Indsæt Billede Fra fil her Health

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Indsæt – Billede – Fra fil… her Health Professionals Crossing Borders Torben Hærslev, MD

Danish Health Personnel Authorisation § 16 groups of authorised health personnel § Authorisation given by DHMA § Full licence annulled at 75 without re-application § All authorised groups under the Health Personnel Act § All under the supervision of DHMA 19 -03 -2018 2

Supervision from 1934 -2000 § Based on incidence reports § Evaluation of whether the health personnel have displayed care and conscience § Limitation of the prescription right (1956) § Reprimand or acquittal by the courts or the complaint system § Revocation of authorisation only due to illness, abuse or severe malpractice (danger for patients)

Changed Legislation in 2000 § Mandatory change of professional performance, when repeated malpractice is proven by the Patient complaints board or the courts. § Limitation in authorisation or loss of authorisation, if the sanction is not complied with § Weakness: DHMA had to await the decisions of others before we could act – very time consuming

Another change in 2006 § Intensified surveillance § When there is reason to believe that the health person's practice is a safety risk for the patients § Publication of all sanctions on the web site

The latest change of enactment 2011: No longer any need to wait for decisions from other agencies or the courts 2013: Temporary revoking or limitations to the authorisation if the health person does not cooperate with the DHMA

Volume Before 2005: 1 -2 revoked authorisations/year 2012/2013: § 13 revoked authorisations § 17 voluntary renouncement's § 7 work bans § 12 prescription limitations

Sanctions in Danish legislation § Intensified surveillance § Mandatory change of professional conduct § Limitations in prescription or fully revoked § Limitations in authorisation or fully revoked § Work ban § Injunction to comply with medical examination 8

Arrival and departure Going out CCPS If issues then contact to other supervisory organisation § § § Certificate of current professional standing Coming in We only refuse, if the issues would cause loss of authorisation in Denmark § Immediate sanctions can be relevant When an authorised health person applies for a licence in another country § We always write all current or recent sanctions § We do not inform about: § Health issues § On-going not resolved cases 9

Exchange of information § According to a Nordic agreement we exchange the following with the Nordic countries § Revokements and renouncements § Limitations § We have a register available to all on our web § Other information is given on request to all countries § Health information only by consent 19 -03 -2018 10

Problem areas § When a Health Person (HP) all ready authorised in several countries, gets sanctioned – how do we know? § Can we within our legislation use the sanctions of other countries? § How do we keep track of the HP who always leave, when the going gets though? 11

Thank you! 12

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