Health andConsumers

Health andConsumers

Future challenges for the EU health workforce

Katja NeubauerDeputy Head of Unit

Healthcare SystemsDirectorate-General Health and Consumers

European Commission

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Health andConsumers

EU Health Workforce (8% of total EU workforce)

Ageing population and workforce

Rise of chronic diseases and co-morbidities

Mobility of health workers

Trends in employment in the human health sector Trends in employment in all other sectors

Increasing demand for health workers

Change in models of care delivery (less hospital-centric, more primary care)

Shortage and unequal distribution Limited data causes fragmentation of

workforce planning

Underlying issues Challenges

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Health andConsumers

Complex and diverse with little data Two European research projects : Prometheus and Mobility

of Health Professionals Huge challenge for Central and Eastern European countries

HEALTH PROMeTHEUS17 countries

Wismar

CHALLENGE: Mobility of Health Professionals

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Turkey

Number of doctors is 50% and number of nurses 20% of the EU average.

The average growth rate is double than EU.

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Health andConsumers

Challenges of the futurehealth workforce

Balance specialization;Right distribution;Right skill mix;Working conditions;Manage mobility and migration;Workforce planning

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Health andConsumers

WHAT CAN THE EU DO?

No strong legal competencein health policy

Promote European cooperation:

Exchange of best practice Support European networksPromote European research

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Health andConsumers

Forecasting workforce needs and improving workforce planning

methodologies

Action plan for the EU health workforce

Anticipating future skills needs in the health professions

Share good practice on effective recruitment and retention strategies for

health professionals

PlanningTraining

New integrated care delivery models,New technologiesLifelong learning

Attract and recruit new people,

Incentive mechanisms

Joint Action -2016OECD study -2015

EU study on Continuous Professional Development -2014

EU study on recruitment and retention -2015

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Action Plan

Improve workforce planning

Recruitment and

retention

Anticipate skills needs

International ethical

recruitment

Joint Action on workforce forecasting and planning

Education and training of health professionals: OECD/Commission study

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Health andConsumers

Joint Action on Workforce Planning

"Deciding Today for Tomorrow"Time horizon: 15 years

Short-term: planning capacity, data collection and analysis, strategy building

Medium term: influence policy on education and training, professional regulation, competence/skills

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Health andConsumers

Action Plan

Improve workforce planning

Recruitment and

retention

Anticipate skills needs

International ethical

recruitment

Skills Council nursing and care: update competence profiles

Sector Skills Alliance: European partnerships between education/ training bodies and healthcare employers.

Pilot Network of nurse educators/ and regulators: training of health care assistantsMap continuous professional development (CPD) systems and practices in the EU.

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Health andConsumers

Action Plan

Improve workforce planning

Recruitment and

retention

Anticipate skills needs

International ethical

recruitment

Social Dialogue (employers and trade unions) in the Hospital Sector: Framework Agreement of Actions on Recruitment and Retention

Mapping study of innovative and effective recruitment and retention strategies in the EU (Health Programme 2013)

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Health andConsumers

Action Plan

Improve workforce planning

Recruitment and

retention

Anticipate skills needs

International ethical

recruitment

WHO Global Code of Practice on international recruitment of health professionals

Data availability on the mobility and migration of health professionals

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Health andConsumers

Summary

Action Plan for EU health workforceEuropean networks and research to assist EU Member states to share good practice:

health workforce planning/forecastingbetter anticipation of skills needsrecruitment and retentioncontinuous professional developmentinternational recruitment of health professionals

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Health andConsumers

7th Framework Programme for Research

•RN4Cast – innovative forecasting methods by addressing not only volumes, but quality of nursing staff as well as quality of patient care

•MoHProf – mobility of health professionals. Health, systems, work, conditions and patterns of health workers’ mobility in, from and to 25 countries at the crossroads of a major crisis.

•PROMeTHEUS – mobility of health professionals

•MUNROS – the impact on practice, outcomes and cost of new roles for health professionals

•INTEGRATE – includes skill mix for integrated care models

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Conclusions

Workforce planning: key part in health care reforms and investment decisions, yet underdeveloped in EU

Skills and competences, recruitment and retention

International Dimension: WHO Global Code

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For further informationhttp://ec.europa.eu/health/workforce/policy/index_en.htm

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