolle, CFDT Santé Sociaux, Paris

Italy
Needle and Sharps Injuries Prevention : Building the wall : Implementing the Directive 2010/32/EU in Italy
PDF - 3.6 Mo Presentation De Carli – EN
Prof. Gabriella De Carli, Studio Italiano Rischio Occupazionale da HIV (SIROH), National Institute for Infectious Diseases L. Spallanzani, Rome

Norway
Implementation of Directive 2010/32/EU in Norway
PDF - 479.2 ko Presentation Roald – EN
Marie Nora Roald, Norwegian Institute of Biomedical Science (NITO BFI), Oslo

Spain
Sharps Risk Assessment. Our experience. Why we use process management ?
PDF - 2 Mo Presentation Mazón Cuadrado – EN
Dr. Luis Mazón Cuadrado, Hospital Universitario de Fuenlabrada, Madrid

United Kingdom
Implementation of Directive 2010/32/EU-The Prevention of Sharps Injuries in the Hospital and Health Care Sector : Good Practice and Transposition in the UK
PDF - 746.6 ko Presentation Williams – EN
Cliff Williams, Assistant General Secretary, UNISON, London/Newcastle

You’ll find below a the file a short presentation of HOSPEEM and EPSUincluding a summary of the activities and outcomes of the sectoral social dialogue committee in the hospital and health care sector in 2012.
PDF - 341.8 ko Presentation HOSPEEM & EPSU + Activities & Outcomes 2012 SSDC HS

 
This project has received funding from the European Commission

Report 1st Regional Seminar Dublin 31 January 2013

Brussels, 5 February 2013

Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector”

Regional Seminar 1 – Dublin, 31 January 2013



Godfrey Perera, Chief Executive, HOSPEEM ; John Delamere, Head of Corporate Employee Relations, HSE ; Louise O’Donnell, Coordinator Healthcare Sector, IMPACT ; Tina Weber, ICF GHK (from left to right) during the opening plenary session

The first regional seminar with about 90 participants from 10 European countries (Belgium, Denmark, Finland, Iceland, Ireland, Latvia, Lithuania, the Netherlands, Sweden and the United Kingdom) invited to attend the event took place on 31 January 2013 in Dublin. It was jointly hosted by the Health Service Executive (HSE) representing the Irish hospital employers and IMPACT for the trade union side and organised by HOSPEEM and EPSU.

FINAL agenda (as of 24 January 2013) – in EN only
PDF - 327.9 ko FINAL Agenda Seminar (as of 24 January 2013) – in EN only



Impression from a working group with colleagues from Finland, Lithuania, The Netherlands and Sweden

An article has been written by the HOSPEEM Secretariat that you can read in the file below and soon on HOSPEEM’s homepage.

PDF - 231.1 ko Regional Seminar 1 Dublin Press Release HOSPEEM (05.02.13)

Read the report of the regional seminar, drafted by ICF GHK (Dr. Tina Weber) – in EN, FR and DE.
a) in EN
PDF - 336.7 ko Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – EN

b) in FR
PDF - 353.1 ko Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – FR

c) in DE
PDF - 361.4 ko Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – DE

We have uploaded below the slide sets (mostly in EN) to accompany the presentations given at the seminar.

Presentations

Provisional results of EPSU-HOSPEEM Survey on the state of the art of the use and implementation of Directive 2010/32/EU and the role of the social partners in the transposition of EU-legislation into national rules (Dr. Tina Weber, ICF GHK)
PDF - 641.4 ko Presentation Weber – EN

Finland
Irmeli Vuoriluoto, Union of Health and Social Care Professionals (Tehy), Helsinki
PDF - 363.3 ko Presentation Vuoriluoto – EN

Ireland
1) Esther Lynch, Irish Congress of Trade Unions (ICTU), Dublin
PDF - 949.1 ko Presentation Lynch – EN

2) Dr. Blánaid Hayes, Beaumont Hospital, Dublin
PDF - 905.7 ko Presentation Hayes – EN

Lithuania
Živilė Mikalauskienė & Genovaitė Milošienė, Lithuanian Trade Union of Health Care Employees (LSADPS), Vilnius
PDF - 302.2 ko Presentation Mikalauskiene & Milosiene – LT + EN

The Netherlands
Dr. Paul Van Wijk, Vrije Universiteit Medical Center, Amsterdam
a) in EN
PDF - 72.4 ko Presentation van Wijk – EN

b) in NL
PDF - 123.7 ko Presentation van Wijk – NL

Sweden
Prof. Dr. Ann-Beth Antonsson, Swedish Environmental Research Institute, Stockholm
PDF - 435 ko Presentation Antonsson – EN

Further reading :
Study on the prevention from injuries with sharps injuries (in SV)
a) Summary in EN
PDF - 103.1 ko Summary Information IVN Study Sharps Injuries – EN

b) Detailed information in SV
Stick- och skärskador inom hälso- och sjukvården – Förebyggande insatser för skador och smitta pga. vassa instrument

United Kingdom
Kim Sunley, Royal College of Nursing (RCN) / Ann Stansfield (Peterborough City Hospital) / Robert Baughan (UNISON), London / Peterborough
PDF - 1.3 Mo Presentation Sunley & Stansfield & Baughan – EN



Tjitte Alkema, Secretary General, HOSPEEM ; David Hughes, Deputy General Secretary, INMO ; Tina Weber, ICF GHK (from left to right) during the closing panel

You’ll find below a the file a short presentation of HOSPEEM and EPSUincluding a summary of the activities and outcomes of the sectoral social dialogue committee in the hospital and health care sector in 2012.

PDF - 341.8 ko Presentation HOSPEEM & EPSU + Activities & Outcomes 2012 SSDC HS

 
This project has received funding from the European Commission

Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – FR

Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – DE

Regional Seminar 1 Dublin Report ICF GHK (Tina Weber) – UK

Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector

The project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” builds on the Sectoral Social Partner’s Framework agreement on the prevention of sharps injuries in the hospital and health care sector of 17 July 2009 incorporated in Directive 2010/32/EU.

The deadline for the transposition into national legislation was 11 May 2013.

The project allowed HOSPEEM and EPSU to obtain first hand information on the realities on the ground and on the role of social partners in the transposition of the directive. It also identified guidance to help with the implementation at the workplace level (e.g. as regards risk assessment, training or reporting), and gave inspiration to those managing and working in the hospital and healthcare sector to have measures in place to reduce risks of workplace exposure to medical sharps injuries, in line with Directive 2010/32/EU.

In the framework of this project, HOSPEEM and EPSU have organized three regional seminars in Dublin (January 2013), in Rome (March 2013) and Vienna (April 2013), and a final conference in Barcelona (June 2013). These events aimed at providing space for mutual exchange on the experiences related to the implementation of the Directive, including the challenges and the problems that might have occurred. The results of a survey addressed to EPSU affiliates and HOSPEEM members were also discussed.The findings gathered during the events, together with the results on the implementation progress in the EU Members States, have been included in the final report from the project that were presented to the European Commission and disseminated.

EPSU member Royal Colleague of Nursing (RCN) on 23 January 2012 issued a press release reacting the PM David Cameron’s speech regarding the European Union where they point to Directive 2010/32/EU as one good example for the benefits and effectiveness of EU employment legislation to protect the health and safety of healthcare staff: “This directive provides much improved protection for nurses and other healthcare workers exposed to the risk of bloodborne viruses such as Hepatitis C from needlestick and other sharps injuries. It was also a directive that was supported by both trade unions and HOSPEEM – the European hospital and healthcare employers’ association”.

Report 1st Regional Seminar Dublin
31 January 2013

Brussels, 5 February 2013 Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” Regional Seminar 1 – Dublin, 31 January 2013 Godfrey Perera, Chief Executive, HOSPEEM ; John Delamere, Head of Corporate Employee Relations, HSE ; Louise O’Donnell, Coordinator Healthcare Sector, IMPACT ; Tina Weber, ICF GHK (from left to right) during the opening plenary session The first (…)

Report 2nd Regional Seminar Rome
7 March 2013

Brussels, 10 March 2013 Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” Regional Seminar 2 – Rome, 7 March 2013 The second regional seminar with about 80 participants from 8 European countries (Belgium, Cyprus, France, Italy, Malta, Norway, Spain and the United Kingdom) invited to attend the event took place on 7 March 2013 in Rome. It was hosted (…)

Report 3rd Regional Seminar Vienna
16 April 2013

Brussels, 25 April 2013 Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” Regional Seminar 3 – Vienna, 16 April 2013 The third regional seminar with nearly 110 participants from 8 EU Member States (Austria, Bulgaria, the Czech Republic, Germany, Hungary, Poland, Romania, Slovakia) as well as from Belarus, Croatia, Kosovo, Moldova and Russia took place on 16 April 2013 (…)

Report Final Conference Barcelona
20 June 2013

Brussels, 26 June 2013/18 September 2013 Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” Final Conference – Barcelona, 20 June 2013 The final conference with about 95 participants from 24 out of 28 EU Member States (including Croatia to adhere to the EU as of 1 July 2013) took place on 20 June 2013 in Barcelona. It was hosted by EPSU affiliate Federación de Servicios (…)

Guidance
(Guidelines, Handbooks, Tool Kits, Films)

Film DG EMPL “From needlesticks to sharps. The added value”

In Europe, it is estimated that there are 1 million needlestick injuries annually. Film produced by the European Commission, DG EMPL, on the genesis and the year-long policy process towards the adoption of directive 2010/32/EU to prevent injuries with medical sharps. Watch the video in English: Watch the video in Spanish: Link to DG EMPL webpage for the video in other (…)

“From needle-sticks to sharps. The added value” Success Stories from the EU sectoral social dialogue

The added value of the framework agreement on the prevention from sharps injuries (Directive 2010/32/EU) (…)

Final HOSPEEM-EPSU Conference on sharp injuries – Barcelona, 20 June 2013

The joint HOSPEEM-EPSU project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector” has come to an end after a successful final conference in Barcelona. 

The final conference saw the participation of around 100 stakeholders from the 27 EU countries and high level speakers, including the European Commission. This was the occasion for HOSPEEM and EPSU to take stock of the outcomes of the regional seminars held in Dublin (31 January), Rome (7 March) and Vienna (16 April) under the project and to discuss the future steps of social partners to make the provisions of the Directive reality at the workplaces in the health care sector and thereby significantly improve the safety and security of health care staff and the patients.

Speaking at the conference, Carola Fischbach-Pyttel, General Secretary of EPSU emphasised that the Sharps Directive clearly shows how the EU Social Dialogue can deliver results which have significant impact not only at European, but also at national level. Social dialogue is an essential instrument of democracy and legitimacy for the EU social partners should not allow the current economic crisis and austerity measures to jeopardise it. Speaking about the HOSPEEM-EPSU Directive, Ms Fischbach-Pyttel highlighted that investment in healthcare is well-spent money. The quality of services and the security and safety of health care workers and patients are paramount not only for the sustainability of the EU healthcare systems but also for the competitiveness of all the European countries and their economies.

Tjitte Alkema, Secretary General of HOSPEEM, highlighted the benefits of working in partnership which lead to negotiate on a very complex subject in a short period, in spite of strong oppositions. This was only possible because of the understanding between the two Social Partners HOSPEEM and EPSU. Mr Alkema stressed that even though the deadline for transposition of the Directive into national legislation has passed, the actual work of social partners for the implementation at the workplace has just begun. A strong commitment from both sides will be essential to achieve the objectives set out in the Directive. In times when the Social Dialogue is challenged both at European and national level, HOSPEEM and EPSU need to show that social partners together can deliver in a time and cost efficient way.

The European Commission represented by François Ziegler and Francisco Jesús Alvarez Hidalgo highlighted that due to the different strains facing the EU Social Dialogue, social partners cannot afford to fail and need to show that they can deliver and implement viable solutions in an effective way. The ownership of the Directive is shared between the sectoral social partners and the European Commission and the EC will do everything possible to support their work and to monitor the effective implementation of the provisions of the directive.

The findings gathered during the conference, together with the results on the implementation progress in the EU Members states, will feed into the final report from the project that will be presented to the European Commission and disseminated soon.

 

Press release

 

Implementation of multi-sectoral guidance on third party violence in the workplace

Introduction

This document provides a summary report of the discussions at the three regional workshops held as part of the project on the Implementation of the multi-sectoral guidance on third party violence in the workplace, in London on 9th May, in Rome on 14th June and in and in in Prague on 6 September 2011.

Background of the project

On 16 July 2010, EPSU, UNIEuropa, ETUCE, HOSPEEM, CEMR, EFEE, EUROCOMMERCE, COESS, representing the social partners of the commerce, private security, local governments, education and hospital sectors have reached an agreement on multi-sectoral guidelines aimed to tackle third-party violence and harassment at work.

These Guidelines have been developed following two major conferences organised with the support of the Commission in March 2008 and October 2009 at which the outcomes of a research on third-party violence were presented along with case studies and joint conclusions . Therefore, these Guidelines build on these initiatives and complement the cross-sectoral Framework Agreement on Harassment and Violence at Work of 26 April 2007.

The organisation which were party to the multi-sectoral guidelines subsequently decided to disseminate the guidelines and obtained funding from the European Commission for a project to assist with the translation of the guidance into all EU languages, for three regional seminars and a final conference to be held with the goal making the guidelines more widely known, sharing good practices in tackling third party violence in the workplace and encouraging national member organisations to think about how the guidelines will be implemented in each Member State. GHK Consulting was commissioned to assist in the moderation of these events and in the preparation of reports.

The social partners from Central Government Administration (Trade Union’s National and European Delegation and European Public Administration Employers) added their signatures to the Multisectoral Guidelines on 17 December 2018, at the Liaison Forum in Brussels. Find the press release here

FULL TEXT: Summary report regional workshops | Multisectoral Guidelines Signed (guidelines also available in FR/DE/BG/CZ/DK/EE/EL/ES/FI/HU/IT/LT/NL/PL/PT/RO/RU/SK/SL)

Strengthening social dialogue in the hospital sector in the Baltic countries

A project proposal under budget line 04.03.03.01

FULL TEXT: Project report |Riga Declaration

The project “Strengthening social dialogue in the hospital sector in the Baltic countries” has the following main objectives:

The goal of this project is to improve the dissemination of the priorities and outcomes of the European sectoral social dialogue in the hospital sector in the Baltic countries, to help share good practice on some of the core priority actions of the sectoral dialogue between EPSU and HOSPEEM, to help build the capacity of the hospital sector social partners in the Baltic countries and to assist in feeding national social dialogue interests from the “bottom up”.

Dissemination will specifically focus on the framework agreement reached at sectoral level in 2009 on needlestick injuries. Good practice sharing will relate to a priority of the work programme agreed by EPSU and HOSPEEM for 2010 and the activities of one of its working groups on skills development in the sector. Finally, the project will focus on involving employer and trade union organisations in the sector in Latvia, Lithuania and Estonia to help them develop their national sectoral dialogue in order to allow them to feed their own priorities, concerns and good practices to the European level.

Specific objectives

  1. To build on the activities and findings of a previous project completed in 2008 which focussed on strengthening social dialogue in the hospital sector in all new Member States. This project involved the identification of relevant social partner organisations and social dialogue processes in all EU countries, as well as providing capacity building to social partner organisations in the Czech Republic and Slovakia. This new projects hopes to draw on the organisations and priorities identified in this report for the Baltic countries and provide similar capacity building measures in Latvia and Lithuania (where HOSPEEM currently has members) and to follow up contacts with relevant employers organisations in Estonia to establish if similar activities can be envisaged between the social partners in this country, which could ultimately boost the representativity of HOSPEEM in this country and to add value to the European social dialogue process.
  2. To contribute to the dissemination of the framework agreement on needlesticks by assessing its potential impact and implementation and organising a dissemination event in Latvia.
  3. To contribute to the proceedings of the working group on retention and skills development by gathering good practice examples to be discussed at a seminar in Latvia and shared at the final dissemination event.

Project context

General

A sectoral social dialogue Committee for the hospital sector involving EPSU and HOSPEEM was set up in 2006. Since then, this sectoral social dialogue has matured significantly and has already led to the agreement of a Code of Conduct on Ethical Recruitment, as well as, in 2009, to the negotiation of a framework agreement on needlestick injuries, which has now been transformed into an EU Directive for implementation at Member State level. In addition a number of joint text have been adopted, for example on the proposals for a Directive on Patient’s Rights in the EU. A number of working groups have also been active in recent years, which have exchanged information on mobility, retention, ageing and skills issues affecting the sector. EPSU and HOSPEEM are also part of a multi-sectoral initiative exploring the possibility of the development of a joint tool on tackling third party violence in a number of sectors.

The dissemination of social dialogue results such as the needlesticks agreement and the continuation of the exchange of information in the working group on retention and skills development are a priority of the sectoral social partners’ work programme for 2010.

In 2008, HOSPEEM and EPSU implemented a project on strengthening social dialogue in the new Member States. The goal of this project was twofold: to identify and chart social dialogue processes in the hospital sector in all Member States and to offer assistance with capacity building to trade union and employer organisations in the sector in the Czech Republic and Slovakia.

EPSU and HOSPEEM are now keen to build on this experience and to run a similar project aimed at further engaging social partner organisations in the Baltic countries. HOSPEEM currently has members in Latvia and Lithuania, with EPSU represented in all Baltic countries.

RESPECT

Effective approaches to tackling third party violence in the workplace

A project proposal under budget line 04.03.03.01

FULL REPORT: Respect project report

Project objectives

The project “RESPECT” has the following main objectives:

Final objective

To assist employers in the hospital, local government, private security and commerce sectors, in an independent but coordinated manner with the respective trade unions, to develop an EU multi-sectoral Action Plan which will:

  • Aim to reduce the overall level of third part violence and to mitigate its negative effects;
  • Complement the 2007 cross-sectoral framework agreement adopted by ETUC BusinessEurope CEEP and UEAPME, in particular chapter 4 of this agreement;
  • Take account of health and safety regulations and existing frameworks;
  • Provide an instrument to raise awareness across Europe of the different issues concerning third party violence;
  • Confirm the responsibility of employers, in co-operation with trade unions and workers, to ensure and promote a working environment free from third party violence;
  • Identify the different measures and processes introduced by social partners to prevent and mange problems of third party violence at work;
  • Draw up principles and guidance that can support joint actions by social partners at the different levels to tackle third party violence;
  • Give examples of practical measures which can be taken;
  • Commit trade unions and employers to working together on this issue;
  • Provide a framework for monitoring, evaluation and review

Specific objectives

  1. To build on discussions at the multi-sectoral seminar on third party violence on 14 March 2008 and the multi-sectoral meeting on 4 July 2008 to gather further information on how sectoral social partners at the national level are tackling the issue of third party violence in the workplace. This should contribute to the drafting of multi-sectoral principles and guidelines at European level on how this challenge can be addressed by social partners at the local level.
  2. To assist the sectoral employers organisations involved in the process to date (HOSPEEM, CEMR, CoESS and Eurocommerce) to build up a multisectoral employers’ position and to prepare the employers’ group to eventual negotiations of a multisectoral social dialogue instrument (framework agreement or similar) on third party violence.
  3. To organise a multi-sectoral conference with around 120 participants to present the best practices gathered in the information collection exercise and to discuss the potential outline of a multi-sectoral guidance document. Possibility to launch a joint multi-sectoral declaration on the importance of the issue and key principles for tackling third party violence at workplace level and to announce the intention to prepare joint guidance or another social dialogue instrument.

Project context

General

According to research carried out by the European Foundation for the Improvement of Living and Working Conditions in the European Working Conditions Survey, approximately one in ten workers in the European Union report that they have suffered violence, bullying or harassment at work in the previous year (results 2005 survey).  According to data from the survey, third party violence at the hands of clients, customers or patients is more common than violence suffered at the hands of work colleagues.

Threats of violence and actual violence from third parties are most common in a number of sectors including health and social work, transport, recreational activities, public administration, air transport and education, but are also widespread in other sectors including retail and private security.

The impact on the mental and physical health of worker of such experiences is significant and ranges from distress and feelings of humiliation suffered to actual severe physical injury (or even death) and severe mental trauma often leading to long absences from work (and associated lost productivity) and difficulties with staff retention. The table below shows the significance of the problem of violence and harassment in the workplace in relation to overall absence due to work related health problems, as well as the magnitude of the number of days lost per year.

Cross-sectoral

The cross-sectoral social partners BusinessEurope, ETUC, CEEP and UEAPME already recognised the importance of the issue of violence and harassment in the workplace in their autonomous framework agreement on work-related stress, signed in October 2004. Considered as one of the important sources of stress in the workplace, it was seen to be sufficiently important to warrant a separate autonomous framework agreement.

A joint seminar on harassment in the workplace was organised in 2005 as part of the 2003-2005 work programme of the cross sectoral social partners. At the same time, the European Commission launched its consultation on the issue of violence at work, which strongly emphasised the importance of tackling third party violence. In their 2006-2008 cross-sectoral social partner work programme BusinessEurope, ETUC, CEEP and UEAPME committed themselves to negotiating an autonomous framework agreement on harassment and violence. Negotiations started in February 2006 and ended in April 2007.

The agreement reached underlines that the harassment and violence are unacceptable and it is in the common interest of the social partners to address the issue as it can have serious social and economic consequences. The cross-sectoral agreement moves on to emphasise the importance of existing health and safety regulation which defines an employers’ duty to protect workers against harassment and violence in the workplace. In its introduction, the agreement specifically refers to third party violence and harassment as one of the areas to be addressed, but is not later referred to in more detail, leaving it up to national social partners to decide whether to cover this aspect in their implementation agreements.

The cross-sectoral agreement aims to raise awareness of the issue and provide employers, workers and their representatives with an action-oriented framework to identify, prevent and manage problems of harassment and violence at work. It goes on to describe the phenomenon; how to prevent, identify and manage it; as well as setting out the implementation and follow-up process of the agreement.

National member organisations of the cross-sectoral social partner are currently in the process of implementing the agreements at national level in accordance with procedures and practices specific to management and labour in the EU and EEA countries. The deadline for implementation is April 2010.