European Hospital & Healthcare Employers’ Association

December HOSPEEM Newsletter is published

In this December 2018 edition of the newsletter, you will find information on the Social Partner’s Dissemination Workshop on Occupational Safety and Health and Continuing Professional Development (CPD), HOSPEEM news, news from our Members in France and in Lithuania.

This newsletter includes also relevant EU News, events and publications for hospital employers.

HOSPEEM Newsletter 2018 – Issue 5 (17 December 2018)

Social Partner’s Conference on Occupational Safety and Health (prevention and reduction of MSD and PSRS@W)

On 23 and 24 May 2018 the second conference of the HOSPEEM-EPSU project “Promoting effective recruitment and retention policies for health workers in the EU by ensuring access to CPD and healthy and safe workplaces supportive of patient safety and quality care” (2017-2018) took place in Vilnius (co-organised by LSADPS and supported by EPSU). The aim of this conference on Occupational Safety and Health was to pursue and expand the social PDF - 304.4 kopartners’ thematic focus on  the prevention and reduction of MSD and PSRS@W. 

Agenda, report & relevant documents:

PDF - 304.4 koFinal agenda - in EN and LT (as of 16 May 2018)
PDF - 304.4 koFinal report (as of Dec 2018)
PDF - 304.4 koAbstracts
PDF - 304.4 koBiographies
PDF - 304.4 koMedia Release - in EN and LT (as of 24 may 2018)
PDF - 304.4 koMedia Toolkit
PDF - 304.4 koSave the Date (as of 20 February 2018)


Wednesday, 23 May 2018
Welcome note
PDF - 304.4 koRita Zubkevičiūtė, Chief Labour Inspector - Occupational illnesses caused by ergonomic risk factors in diagnoses of Lithuanian healthcare workers - in EN and LT
Plenary 1: Psychosocial Risks and Stress at Work
PDF - 304.4 koMag. Pharm Slava Zlatanova, Deputy Chairwoman (FTU-HC CITUB) and Krasimir Grudev, Elected Board Member (NUPH) - The impact of psychosocial risks at work on the quality of medical services in Bulgaria (the role of employers and trade unions)
PDF - 304.4 koAlice Casagrande, Head of the life-long training, innovation and voluntary work department (FEHAP) - Prevention of violence on health workers

Thursday, 24 May 2018
PDF - 304.4 koDr. Vytenis Andriukaitis, Commissioner for Health & Food Safety (European Commission) - European Commission Perspectives on Occupational Safety and Health and Health Workforce Challenges
Plenary 2: Organisational Climate
PDF - 304.4 koSebastian Starystach and Christina Streib (University of Heidelberg) - Risk assessment of psychosocial stress for nursing staff according to the provisions of the Occupational Health and Safety Act – an example of a comprehensive and participative approach in the University Clinic Heidelberg
PDF - 304.4 koAnouk ten Arve, Programme Manager and Marc Spoek, Manager (Stichting IZZ) - Approach to Organisational Climate: Talking to each other improves health and safety among health care employees + Video links: About IZZ , IZZ Approach & IZZ Story
PDF - 304.4 koDr. Sabine Gregersen, Head of Health Sciences - Measuring health-promoting leadership within the scope of the risk assessment

Session 1 - PSRS@W
PDF - 304.4 koZoyia Antoniou, Secretary (PASYDY) - Intervention to enhance satisfaction of nurses in the work environment, to prevent burnout and to improve services provided to patients
PDF - 304.4 koGunnar Sundqvist, Investigator (SALAR) and Margaretha Johansson, National Officer (Kommunal) - Suntarbetsliv
PDF - 304.4 koKevin Charles, Chaplain & Staff Support Lead and Tracy Cunningham, Community Paramedic (East Midlands Ambulance Service NHS Trust) - Supporting staff mental health in East Midlands Ambulance Trust

Session 2 - MSD
PDF - 304.4 koLars Andersen, Professor (National Research Institute for working environment – NFA) - Physical work environment among healthcare workers
PDF - 304.4 koAnna Kukka, Work Environment Specialist (TEHY) and Leena Tamminen-Peter, Independent Occupational Health Ergonomic and Economics Expert - SOTERGO and the ergonomic patient handling card

Session 3 - Organisational Climate
PDF - 304.4 koMerja Hyvärinen, Legal Adviser (SuPer) - Vuosaari homecare
PDF - 304.4 koElize Hooftman, Manager FIER/Capacity Manager (Groene Hart Ziekenhuis) and Elles van der Neut, Team Leader FIER (Groene Hart Ziekenhuis) - Innovative flexible rostering; the right person, in the right place at the right time - in EN and NL
PDF - 304.4 koKonan Midy and Fabienne Tartaise, Centre Hospitalier Douarnenez, Bretagne (CFDT SSS) - Presentation of trade union work to prevent PSR in the context of “quality of work programmes” (in a public-sector hospital) - in EN and FR

Plenary 3 – Occupational Safety and Health
PDF - 304.4 koAnna-Mari Jaanu, Programme Manager (Kunteko) - Kunteko 2020 - Programme for improving working life in Finnish local and county government + video link
PDF - 304.4 koRaimonda Eičinaitė-Lingienė, Head (Occupational Health Centre, Institute of Hygiene) - The Workplace of Medical Worker – An Appropriate Platform for Health Innovation and Collaboration - in EN and LT
Closing Panel
PDF - 304.4 koDr. Malgorzata Milczarek, Project Manager (EU-OSHA) - EU-OSHA’s view on preventing psychosocial risks and MSDs at work


Conference in a nutshell
Commissioner Vytenis Andriukaitis, Health and Food Safety + Complete Speech



 Kunteko 2020 (Finland)
IZZ, The collectivity of people in health care : About IZZ , IZZ Approach & IZZ Story (The Netherlands)

The final report will be published in the upcoming months.

Photo Gallery
See the photos here

Sketch drawings
PDF - 304.4 koDownload in pdf


Photos & drawings credits: Suus /HOSPEEM-EPSU, 2018

EPSU has also published an event page for the conference.

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This project is supported with funds from the European Commission

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


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

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

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

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

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

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

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

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

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

PDF - 304.4 koMedia release

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

Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector: Main activities and outcomes in 2017

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 2017 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

VADEMECUM – A Practical Guide for EU Social Partner Organisations and their National Affiliates to Commission support to EU Social Dialogue.

The “VADEMECUM – A Practical Guide for EU Social Partner Organisations and their National Affiliates to Commission support to EU Social Dialogue -2017” provides basic information on the instruments related to EU support to social dialogue and includes the existing rules to be respected when using these tools.  Download the guide.


10th anniversary of the Sectoral Social Dialogue Committee for the Hospital Sector

HOSPEEM and EPSU celebrated the 10th anniversary of their Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector on the occasion of their plenary meeting organised in Brussels on 2 December 2016.

The Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector was set up in September 2006 at the joint request of the hospital sector social partners. The inaugural meeting of the Committee was held on 20 September 2006.

HOSPEEM and EPSU were honoured and delighted to host Mr. Xavier Prats Monné, Director General of DG SANTE, and Mr. Michel Servoz, Director General of DG EMPL, on the occasion of this celebration that was attended by more than 70 participants.

HOSPEEM and EPSU have established fruitful cooperation and close working relations with DG EMPL and DG SANTE over the years and appreciate their presence as an expression of interest and support for their work and activities.

This celebration provided the opportunity to stress the crucial role played by the hospital sector social partners and the importance of the hospital sector social dialogue.

This event also offered an excellent opportunity to highlight the major achievements of HOSPEEM and EPSU over the last decade as well as to exchange on future challenges and priorities.

Xavier Prats Monné underlined in his speech the positive changes taking place in the health sector, made possible thanks to the quality, skills and dedication of health professionals. Looking at the challenges for the next decade, he stated that none of them would be addressed without looking at the workforce and without a strengthened effort on recruitment and retention.

Michel Servoz stressed the good functioning and efficiency of the Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector. He also emphasized the crucial dimension of this sector for the quality of life and focused on three major challenges faced by this sector, i.e. skills, job creation and innovation, on which social partners have a major role to play.

The Secretary Generals of EPSU and HOSPEEM also respectively delivered a speech to celebrate 10 years of successful European social dialogue in the hospital sector.

Jan-Willem Goudriaan, EPSU General Secretary, underlined the importance of the principle of autonomy of social partners and put the emphasis on the need to further build up and strengthen the capacities of national employers’ and trade union organisations.

In his speech, Tjitte Alkema, HOSPEEM Secretary General, paid tribute to the commitment and active involvement of HOSPEEM and EPSU members in the hospital social dialogue, saying that it had been, and would always be, fundamental in achieving great results.

HOSPEEM brochure

In the years to come HOSPEEM is looking forward to represent the interests of hospital and healthcare employers across Europe and to further build the future of hospital care. As an independant, membership-based organisation and as recognised social partner, HOSPEEM has a distinct voice influencing EU-policy making.

At the occasion of its 10th anniversary in 2016 HOSPEEM published the first HOSPEEM brochure and in 2020, a new edition of the HOSPEEM brochure was published. In this brochure you will find information on the mission, the history, the members, the core focus areas and ten years of achievements of the organisation.

PDF - 304.4 koDownload the brochure

HOSPEEM 10th Anniversary, 2006-2016

The 10th anniversary of HOSPEEM was celebrated at the occasion of the General Assembly on December 1st 2016 at the European Economic and Social Committee.


Tjitte Alkema, Secretary General of HOSPEEM stated that:

“In 2016 HOSPEEM celebrates ten years of commitment to represent the interests of hospital and healthcare employers across Europe. HOSPEEM is now a structured platform of employers supplying services of general interest, with a unique expertise in the field of workforce and industrial relations’ issues for the hospital and healthcare sector and a distinct voice influencing EU policy-making.

This 10th anniversary is an opportunity to look back at our major achievements and to look at future challenges. Since 2006 HOSPEEM has been working closely with the European Federation of Public Service Unions (EPSU) to establish and sustain a fruitful Hospital Sector European Social Dialogue. In this context we have been able to build a climate of mutual respect and trust also leading to the signature of a number of significant agreements and guidelines. As a European independent, membership-based organisation HOSPEEM has effectively supported its members to implement outcomes of Social Dialogue through exchanges of good practices and innovative capacity building activities.

As a recognised social partner HOSPEEM has been a key player in the European Social Dialogue for the last ten years. HOSPEEM is successfully ensuring that the views of employers are being heard at the highest level in the European institutions. In the years to come, HOSPEEM is looking forward to further build the future of hospital care empowering on-the-ground hospital employers and managers.”

The first HOSPEEM brochure was published at the occasion of the 10th anniversary.

PDF - 304.4 koDownload the new brochure






Social partners also celebrated 10 years of fruitful social dialogue at the plenary meeting of the HOSPEEM-EPSU Sectoral Social Dialogue Committee for the Hospital Sector on December 2nd.

PDF - 304.4 koDownload the presentation “highlights of 10 years of social dialogue”
Watch the video “celebrating 10 years of Social Dialogue 2006-2016”

OSH Project: Social partners’ conference on approaches to the issue of psychosocial risks and stress at work

On 10 November 2015 the second conference of the joint HOSPEEM – EPSU project on occupational health and safety risks entitled “Social partners’ conference on approaches to the issue of psycho-social risks and stress at work” took take place in Helsinki (co-organised by JHL, Superlitto and Tehy and supported by EPSU).

The conference focused on the causes and impacts of psycho-social risks and stress at work, on how they can be best prevented and addressed and on how an effective risk assessment and management can be organised.

You can watch the recording of the Conference  on the following link:

You can read the media release of HOSPEEM and EPSU or download the PDF - 304.4 ko Media Release in pdf.

PDF - 304.4 ko Agenda of the Conference

Read the report of the Helsinki conference, drafted by Nico Knibbe (LOCOmotion)
PDF - 304.4 koReport of the  PSRS@W Conference-EN
PDF - 304.4 koReport of the  PSRS@W Conference-FR
PDF - 304.4 koReport of the  PSRS@W Conference-DE


From Paris to Helsinki
PDF - 304.4 ko Nico E Knibbe, Locomotion NL-EN

Session 1: “Setting the scene: Causes of psycho-social risks and stress at work (PSRS@W) in the hospital/health care sector”. 

PDF - 304.4 ko Managing stress and psychosocial risks at European workplaces, Julia Flintrop, EU-OSHA -EN

Session 2: “Risk assessment and risk management in the field of PSRS@W”
PDF - 304.4 koStress in Healthcare – Can we measure and prevent stress in healthcare?- Albert Nienhaus, Institute for Epidemiology and Occupational Health for Healthcare Workers (CVcare) -EN
PDF - 304.4 ko Challenges for healthcare Profession : work related stress, Peter J Kelly, Health and Safety Executive, (HSE)-EN

Session 3: “Better managing PSRS@W” 
PDF - 304.4 ko Applying workers’ health surveillance to manage PSRS@W, Dr. Sarah M. Ketelaar, Academic Medical Center Amsterdam -EN 
PDF - 304.4 ko Handling of harassment in Region Gävleborg, Anders Westlund, Malin Vadelius and Tor Andersson, Sweden -EN
PDF - 304.4 ko Risk assessment & primary prevention of psycho-social risks and stress in the context of the restructuration of an institution of the CAPIO Group,  Valerie d’Almeida,CFDT (Bayonne) and Catherine Allemand, Syndex -EN/FR

Session 4:” Better preventing PSRS@W”
PDF - 304.4 ko Working in partnership for an improved prevention of PSRS@W, James Tracey -NHS Trust and Kim Sunley, Royal College of Nursing- EN

Session 5:” How can workers cope with their job demands and stay engaged?”
PDF - 304.4 ko Well-being through work. How can workers cope with their job demands and stay engaged,  Saija Koskensalmi, Finnish Institute of Occupational Health- EN

PDF - 304.4 ko Abstracts of presentations

HOSPEEM Newsletter – Conference highlights
HOSPEEM Newsletter December 2015-Special Issue


                                              *** Back to main project page ***   

This project has received funding from the European Commission

OSH Project : Social partners’ conference on approaches to the issue of musculoskeletal disorders

This first conference took place on 25th March 2015 in Paris (co-organised by FEHAP and supported by HOSPEEM) with around 90 participants from 16 EU Member States. The aim of the conference was to provide social partner organisations with a common understanding of the phenomenon of musculoskeletal disorders in the hospital sector and a clear picture of the concrete preventive measures they could take. PDF - 304.4 koDraft Agenda – Conference Paris 25 March 2015 – EN

Read the report of the Paris conference, drafted by Nico Knibbe (LOCOmotion):

PDF - 304.4 ko Report of the MSD Conference-EN
PDF - 304.4 ko Report of the MSD Conference-FR
PDF - 304.4 ko Report of the MSD Conference-DE


The size: Musculoskeletal disorders: what is going on? Facts, figures and data about the nature and size of the problem.
PDF - 304.4 koSize and nature of the phenomenon of musculoskeletal disorders – Jean-Michel MILLER, Eurofound –  EN

The solutions: How do we solve the issue?
PDF - 304.4 koMusculoskeletal disorders in the nursing profession: how do we solve the problem? What are the cornerstones? – Nico KNIBBE, LOCOmotion Research NL – EN

Cornerstone 1: Regulations and guidelines. What is the existing regulatory framework at EU and national level? Is the legislation well implemented in the different Member States?
PDF - 304.4 koErgonomics at the Workplace – An EU Baseline Scenario – Antonio CAMMAROTA, DG EMPL, European Commission – EN
Swedish regulatory framework and implementation – Minke WERSÄLL, Swedish Work Environment Authority – EN

Cornerstone 2: Social partners. How can social partners contribute?
Video presentation of experience from Hospitals of the Mont-Blanc region (France) – Introductory remarks from Maryvonne NICOLLE, FSS-CFDT and Agnès NINNI, CFDT des Hôpitaux du Mont Blanc – FR,  EN
PDF - 304.4 koHealth, Safety and Wellbeing Partnership Group “Back-pack” – Kim SUNLEY, Royal College of Nursing & James TRACEY, Leeds Teaching Hospitals NHS Trust – EN
PDF - 304.4 koGood Work Environment and Good Performance Go Hand in Hand – Ing-Marie LARSSON & Solveig TORENSJÖ, Karlskoga hospital (Sweden) – EN

Cornerstone 3: (Re)building ergonomic hospitals. What should ergonomic hospitals look like? 
PDF - 304.4 koCost-Effectiveness of Ergonomic Hospital Design: Methods and strategies to reduce operational costs of hospitals by introducing ergonomic concepts to enable better work conditions and higher work efficiency – Tom GUTHKNECHT, Lausanne Health & Hospitality group – EN
PDF - 304.4 koBuilding ergonomic hospitals. What should ergonomic hospitals look like? – Leena TAMMINEN-PETER, Ergosolutions BC Oy Ab – EN
PDF - 304.4 koAssessment of work-related risks: a necessary ergonomic conception – Jean-Pierre ZANA, French National Institute for Research and Safety (INRS) – EN

Cornerstone 4: Training. How do we train health workers to work safer? 
PDF - 304.4 koPreventing musculoskeletal disorders and training: FAQs – Diana ROBLA, Galician Health Service – EN
PDF - 304.4 koPreventing musculoskeletal disorders: from training to internal preventers: the example of the Institut Robert Merle d’Aubigné – Hélène ANTONINI-CASTERA, Institut Robert Merle d’Aubigné – FR

Closing remarks
PDF - 304.4 koClosing remarks: Maryvonne NICOLLE, CFDT Fédération Santé et Services Sociaux – FR, EN 
PDF - 304.4 koClosing remarks: Marta BRANCA, ARAN – EN

Abstract and biography:
PDF - 304.4 koAbstracts of presentations – EN
PDF - 304.4 koSpeaker’s biography – EN

HOSPEEM Newsletter – Conference highlights:
PDF - 304.4 koHOSPEEM Newsletter May 2015 – Special Issue

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This project has received funding from the European Commission