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) 

HOSPEEM January newsletter is published

In this January Newsletter edition, you find a collection of challenges and lessons learnt in light of the COVID-19 outbreak by hospital and healthcare employers  well as a call for political support from European institutions to strengthen capacity building of sectoral social partners to be represented in the European sectoral social dialogue in the light of the recent publication of the Eurofound representativeness study for the Hospital Sector.

This newsletter also includes news from our Members in the U.K. and in the Netherlands, EU news, events and publications relevant for hospital employers.

15 January 2021: HOSPEEM Newsletter 2021 – Issue 1

Collection of challenges and lessons learnt by hospital and healthcare employers on COVID-19

The document provides a first insight into challenges and lessons learnt by hospital and healthcare employers, in light of the COVID-19 outbreak. First commonalities between HOSPEEM Members are presented, followed by detailed information on the respective countries. The information collected ranged from May 2020 – 16 December 2020. Links to resources and references can be found in the footnotes.

The challenges and lessons learnt are clustered around four areas:

  1. Organisational challenges in terms of health workforce and shortages;
  2. Organisational challenges related to Personal Protective Equipment;
  3. The organisation of training for health workforce usually not working in the ICU setting;
  4. Risk assessment for the health workforce to assess their health status and “being fit for work”.

HOSPEEM’s summary on European Commission Expert Panel Opinion on Effective Ways of Investing in Health on the organisation of resilient health and social care following the COVID-19 pandemic

Following the publication of the Expert Panel’s opinion on Effective Ways of Investing in Health on the organisation of resilient health and social care following the COVID-19 pandemic, HOSPEEM drafted a summary focusing on the health workforce.

About the opinion

The opinion identifies the building blocks of resilient health and social care, explores the elements and conditions for capacity building to strengthen health system resilience, addresses healthcare needs of vulnerable patients at times of crisis, and defines a blueprint for health systems’ resilience testing.

Download the HOSPEEM summary

Download the European Commission Expert Panel’s opinion

Download the European Commission fact sheet

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

Commitment to the WHO Charter on Health Worker Safety: A Priority for Patient Safety

Brussels, 16 November

HOSPEEM expresses its commitment to the World Health Organizations’ Charter on Health Worker Safety: A Priority for Patient Safety. We agree that the health, safety, and well-being of health workers is a prerequisite for an effective response to the COVID-19 pandemic.

Besides the already mentioned key measures, HOSPEEM commits to the following:

1. Establish synergies between health worker safety and patient safety policies and strategies.

Aim to ensure the health workers’ safety when implementing the HOSPEEM-EPSU Joint Declaration on CPD and LLL for All Health Workers in the EU, which has been adopted in 2016.

2. Develop and implement national programmes for better occupational health and safety of health workers.

Updating the HOSPEEM-EPSU Framework of Actions on Recruitment and Retention (2010) with lessons’ learnt from COVID-19 and previous joint projects on occupational safety and health.

3. Protect health workers from violence in the workplace.

Promote the implementation of the Multi-sectoral guidelines to tackle third-party violence and harassment related to work, signed in 2010 and reaffirmed in 2020.

4. Improve mental health and psychological well-being of the health workforce.

Collect lessons learnt from national sectoral social partners in the hospital sector in the context of COVID-19 and create space for the exchange of good practices on improving mental health and the psychological well-being of the health workforce.

5. Protect health workers from physical and biological hazards.

Monitoring the developments of the Carcinogens and Mutagens Directive 2004/37/EC concerning the inclusion of hazardous medicinal products and cytotoxic substances as well as the development of non-binding measures in this regard.

Active participation as Official Campaign Partner in the EU-OSHA Healthy Workplace Campaign Lighten the Load (2020-2022).

Promoting the implementation of the Medical Sharps Directive 2010/32/EU in the European Member States by strengthening synergies with other relevant stakeholders.

Aim to ensure availability of personal protective equipment (PPE), relevant to the roles and tasks performed, in adequate quantity, of appropriate fit and acceptable quality.

Download the HOSPEEM committment to the WHOs’ Charter on Health Worker Safety (Pdf)

Nb: WHO invites all Member States, intergovernmental organizations, international organizations and relevant stakeholders to support and endorse this charter by signing up.

WHO technical resources – useful links:

Image credits: Courtesy of the World Health Organisation, 2020

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)

Press Release on the Representativeness of the European Social Partner Organisations: Human Health Sector

PRESS RELEASE

Brussels, 12 November 2020

HOSPEEM welcomes the findings of the Eurofound representativeness study for the human health sector.

HOSPEEM calls for political support by the European Union and the Member States to promote social dialogue at the national level and to create an enabling environment for sectoral social partners in fostering capacity building processes.

HOSPEEM continues to be the most representative European hospital employers’ association, a leading voice in the EU sectoral social dialogue also initiating Council decision’s[1]. HOSPEEM’s members facilitate the most efficient provision of services while ensuring healthcare professionals and patients’ safety alike. Unlike any other sector, the COVID-19 pandemic is massively impacting the hospital sector, ranging from reorganising healthcare services and putting mental and physical strains on the health workforce and hospital employers, as highlighted in HOSPEEM’s statement on COVID-19. The European Social Dialogue Committee for the Hospital Sector (SSDC HS) continues to be the primary European forum for sectoral social partners to address these and other relevant and challenging topics on both national and EU health agendas.

HOSPEEM believes that the political support by European institutions and Members States is needed to deliver on the envisaged Action Plan on the European Pillar of Social Rights, in particular, the capacity building of social partners to promote social dialogue as well as on the Country-Specific Recommendations of the European Semester.

The European Commission and European Parliament indeed recognise the increasing importance of health, by proposing to build a European Health Union, to include health services in the European Programme for Critical Infrastructure Protection and the Critical Infrastructure Directive. Together with the European Council, the institutions also agreed on a EUR 5.07 billion EU4Health budget[2].

The role and active involvement of sectoral social partners at EU level are therefore essential to ensure that their voice is heard.

[1] Eurofound (2020) European sectoral social partner organisations and their representativeness https://www.eurofound.europa.eu/fr/observatories/eurwork/representativeness-studies

[2] Amount in 2018 prices

Download the Press Release (Pdf)

HOSPEEM October Newsletter is published

In this October Newsletter edition, you find the HOSPEEM-EPSU joint position on the protection of workers from exposure to hazardous medicinal products given the European Commission study on this topic as well as information on the launch of the EU-OSHA Campaign 2020-2022 Healthy Workplaces ‘Lighten the Load’. This newsletter includes our Member’s news, EU news, attended and future events and publications relevant for hospital employers.

29 October 2020 HOSPEEM Newsletter 2020 – Issue 4

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