Maintaining quality in specialist practice

1. Maintaining quality in specialist practice Conference on the accreditation of CME-CPD in Europe - Contributing to higher standards in medical care 18 November 2011 Dr. Andrzej Rys Director – Health Systems and Products European Commission

2. Effective and efficient health systems, with the capacity to provide safe and high quality healthcare depend on having well-trained, efficient health workforce with the right skills and in sufficient numbers throughout the European Union.

3. Citizens’ opinion:« Well trained medical staff and treatment that works are the most important elements of high quality healthcare »* * Special Eurobarometer 327

4. Patient safety Council Recommendation* • MS are recommended to promote education and training of healthcare workers on patient safety. • Recommended measures include: • encouraging multidisciplinary patient safety education and training • embedding patient safety in undergraduate and postgraduate education, on-the-job training and the continuing professional development of health professionals • providing and disseminating information to all healthcare workers on patient safety standards, risk and safety measures in place to reduce or prevent errors and harm *Council Recommendation of 9 June 2009 on patient safety, including the prevention and control of healthcare associated infections

5. Patient safety EU financial support • Network of National PS Platforms • Good Medication Safety Practices in Europe • Guidelines on Patient Safety Education and Training • Compendium of good practices in patient safety http://www.eunetpas.eu/

6. Patient safety EU financial support - examples • The SIMPATIE project ("Safety Improvement for Patients in Europe") - developing EU-wide commonality and transparency in methodology on patient safety in healthcare institutions. • HELICS project (Hospital in Europe Link for Infection Control through Surveillance) - creating a surveillance system and reference data sets for surveillance of Surgical Site Infections (SSIs) and infections in ICUs. • MARQuIS project ("Methods of Assessing Response to Quality Improvement Strategies") assessing the value of different quality strategies and to provide information for countries contracting care for patients moving across borders and for individual hospitals reviewing the design of their quality strategies.

7. Quality of healthcare From patient safety to wider quality of healthcare • Main discussion points: • What has been already done at EU level in the field? • Which dimensions of quality should and could be addressed at EU level? • How to ensure patient empowerment and professional involvement?

8. Quality of healthcare: patients’ perspective Control over her/his own care Patient satisfaction Sharing responsibility for health outcome Education ofpatients Patient centred care PATIENT EMPOWERMENT Self-managed care Choice of treatment Information to patients Choice of provider Effective healthcare system

9. Quality of healthcare: professionals’ perspective? Education and training ofhealth professionals Sharing responsibility for health outcome Education ofpatients Patient centred care PROFESSIONAL EMPOWERMENT ? Self-managed care Choice of treatment Information to patients Motivation and satisfaction Effective healthcare system

10. Joint action on patient safety and quality of healthcare Objectives: • To contribute to the implementation of the Council Recommendation on patient safety • To establish collaboration among Member States on aspects of quality of healthcare • To promote collaboration among Member States on patient involvement/empowerment, including sharing information on patients’ rights and the role of the patient in safety and quality improvement Timeline: 2012-2015

11. Green Paper on the European Workforce for Health 2008 Public consultation 2009 Policy dialogues 2009-10 BE Ministerial Conference 2010 Council Conclusions Dec 2010 Health workforce EU Action on health workforce

12. ageing population resulting in an increased demand for healthcare ageing profile of most groups of health professionals unattractive conditions of employment general labour market mobility, causing outflows from healthcare professions most pressing issue: shortage of health workforce now and in the future Health workforce Health workforce issues

13. Europe 2020 – EU Strategy for smart, sustainable and inclusive growth Commission Communication: New Skills and Jobs (Nov 2010) The Commission, in cooperation with Member States, will develop by 2012 an Action Plan to address the gap in the supply of health workers. The action plan will be accompanied by a Joint Action under the Health Programme on forecasting health workforce needs and workforce planning. Health workforce EU Action on health workforce:Response

14. Health workforce Preparation of the Joint Action on health workforce planning (2012-2015) Main objective: to address shortage of health workforce in the EU by providing acommon platformfor MS to work on: • Data for health workforce planning, • Exchange of good practice with planning methodologies, • Horizon scanning (forecasting future health workforce needs) • Sustainability of the results of the Joint Action and framework of impacting on policy

15. Health workforce Joint Action: partners involved in the preparatory process Leader: Belgium 19 EU MS:CY, CZ, DE, EE, ES, FI, FR, HU, IE, IT, LT, LV, MT, NL, PL, RO, SE, SK, UK Non EU countries: HR, IS, NO Stakeholders, social partners and international organizations: CED, CPME, EFN, EHMA, HOPE, HOSPEEM & EPSU, IOM, OECD, PGEU, WHO

16. Health workforce EU Action Plan • To be adopted in 2012 • Possible areas to be covered: • Improving workforce planning (Joint Action) • Future skills and competences: advanced roles of health professionals, skill-mix • Improving retention and recruitment of health personnel • Implementing the WHO code on international recruitment of health personnel in the EU context

17. Health workforce Health workforce in other EU initiatives: Directive on the recognition of professional qualifications • Ongoing modernisation: • Evaluation of the directive 2010-2011 (evaluation report July 2011) • Public consultation on the Green Paper from June to September 2011 • Public Conference on the Modernisation of the directive on 7 November • Among issues discussed: minimum training requirements and CPD/CME • Legislative proposal expected end 2011

18. THANK YOU !