P:\08\0832301\programme-v1.doc
Last saved on: 07 February 2008
Seminar
The Internal Market in Healthcare
Part 1: The Supply side of the Market: The Freedom of Movement for Providers and Producers
Selling goods, medical devices and pharmaceuticals anywhere in the EU
The free movement of physicians and other healthcare providers
The Repercussions on professional organisations
and systems of supervision
The social protection of such migrating professionals.
9 - 11 July 2008
organised by the
European Institute of Public Administration (EIPA)
Maastricht, NL
Provisional Programme
The European Institute of Public Administration (EIPA) serves public management and public administrations throughout Europe in their adaptation to the European integration process.
Its main objective is to provide training for senior civil servants from the EU Member States, candidate countries and beyond.
sent in The participants’ perception of the Internal Market in Healthcare Services,
advance the EU and the relevance for their work
Before coming to the event, the participants will be asked to self-assess their views on the situation of the healthcare sector and its interaction with the Internal Market, the programme and the relevance of the subject to their work.
A questionnaire will give them the opportunity to indicate items of individual interest, which they would like to see addressed in the programme.
Wednesday, 9 July 2008, first day of first session
09.00 Registration
09.15 Welcome and introduction to the Programme
Dr Timm Rentrop, Senior Lecturer / Project Leader for the first part, EIPA, Maastricht (NL)
09.30 Results from the questionnaires – Overview of the participants and their indications of the issues which are of particular interest to them
Overview and Context
10:00 Background briefing on the free movement of goods, persons and services and an introduction to the specific rules of the EU’s internal market and the resulting obligations for Member States and their officials
Dr Timm Rentrop
11:00 Coffee break
11:30 Health and the European Union, a broad Overview
NN
12:00 Lunch in EIPA’s Restaurant
13:00 The Economic Aspects of Healthcare Services, their share in the Economy and the potential of an Internal Market here
NN
13:45 Activities by the EU Commission in the field of Healthcare
What is really happening and what are ‘myths’
Officials from the European Commission’s DG SANCO and DG MARKT - invited
14:30 Coffee Break
Theme 1: The Free Movement of Goods
Section 1.1: Free Movement of Goods in the shape of Medical Devices
15:00 The Free Movement of Medical Devices
Jos Kraus, Healthcare Inspector, Dutch Healthcare Inspectorate, Den Haag (NL)
invited
Section 1.2: Free Movement of Goods in the shape of Pharmaceuticals
15:45 The Free Movement of Pharmaceuticals through the Community Marketing Authorisation
Prof. Vincenzo Salvatore, Head of Legal Sector, European Medicines Agency (EMEA), London (UK) - invited
16.30 The Free Movement of Pharmaceuticals and their sale across borders
in practice
Representative of DocMorris - invited
Theme 2: The Free Movement of Persons
Section 2.1: Introduction
17:15 What makes health care professionals move and how much movement is there actually ?
The ‘Pull’ by labour shortages, better employment conditions etc.;
the ‘Push’ by oversupply or unattractive conditions in the country of origin etc. and an attempt at measuring the migration
Marianna Cavazza Lecturer / Project Leader for the second part, Cefass -EIPA, Milan (I) - invited
18:00 End of day one
19:00 Reception and Dinner in EIPA’s Restaurant
Thursday, 10 July 2008, second day of first session
Section 2.2: The Principle of Free Movement of Doctors, Nurses
and other Healthcare Providers
09.00 Long-Term Access to the healthcare sector for foreigners – ‘Establishment’
The basic rules on the Free Movement of Workers and the Freedom of Establishment, Authorisation and registration of foreign businesses and professionals (some date back to 1968 and are STILL often overlooked)
Dr Timm Rentrop
09:30 The rights under EU law for professionals who are national of non-EU states:
Briefing on Directives 2003/109 (long-term residents from third countries), 2004/38 (immigration and residence) and Recent Case Law on citizenship which has an impact on the right of third country nationals to work in the healthcare sector
Dr Timm Rentrop
10:00 The Infringement Proceedings against Germany regarding the rules on the operation of Pharmacies
NN
Section 2.3: The Recognition of Foreign Diplomas – a set of rules to make free movement a reality
10.30 Introduction to the rules on the recognition of foreign diplomas, certificates and experience
Overview of the development of this field of law from the early court rulings to the sectoral and general systems and the more recent rulings on how to handle these rules in practice
Dr Timm Rentrop
11:00 Coffee break
11.30 The ‘New’ Directive on Diploma-Recognition
Directive 2005/36/EC of the European Parliament and of the Council on the recognition of professional qualifications
Representative of the European Commission, DG Internal Market and Services – Regulated Professions, Brussels (BE) - invited
12:30 Lunch in EIPA’s Restaurant
14:00 Case-Studies on how the ‘sectoral system’ for the Recognition of Qualifications works in practice, including the consideration of diplomas from third countries (non-EU states): The case of Doctors
Dr. Lourens R. Kooij MD PhD, co-ordinating secretary
Koninklijke Nederlandsche Maatschappij tot bevordering der Geneeskunst
(Royal Dutch Medical Association), Utrecht (NL) - invited
14:20 Simulation of recognition procedures for Doctor’s Diplomas
Dr. Lourens R. Kooij MD PhD - invited
15:30 Coffee break
Section 2.4: Language Requirements – an issue yielding surprising scenarii
16.00 When Language Abilities can be validly imposed on migrants and how:
Can Article 53 of the new Diploma-Recognition Directive be used to impose language requirements?
Dr. Lourens R. Kooij MD PhD - invited
Section 2.5: Institutionalised Free Movement of Professionals
Case Studies on the impact of foreign employees on health care services’ organisation in reality:
The ease of integrating them in daily work and the perceptions of patients:
16: 30 The case of Bulgarian Nurses in Italian Hospitals
Dr.ssa Marinella Gallo, Responsabile Servizio Innovazione e Sviluppo
Agenzia Regionale per il Lavoro, Regione Lombardia, Milano (IT) - invited
17: 30 The case of Foreign Professionals in the UK’s NHS
NN
18.30 End of day two
Friday, 11 July 2008, third day of first session
Theme 3: The Free Movement of Services – the case of service-providers
09:00 Short-Term Access to the healthcare sector for foreigners – the Provision of Services across borders – despite the exclusion of healthcare services from the proposed Directive, this sector IS part of the Internal Market
The basic rules (some date back to 1968 and are STILL often overlooked);
- The Right of Access by foreign ‘service providers’;
- The Supervision of Foreign Professionals;
- The Duties of parastatal and non-state bodies, such as professional organisations, social security systems, healthcare-insurers and trade unions;
Dr Timm Rentrop
10:00 The System in Practice: From Warsaw to Edinburgh and beyond;
Are Healthcare-Regulators working together ?
The Problems with migration in the Healthcare Sector:
an Introduction to the Perceptions and the Building of Mutual Trust
NN
10:45 Coffee break
Theme 4: The View of the Stakeholders
11:00 A Panoramic Overview / Views of Specific ‘Players’
NN
13:00 Lunch in EIPA’s Restaurant
Theme 5: Connected Issues
14.00 An Overview of the EU’s rules on Public Procurement and
Public Private Partnerships (PPPs)
EIPA-specialist, Maastricht (NL) – to be named
15:00 Overview of the EU’s Competition Policy and the interaction with the Healthcare Sector
EIPA-specialist, Maastricht (NL) – to be named
16:00 Coffee break
Conclusion of the First Part of the Seminar
16:30 Workshop: Lessons to be drawn and the Topics that could not be covered
The participants will be asked to discuss, in pairs and with the help of a questionnaire, the information obtained during the seminar, how it applies to their situation and how it can help them.
17:00 Evaluation of the seminar and
Preview of the second part that will take place in Milan in October
Dr.Timm Rentrop
Marianna Cavazza
17:15 End of the seminar
***