Future health care needs and the challenges for

Future health care needs and the challenges for nurses 24 September 2014 Leon van Berkel European Commission Health and Consumers Directorate-General Healthcare Systems Unit Health and Consumers

Overview Ø What are the trends? Ø What can the EU do? Ø Limited legislation Ø Action Plan for the EU Health Workforce Health and Consumers

WHAT ARE THE TRENDS? Health and Consumers 3

Employment in Health & Care Sector Ø 18 million jobs or 8, 4 % of all jobs in the EU Ø Key driver for jobs in medium to long term Healthcare as % of total employment Employment in all other sectors 8. 6% 204, 000 8. 4% 202, 000 8. 2% 200, 000 8. 0% 198, 000 7. 8% 196, 000 7. 6% 194, 000 7. 4% 192, 000 2008 2009 2010 2011 2012 2013 2008 % of total employment 2009 2010 2011 all other sectors Health and Consumers 2012 2013

Main Drivers Problems to be tackled Underlying issues Ageing population and workforce Increasing demand for health workers Rise of chronic diseases and comorbidities Change in models of care delivery (less hospital-centric, more community/primary care) Mobility of Health Workers Unequal distribution Limited data Pressure on policy maker Increasing need for better workforce planning Health and Consumers

WHAT CAN THE EU DO? Health and Consumers 6

What can the EU do? • EU Treaty – Public Health- Art 168 Ø No Direct legislation on health systems of Member States. Ø But, indirect legislation related to health workforce: • Directive on Professional Qualifications • Working Time Directive Health and Consumers

What can the EU do? Ø Promote European cooperation ü Exchange of best practice ü Support European networks ü Promote European research Ø Europe 2020 ü Fiscal Consolidation ü Investment for growth Health and Consumers

Investing a way out of the crisis Fiscal Consolidation Investment for growth Cross-border directive European Semester Action plan on health workforce Economic adjustment programmes 'Investing in health' Reflection process on health systems Health and Consumers

Action Plan 1. Improve Workforce planning Joint Action on Health Workforce Planning and Forecasting CPD-study 2. Anticipate Skills Needs Sector Skills Alliance on Elderly Care Pilot Network of Nurse Educators on Healthcare Assistants (HCA) 3. Recruitment and Retention study, mapping of best practices 4. International Ethical Recruitment WHO-code Health and Consumers

Action Plan 1. Improve Workforce planning Joint Action on Health Workforce Planning and Forecasting: • Start 11 April 2013 • 6 Million Euro • 28 countries • 30 associated and 45 collaborative partners • End in 2016 2. Anticipate Skills Needs 3. Recruitment and Retention 5 • • • 4. International Ethical Recruitment Health and Consumers professions: Nurses Midwives Doctors Dentists Pharmacists

Specific goals: 1) Increased capacity in planning and forecasting by adopting fit-for-purpose models 2) Identifying Minimum data set for planning and forecasting models 3) Increased capacity in data collection and analysis 4) Improvements in the field of data understanding 5) Improved use of these models and data resulting in more evidence based health workforce planning 6) Supported the implementation of WHO Code of Practice Health and Consumers

Action Plan 1. Improve Workforce planning A) Pilot Network of Nurse Educators (July 2014): • Demand of Health care assistants (HCAs) will increase more efforts are needed to invest in their competences. 2. Anticipate Skills Needs • • 3. Recruitment and Retention 4. International Ethical Recruitment Health and Consumers Also recommends setting up a Common Training Framework (CTF) for HCA Follow up in Health Program 2014, feasibility study for a CTF for HCA (18 months, starting end of 2014)

Action Plan 1. Improve Workforce planning B) Sector Skills Alliance in Elderly Care • 6 countries • 4. International Ethical Recruitment Health and Consumers Developing a basic unit of elderly care work (ECVET for Elderly care) • 3. Recruitment and Retention VET providers, healthcare providers and policy makers • 2. Anticipate Skills Needs Final conference on 3 rd of December 2014

Action Plan 1. Improve Workforce planning C) EU mapping study on CPD • CPD systems vary across professions and countries 2. Anticipate Skills Needs • Almost all countries have a registration/licensing requirements for nurses 3. Recruitment and Retention • 24 out of 31 European countries have a mandatory CPD for nurses • Importance of CPD for patient safety • Final report will be finished in November 4. International Ethical Recruitment Health and Consumers

Action Plan 1. Improve Workforce planning Mapping study of innovative and effective recruitment and retention strategies in the EU: • > 250 strategies been identified across Europe, Australia, Brazil and South Africa 2. Anticipate Skills Needs 3. Recruitment and Retention • 8 case studies for more in depth research 4. International Ethical Recruitment • Results will be presented in spring 2015 Health and Consumers

Action Plan 1. Improve Workforce planning WHO Global Code of Practice on International Recruitment of health professionals: 2. Anticipate Skills Needs Data availability on the mobility and migration of health professionals: • The Joint Action will come with recommendations to overcome data gaps 3. Recruitment and Retention 4. International Ethical Recruitment Health and Consumers

Conclusion Action Plan for EU health workforce European networks and research to assist EU member states to share good practice: Ø Ø Ø health workforce planning/forecasting better anticipation of skills needs recruitment and retention continuous professional development international recruitment of health professionals Health and Consumers

For further information http: //ec. europa. eu/health/workforce/policy/index_en. htm Health and Consumers