Инструмент национальной отчетности (2021 г.)

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Справочная информация

Hide [iBG] Принятый в 2010 г. на шестьдесят третьей сессии Всемирной ассамблеи здравоохранения (резолюция WHA63.16) Глобальный кодекс ВОЗ по практике международного найма персонала здравоохранения («Кодекс») призван углублять понимание вопросов международного найма персонала здравоохранения и укреплять регулирование этой сферы в соответствии с этическими принципами путем повышения качества данных, информации и международного сотрудничества.

В статье 7 Кодекса государствам – членам ВОЗ предлагается обмениваться информацией о международном найме и миграции работников здравоохранения. Кроме того, Генеральному директору ВОЗ поручено каждые три года представлять доклады Всемирной ассамблее здравоохранения.

В марте 2019 г. государства – члены ВОЗ завершили третий раунд представления национальной отчетности об осуществлении Кодекса. В мае 2019 г. Генеральный директор ВОЗ представил семьдесят второй сессии Всемирной ассамблеи здравоохранения доклад о ходе его осуществления (A 72/23). Кроме того, в рамках третьего раунда национальной отчетности при ведущей роли государств-членов был проведен обзор актуальности и эффективности Кодекса, который был представлен семьдесят третьей сессии ВАЗ в 2020 г. (A 73/9).

В обзоре подчеркивается, что осуществление Кодекса при обеспечении соответствующей целенаправленной поддержки и гарантий необходимо для обеспечения того, чтобы прогресс в области всеобщего охвата услугами здравоохранения в государствах-членах подкреплял, а не ставил под угрозу аналогичные достижения в других странах. В соответствии с положениями Доклада и решения WHA73(30) Секретариат ВОЗ также подготовил «Health Workforce Support and Safeguards List, 2020» (Перечень стран, которым будут полезны поддержка и гарантии, связанные с кадровыми ресурсами здравоохранения, 2020 г.).

Инструмент национальной отчетности (ИНО) представляет собой инструмент самооценки на национальной основе, предназначенный для обмена информацией и мониторинга осуществления Кодекса. ИНО позволяет ВОЗ собирать и распространять актуальные фактические данные и информацию о международном найме и миграции работников здравоохранения. Результаты четвертого раунда национальной отчетности будут представлены на семьдесят пятой сессии Всемирной ассамблеи здравоохранения в мае 2022 г. В связи с продолжающейся пандемией COVID-19 данный вариант ИНО (2021 г.) был изменен таким образом, чтобы получить дополнительную информацию относительно найма и миграции работников здравоохранения в условиях пандемии.

Крайний срок представления отчетов — 31 августа 2021 г.

Если по техническим причинам национальные органы не смогут заполнить онлайновый опросник, ИНО можно также загрузить по следующей ссылке: http://www.who.int/hrh/migration/code/code_nri/en/. Просьба заполнить ИНО и направить его в электронной форме или в распечатанном виде по следующему адресу:

Health Workforce Department
Universal Health Coverage and Health Systems
World Health Organization
20 Avenue Appia, 1211 Geneva 27
Switzerland
hrhinfo@who.int

Отказ от ответственности. Данные и информация, собранные при помощи национального инструмента отчетности, будут помещены в открытый доступ на веб-сайте ВОЗ по окончании заседаний семьдесят пятой сессии Всемирной ассамблеи здравоохранения. Собранные количественные данные будут обновлены и доступны через онлайновую платформу национальных счетов кадров здравоохранения (http://www.who.int/hrh/statistics/nhwa/en/).
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Отказ от ответственности

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 For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
Я прочитал и понял политику ВОЗ в отношении использования данных, собранных ВОЗ в государствах-членах, и обмена ими вне контекста чрезвычайных ситуаций в области общественного здравоохранения.
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Контактная информация назначенного национального органа

Hide [q01b] Контактная информация назначенного национального органа
Страна
United Kingdom of Great Britain and Northern Ireland
Полное название учреждения:
Sarah
Название назначенного национального органа:
Sarah Cliff
Должность представителя назначенного национального органа:
Mrs
Телефон:
01132546275
Электронная почта:
sarah.cliff@dhsc.gov.uk,hrhinfo@who.int
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Осуществление Кодекса

Hide [q1] 1. Приняла ли ваша страна меры для осуществления Кодекса?
Да
Hide [q1x1x] 1.1 Приняты меры в целях коммуникации и обмена информацией между секторами по вопросам международного найма и миграции работников здравоохранения и ознакомления с Кодексом соответствующих министерств, департаментов и учреждений на национальном и/или субнациональном уровне.
Да
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Мероприятие 1
In February 2021, the Department of Health and Social Care published a revised Code of Practice for the International recruitment of health and social care personnel. This builds on the Code of Practice first published in 2004 and implements the WHO Global Code of Practice in a UK setting. It takes account of the WHO Expert Advisory Group recommendations in the report WHO A73/9. The updated Code has been widely publicised via the GOV.UK website, NHS Employers website, media, social media, webinars and presentations at stakeholder meetings across the health and social care sectors including: - Cross Government groups - Trade Unions - Agencies - Professional Regulatory Bodies - Health and social care professional bodies - NHS organisations - NHS international recruitment leads network meetings - Independent sector network - International nursing associations The Code of Practice has also reached international audiences and was show cased at the following webinars/events: - German Network/Hospeem webinar (followed by publication of an article on fair recruitment in German magazine IQ konkret) - THET sustainable workforce symposium - WHO tri-regional meeting on the International Mobility of Health Professionals Devolved Administrations The revised Code of Practice policy is UK wide. Each devolved nation adheres to the aims, objectives, guiding principles and best practice benchmarks of the Code of Practice, but holds its own Code of Practice to reflect the different organisational structures in each nation. Scotland has published a Scottish Code of Practice for the International Recruitment of Health and Social Care Personnel. Wales and Northern Ireland are planning to publish their own versions of the Code in September 2021 subject to Ministerial approval. NHS Wales organisations are also committed to the provisions of the Welsh Government’s Code of Practice: ethical employment in supply chains. The code commits public, private and third sector organisation in Wales to a set of actions to tackle illegal and unfair employment practices.
Мероприятие 2
NHS Employers has a lead role in implementing the UK Code of Practice by managing and hosting the list of agencies that adhere to the Code of Practice. NHS Employers hosts information about the Code of Practice and the agency list on its website and undertakes communications activity to promote the Code of Practice. It also provides a dedicated advice and support service to health and care organisations to help them to follow the guiding principles of the Code of Practice in all their recruitment activities. The NHS Employers’ international recruitment toolkit has been designed to support collaborative, effective and ethical international recruitment and encourage and enable supportive practices and processes for the recruitment of international staff across a wide range of professions. NHS Employers also has developed a range of promotional material to support the Code of Practice including a quick guide to the Code of Practice, frequently asked questions, video presentation, and top tips for working with agencies. NHS Employers also provide a mechanism for stakeholders across the system to promote the Code of Practice, assess activity and, if necessary, challenge poor practice with employers and agencies.
Мероприятие 3
Hide [q1x2x] 1.2 Осуществляются или рассматриваются меры по внесению изменений в законодательство или политику в соответствии с рекомендациями Кодекса.
Да
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Мероприятие 1
The UK Code of Practice has been updated to reflect the present situation and to align with the WHO Expert Advisory Group recommendations in the report WHO A73/9. Updates include: • Preventing active recruitment from 47 countries on the WHO Health Workforce Support and Safeguards List, 2020, unless there is a Government to government agreement, and the inclusion of a definition of “active recruitment” to ensure clarity for recruiting organisations; • A refresh of the list of recruitment agencies signed up to operating in accordance with the code to reaffirm their commitment to the new Code if they wish to continue to recruit internationally; • Strengthening guidance to ensure international recruits will be treated fairly, receive the same terms and conditions as UK workers and be provided with the appropriate support; • Setting out how the UK is supporting countries with the most pressing health and social care workforce challenges. • Broadening the scope to include the social care sector and the UK’s Devolved Administrations (Scotland, Wales and Northern Ireland); • An increased focus on monitoring of recruitment activity, in particular on workforce flows from middle income countries and fragile and conflict-affected states.
Мероприятие 2
NHS England and Improvement (NHS EI) provide financial support to NHS Trusts for nursing international recruitment. This will be extended to midwifery international recruitment in 2021/22. An important condition in the Memorandum of Understanding between NHSEI and NHS Trusts on them accessing this funding, is that all their international recruitment activity must adhere to the Code of Practice. In particular, ensuring NHS Trusts do not actively recruit health and care professionals from a country on the WHO Health Workforce Support and Safeguards list unless there is a government-to-government agreement in place. NHS EI monitor nurse joiner information and will engage with NHS trusts if there appears to be a flow from countries on the WHO list. This will be a key responsibility of the regional International Recruitment lead to maintain going forward.
Мероприятие 3
NHS Employers routinely check agency compliance with the code through spot checks and biennial reviews, responds to complaints or other information with regard to potential breaches, and takes necessary action as set out in Annex C of the Code; process for code of practice contraveners. More information on the process is set out at 1.3. NHE EI also encourages NHS Trusts, when recruiting internationally to ensure the agency they use is recruiting ethically, and to escalate any concerns to NHS Employers or via NHS EI. Trusts are advised that they should be considering the following types of questions to ensure ethical recruitment: • Whether an agency is signed up to the code of practice and follow the guiding principles and best practice benchmarks, for example not charging a fee to the recruit; • Where an agency actively recruits from; • If an application is received from a health or care professional from a country on the WHO Health Workforce Support and Safeguards list, probing questions should be asked to understand whether or not an agency played a part in them becoming aware of a post or applying.
Hide [q1x3x] 1.3 Ведется учет всех агентств по найму, уполномоченных компетентными органами заниматься деятельностью в пределах их юрисдикции.
Да
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NHS Employers has a lead role in implementing the UK Code of Practice by managing and hosting the list of agencies that adhere to the Code of Practice. Health and care organisations should only use agencies which appear on this list. Applications Recruitment agencies wishing to apply to be placed on the Code of Practice list of agencies for international recruitment are required to complete an application form. The application form confirms: • the agency's commitment to fully adhere to the Code of Practice; • the business practice of the agency; • a declaration of all associated business activities relating to the commercial recruitment of healthcare professionals. If, after examination of the application and resolution of any queries, an agency is not successful in being placed on the list, they will be advised of the reason in writing via email. The agency must wait three months before it can re-apply and must show that it has changed its business practice in order to be successfully placed on the list. Audits and spot checks An audit (biennial review) of agency details held on the list is undertaken every two years and agencies are required to provide evidence that they are still in full compliance with the CoP by self-certification, complete a new application and reaffirm their commitment to the Code, review agency website and social media, as well as provide up to date contact details. Reporting NHS Employers report to the Department of Health and Social Care on a monthly basis identifying total numbers of agencies on the list, including investigation details and any additions and removals from lists explaining why this is the case. Accurate and up to date records of all agencies are maintained through a secure NHS Employers system as well as an accessible version on NHS Employers website. Agency List Refresh When an updated version of the Code of Practice was published in February 2021, NHS Employers undertook a refresh of the list of recruitment agencies to reaffirm their commitment to the new Code if they wish to continue to recruit internationally. The refresh has reduced the number of agencies from 688 to 320. The reduction is largely owing to many agencies historically being on the list even though they did not undertake international recruitment or because they are no longer trading. The smaller number of agencies on the list will allow tighter monitoring going forward.
Hide [q1x4x] 1.4 Оказывается поддержка и содействие использованию агентствами по найму передовых методов, предусмотренных Кодексом.
Да
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1.4.1 Содействие использованию Кодекса частными агентствами по найму.
NHS Employers encourages and promotes good practices among recruitment agencies and as referred to in 1.3, manages and hosts the list of agencies that adhere to the Code of Practice as well as developing web pages and other promotional material about the Code. Health and Social Care employers must only use agencies on the agency list. The Agency List refresh, undertaken when the updated Code was published, ensured every agency on the list is aware of, and is signed up to the new Code of Practice. NHS Employers also has a continuous relationship with NHSEI approved international framework operators to share best practice and knowledge of implementation of the Code of Practice. DHSC has set up quarterly meetings with recruitment agencies to promote the code, share best practice and ensure agencies are kept up to date on the policy direction in the international recruitment space. These meetings are open to any recruitment agency who wish to attend.
1.4.2 Национальные законы или политика, регулирующие этические стандарты деятельности частных агентств по найму, соответствующие принципам и статьям Кодекса.
This is described in 1.3.
1.4.3 Государственная или частная сертификация соблюдения этических норм частными агентствами по найму.
This is described in 1.3
1.4.4 Другие меры
Hide [q1x5x] 1.5 Приняты меры для выяснения мнений заинтересованных сторон в рамках процессов принятия решений и/или для вовлечения их в мероприятия, касающиеся международного найма работников здравоохранения.
Да
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Мероприятие 1
The UK Government has increased its oversight of international recruitment in recent years, including the impact on source countries, through the formation of a Cross-Whitehall International Recruitment Steering Group for Health. The Steering Group brings together key Government Departments, the devolved administrations and key system partners to provide national policy oversight and collaboration on international recruitment workforce supply. The Steering Group oversaw the review of the Code of Practice, and approved all changes and updates made to the Code. It will undertake a further review of the Code, one year after publication. A wide range of other stakeholders were involved in the review and had the opportunity to comment and shape the revised code. These included, the WHO, Health Trade Unions, Professional Bodies, Professional Regulatory organisations, healthcare employers and social care representative organisations.
Мероприятие 2
NHS Employers routinely engages with employers about their international recruitment activity through their networks, forums, groups and surveys. In instances when they are asked or made aware about potential recruitment opportunities from a country included on the WHO Health Workforce Support and Safeguards list, 2020, they reiterate the up to date information provided on their website. They also have regular dialogue with key stakeholders to ensure they are aware of related activities and information.
Мероприятие 3
Hide [q1x6x] 1.6 Другие шаги:
Нет
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Партнерства, техническое сотрудничество и финансовая поддержка

Hide [q2x1] 2.1. Предоставляла ли ваша страна техническую или финансовую поддержку одному или нескольким государствам – членам ВОЗ, особенно из числа развивающихся стран, либо другим заинтересованным сторонам для поддержки выполнения ими Кодекса?
2.1.1 Поддержка непосредственно в целях выполнения Кодекса
2.1.2 Поддержка в целях укрепления системы здравоохранения
2.1.3 Поддержка в целях развития кадров здравоохранения
2.1.4 Поддержка не оказывалась
2.1.5 Другие области поддержки:
Hide [q2x2] 2.2. Получала ли ваша страна техническую или финансовую поддержку со стороны одного или нескольких государств – членов ВОЗ, Секретариата ВОЗ или других заинтересованных сторон для поддержки выполнения Кодекса?
2.2.1 Поддержка непосредственно в целях выполнения Кодекса
2.2.2 Поддержка в целях укрепления системы здравоохранения
2.2.3 Поддержка в целях развития кадров здравоохранения
2.2.4 Поддержки не оказывалось
2.2.5 Другие направления поддержки:
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Партнерства, техническое сотрудничество и финансовая поддержка

Hide [q3] 3. Заключала ли ваша страна или ее субнациональные правительства двусторонние, многосторонние или региональные соглашения и/или договоренности в сфере международного найма и миграции работников здравоохранения?
Да
Hide [q3xTitle] Название соглашения
Заголовок Веб-ссылка Загрузить полный текст
Cоглашение 1 Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce TBC
Cоглашение 2 Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Cоглашение 3 Memorandum of Understanding for International Cooperation on Health Professional Development
Cоглашение 4 MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Cоглашение 5
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Тип соглашения Охват
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce (SQ001) Двустороннее (A1) Национальный (A1)
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation (SQ002) Двустороннее (A1) Национальный (A1)
Memorandum of Understanding for International Cooperation on Health Professional Development (SQ003) Двустороннее (A1) Национальный (A1)
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines (SQ004) Двустороннее (A1) Национальный (A1)
(SQ005)
Hide [q3xMCA] Основное содержание соглашения (выбрать все подходящие позиции)
Образование и профессиональная подготовка Укрепление институционального потенциала Развитие циркулярной миграции Стратегии удержания кадров Признание кадров здравоохранения Наем работников здравоохранения Формирование двусторонних связей между учреждениями здравоохранения Другой механизм (по возможности просьба привести подробные сведения):
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce 1 1 1
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation 1 1
Memorandum of Understanding for International Cooperation on Health Professional Development 1
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines 1 1 1 1
Hide [q3xCHP] Категории работников (выбрать все подходящие категории)
Врачи Медсестры Акушерки Стоматологи Фармацевты Другие (при необходимости уточнить)
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce 1
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation 1
Memorandum of Understanding for International Cooperation on Health Professional Development 1
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines 1
Hide [q3xVP] Срок действия
С: По:
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce (SQ001) 2021 (2021) 2024 (A27)
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation (SQ002) 2021 (2021) 2024 (A27)
Memorandum of Understanding for International Cooperation on Health Professional Development (SQ003) 2020 (2020) 2023 (A28)
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines (SQ004) 2019 (2019) 2023 (A28)
(SQ005)
Hide [q3xCN] Участвующие страны
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce
Kenya and the UK
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Philippines and the UK
Memorandum of Understanding for International Cooperation on Health Professional Development
Thailand and the UK
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Saint Vincent and the Grenadines and the UK
Hide [q3xSYC] Подписант соглашения от вашей страны
МИД Минздрав Минобразования Министерство торговли Минтруда Министерство иммиграции/ внутренних дел Другие: (при необходимости уточнить)
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce 1
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation 1
Memorandum of Understanding for International Cooperation on Health Professional Development 1
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines 1
Hide [q3xSYCOth] Подписант соглашения из вашей страны (пожалуйста, укажите :)
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Memorandum of Understanding for International Cooperation on Health Professional Development
Interim Chief Executive of Health Education England
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Interim Chief Executive of Health Education England
Hide [q3xSPC] Подписант соглашения от страны-партнера (стран-партнеров)
МИД Минздрав Минобразования Министерство торговли Минтруда Министерство иммиграции/ внутренних дел Другие: (при необходимости уточнить)
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce 1
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation 1
Memorandum of Understanding for International Cooperation on Health Professional Development 1
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines 1
Hide [q3xSPCOth] Лицо, подписавшее соглашение из страны-партнера (укажите :)
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Memorandum of Understanding for International Cooperation on Health Professional Development
Secretary General Consortium of Thai Medical Schools
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Hide [q3xCOP] Есть ли в соглашении прямая отсылка к Кодексу?
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce
Да
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Да
Memorandum of Understanding for International Cooperation on Health Professional Development
Нет
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Нет
Hide [q3xPAP] Отражены ли в соглашениях принципы и практика Кодекса?
Bilateral Agreement Between the Government of the Republic of Kenya and the Government of the United Kingdom and Northern Ireland for collaboration Health Care Workforce
Memorandum of Understanding Between the Government of the Republic of the Philippines and the Government of the United Kingdom of Great Britain and Northern Ireland on Healthcare Cooperation
Memorandum of Understanding for International Cooperation on Health Professional Development
Да
MoU for a partnership on nursing between HEE and Saint Vincent and the Grenadines
Да
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Подготовка кадров здравоохранения и стабильность систем здравоохранения

Hide [q4] 4. Стремится ли ваша страна удовлетворить свои потребности в области кадров здравоохранения с помощью персонала, подготовленного внутри страны, в частности, путем принятия мер по подготовке, удержанию и обеспечению стабильности кадровых ресурсов здравоохранения, соответствующих конкретным условиям вашей страны, в том числе в областях, где ощущается наибольшая потребность?
Да
Hide [q4x1x] 4.1 Принимаемые меры по подготовке кадровых ресурсов здравоохранения
Да
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4.1.1 Организация подготовки
4.1.2 Повышение качества подготовки
4.1.3 Усиление регулирования
4.4 Другие
Hide [q4x2x] 4.2 Принимаемые меры по обеспечению стабильности * кадровых ресурсов здравоохранения
Да
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4.2.1 Планирование/прогнозирование кадровых потребностей
4.2.2 Расширение потенциала по подготовке и выпуску кадров внутри страны
4.2.3 Увеличение возможностей трудоустройства
4.2.4 Организация международного найма работников здравоохранения
Другое
Hide [q4x3x] 4.3 Принимаемые меры в отношении неравномерного географического распределения и удержания работников здравоохранения*
Да
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4.3.1 Образование (образовательные учреждения в недостаточно обслуживаемых районах; учащиеся из недостаточно обслуживаемых районов; соответствующие темы в программах образования/повышения квалификации; другие аспекты)
England Measures to address geographical mal-distribution NHS England and NHS Improvement is funding a £20,000 salary supplement to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. Since its launch in 2016, the scheme has been successful in attracting GP trainees to areas of the country that have traditionally been hard to recruit to. Due to this success, NHS England and Improvement have provided additional funding to expand the number of places now available on the scheme to 500 from 2021. As part of the expansion of medical school places by 1,500 over recent years, five new medical schools have opened in historically hard-to-recruit areas, including rural and coastal locations across England. The bidding process for allocating the new places and schools prioritised areas with a relative shortage of doctors overall, and on the basis of schools’ commitment to social mobility and widening participation in medicine. Foundation Priority Programmes have also been introduced, beginning in 2019/20.This initiative, designed to attract and retain trainees in remote, rural and coastal geographies and shortage specialties, allows applicants to rank their preference for selected priority programmes as part of their application form. Successful applicants will be offered places on specific programmes prior to national allocation. Workforce Retention The NHS People Plan sets out a range of actions to transform people’s day to day experience of working in the NHS, focusing on the things that matter to staff including support for their wellbeing, improving flexible working opportunities and building a supportive and inclusive workplace culture. This will be an important step forward in helping the NHS to retain more staff. The Agenda for Change contract includes pay flexibilities to help attract and keep the staff the NHS needs. For example, in addition to basic pay, staff may receive High Cost Area Supplement payments if they work in and around London or local recruitment and retention premia if there are challenges in recruiting or retaining a particular job role. Scotland The Scottish Targeted Enhanced Recruitment Scheme offers a one off Grant of £20,000 (gross) to GP trainees committed to working in one of the identified training posts in Scotland that are in areas and programmes that have in the past proven difficult to recruit to. These areas often have an extremely good track record for education, but are initially less popular simply because of their geographical location. Trainees commit to an agreement to complete the three year training programme. If they leave the programme early, they will be required to pay back part of the funding. ScotGEM is a four-year graduate entry medical programme which commenced in 2018 and is designed to develop doctors who are interested in a career in general practice within NHS Scotland. The programme is tailored to meet the current and future needs of the NHS in Scotland and focuses on rural medicine and healthcare improvement. The programme is taught through a partnership between the universities of St Andrews and Dundee in collaboration with NHS Fife, NHS Tayside, NHS Highland, NHS Dumfries and Galloway and the University of the Highlands and Islands. Wales Since 2017 Welsh Government has funded a financial incentives of £20,000 to attract GP trainees to areas of Wales with a history of lower than average fill rates. The incentive is targeted at selected training areas within Hywel Dda University Health Board, Betsi Cadwaladr University Health Board (and Powys Teaching Health Board (‘PtHB’).
4.3.2 Регулирование (обязательное заключение трудовых договоров; стипендии и субсидии на образование в рамках договоров о целевом обучении; расширение сферы практики; перераспределение обязанностей; квалификационная структура; другие аспекты)
Scotland Any student undertaking the ScotGEM programme is eligible to apply for a bursary of £4000 per year; totalling a maximum of £16,000 over the four year term. This is a return of service bursary meaning that for every year that the bursary is accepted, the student is expected to remain and work in NHS Scotland for one year following graduation i.e. if the bursary is accepted in all 4 years, the student will be bonded to working in NHS Scotland for 4 years post-graduation
4.3.3 Стимулы (финансовые и нефинансовые)
England Financial In July 2021 the Government announced that it was accepting the independent NHS Pay Review Body and Review Body for Doctors’ and Dentists’ Remuneration’s recommendations in full. This means that once implemented, all NHS staff within the two Review Bodies’ respective remit groups for this year, will receive a pay uplift of 3%, backdated to April 2021. The Review Bodies reached their 3% recommendation, taking into account the need to recruit, retain and motivate NHS staff. Some medical workforces, such as Doctors and Dentists in Training (Juniors) and some Specialty and Associate Specialist Doctors (SAS) are within respective multi-year pay and contract reform deals and therefore the Government did not ask the independent Review Body for Doctors’ and Dentists’ remuneration for a pay recommendation for these groups. For junior doctors, in 2019 the British Medical Association agreed to a multi-year pay and contract deal (2019/20-2022/23). The deal guarantees Junior Doctors pay scales will rise by a minimum of 8.2% over the four-year deal and includes an additional pay investment of circa £90 million. The deal also increases allowances for those working the most frequently at weekends, enhances eligibility for night shift pay, and creates a £1,000 a year allowance for Junior Doctors working less than full time, to assist with the cost of training. The multi-year pay and contract reform agreement for SAS doctors (reached in joint negotiations with the BMA) was introduced in April 2021. The agreement is a three-year deal covering the years 2021/22, 2022/23 and 2023/24. The deal offers SAS doctors faster progression to the top of the pay scales with meaningful increases at each progression point. The introduction of a new Specialist grade improves opportunities for career progression. The deal invested 3% per year. The range of benefits available to NHS staff exceeds that which is available in many other sectors, and the value of the total reward package has been increasing in recent years. Total reward is not just about pay and includes access to the NHS Pension Scheme, which is one of the best available, alongside a generous annual leave allowance and many additional benefits, such as support for learning and development. Non-financial Agenda for Change staff continue to see the benefits resulting from the previous multi-year pay and contract reform deal (2018/19-2020/21) which introduced many contractual changes such as putting learning and development at the centre of annual appraisal processes. The Government has introduced the Blended Learning nursing programme (BLP) which aims to address national shortages in clinical expertise by offering predominantly online remote-access study to those people who may have the aptitude and values to join the nursing profession, but currently are unable to learn in traditional ways. The Secretary of State confirmed the roll out of the BLP on the 8th July 2020 and HEE anticipate that around 8500 nurses will start training in BLPs over the next 5 years. The BLP programme is also being extended to midwifery degree programmes to start by September 2022.
4.3.4 Поддержка (достойные и безопасные условия жизни и труда; возможности карьерного роста; меры по повышению общественного признания; другие аспекты)
England In September 2019, the Government announced a £210 million funding boost for frontline NHS staff which included a £1,000 personal development budget for every nurse, midwife, and allied health professional working in the NHS in England to support their continuing professional development. As mentioned at 4.3.1 the NHS People Plan sets out a range of actions to transform people’s day to day experience of working in the NHS, focusing on the things that matter to staff including support for their wellbeing, improving flexible working opportunities and building a supportive and inclusive workplace culture.
Hide [q4x4x] 4.4 Другие соответствующие меры
Нет
Hide [q5] 5. Имеется ли в вашей стране конкретная политика и/или законы в отношении международного найма, миграции и интеграции работников здравоохранения, получающих квалификацию за рубежом?
Да
Hide [q5x1] 5.1 Если да, просьба предоставить дополнительную информацию в таблице ниже.
Закон/стратегия 1
The Code of Practice for the International recruitment of health and social care personnel sets guiding principles and best practice benchmarks for recruiters to follow. The Code: o ensures international recruits will be treated fairly and be provided with the appropriate support, o provides safeguards against active recruitment from 47 countries on the WHO Health Workforce Support and Safeguards List; o sets out how the UK is supporting countries with the most pressing health and social care workforce challenges.
Закон/стратегия 2
International health and care professionals are required to register with the relevant UK professional regulator to lawfully practise in the UK. These regulators have specific procedures in place to register international health and care professionals that ensures patient and public safety. In most cases, for an applicant to be successfully registered they must satisfy the regulator that they are sufficiently qualified, possess the appropriate knowledge, skills or experience to practise in the UK, and are of good health and character. These requirements are set by the regulators with the DHSC being responsible for maintaining the appropriate legislation and amendments.
Закон/стратегия 3
In January 2021, the UK Government introduced a new points-based immigration system which reduces the salary and skills thresholds that international recruits need in order to get a working visa. Other improvements include linking salary thresholds to NHS pay-scales and streamlining the system by removal of the visa cap and resident labour market test. The Health and Care visa, introduced on 4 August 2020 has made it easier and quicker for those wishing to work in the health and care sector through reduced visa fees, a Home Office visa decision within three weeks and an exemption to the Immigration Health Surcharge for applicants and their families.
Hide [q6x] 6. С учетом роли других правительственных ведомств, имеются ли у Министерства здравоохранения инструменты (например, стратегии, механизмы, особое подразделение) для мониторинга и координации между различными секторами вопросов, связанных с международным наймом и миграцией работников здравоохранения?
Да
Hide [q6x1] 6.1 Если да, просьба предоставить дополнительную информацию в таблице ниже.
The Cross-Whitehall International Recruitment Steering Group for Health brings together key Government Departments (including the Home Office, the Department for Trade and the Foreign Commonwealth and Development Office), the devolved administrations and key system partners (NHS Employers NHS EI and HEE) to provide national policy oversight and collaboration on international recruitment workforce supply. The Steering Group has a role in monitoring information on migrant flows to understand where recruits have come from, with a particular focus on low to middle income countries and fragile and conflict-affected states. Where trends indicate recruitment activity from low and lower middle-income countries or fragile and conflict-affected states, further work may take place to understand the cause and impact of this activity.
Hide [q7x] 7. Создана ли в вашей стране база данных или свод информации о законах и нормах в области международного найма и миграции работников здравоохранения и, соответственно, об их применении?
Нет
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Обязанности, права и порядок найма

Hide [q8x] 8. Какие существуют правовые гарантии и/или другие механизмы для обеспечения того, чтобы работники здравоохранения – мигранты пользовались теми же юридическими правами и несли те же обязанности, что и кадры здравоохранения, подготовленные внутри страны? Просьба отметить галочкой все применимые варианты в приведенном ниже списке :Spanish
8.1 Международный наем работников здравоохранения – мигрантов осуществляется с использованием механизмов, которые дают им возможность взвесить преимущества и риски, связанные с трудоустройством, и принять своевременное и обоснованное решение.
8.2 Наем, продвижение по службе и оплата труда работников здравоохранения – мигрантов осуществляются исходя из таких объективных критериев, как уровень квалификации, продолжительность трудового стажа и степень профессиональной ответственности, на равных основаниях с кадрами здравоохранения, подготовленными внутри страны.
8.3 Работники здравоохранения – мигранты пользуются такими же возможностями для продолжения своего профессионального образования, повышения квалификации и карьерного роста, что и кадры здравоохранения, подготовленные внутри страны.
8.4 Другие механизмы, просьба по возможности привести подробные сведения:
Hide [q8xoth] 8.4 Опишите хотя бы один механизм
Механизм 1
A guiding principle of the UK Code of Practice is that international health and social care personnel will have the same legal rights and responsibilities as domestically trained staff in all terms of employment and conditions of work. They will also have the same access to further education and training and continuous professional development. The 13 best practice benchmarks outline specific actions that employers and agencies should take to achieve this. It is expected that all organisations that comply with the code will apply these best practice benchmarks and will enter into contracts solely with recruitment agencies that have also agreed to abide by these.
Механизм 2
The international recruitment framework ensures compliance with NHS pre-employment standards and grants access to a wide range of experienced international recruitment organisations, all of which operate at a high standard of quality. Agencies on the framework have also signed up to the Code of Practice.
Механизм 3
Hide [q9x] 9. Просьба представить другие комментарии или информацию о юридических, административных и других мерах, принятых или запланированных в вашей стране для обеспечения принципа справедливости в отношении работников здравоохранения, получивших квалификацию за рубежом и/или являющихся иммигрантами, в процессе найма и трудовой деятельности.
The NHS Employers International Recruitment Toolkit has been produced to support NHS staff who are leading and delivering international recruitment. It aims to encourage and enable supportive practices and processes for the recruitment of international staff across a wide range of professions. It sets out in more detail the personal and professional support international recruits will require to get settled in the UK and to adjust to the cultural and working differences of the NHS. The toolkit is updated regularly and includes a dedicated component on continuing international recruitment during COVID-19 . The Guide for International nurses during COVID-19 was created by NHS England and NHS Improvement, with the support of NHS Employers and the unions to provide a collection of national resources and guidance to support international nurses during the COVID-19 pandemic. Diaspora Groups NHS England and Improvement has been working with international nursing associations to enhance the overall pastoral support to overseas nurses. This includes sharing of best practice and initiatives, discussion of common challenges, particularly during COVID-19, and supporting new groups to get up and running. Links to 16 International Nursing Associations is provided on page 66 of the International Recruitment Toolkit.
Hide [q10x] 10. Просьба представить комментарии или информацию о мерах, принятых или запланированных в вашей стране для обеспечения равных прав работников здравоохранения, получивших квалификацию внутри страны/эмигрантов, работающих за пределами страны, при найме на работу и в процессе трудовой деятельности, а также о возникающих в этой связи трудностях
Мероприятие 1
N/A
Мероприятие 2
Мероприятие 3
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Данные о международном найме и миграции работников здравоохранения

Hide [iq11] Повышение доступности и международной сопоставимости данных имеет важное значение для понимания глобальной динамики миграции работников здравоохранения и решения связанных с ней проблем.
Hide [q11] 11. Есть ли в вашей стране какие-либо механизмы или организации по ведению статистической отчетности о кадрах здравоохранения, родившихся или получивших квалификацию за рубежом?
Да
Hide [q11x1] Просьба указать:
NHS Electronic Staff Record (ESR) – it provides self-reported nationality data for anyone working in the NHS, on a quarterly basis Professional Regulator reports (NMC and GMC) – These count anyone who joins the UK register who originally qualified and registered overseas. This is cross-UK and includes NHS and independent settings The full GMC and NMC registrant joiner and stock datasets are provided in Annex A.
Hide [iQ12] 12. Данные о контингенте активных кадровых ресурсов здравоохранения в разбивке по стране получения квалификации и стране рождения
Данные, ранее направленные в ВОЗ, размещены здесь. Просьба связаться с вашим координатором по НСКРЗ и обновить их соответствующим образом.

В соответствии с показателями 1-07 и 1-08 национальных счетов кадровых ресурсов здравоохранения (НСКРЗ) просьба привести информацию об общей численности работников здравоохранения в вашей стране (желательно численность активно работающих 1) в разбивке по стране получения квалификации («получивших квалификацию за рубежом») и стране рождения («родившихся за рубежом») за последний год, по которому имеются данные. Просьба проконсультироваться с вашим координатором по НСКРЗ, если он имеется, для обеспечения того, чтобы представленные ниже данные соответствовали отчетности по НСКРЗ.
Hide [q12x0] 12.1 Совокупная численность активных кадровых ресурсов здравоохранения
Эта информация может быть представлена в одном из трех возможных форматов. Просьба выбрать предпочтительный для вас вариант ввода данных:
Вариант B: Скачать документ в формате Excel с существующими данными и загрузить его на сайт с обновленными данными
Hide [q12x1x2] Вариант B: Скачать документ в формате Excel с существующими данными и загрузить его на сайт с обновленными данными
Пожалуйста, загрузите файл

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Hide [q12x1x3] Загрузить на сайт документы любого формата, содержащие необходимую информацию (например, pdf, Excel, Word)

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Hide [q13x2] 12.2 Десять стран, на которые приходится наибольшее количество работников здравоохранения, получивших квалификацию за рубежом
Просьба предоставить данные в отношении 10 стран, на которые приходится наибольшее количество работников здравоохранения в вашей стране, получивших квалификацию за рубежом. Эта информация может быть представлена в одном из двух возможных форматов:
Вариант B: Скачать документ в формате Excel с существующими данными и загрузить его на сайт с обновленными данными
Hide [q13x2x2] Вариант B: Скачать документ в формате Excel с существующими данными и загрузить его на сайт с обновленными данными
Загрузите файл (максимальный размер файла: 5 МБ)
Hide [q13x2x3] Загрузить на сайт документы любого формата, содержащие необходимую информацию (например, pdf, Excel, Word)
Пожалуйста, загрузите файл

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COVID-19 и мобильность работников здравоохранения

Hide [q13] 13. Принимались ли на национальном или субнациональном уровне в ответ на пандемию COVID-19 меры в отношении временной или постоянной международной мобильности работников здравоохранения?
13.1 Отсутствие изменений в национальном или субнациональном регулировании, политике или процедурах, связанных с въездом или выездом работников здравоохранения, получивших квалификацию или родившихся за рубежом
13.2 Введены в действие национальные и/или субнациональные нормативные акты, политика или процедуры для облегчения въезда и интеграции работников здравоохранения, получивших квалификацию или родившихся за рубежом
The Government and its NHS partners have proactively provided a wide range of measures to the NHS workforce during the COVID-19 pandemic: • Emergency legislation was passed to create a temporary ‘emergency’ register of healthcare professionals – 47,000 former health professionals joined this register and made themselves available to support the NHS and vaccination programme. • Temporary measures introduced to extend the visas of all regulated healthcare professionals across the NHS and the independent sector during the COVID-19 outbreak, with the latest 12-month extension to cover those whose visas were due to expire before 1 October 2021. • Arrangements were put in place to enable healthcare students to graduate early or take up paid clinical placements. • A national package of support for staff wellbeing was put in place and has been well received by staff in the NHS. This was bolstered by many initiatives led by local employers. • The health and safety of staff has been prioritised, ensuring access to PPE, testing and putting in place risk assessments to address the disproportionate impact of COVID-19 on some groups of NHS staff, most notably the ethnic minority workforce. • The families and dependents of international NHS support staff and social care workers who die as result of contracting coronavirus are offered the right of indefinite leave to remain in the UK.
13.3 Введены в действие национальные и/или субнациональные нормативные акты, политика или процедуры, нацеленные на ограничение оттока кадров здравоохранения из страны
13.4 Другие меры
Hide [q14] 14. Был ли у вас механизм мониторинга притока в вашу страну и оттока из нее работников здравоохранения во время пандемии COVID-19?
Приток
Отток
Нет
Hide [q14x1] 14.1 Сколько работников здравоохранения, получивших квалификацию или родившихся за рубежом, приступили (приток) к работе (на временной и/или постоянной основе) в вашей стране в 2019 и 2020 гг.?
Врачи Медсестры Акушерки Стоматологи Фармацевты Комментарии
Источник данных (например, регулирующий орган, данные иммиграционного учета, выданные разрешения на работу и т. д.)

Просьба проверить согласованность данных из разных источников по каждой категории кадров за указанные два года
2020 г. 9780 6535
2019 г. 11020 10791
Hide [q15] 15. Просьба перечислить любые сложные задачи, связанные с соблюдением этических принципов при международном найме работников здравоохранения во время пандемии COVID-19

Просьба указать (например, активное привлечение медперсонала отделений интенсивной терапии)
Задача 1
Please describe (e.g. active recruitment of ICU personnel) Disruption to travel for international nurses and at times a ban on international travel in response to COVID-19 e.g: - Twice in 2020 the Philippines stopped the departure of internationally recruited nurses for some weeks so they could be deployed in the Filipino health system. - In May 2021, due to the huge upsurge of COVID-19 cases in India the UK temporarily paused the travel of nurses recruited from India.
Задача 2
Задача 3
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Ограничения, решения и дополнительные комментарии

Hide [q16] 16. Просьба перечислить в порядке приоритетности три основных препятствия в области управления международной миграцией в вашей стране с соблюдением этических принципов и предложить возможные решения:
Основные препятствия Возможные решения/рекомендации
16.1a There are high levels of passive recruitment from countries on the WHO Health Workforce Support and Safeguards list e.g. Nigeria, this requires management whilst recognising the need to protect an individual’s right to migrate. 16.1b Governments of countries with high levels of outward passive migration should consider what measures they can put in place to regulate recruitment activity in their country and to ensure the benefits associated with outward migration are maximised. The UK Government is keen to support this through the development of Government to Government bilateral agreements to set parameters for migration and the nature of UK support to ensure recruitment does not exacerbate existing domestic workforce shortages in the country of origin and mutual benefits are obtained.
16.2a There is no single, robust data UK source, to monitor health and care workforce migration inflows to ensure implementation of a Code of Practice for international recruitment is having the intended effects. 16.2b The Cross Whitehall International Recruitment Steering Group has a role to monitor national migration flows to understand where recruits have come from, with a particular focus on low to middle income countries and fragile and conflict-affected states. A range of data sets will be considered by the Steering Group to set a baseline and this will be considered on a triannual basis to monitor changes in migration flows. New possible data sources are also being investigated to strengthen the available evidence base.
16.3a There are limited levers to ensure independent sector health and social care organisations abide by the UK Code of Practice and use agencies on the NHS Employers managed agency list. 16.3b This is managed through wide publicization of the Code of Practice and ensuring it is understood by recruiters working in both sectors and is viewed as best practice. The UK Code will be reviewed and updated one year after publication which will provide an opportunity to strengthen implementation of the Code and re-promote it across the public and private sectors
Hide [q17] 17. Требуется ли вам какая-либо конкретная поддержка для более эффективного осуществления Кодекса?
17.1 Поддержка для повышения качества данных и информации
17.2 Поддержка для налаживания политического диалога и выработки политики
17.3 Поддержка для подготовки двусторонних/многосторонних соглашений
17.4 Другие области поддержки:
Hide [q18] 18. Просьба представить другие дополнительные комментарии или материалы относительно международного найма и миграции работников здравоохранения, которые касались бы осуществления Кодекса.

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