National Reporting Instrument 2015
Section: Background
[S01]
Monitoring progress on the implementation of Code – Second round reporting (2015-2016)
On May 21, 2010 the WHO Global Code of Practice on the International Recruitment of Health Personnel (the “Code”) was adopted by the 193 Member States of the World Health Organization. The Code encourages information exchange on issues related to health personnel and health systems in the context of migration, and suggests regular reporting every three years on measures taken to implement the Code. The reporting process is an integral component of the effective implementation of the voluntary principles and practices recommended by the Code.
A self-assessment tool for countries second-round reporting
To monitor the progress made in implementing the Code, and in accordance with the request of the World Health Assembly (Resolution WHA63.16), a national self-assessment tool was created for Member States.
You have been nominated as Designated National Authority (DNA) to respond to the updated national reporting instrument (NRI) via this web-based data interface.
Disclaimer: The data and information collected through the National Reporting Instrument will be made publicly available via the WHO web-site following the proceedings of the World Health Assembly, May 2016.
Please proceed usnig 'Next' button
Contact details
[G1Q00001]
Name of Member State
Slovakia
[G1Q00002]
Contact information of DNA
Full name of institution
The Ministry of Health of the Slovak Republic
Name of contact officer
Miloslava Kováčová
Title of contact officer
Ing., MPH
Mailing address
Limbová 2, Bratislava
Telephone number
++421 2 593 73 160
Fax number
++421 2 547 77 943
Email address
Miloslava.kovacova@health.gov.sk
Section 01: Qualitative information (1-4)
[S11]
1) In your country, do equally qualified and experienced migrant health personnel enjoy the same legal rights and responsibilities as the domestically trained health workforce in terms of employment and conditions of work?
Yes
[S12]
2) Which legal safeguards and/or other mechanisms are in place to ensure that migrant health personnel enjoy the same legal rights and responsibilities as the domestically trained health workforce? Please tick all options that apply from the list below:
2.a) Migrant health personnel are recruited internationally using mechanisms that allow them to assess the benefits and risk associated with employment positions and to make timely and informed decisions regarding them
2.b) Migrant health personnel are hired, promoted and remunerated based on objective criteria such as levels of qualification, years of experience and degrees of professional responsibility on the same basis as the domestically trained health workforce
2.c) Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression
2.d) Other mechanism, please provide details if possible:
Other
[S13]
3) Please submit any other comments or information you wish to provide regarding legal, administrative and other measures that have been taken or are planned in your country to ensure fair recruitment and employment practices.
[S14]
4) Please submit any other comments or information you wish to provide regarding difficulties faced by your health personnel working outside your country and any measures that have been taken or are planned in your country to ensure their fair recruitment and employment practices.
Section 01: Qualitative information (5-12)
[S15]
5) Has your country or its sub-national governments entered into bilateral, regional or multilateral agreements or arrangements addressing the international recruitment of health personnel?
No
[S15b]
If 'No', please proceed using 'Next' button at the bottom of the screen.
Section 01: Qualitative information (5-12) contd.
[S17]
7) If your country or its sub-national governments entered into bilateral, regional or multilateral agreements, do those take account of the needs of developing countries and countries with economies in transition?
No
[S19]
9) Does your country strive to meet its health personnel needs with its domestically trained health personnel, notably through measures to educate, retain and sustain a health workforce that is appropriate for the specific conditions of your country, including areas of greatest need?
Yes
[S110]
10) If “Yes”, use Table B below to indicate the top 3 measures in place :
Table B – measures taken to educate, retain and sustain the health workforce
| Measure Type | Description | |
|---|---|---|
| 10.a) | residents | residents (general medicine and pediatrics) |
| 10.b) | working conditions | investments |
| 10.c) | remuneration | doctors and dental doctors |
[S111]
11) Has your country adopted measures to address the geographical mal-distribution of health workers and to support their retention in underserved areas?
Yes
[S112]
12) If “Yes”, use Table C below to indicate the top 3 measures in place :
Table C – measures taken to address the geographical mal-distribution of health workers
| Measure Type | Description | |
|---|---|---|
| 12.a) | Residential program | financially promoted specialization study |
| 12.b) | investments in healthcare infrastructure | Structural Funds and EU community programmes sources |
| 12.c) | improvement of remuneration | improvement of remuneration of doctors and dental doctors in hospitals |
Section 01: Qualitative information (13-17)
[S113]
13) Does your country have any (government and/or non-government) programs or institutions undertaking research in health personnel migration?
Yes
[S114]
14) Please use Table D below to provide the contact details for these research programs or institutions
Table D Detailed information on research programs or institutions assessing health personnel migration
| Name of Program or Institution | Name of contact person | Contact details | Web-link (if available) | |
|---|---|---|---|---|
| 14.1 | National Health information Centre (NHIC) | Ing. Martina Nagyová | Lazaretská 26, Bratislava | http://www.nczisk.sk/Pages/default.aspx |
| 14.2 | ||||
| 14.3 | ||||
| 14.4 | ||||
| 14.5 | ||||
| 14.6 | ||||
| 14.7 |
[S115]
15) Has your country established a database of laws and regulations related to international health personnel recruitment and migration and, as appropriate, information related to their implementation?
Yes
[S1151]
15.1) Please provide details of the database reference or a web-link:
The main indicator used to follow health workforce mobility in Slovakia is nationality (foreign nationality).
Informations about laws and regulations are published on the website of the Ministry of Labour, Social Affairs and Family of the Slovak Republic (The Ministry of Labour, Social Affairs and Family of the Slovak Republic is responsible for employment support, social care and functioning of the pension scheme. It is an important state administration body for the social-legal protection of children and family policy coordination), the Ministry of Interior of the Slovak Republic, (which is coordinator of migration policy in the Slovak Republic), the Ministry of Health of the Slovak Republic and the Ministry of Education, Science, Research and Sport of the Slovak Republic.
http://www.employment.gov.sk/en/
http://www.employment.gov.sk/sk/ministerstvo/integracia-cudzincov/
http://www.employment.gov.sk/sk/ministerstvo/integracia-cudzincov/zamestnavanie-cudzincov/
http://www.minv.sk/?mi-and-european-union
https://www.minedu.sk/about-the-ministry/
Competence and performance of health profession, education of health professionals, individual and collective labor relations, including compensation, collective bargaining, the principle of equal treatment and non-discrimination, labor inspection, employment of third country nationals, recruitment reward, prohibition of illegal work and illegal employment, control of illegal work is primarily regulated by the following laws:
Zákon č. 578/2004 Z. z. ,o poskytovateľoch zdravotnej starostlivosti, zdravotníckych pracovníkoch, stavovských organizáciách v zdravotníctve a o zmene a doplnení niektorých zákonov v znení neskorších predpisov
(Act No 578/2004 on health-care providers, health professionals and professional organizations in the health service, as amended
http://www.health.gov.sk/?legislativa-a-financovanie
Zákon č. 576/2004 Z. z. o zdravotnej starostlivosti, službách súvisiacich s poskytovaním zdravotnej starostlivosti a o zmene a doplnení niektorých zákonov v znení neskorších predpisov
(Act No 576/2004 on health care and healthcare-related services, as amended)
Nariadenie vlády č. 296/2010 Z. z. o odbornej spôsobilosti na výkon zdravotníckeho povolania, spôsobe ďalšieho vzdelávania zdravotníckych pracovníkov, sústave špecializačných odborov a sústave certifikovaných pracovných činností v znení neskorších predpisov
(Government regulation no. 296/2010 of competency to perform the medical profession, further education of health professionals, system training courses and certified system of activities, as amended)
Zákon č. 311/2001 Z. z. Zákonník práce v znení neskorších predpisov
(Act No 311/2001 Labour Code, as amended)
http://www.employment.gov.sk/sk/legislativa/pracovna-legislativa/
Zákon č. 125/2006 Z. z. o inšpekcii práce a o zmene a doplnení zákona č. 82/2005 Z.z. o nelegálnej práci a nelegálnom zamestnávaní a o zmene a doplnení niektorých zákonov v znení neskorších predpisov
(Act No 125/2006 on inspection work on amending and supplementing law no. 82/2005 Coll on illegal work and illegal employment, as amended)
Zákon č. 293/2007 Z. z. o uznávaní odborných kvalifikácií v znení neskorších predpisov
(Act No 293/2007 on recognition of professional qualifications, as amended)
Zákon č. 365/2004 Z. z. o rovnakom zaobchádzaní v niektorých oblastiach a o ochrane pred diskrimináciou a o zmene a doplnení niektorých zákonov (antidiskriminačný zákon) v znení neskorších predpisov
(Act No 365/2004 on equal treatment in certain areas and protection against discrimination, amending and supplementing certain other laws (Antidiscrimination Act), as amended)
Zákon č. 54/2004 Z. z. o službách zamestnanosti a o zmene a doplnení niektorých zákonov v znení neskorších predpisov
(Act No 54/2004 on employment services as amended)
Zákon č. 82/2005 Z. z. o nelegálnej práci a nelegálnom zamestnávaní a o zmene a doplnení niektorých zákonov v znení neskorších predpisov
(Act No 82/2005 on illegal work and illegal employment, as amended)
Zákon č. 461/2003 Z. z. o sociálnom poistení v znení neskorších predpisov
(Act No 461/2003 on social insurance, as amended)
Zákon č. 103/2007 Z. z. o trojstranných konzultáciách na celoštátnej úrovni a o zmene a doplnení niektorých zákonov (zákon o tripartite)
(Act No 103/2007 on tripartite consultations at the national level as amended (Ttripartite Act)
Zákon č. 2/1991 Zb. o kolektívnom vyjednávaní v znení neskorších predpisov
(Act No2/1991 on collective bargaining, as amended)
Zákon č. 404/2044 Z. z. o pobyte cudzincov a o zmene a doplnení niektorých zákonov
(Act No 404/2011 on residence of aliens and as amended ).
[S116]
16) Does your country have any mechanism(s) or entity(ies) to maintain statistical records of health personnel whose first qualification was obtained overseas?
Yes
[S1161]
16.1) Please use Table E below to provide the contact details of each entity.
Table E Contact details of mechanism(s) or entity(ies) maintaining statistical records of health personnel whose first qualification was obtained overseas
| Name of mechanism or entity | Contact details | Web-link (if available) | |
|---|---|---|---|
| 16.1 a) | Slovenská lekárska komora (Slovak Medical Chamber) | http://www.lekom.sk/index.php | |
| 16.1 b) | Slovenská komora zubných lekárov (Slovak Chamber of Dentists) | http://www.skzl.sk/ | |
| 16.1 c) | Slovenská lekárnická komora (Slovak Chamber of Pharmacists) | https://www.slek.sk/ | |
| 16.1 d) | Slovenská komora sestier a pôrodných asistentiek (Slovak Chamber of Nurses and Midwives) | http://www.sksapa.sk/ | |
| 16.1 e) | |||
| 16.1 f) | |||
| 16.1 g) |
[S1162]
16.2) For the entity named in Q(16.1) please use Table F below to specify whether the information gathered include the following:
Table F Description of the statistical information available on the internationally recruited health personnel
[S1162col1]
16.2)
[S1162col2]
Entity
[S1162col3]
Occupation category
[S1162col4]
Country of first qualification
[S1162col5]
Year of first recruitment
[S1162col6]
Age
[S1162col7]
Sex
[S1162aa]
Entity 1
[S1162a]
Entity
Slovak Medical Chamber
[S1162b]
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
[S1162c]
Country of first qualification
Yes
[S1162d]
Year of first recruitment
No
[S1162e]
Age
Yes
[S1162f]
Sex
Yes
[S1162bb]
Entity 2
[S1162a2]
Entity
Slovak Chamber of Dentists
[S1162b2]
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
[S1162c2]
Country of first qualification
Yes
[S1162d2]
Year of first recruitment
No
[S1162e2]
Age
Yes
[S1162f2]
Sex
Yes
[S11623]
Entity 3
[S1162a3]
Entity
Slovak Chamber of Pharmacists
[S1162b3]
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
[S1162c3]
Country of first qualification
Yes
[S1162d3]
Year of first recruitment
No
[S1162e3]
Age
Yes
[S1162f3]
Sex
Yes
[S1162dd]
Entity 4
[S1162a4]
Entity
Slovak Chamber of Nurses and Midwives
[S1162b4]
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
[S1162c4]
Country of first qualification
Yes
[S116d4]
Year of first recruitment
No
[S1162e4]
Age
Yes
[S1162f4]
Sex
Yes
[S1162ee]
Entity 5
[S1162a5]
Entity
[S1162b5]
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
[S1162c5]
Country of first qualification
[S1162d5]
Year of first recruitment
[S1162e5]
Age
[S1162f5]
Sex
Section 01: Qualitative information (13-17) contd.
[S117]
17) Does your country have any mechanism(s) or entity(ies) to regulate or grant authorization to practice to internationally recruited health personnel and maintain statistical records on them?
No
[S117b]
If 'No', please proceed using 'Next' button at the bottom of the screen.
Section 01: Qualitative information (18-21)
[S118]
18) Has an assessment of what is needed to implement the Code at the national, sub-national and local level been made?
Yes
[S1181]
18.1) Please submit any other comments or information you wish to provide regarding question:
partial implementation: harmonization of education, the EU Blue Card, better remuneration of health professionals
[S119]
19) Has your country taken any steps to implement the Code?
Yes
[S120]
20) To describe those steps taken to implement the Code, please tick all items that apply from the list below – the box can be ticked even if only some of the elements per step have been applied:
20.a) Actions have been taken to communicate and share information across sectors on health worker recruitment and migration issues, as well as the Code, among relevant ministries, departments and agencies, nationally and sub-nationally
20.b) Measures have been taken to involve all stakeholders in any decision-making processes involving health personnel migration and international recruitment.
20.c) Actions are being considered to introduce changes to laws or policies to bring them into conformity with the recommendations of the Code.
20.d) Records are maintained of all recruiters authorized by competent authorities to operate within their jurisdiction.
20.e) There exists a mechanism for regulation and accreditation of all recruiters authorized by competent authorities to operate within their jurisdiction.
20.f) Good practices are encouraged and promoted among recruitment agencies.
20.g) If Other steps have been taken, please give more details:
Other
[S121]
21) Please list in priority order, the three main constraints to the implementation of the Code in your country and propose possible solutions:
| Main constraints | Possible solution | |
|---|---|---|
| 21.a) | Slovakia is not destination country | improving working conditions |
| 21.b) | limited financial resources | investments in health infrastructure (Structural Funds and EU community programmes sources) |
| 21.c) | stabilization of health professional | better remuneration |
Section 01: Qualitative information (22-24)
[S122]
22) Has your country provided assistance to one or more Member States or other stakeholders to support their implementation of the Code?
No
[S123]
23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?
No
[S124]
24.1) Please submit any other complementary comments or material you wish to provide regarding the international recruitment and management of migration of the health workforce that would relate to implementation of the Code.
National Health information Centre (NHIC):
http://www.nczisk.sk/en/Pages/default.aspx
NHIC is a state-funded organization founded by the Ministry of Health of the Slovak Republic. Status and role of the NHIC is governed by Act no. 153/2013 Coll. on the National Health Information System and on Amendments and Additions to Certain Laws. NHIC performs tasks in the following areas: informatisation of health service, administration of the National Health Information System, standardisation of health informatics, health statistics, administration of national health administrative registries and national health registries.
NHIC collaborates with institutions such as the Statistical Office of the Slovak Republic, the Health Care Surveillance Authority, the Public Health Authority of the Slovak Republic, the State Institute for Drug Control, institutes of the Slovak Academy of Sciences, health care providers, chambers and health professional organisations, health insurance companies and medical faculties. At international level, NHIC collaborates with WHO, EOCD, EUROSTAT and EMCDDA.
Available data: NHIC administers national health registries and national health administrative registries (National Registry of Health Workers, National Registry of Health Care Providers). NHIC collects and processes data from various statistics about the employment (and working conditions) in the health resort.
The purpose of data collection and their processing within national health administrative registries is: database management; fulfilment of identification, registration, integration, information and statistical function of registries at both national and international level; creation and evaluation of statistical outputs; isuance and use of electronic health professional cards.
Other professional chambers:
Slovenská komora medicínsko-technických pracovníkov (Slovak Chamber of Medical and Technical professionals)
http://www.sekmtp.sk/
Slovenská komora fyzioterapeutov (Slovak Chamber of physiotherapists)
http://www.komorafyzioterapeutov.sk/
Slovenská komora zubných technikov (Slovak Chamber of dental technicians)
http://www.skzt.sk/
Slovenská komora ortopedických technikov (Slovak Chamber of orthopedic technicians)
http://www.skort.sk/skort_statut
Slovenská komora iných zdravotníckych pracovníkov (Slovak Chamber of other health care professionals)
http://www.skizp.sk/
Slovenská komora psychológov (Slovak Chamber of Psychologists)
http://www.komorapsychologov.sk/skp/index.php
The main indicator used to follow health workforce mobility in Slovakia is nationality (foreign nationality).
The Healthcare Surveillance Authority (HSA):
HSA has been established by the Act No. 581/2004 Coll. on Healthcare Insurance Companies and Surveillance over Health Care and on Amendment and Supplementation of Certain Acts as a legal person which is vested with performing surveillance over provision of health care and public health care insurance in the field of public administration.
Available data: HSA issues specific codes for health care providers and health professionals (by professional responsibility) for the purpose of effective identification by numbers.
Chambers:
Chambers register the health workers by professional responsibility. For all health professions registration is mandatory, membership is voluntary.
Available data: diplomas (country of first qualification), employment status, date of birth (age), nationality, sex, specialisation (country where the specialisation was obtained), information on continuing education, training and working experiences.
Main problems: different data quality and availability (depending on the chamber), linking data with NHIC.
Higher Territorial Units (HTU):
HTU issues licenses (permits) for operation health care facility (hospitals and ambulatory care). Available data: about issued licenses (permits), data about health care providers (hospitals, ambulatory care) and health care services in their region, data about hospitals (health care providers) in their founding competence.
Hospitals / health care providers:
Different founders of the hospitals / health care providers: in the founding competence of the MoH SR, in the founding competence of other resorts, in the founding competence of HTU, in the founding competence of other founders.
Available data: employment information.
Health insurance companies:
Available data: contracts with health care providers (hospitals, private doctors), individual data about health workers (as insurants).
Social Insurance Agency:
State social insurance company which administrate all data about social and labour market in Slovakia.
Office of Labour, Social Affairs and Family:
Available data: information about unemployed health professionals.
Ministry of Labour, Social Affairs and Family (MoLSAaF):
MoLSAaF is responsible for employment support, social care and functioning of the pension scheme. MoLSAaF is the largest provider of social and counselling services in the Slovak Republic.
Available data: about health professionals (mainly nurses) working in social care, about the labour market, employment and unemployment, working conditions.
Statistical Office:
Available data: demography data and all general statistics.
The Ministry of Health of the SR (MoH):
MoH: issuing of certificates on conformity – process out from the country, decisions on recognition of qualifications (specialisations of health professionals) – process into the country, „visiting“ persons – Principle of the free provision of services (by article 5 - 9 directive 2005/36/EC.
MoH issues licenses (permits) for operation health care facility (specialized hospitals and emergency medical services ambulance).
Data: System of mutual recognition qualifications by EU directive 2005/36/EC of professional qualifications, various statistics and analysis about the employment in the health resort. Data about issued licenses (permits) for operation health care facilities, data about hospitals (health care providers) in founding competence of MoH.
Additional sources: Analyses about missing health professionals are reflecting also the data from DG Market, WHO, OECD.
The Ministry of Education, Science, Research and Sport of the SR:
Data: decisions on recognition of basic qualifications by EU directive 2005/36/EC – process into the country, data about the medical schools, number of students and foreign students.
Medical schools:
Data: number of students, number of foreign students.
Ministry of Finance of the SR:
Data: public finance.
Financial Administration and tax offices:
Data: taxes.
Validity and reliability of the HWF mobility data at national level:
Main problems: data collection (limited possibilities of obtaining information on migration), quality and availability of data on migration, compatibility of data from the registers and statistics, limited use of potential data sources, lot of authorities working in field of data sources – different inputs, different outputs, not linking different data sources on a high level, the accessibility of some data sources and availability of some indicator, limited sources (personal, financial, IT).
Quality of data („data just in time“):
Registers - updating: information about the changes not notified by health professionals to the competent authorities (to chambers), information about the changes not notified by health care providers (hospitals) to competent the authorities (NHIC).
European professional card will create pressure for better data processing at national level.
[S242]
24.2) Please submit any other complementary material you wish to provide regarding the international recruitment and management of migration of the health workforce that would relate to implementation of the Code.
Section 02: Quantitative information - Minimum Data Sets
[S2]
Questionnaire on Foreign-trained Doctors and Nurses
Please follow the instructions within the spreadsheet to complete the questionnaire.
To download the spreadheet please follow the link: /dataformv6/upload/surveys/378366/docs/Adapted_Template_Workforce%20Migration_2015.xls
[S22]
Please upload the filled out spreadsheet here
Section 03: Reporting instrument for other stakeholders (optional)
[S31]
Submitted by:
The Ministry of Health of the Slovak Republic:
Slezáková Zuzana, doc. PhDr., PhD., MPH
Kováčová Miloslava, Ing. MPH
The Slovak Medical Chamber:
Kotrbová Kvetoslava, PhDr., PhD., MPH
[S32]
Contact details:
The Ministry of Health of the Slovak Republic
Limbová 2
P.O. BOX 52
837 52 Bratislava 37
[S33]
Name of entity submitting the report:
The Ministry of Health of the Slovak Republic
[S34]
Responsible and/or contact person:
Miloslava Kováčová
[S35]
Mailing address:
The Ministry of Health of the Slovak Republic
Limbová 2
P.O. BOX 52
837 52 Bratislava 37
[S36]
Telephone number:
00421 2 59373 160
[S37]
Fax:
[S38]
Email:
miloslava.kovacova@health.gov.sk
[S39]
Website URL :
http://www.health.gov.sk/Titulka
[S310]
Description of the entity submitting the report:
[S311]
Please describe the entity submitting this report and the nature of its involvement or interest in international health personnel migration issues relevant to the Code.