Healthcare Professionals Crossing Borders

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Healthcare Professionals Crossing Borders
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Healthcare Professionals Crossing Borders

• The Norwegian Board of Health (Statens
  helsetilsyn)
• Takes the authorisations/lisences in Norway
• The Norwegian Registration Authority for Health
  Personell (Statens autorisasjonskontor for
  helsepersonell - SAFH)
• Gives the authorisations/lisences in Norway
• The National Board of Health and Welfare in
  Denmark (Sundhedsstyrelsen)

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Healthcare Professionals Crossing Borders

• Common objective
• PATIENT SECURITY

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Healthcare Professionals Crossing Borders

• REGULATIONS TO REMEMBER
• Directive 2005/36/EU
• The Edinburgh Agreement 2005
• Healthcare Professionals Crossing Borders -
  Memorandum of Understanding (HPCB MoU)
• The Portugal Agreement 2007
• The Nordic Agreement

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Healthcare Professionals Crossing Borders

• PROACTIVE
• - WITHOUT BEEING ASKED

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Healthcare Professionals Crossing Borders

• REACTIVE
• - ON REQUEST

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Healthcare Professionals Crossing Borders

• CCPS
• Certificate of Current Profesional Status
• Reactive on request
• Used in many European countries

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Healthcare Professionals Crossing Borders

• WEAKNESS!

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Healthcare Professionals Crossing Borders

• BETTER ACCUMULATED LIST
• PROACTIVE WITHOUT BEEING ASKED
• ISSUED BY THE NORDIC COUNTRIES 3-4 TIMES A YEAR

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Healthcare Professionals Crossing Borders

• EVEN BETTER CASE TO CASE INFORMATION
• PROACTIVE WITHOUT BEEING ASKED
• Norway, Sweden, England and Island
• not
• Finland and Denmark

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Healthcare Professionals Crossing Borders

• IS THIS ENOUGH?

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Healthcare Professionals Crossing Borders

• A nurse with a foreign and Norwegian
  authorisation from 1994
• Worked in ambulanse service in his home country
• February 2008 Confessed theft and abuse of
  morfin and stesolid
• Quitted the job, started drugtesting, could not
  get work in the home country
• Moved to Norway started in an emergency
  department in May 2008
• The Norwegian employeer did not know about his
  theft and abuse
• Administrative reaction from the home country in
  March 2009
• The Norwegian Board of Health was informed
  through the accumulated list some time later
• The Norwegian authorisation was revoked in July
  2009
• RISK Worked almost one year in the emergency
  department without employers knowledge of his
  abuse and theft

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Healthcare Professionals Crossing Borders

• COULD THIS BE AVOIDED?
• Yes, by a more proactive approach
• Case to case information exchange (sending the
  decision immediately in March 2009, or
• Contacting Norwegian authorities when they knew
  about the job in Norway in May 2008, or
• Immediately when the knew about the drug abuse
  and theft, combined with the information that he
  had a Norwegian lisence/authorisation in
  February/March 2008