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Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Migration of Health Care Professionals The

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Migration of Health Care Professionals The triple win idea in bilateral agreements Meiko Merda Project Manager, IEGUS Institute Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Contents (1) Our institute (2) Legal

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Contents (1) Our institute (2) Legal implementation of the WHO Code in Germany (3) Practical implementation (4) Challenges and solutions Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (1) Our institute Joint Action on

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (1) Our institute Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H § § IEGUS Institute has been

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H § § IEGUS Institute has been founded in 2007. Located in Berlin-Mitte, Reinhardtstr. 31 Website: www. iegus. eu Main Topics: Demographic transition, strategies to meet the increasing demand of healthcare personnel (e. g. migration), use and funding of assistive technologies, sector and market analysis, cooperations at European and international level. Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (2) Legal implementation of the WHO

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (2) Legal implementation of the WHO Code in Germany Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Interpretation of the WHO Code • In general: Nurses from Non-EU countries get admission

Interpretation of the WHO Code • In general: Nurses from Non-EU countries get admission to the German labor market when their professional qualification is accredited by the authority in charge. • Exception: No direct recruitment of healthcare personnel from countries of origin that belong to the 2006 WHO list (critical shortage)! Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Legal implementation of the WHO Code • June 2013: General Framework for the migration

Legal implementation of the WHO Code • June 2013: General Framework for the migration of nurses from Non. EU countries with the reform of the „Beschäftigungsverordnung“. • November 2013: Revision of the Besch. V to follow premises of the WHO Code (= no recruitment from countries with „critical shortage“): § 38: Only the German Federal Labor Market Authority is authorized to recruit healthcare personnel from these countries. § 39: The recruitment from these countries is treated as a refringement (Ordnungswidrigkeit). Appendix: 2006 WHO list with the 57 countries with a „critical shortage“ Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (3) Practical implementation Joint Action on

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (3) Practical implementation Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Practical implementation of the WHO Code • First pilot projects with source countries that

Practical implementation of the WHO Code • First pilot projects with source countries that are not on the 2006 WHO list were initiated recently with the aid of or through the German government. Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Lessons learned from pilot projects • The willingness of governments and healthcare facilities in

Lessons learned from pilot projects • The willingness of governments and healthcare facilities in countries of origin to collaborate with Germany is very high. • The motivation of nurses from less developed countries to migrate to Germany, learn German language and integrate into the new environment is high. • Recruitment, language courses, professional preparations or the acceptance of foreign degrees as well as the social integration and on the job take it´s time and are very costly. Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (4) Challenges and solutions Joint Action

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H (4) Challenges and solutions Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Challenges with the implementation of the WHO Code • The strict orientation on the

Challenges with the implementation of the WHO Code • The strict orientation on the 2006 WHO definition of a „critical shortage“ excludes collaboration with certain source countries even if positive development effects are likely to occur. • The main focus of the pilot projects, at the recent time of implementation, is on the reduction of domestic manpower shortages (no direct measures to strengthen healthcare systems in countries of origin!). • Who should pay the (initial) costs for migration schemes? Government, employers, the personnel or in parts all (two) of them? Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Solutions for a „real“ Triple Win Migration© • Attach more importance to Article 5.

Solutions for a „real“ Triple Win Migration© • Attach more importance to Article 5. 1 (instead of fixed thresholds): „The health systems of both source and destination countries should derive benefits from the international migration of health personnel. “ • Set incentives for circular/temporary migration. • Implement „Training partnerships“: Countries of destination train (prepare) healthcare personnel in countries of origin for jobs abroad. • Establish fair and sustainable financial mechanisms. Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Thank you for your attention! Meiko

Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Thank you for your attention! Meiko Merda Project Manager IEGUS - Institut für Europäische Gesundheits- und Sozialwirtschaft Gmb. H Reinhardtstr. 31 D-10117 Berlin Fon: +49 30/9831222 -4, Fax: +49 30/9831222 -5 E-Mail: [email protected] eu Internet: www. iegus. eu Joint Action on Health Workforce planning and forecasting Lisbon, June 16 th 2014