National Reporting Instrument 2015

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Section: Background

Hide [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.

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Contact details

Hide [G1Q00001] Name of Member State

Denmark

Hide [G1Q00002] Contact information of DNA

Full name of institution

Danish Health and Medicines Authority

Name of contact officer

N/A

Title of contact officer

Danish Health Authority

Mailing address

Islands Brygge 67, 2300 København S

Telephone number

+45 72 22 74 00

Fax number

+45 44 88 95 99

Email address

sst@sst.dk

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Section 01: Qualitative information (1-4)

Hide [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

Hide [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:

As in any other situation concerning employees, the Regions handle matters of international recruitment and development of qualifications of foreign workforce based on what is required and qualifications/skills of the individual. It’s handled within the national regulation, relevant for recruiting foreign employees, demands regarding the quality of the qualifications of health workers, authorization etc. and it’s carried out in respect of professional competence, culture and experience, that the foreign employee brings with him (her), and in a way that, foreigners seeking work have access to all relevant and necessary information about employment and employment conditions.

Other

Hide [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.

Please see 2.d

Hide [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.

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Section 01: Qualitative information (5-12)

Hide [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?

Yes

Hide [S16i]

Please use Table A below to describe these bilateral, regional or multilateral agreements or arrangements:

* Please use this occupational category only if the information available has no clear separation in reported numbers between the two cadres

Hide [S16] 6)

Hide [S16a]

Type of Agreement

Hide [S16b] Countries Involved

Hide [S16c]

Coverage

Hide [S16d] Validity period
(from–to)

Hide [S16e]

Categories of Skilled Health Personnel

Doctors

Nurses

Midwives

Nurses/Midwives*

Dentists

Pharmacists

Other (include details as necessary)

Other

Hide [S16f]

Please attach a documentation file if possible

Hide [S16g] Please provide a web-link if possible

Hide [S16i1] Agreement 1

Hide [S16i1a]

Type of Agreement

Multilateral

Hide [S16i1b] Countries Involved

Danish Regions are a member of the European Employers´ Association HOSPEEM (European Hospital and Healthcare Employers´ Association) – who along with EPSU (The European Federation of Public Unions) represent the social dialogue at European level with regards to hospitals and healthcare. In 2008, HOSPEEM and EPSU agreed upon a “Code of conduct and follow up on Ethical cross-Border Recruitment and Retention in the Hospital Sector” and in 2010 on “Recruitment and Retention – A framework of Actions”. Both agreements establish the principles of recruiting health care workers at European level, cross borders and at national level.

Hide [S16i1c] Coverage

Sub-national

Hide [S16i1d] Validity period
(from–to)

N/A

Hide [S16i1e]

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

N/A

Other

Hide [S16i1f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i1g] Please provide a web-link if possible

http://www.epsu.org/IMG/pdf/EPSU-HOSPEEM_Code_of_conduct_07-04-08_with_signatures-2.pdf http://hospeem.org/wordpress/wp-content/uploads/2014/10/12.17_R_R_Final_EN_signed.pdf Further information about HOSPEEM, including members, can be seen here: http://hospeem.org/

Hide [S16i2] Agreement 2

Hide [S16i2a]

Type of Agreement

Hide [S16i2b] Countries Involved

Hide [S16i2c] Coverage

Hide [S16i2d] Validity period
(from–to)

Hide [S16i2e]

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

Hide [S16i2f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i2g] Please provide a web-link if possible

Hide [S16i3] Agreement 3

Hide [S16i3a]

Type of Agreement

Hide [S16i3b] Countries Involved

Hide [S16i3c] Coverage

Hide [S16i3d] Validity period
(from–to)

Hide [S16i3e]

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

Hide [S16i3f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i3g] Please provide a web-link if possible

Hide [S16i4] Agreement 4

Hide [S16i4a]

Type of Agreement

Hide [S16i4b] Countries Involved

Hide [S16i4c] Coverage

Hide [S16i4d] Validity period
(from–to)

Hide [S16i4e]

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

Hide [S16i4f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i4g] Please provide a web-link if possible

Hide [S16i5] Agreement 5

Hide [S16i5a]

Type of Agreement

Hide [S16i5b] Countries Involved

Hide [S16i5c] Coverage

Hide [S16i5d] Validity period
(from–to)

Hide [S16i5e]

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

Hide [S16i5f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i5g] Please provide a web-link if possible

Hide [S16i6] Agreement 6

Hide [S16i6a]

Type of Agreement

Hide [S16i6b] Countries Involved

Hide [S16i6c] Coverage

Hide [S16i6d] Validity period
(from–to)

Hide [S16i6e]

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

Hide [S16i6f]

Please attach a documentation file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i6g] Please provide a web-link if possible

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Section 01: Qualitative information (5-12) contd.

Hide [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?

Yes

Hide [S18] 8) If “Yes”, please tick all options of type of support that apply from the list below:

8.a) Training

8.b) Twinning of health care facilities

8.c) Promotion of circular migration

8.d) Retention strategies

8.e) Education programs

8.f) Other mechanism, please provide details if possible:

Please see 6.

Other

Hide [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

Hide [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)	Setting quotas for intake at the universities/schools	The intake is regulated in order to train the sufficient amount for the future
10.b)	Setting number of postgraduate training positions	The number of postgraduate training positions for dental and medical specialists is set by the Danish Health Authority
10.c)	Distribution of postgraduate training positions	The Danish Health Authority set the regional distribution of postgraduate training positions for dental and medical specialists

Hide [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

Hide [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)	Distribution of postgraduate training positions	The Danish Health Authority set the regional distribution of postgraduate training positions for dental and medical specialists
12.b)	Setting number of postgraduate training positions	The number of postgraduate training positions for dental and medical specialists is set by the Danish Health Authority
12.c)	Setting quotas for intake at the universities/schools	The intake is regulated in order to train the sufficient amount for the future

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Section 01: Qualitative information (13-17)

Hide [S113] 13) Does your country have any (government and/or non-government) programs or institutions undertaking research in health personnel migration?

Hide [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?

Hide [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

Hide [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)	Danish Health Authority	Islands Brygge 67 2300 København S sst@sst.dk Tlf. 7222 7400	http://www.sst.dk/English.aspx
16.1 b)
16.1 c)
16.1 d)
16.1 e)
16.1 f)
16.1 g)

Hide [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

Hide [S1162col1] 16.2)

Hide [S1162col2]

Entity

Hide [S1162col3] Occupation category

Hide [S1162col4] Country of first qualification

Hide [S1162col5] Year of first recruitment

Hide [S1162col6] Age

Hide [S1162col7] Sex

Hide [S1162aa] Entity 1

Hide [S1162a] Entity

Danish Health Authority

Hide [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

Chiropodist Chiropractor Clinical Dental Technician Clinical Dietician Dental Hygienist Dentist Medical doctor Medical Laboratory Technologist Midwife Nurse Occupational Therapist Optician or Optometrist Physiotherapist Prosthetist and orthotist Radiographer Social and Healthcare Assistant

Other

Hide [S1162c] Country of first qualification

Yes

Hide [S1162d] Year of first recruitment

Yes

Hide [S1162e] Age

Yes

Hide [S1162f] Sex

Yes

Hide [S1162bb] Entity 2

Hide [S1162a2] Entity

Hide [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

Hide [S1162c2] Country of first qualification

Hide [S1162d2] Year of first recruitment

Hide [S1162e2] Age

Hide [S1162f2] Sex

Hide [S11623] Entity 3

Hide [S1162a3] Entity

Hide [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

Hide [S1162c3] Country of first qualification

Hide [S1162d3] Year of first recruitment

Hide [S1162e3] Age

Hide [S1162f3] Sex

Hide [S1162dd] Entity 4

Hide [S1162a4] Entity

Hide [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

Hide [S1162c4] Country of first qualification

Hide [S116d4] Year of first recruitment

Hide [S1162e4] Age

Hide [S1162f4] Sex

Hide [S1162ee] Entity 5

Hide [S1162a5] Entity

Hide [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

Hide [S1162c5] Country of first qualification

Hide [S1162d5] Year of first recruitment

Hide [S1162e5] Age

Hide [S1162f5] Sex

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Section 01: Qualitative information (13-17) contd.

Hide [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?

Yes

Hide [S1171]

17.1) Please use Table G below to provide the contact details of each entity.

Table G Contact details of mechanism(s) or entity(ies) regulating ot granting authorization to practice to internationally recruited health personnel

	Name of mechanism or entity	Contact details	Web-link (if available)
17.1 a)	Danish Health Authority	The Danish Health Authority Islands Brygge 67 2300 København S sst@sst.dk Tlf. +45 7222 7400	http://sundhedsstyrelsen.dk/en
17.1 b)
17.1 c)
17.1 d)
17.1 e)
17.1 f)
17.1 g)

Hide [S1172]

For the entity named in Q(17.1) please use Table H below to indicate whether the information gathered include the following details:

Table H Description of information available on authorization and regulation of practice of internationally recruited health personnel

Hide [S1172col1] 17.2)

Hide [S1172col2]

Entity

Hide [S1172col3] Occupation category

Hide [S1172col4] Country of first qualification

Hide [S1172col5] Year of first recruitment

Hide [S1172col6] Age

Hide [S1172col7] Sex

Hide [S1172aa] Entity 1

Hide [S1172a] Entity

Danish Health Authority

Hide [S1172b]

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 (include details as necessary)

Other

Hide [S1172c] Country of first qualification

Yes

Hide [S1172d] Year of first recruitment

Yes

Hide [S1172e] Age

Yes

Hide [S1172f] Sex

Yes

Hide [S1172bb] Entity 2

Hide [S1172a2] Entity

Hide [S1172b2]

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 (include details as necessary)

Other

Hide [S1172c2] Country of first qualification

Hide [S1172d2] Year of first recruitment

Hide [S1172e2] Age

Hide [S1172f2] Sex

Hide [S1172cc] Entity 3

Hide [S1172a3] Entity

Hide [S1172b3]

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 (include details as necessary)

Other

Hide [S1172c3] Country of first qualification

Hide [S1172d3] Year of first recruitment

Hide [S1172e3] Age

Hide [S1172f3] Sex

Hide [S1172dd] Entity 4

Hide [S1172a4] Entity

Hide [S1172b4]

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 (include details as necessary)

Other

Hide [S1172c4] Country of first qualification

Hide [S1172d4] Year of first recruitment

Hide [S1172e4] Age

Hide [S1172f4] Sex

Hide [S1172ee] Entity 5

Hide [S1172a5] Entity

Hide [S1172b5]

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 (include details as necessary)

Other

Hide [S1172c5] Country of first qualification

Hide [S1172d5] Year of first recruitment

Hide [S1172e5] Age

Hide [S1172f5] Sex

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Section 01: Qualitative information (18-21)

Hide [S118] 18) Has an assessment of what is needed to implement the Code at the national, sub-national and local level been made?

Hide [S119] 19) Has your country taken any steps to implement the Code?

Yes

Hide [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:

The Danish Health Authority produce forecasts for the supply of doctors, dentist, dental hygienists and clinical dental technicians. The forecasts are the basis for the advice the Danish Health Authority provide to the Ministry of Science and Higher Education regarding the student intake to ensure a sufficient domestically trained amount of health personnel.

Other

Hide [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)	N/A	N/A
21.b)	N/A	N/A
21.c)	N/A	N/A

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Section 01: Qualitative information (22-24)

Hide [S122] 22) Has your country provided assistance to one or more Member States or other stakeholders to support their implementation of the Code?

Hide [S123] 23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?

Hide [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.

Hide [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.

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Section 02: Quantitative information - Minimum Data Sets

Hide [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

Hide [S22] Please upload the filled out spreadsheet here

Foreign-trained Doctors and Nurses - DENMARK

No comment

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Section 03: Reporting instrument for other stakeholders (optional)

Hide [S31] Submitted by:

Hide [S32] Contact details:

Hide [S33] Name of entity submitting the report:

Hide [S34] Responsible and/or contact person:

Hide [S35] Mailing address:

Hide [S36] Telephone number:

Hide [S37] Fax:

Hide [S38] Email:

Hide [S39] Website URL :

Hide [S310] Description of the entity submitting the report:

Hide [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.