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CARE FLOWS. “Giving practitioners the confidence to work in the Health and Social Care Sector in another country, and employers the confidence to recruit other nationalities in the North West Europe Area.”. CARE FLOWS. Project partners: Institute of Work & Technology Germany

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  1. CARE FLOWS “Giving practitioners the confidence to work in the Health and Social Care Sector in another country, and employers the confidence to recruit other nationalities in the North West Europe Area.” CESRT/Hogeschool Zuyd Maastricht

  2. CARE FLOWS Project partners: Institute of Work & Technology Germany European Medical Association, Belgium University of Limerick, Ireland Health Service Executive North West Area, Ireland Zuyd University/ CESRT, Netherlands University of Salford, United Kingdom Pediatric Clinic of Datteln, Germany University of Witten Herdecke, Germany National Expert Advisory Teams (NEATS) CESRT/Hogeschool Zuyd Maastricht

  3. WHERE IS THE NETHERLANDS? CESRT/Hogeschool Zuyd Maastricht

  4. This presentation is about: Demography and its impact on the Dutch health care labour market International mobility of medical professionals and cross border care The new health care system and public health care legislation and regulation in the Netherlands CESRT/Hogeschool Zuyd Maastricht

  5. The greying of the population will reach its peak in just over 30 years. In 2038, a quarter of the 17 million Dutch people will be over 65. CESRT/Hogeschool Zuyd Maastricht

  6. Population ageing, although it is yet to come, will have a large impact on health spending, health and disability support, and the future labour market. CESRT/Hogeschool Zuyd Maastricht

  7. In 2005, the total number of unfilled vacancies in the Health and Social Care Sector was 16.100, this is a year average of 15,8 vacancies per 1000 jobs. CESRT/Hogeschool Zuyd Maastricht

  8. In 2006, there was a year average of 20,1 vacancies in every one thousand jobs. This was 4,3 more than a year before. CESRT/Hogeschool Zuyd Maastricht

  9. The Health and Social Care Sector occupies a continuously increasing part of the total labour market CESRT/Hogeschool Zuyd Maastricht

  10. Shortages of nursing and caring personnel may occur over the next few years. The greatest shortages are estimated to occur in jobs requiring the lowest levels (1 to 3) of vocational education and training. CESRT/Hogeschool Zuyd Maastricht

  11. The expected shortages may be a reason for the government to pursue immigration policy. CESRT/Hogeschool Zuyd Maastricht

  12. International mobility of medical professionals is still low in the Netherlands, as it is in other European countries. Only 1% of all registered physicians and 0,5% of the total nursing and caring personnel are of foreign origin. CESRT/Hogeschool Zuyd Maastricht

  13. Per 1 January 2006, the Individual Health Care Professions Register recorded 2181 physicians with a foreign diploma. CESRT/Hogeschool Zuyd Maastricht

  14. Per the same date, 1615 nurses with a foreign diploma were listed in the Individual Health Care Professions Register . CESRT/Hogeschool Zuyd Maastricht

  15. A special case to be looked for is the free movement of workers from Central and Eastern Europe on the Dutch labour market. CESRT/Hogeschool Zuyd Maastricht

  16. After Poland entered the European Union, the Netherlands opened its borders for Polish nurses CESRT/Hogeschool Zuyd Maastricht

  17. The Dutch and Polish Ministries of Health Care developed a pilot project “Polish nurses in the Netherlands; development of competencies” CESRT/Hogeschool Zuyd Maastricht

  18. Within the framework of this project, Polish nurses got the opportunity to learn and work in nursing homes in the Netherlands for a maximum period of two years. CESRT/Hogeschool Zuyd Maastricht

  19. The Dutch government requested the International Organization for Migration to monitor the activities of three intermediate organisations that recruited Polish nurses as part of the pilot project. CESRT/Hogeschool Zuyd Maastricht

  20. One of the research results was, that many of the employers acknowledged that the nurses’ level of Dutch language skills was not really sufficient to function in an optimal way. CESRT/Hogeschool Zuyd Maastricht

  21. The nurses confirmed the general opinion of the employers. All nurses had difficulties at work related to the inadequate knowledge of the Dutch language. The low level of language skills was also an obstacle to follow training. CESRT/Hogeschool Zuyd Maastricht

  22. The conclusion was, that better prepared language courses and thorough supervision on the job during daily work are crucial to bridge both language barriers and cultural differences. CESRT/Hogeschool Zuyd Maastricht

  23. Cross-border care is an important issue, particularly in the Netherlands and Belgium, small countries with many borders to cross. CESRT/Hogeschool Zuyd Maastricht

  24. The Academic Hospital Maastricht (AZM) has already a long tradition in recruiting Flemish health workers. Since 40 years, the Flemish come to work in the hospital, particularly in nursing. CESRT/Hogeschool Zuyd Maastricht

  25. Nobody from Wallonia (French Belgium) has a job in the Maastricht hospital. This is indicative of the language barrier as an important factor in cross-border nursing. Some British and Germans work in the operating room, which is understandable, because the language problem does not occur. CESRT/Hogeschool Zuyd Maastricht

  26. Since 1 January 2006, the Netherlands has a new insurance system for health care costs. The government does not participate directly in the actual provision of care. This is a task principally for private care suppliers. CESRT/Hogeschool Zuyd Maastricht

  27. Another trend is towards more competition among providers of care. Efforts are made to combine market and non-market elements in health care. CESRT/Hogeschool Zuyd Maastricht

  28. Diagnosis and Treatment Combinations (DTCs) are being introduced step-by-step from early 2005 for hospital financing. CESRT/Hogeschool Zuyd Maastricht

  29. The social security system in the Netherlands is a special case. It is somewhere in between the contributory (or Bismarckian)and the residual (or Anglo-Saxon) model of social security CESRT/Hogeschool Zuyd Maastricht

  30. It is not likely to expect a harmonisation of social security systems. In the EU, the subsidiarity principle applies. CESRT/Hogeschool Zuyd Maastricht

  31. The European Union produces framework legislation, not only on social security issues, but also on issuesof public health care legislation and regulation CESRT/Hogeschool Zuyd Maastricht

  32. For some regulated professions - those of doctor, dentist, pharmacist, nurse of general care, midwife, veterinary surgeon, architect and lawyer - recognition of a professional coming from an EU member state in other EU member states is regulated by the EU sectoral directives. CESRT/Hogeschool Zuyd Maastricht

  33. By 20 October 2007, twelve sectoral and three general system directives for the recognition of professional qualifications will be consolidated in one new directive CESRT/Hogeschool Zuyd Maastricht

  34. The declaration of professional competence and registration of persons with foreign qualifications who wish to practise their profession in the Netherlands is regulated in the Individual Health Care Professions (BIG) Act. CESRT/Hogeschool Zuyd Maastricht

  35. Professions, regulated by Act of Parliament are:Pharmacist, Physician, Physiotherapist, Health care psychologist, Psychotherapist, Dentist, Midwife and Nurse (article 3 of the BIG Act). CESRT/Hogeschool Zuyd Maastricht

  36. Professions, regulated by an Order in Council, are: Pharmacist’s assistant, Dietician, Occupational therapist, Skin therapist, Speech therapist, Dental hygienist, Cesar remedial therapist, Mensendieck remedial therapist, Orthoptist, Optometrist, Podiatrist, Radiographer (diagnostic), Radiographer (therapeutic), Clinical dental technician and Individual health care assistant (article 34 of the BIG Act). CESRT/Hogeschool Zuyd Maastricht

  37. The Individual Health Care Professions (BIG) Register is managed by the Central Information Unit on Health Care Professions (CIBG), an implementing body of the Ministry of Health, Welfare and Sports. The CIBG judges whether people with a foreign diploma may be registered in the Register. CESRT/Hogeschool Zuyd Maastricht

  38. Two other organisations, Nuffic and Colo, set up an Information Centre for Credential Evaluation. Nuffic is the Netherlands Organization for International Cooperation in Higher Education and Research Colo is the Association of Centres of Expertise on Vocational Education, Training and the Labour Market. CESRT/Hogeschool Zuyd Maastricht

  39. Improved transparency of qualifications and competences may facilitate mobility between countries throughout Europe. CESRT/Hogeschool Zuyd Maastricht

  40. Thank you for your attention CESRT/Hogeschool Zuyd Maastricht

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