1. Health and Consumers Health and Consumers Future challenges for the EU health workforce Katja Neubauer Deputy Head of Unit Healthcare Systems Directorate-General Health and Consumers European Commission

2. Health and Consumers Health and Consumers 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 issuesChallenges

3. Health and Consumers Health and Consumers 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 PROMeTHEUS 17 countries Wismar CHALLENGE: Mobility of Health Professionals

4. Health and Consumers Health and Consumers Turkey Number of doctors is 50% and number of nurses 20% of the EU average. The average growth rate is double than EU.

5. Health and Consumers Health and Consumers Challenges of the future health workforce Balance specialization; Right distribution; Right skill mix; Working conditions; Manage mobility and migration; Workforce planning

6. Health and Consumers Health and Consumers WHAT CAN THE EU DO? No strong legal competence in health policy Promote European cooperation: Exchange of best practice Support European networks Promote European research

7. Health and Consumers Health and Consumers 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 Planning Training New integrated care delivery models, New technologies Lifelong learning Attract and recruit new people, Incentive mechanisms Joint Action -2016 OECD study -2015 EU study on Continuous Professional Development -2014 EU study on recruitment and retention -2015

8. Health and Consumers Health and Consumers Action Plan Improve workforce planning Recruitment and retention Anticipate skills needs International ethical recruitment J oint Action on workforce forecasting and planning Education and training of health professionals: OECD/Commission study

9. Health and Consumers Health and Consumers 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

10. Health and Consumers Health and Consumers 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 assistants Map continuous professional development (CPD) systems and practices in the EU.

11. Health and Consumers Health and Consumers 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)

12. Health and Consumers Health and Consumers 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

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

14. Health and Consumers Health and Consumers 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

15. Health and Consumers Health and Consumers 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

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