1. Trust in supervision and methods that contribute to learning and quality improvement
Introduction by Gunilla Hult Backlund, Director General, IVO, Sweden EPSO – Island 2017

2. Why trust? Statements:
To be able to contribute to quality improvement and learning effectively, there must be a certain level of trust between the supervisory agency and the supervised. The latter must trust that the agency’s primary focus is learning and quality improvement. The supervisory agency must trust that the supervised want to develop and must act in a way that does not create fear.
The opposite to trust – mistrust and also fear of making mistakes and the consequences that can follow – is an obstacle for learning and development.

3. Background
IVO was established in 2013 partly with the objective to strengthen the supervision
Deregulation with many private service providers, in combination with already existing devolution of power, has left the state with few means to govern
Increasing expectations that the national supervisory agencies shall assure quality and safety in the services provided
Requires a more strategic supervision that contributes to learning and quality improvement

4. How? Respectful dialogue the most successful method
A credible analysis of the problem and addressing the right organisational level
Health and social care are complex services – supervision needs to adjust accordingly!

5. Trust between who? How do we create trust between the inspectorate and:
The health care and care providors?
The patients and care takers?
The public?
The politicians?

6. Do different actors demand different action from the inspectorate to creat trust?
Is the view of balance between punichment and support the same among the inspectorat’s stakeholders?
The health care and care providors?
The patients and care takers?
The public?
The politicians?