Kiri

OOTS | PQD stream Evidence Mapping for PQD related requirements

Follow-up meeting

Outline

2

• Objective & scope

• Approach evolution

• Status of analysis

• Summary & Next steps

Objective

3

Define the information to be added to the Common Services to complete the exchange of

evidence through OOTS for the recognition of healthcare professions in the context of PQD

• Evidence Requesters define all the applicable procedural requirements including

• Name of the requirement

• Description of the requirement

• List of information an evidence must contain

• Evidence Providers define the evidence in their Member State to meet the requirements

• Name of the evidence type

• Name of the evidence provider

Scope: healthcare professionals recognition regimes

4

Automatic Recognition

Acquired rights

General System

The applicant's qualifications are listed in Annex V and their training started after the reference date.

The applicant's qualifications, though not conforming to Annex V provisions, comply with the harmonised minimum training requirements OR the applicant has attained rights as result of their professional activity.

The applicant's situation does not fit into either the Automatic Recognition or Acquired rights regime.

PQD recognition regimes for healthcare

professionals

Initial approach

5

• Starting points

• Member State's inputs (submitted requirements & feedback)

• Directive 2005/36/EC

• Annex VII lists documents and certificates that may be requested by the competent authorities that decide on the

application to pursue a regulated profession

• Use of Annex VII proof categories as reference for structuring & carrying out the

comparative analysis of MSs inputs and reconcile requirements and their respective

minimum information

Mapping of Annex VII documents to proof categories # Document description Proof category

1(a) Proof of the nationality of the person concerned. Nationality

1(b) Copies of the attestations of professional competence or of the evidence of formal qualifications giving access to the profession in question, and an attestation of the professional experience of the person concerned where applicable.

The competent authorities of the host Member State may invite the applicant to provide information concerning his training to the extent necessary in order to determine the existence of potential substantial differences with the required national training, as laid down in Article 14.

Professional competence

Formal qualifications

Professional experience

Training information

1(c) For the cases referred to in Article 16, a certificate concerning the nature and duration of the activity issued by the competent authority or body in the home Member State or the Member State from which the foreign national comes.

Professional activity nature and duration

1(d) Proof that they are of good character or repute or that they have not been declared bankrupt or suspends or prohibits the pursuit of that profession in the event of serious professional misconduct or a criminal offence.

Good character/repute

Absence of bankruptcy declaration

Right to practice the profession

Absence of criminal record

1(e) Where a host MS requires of its own nationals wishing to take up a regulated profession, a document relating to the physical or mental health of the applicant, that MS shall accept as sufficient evidence thereof the presentation of the document required in the home MS. Where the home MS does not issue such a document, the host MS shall accept a certificate issued by a competent authority in that State.

Physical or mental health

1(f) Where a host Member State requires its own nationals wishing to take up a regulated profession to furnish: - proof of the applicant's financial standing, - proof that the applicant is insured against the financial risks arising from their professional liability in accordance with the laws and regulations in

force in the host Member State regarding the terms and extent of cover shall accept as sufficient evidence an attestation to that effect issued by the banks and insurance undertakings of another MS.

Financial standing

Liability insurance

2 To facilitate the application of Title III, Chapter III, of this Directive, Member States may prescribe that, in addition to evidence of formal qualifications, the person who satisfies the conditions of training required must provide a certificate from the competent authorities of his home Member State stating that this evidence of formal qualifications is that covered by this Directive.

Conformance to the Directive's minimum training conditions

Annex IV professions

Non OOTS

Revised approach

7

• Motivation

o referencing Annex VII alone proved insufficient to fully lift ambiguities in terms of the scope & purpose of

the requirements

• Updates

o updated framework for requirements definition that contextualises further the requirements, including, as

applicable, references to specific articles of the Directive

o updated requirement template for capturing the additional contextual information

Updated framework for PQD workstream

8

Directive 2005/36/EC

Proof Category (Annex VII)

Requirement 1

Requirement 2

Requirement 3

Evidence in each MS

Evidence Provider

Evidence Provider

Evidence Provider

Requirement 4

Requirement 5

Articles

Evidence in each MS

Evidence Provider

Evidence Provider

Revised template for requirements

9

Field Definition

Name The name of the requirement

Description A description of the scope and purpose of the requirements.

Minimum information The minimum information that evidence must contain in order to prove the requirement.

Context (procedure & reference framework)

Recognition regime & pertinent Annex VII or Article reference, for example: "Acquired rights: Article 23.1", "General system: Annex VII 1(b)".

Status of analysis

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• Current findings per recognition regime:

o overview of requirements across MSs

o streamlined requirement definitions based on the initial MSs inputs

o gray area requirements

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Automatic Recognition regime

Streamlined Requirements: Automatic Recognition

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PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - x

Annex VII: 2 Proof of conformance to EU harmonised minimum training requirements

Draft x x x

Other Proof of change of name OOTS x - x

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Annex VII 1(a) - Proofs of Nationality

Proof of nationality

14

OOTS requirement - ID 83

Name Proof of nationality

Description Request for evidence regarding the nationality of the person (evidence subject).

Minimum information

• Information about the person (evidence subject) o given name o family name o date of birth o place of birth

• Information on the person's nationality: o nationality

Context Automatic recognition/Acquired rights/General system: Annex VII 1(a)

Proof of citizenship

15

OOTS requirement - ID 80

Name Proof of citizenship

Description Request for evidence regarding the citizenship(s) of the person (evidence subject).

Minimum information

• Information about the person (evidence subject) o given name o family name o date of birth o place of birth

• Information about each of the person's citizenships: o citizenship o citizenship issue date

Context Automatic Recognition/Acquired rights/General system: Annex VII 1(a)

User journey considerations

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• Different requirements apply depending on the applicant's situation

• EU country nationals: Proof of nationality

• Non-EU country nationals: Proof of citizenship

▪ other proofs that provide evidence that the applicant can benefit from EU rights could be used, butfor the moment only

proof of citizenship was included in the submitted MSs inputs

• To enhance user experience, the procedure portals could prompt users to indicate which is

their situation so that the list of requirements the user is presented with contains only the

one applicable to their situation

• This would be in line with the YourEurope and EPC paradigms where applicants are prompted to indicate

profession, purpose (establishment vs temporary practice), and whether they can benefit from automatic

recognition

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Annex VII 1(b) - Proofs of formal qualifications

Tertiary Higher Education (EQF 5-8)

Formal qualification proofs state of play:

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Proof of formal qualification

Proof of vocational orientation

qualification

Initial Vocational Education & Training

(EQF 3-4)

Vocational Education & Training (EQF 5)

Vocational Education & Training (EQF 6-8)

Proof of general (academic) orientation

qualification

Secondary Education (EQF 2-4)

Tertiary Vocational Education

& Training (EQF 5 - 8)

Short Cycle (EQF 5)

Lower Secondary (EQF 2)

Bachelor (EQF 6)

Master (EQF 7)

Ph.D. (EQF 8)

Upper Secondary (EQF 3-4)

Comon Services

Healthcare PQ

Proof of tertiary higher education qualification

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OOTS requirement - ID 1 Proposed Revision

Name Proof of tertiary education diploma/certificate/degree Proof of tertiary higher education qualification

Description Request for evidence proving that the person (evidence subject) has completed tertiary education studies (i.e. EQF levels 6/7/8).

Request for evidence proving that the person (evidence subject) has completed general orientation tertiary education studies (i.e., EQF levels 5-8).

Minimum information

• Information about the person (evidence subject) who is the holder of the tertiary education degree

• given name • family name

• Information about the person's tertiary education degree • name of the degree (name of qualification, name of qualification

study field) • name of awarding tertiary education institution • date of award • country of award • overall classification of the qualification (e.g., summa cum laude,

gut, sobresaliente, λίαν καλώς, etc.)

Suggested revisions: a) "name of the degree" ->split into "title

of qualification" (mandatory) & "thematic area/study field" (optional, to cater for non-structured evidence)

b) make "overall classification of qualification" optional

c) add "EQF level" as optional

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)

Proof of initial vocational education & training (EQF 3- 4)

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OOTS requirement Proposed requirement

Name - Proof of initial vocational education & training qualification

Description - Request for evidence proving that the person (evidence subject) has completed initial vocational education & training studies (EQF 3-4).

Minimum information

- • Information about the person (evidence subject) who is the holder of the vocational education/training qualification:

• given name • family name

• Information about the person's vocational education/training qualification that entitles admission to tertiary education:

• name of vocational education/training qualification • date of award of vocational education/training qualification • name of awarding body • country of awarding body

Context Automatic recognition/acquired rights/General system: Annex VII 1(b)

OOTS requirement - ID 24 Proposed revision

Name Proof of vocational education/training certificate that entitles admission to tertiary education

Proof of vocational education & training (EQF 5- 8) OR (EQF 5), if we opt for higher granularity

Description Request for evidence proving that the person (evidence subject) has completed vocational education (EQF levels 4/5) studies that give access to tertiary education (i.e. to EQF levels 6/7/8).

Request for evidence proving that the person (evidence subject) has completed vocational education & training that give access to tertiary education (i.e., EQF 5-8).

Minimum information

• Information about the person (evidence subject) who is the holder of the vocational education/training qualification:

• given name • family name

• Information about the person's vocational education/training qualification that entitles admission to tertiary education:

• name of vocational education/training qualification • date of award of vocational education/training qualification • name of awarding vocational education/training institution • country of awarding vocational education/training institution

Replace: • "name of awarding vocational

education/training institution" with "name of awarding body"

• "country of awarding vocational education/training institution" with "country of awarding body"

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)

Proof of tertiary vocational education & training (EQF 5-8)

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Annex VII 1(d): Proofs of absence of suspension/prohibition to practice the profession

Proof of absence of suspension/prohibition of practice

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OOTS req. Proposed requirement (based on ES's & SE's submissions)

Name - Proof of absence of suspension or prohibition of practice (Proof of right to practice the profession)

Description - In accordance with Annex VII 1(d) of the PQ Directive, request for evidence proving that the evidence subject (natural person) has the right to practice the profession, i.e., holds a license to practice the profession in the MS of origin and that this license is neither revoked nor suspended. The requested evidence may be issued by a public administration of professional association.

Minimum information

- • Information about the evidence subject (natural person): • given name • family name • date of birth • confirmation of absence of suspension or prohibition to practice the profession • date of registration (i.e., date when the evidence subject obtained the right to practice

the profession in the MS of origin)

Context - Automatic recognition/Acquired rights/General system: Annex VII 1(d)

Proof of absence of criminal record

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OOTS requirement – ID 340

Name Proof of absence of criminal record

Description Request for evidence proving that the criminal record of the evidence subject (natural person) is empty at the time of the evidence request.

Minimum information

Information about the evidence subject (natural person): • family name • given name • date of birth • place of birth • confirmation of absence of criminal record

Context Automatic recognition/Acquired rights/General system: Annex VII 1(d)

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Annex VII 2: Proofs of conformance to harmonised minimum training requirements

Proof of conformance to EU harmonised minimum training requirements

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OOTS req. Proposed requirement (based on ES's & SE's submissions)

Name - Proof of conformance to EU harmonised minimum training conditions

Description - Proof that the evidence subject's (natural person) formal qualification is listed in Annex V of Directive 2005/36/EC and the training received meets the harmonised minimum requirements as laid down in the respective to the profession article as provisioned in Article 21 of the Directive 2005/36/EC. (Specifically: Doctor: point 5.1.1 and Article 24; Nurse: point 5.2.2 and Article 31; Dentist: point 5.3.2 and Article 34; Midwife: point 5.5.2 and Article 40-41; Pharmacist: point 5.6.2 and Article 44; Specialised doctor: point 5.1.3 and Article 25 and 28; Specialised dentist: point 5.3.3 and Article 35)

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth# o confirmation that the formal qualification of the evidence is listed in Annex V and complies with

the minimum training requirements laid out in the Directive 2005/36/CE's Title III, Chapter III article that corresponds to the evidence subject's profession

Context Automatic recognition: Annex VII 2

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Other proofs

Proof of change of family name

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OOTS requirement – ID 54

Name Proof of change of family name

Description Request for evidence related to the change of the family name of the person (evidence subject).

Minimum information

Information about the person's (evidence subject) change of family name: • given name • family name • date of birth • previous family name • date of name change

Context Automatic recognition/Acquired rights/General system

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Automatic recognition regime: Gray area requirements

Proof of health specialist

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OOTS req. ES

Name - Proof of health specialist

Description - There are tertiary diplomas that provide general competences, so the applicant could need a specific course or grade for specialization on specific health matters.

Minimum information

- • Information about the issuing authority • name of issuing authority • country of issuing authority

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth • name of the health specialization course or grade

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)?

To clarify with ES: I) confirm the recognition regimes & ii) what prevents considering this covered by the available formal qualification

proofs

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Acquired rights regime

Streamlined requirements: Acquired rights

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PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - - x

Other Proof of change of name OOTS x - x

Article 23.1 Proof of acquired rights (Art. 23.1) Draft x x x

Article 23.6 Proof of acquired rights (Art. 23.6) Draft x x x

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Article 23: Proofs of acquired rights

Proof of acquired rights (art. 23.1)

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OOTS requirement Proposed requirement (based on SE's submission)

Name - Proof of acquired rights (art. 23.1)

Description - Proof that the user has effectively and lawfully been engaged in the activities of the above-named profession for at least three consecutive years during the five years preceding the award of this certificate, thereby satisfying the requirements as laid down in Article 23.1 of Directive 2005/36/EC.

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth

• Confirmation that the evidence subject has been effectively and lawfully engaged in the profession in accordance with the provisions of Article 23.1

Context Acquired rights: Article 23(1)

Proof of acquired rights (art. 23.6)

35

OOTS requirement Proposed requirement (based on SE's submission)

Name - Proof of acquired rights (art. 23.6)

Description - Proof that user's qualification is equivalent to the qualification listed in Annex V 5.1.X. and hence fulfils the criteria in art 23.6 in directive 2005/36/EC. For applicants who hold an education after the reference date but where the title has been changed.

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth

• Confirmation in accordance with Art. 23.6 that the qualification of the evidence subject meets the minimum training criteria and is treated in the same way as those listed in Annex V

Context Acquired rights: Article 23(6)

36

Acquired rights regime – Gray area requirements

Proof of formal qualifications giving access to a health profession not fully compliant with the Directive 2005/36/CE

37 To clarify with ES: confirm the recognition regime(s) and the reference PQD article

OOTS req. ES

Name - Proof of formal qualifications giving access to a health profession not fully compliant with the Directive 2005/36/CE

Description - When the diploma on health matters is not fully compliant with the education requirements set by chapter III of title III of the Directive 2005/36/CE.

Minimum information

- • Information about the issuing authority (name and country) • Information about the evidence subject (natural person):

• Given name • Family name • Date of birth

• Confirmation of access to the health profession not fully compliant with the Directive 2005/36/CE

Context Acquired rights: which article?

38

General system regime

General System

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PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - x

Other Proof of change of name OOTS x - x

Annex VII: 1(b) Proof of tertiary education transcript OOTS x - -

Annex VII: 1(b) Proof of diploma supplement OOTS - - x

Annex VII: 1(b) Proof of vocational education transcript Draft x - -

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Annex VII 1(b): Proofs of training information

OOTS requirement - ID 3 Minor Revision

Name Proof of tertiary education courses & grades [completed/in progress]

Description Request for evidence regarding the transcript (courses taken; grades obtained; etc.) of tertiary education studies (EQF levels 6/7/8). The transcript may refer to completed or on-going studies of the person (evidence subject).

Replace "EQF levels 6/7/8" with "EQF levels 5-8"

Minimum information • Information about the person (evidence subject) who has completed/is attending tertiary education studies:

• given name • family name

• Information about the detailed record (transcript) of the person's completed/underway tertiary education studies:

• name of study programme that the person is pursuing/has completed • name of of tertiary education institution to which the person is pursuing/has completed the

study programme • for each course (unit) attended as part of the referenced study programme:

• name of course • grade obtained • ECTS credits obtained • dates of attendance (start/end date)

Context General system: Annex VII 1(b)

Proof of tertiary education courses & grades (transcript) [completed/in progress]

41

OOTS requirement - ID 312

Name Proof of tertiary education courses & grades [completed/in progress]Proof of tertiary education diploma supplement (EU DS template)

Description Request for evidence based on the diploma supplement tool that was jointly developed by the Council of Europe, the European Commission and UNESCO and the updated version of which was adopted by the Lisbon Recognition Convention Committee in 2007 (https://education.ec.europa.eu/education-levels/higher- education/inclusive-and-connected-higher-education/diploma-supplement).

Minimum information

• Information about the person (evidence subject) who is the holder of the qualification: • family name (section 1.1) • given name (section 1.2) • date of birth (section 1.3) • student identification number/code; if applicable (section 1.4)

• Information identifying the qualification: • name of the qualification and (if applicable) title conferred (section 2.1) • main field(s) of study (section 2.2) • name and status of awarding institution (section 2.3) • name and status of institution administering the studies if different from awarding institution (section 2.4) • language(s) of instruction (section 2.5)

• Information about the level and duration of studies • ...

(for the complete list, please refer to the Airtable/CommonServices/Wiki)

Context General system: Annex VII 1(b)

Proof of tertiary education diploma supplement

42

Proof of vocational education courses & grades (transcript) [completed/in progress]

43

Queued requirement - ID 24 Revised requirement

Name Proof of vocational education courses & grades [completed/in progress] Same

Description Request for evidence regarding the transcript (e.g. courses taken; grades obtained; etc.) of vocational education/training studies that give access to tertiary education (ISCED 2011level 6/7/8). The transcript may refer to completed or on-going studies.

Request for evidence regarding the transcript (i.e., courses taken; grades obtained; etc.) of vocational education & training studies. The transcript may refer to completed or on-going studies.

Minimum information

• Information about the person (evidence subject) who is the holder of a vocational education qualification or is currently attending vocational education/training studies:

• given name • family name

• Information about the completed/underway vocational education/training studies: • name of vocational education/training institution where the courses were attended • for each Course attended as part of the completed/underway vocational

education/training: • name of the course • grade obtained

• dates of attendance (the date the student stated studying and/or finished studying this course)

Same

Context General system: Annex VII 1(b)

Overview of proofs of applicant's training

44

Proof of Higher

education transcript

Proofs of training information of

higher education qualification

Proof of Diploma

Supplement (Europass)

Proofs of training information of

vocational education & training qualification

Proof of VET

transcriptProof of Certificate

Supplement (Europass)

> >

45

General system regime: Gray area requirements

Proof of professional experience

46

OOTS req. ES

Name - Proof of professional experience

Description The competent authority (Public Administration or professional association) should certify that the subject has practiced the health profession during a year in full time dedication or equivalent when dedication was not full time, during the last 10 years in the member state where the proof is issued. In cases of recognition of qualification in other member state, the practice should last 3 years during the last 5 years.

Minimum Information

- • Information about the issuing authority: • name of issuing authority • country of issuing authority

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth

• Information about the professional practice • profession denomination • practice duration (number of years) • period of professional practice in the last years (start year, end year) • dedication time (full time / part time / mix )

Context General system: Annex VII 1(b)?

To clarify with ES: confirm recognition regime(s) and reference PQD article/Annex VII proof

Proof of professional qualifications recognition in other Member State

47

OOTS requirement ES

Name - Proof of professional qualifications recognition in other Member State

Description - ?

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth

• Information about the recognition • Member State • competent authority of the recognition • year of the recognition • professional qualifications recognised

Context General system: article?

To clarify with ES: i) confirm recognition regime & reference PQD article, ii) provide the missing "description" text

48

Summary & Next Steps

Requirements overview across recognition regimes

49

PQD reference Requirement Status Automatic Recognition

Acquired Rights

General System

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) Draft x x x

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x x x

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS x x x

Annex VII: 2 Proof of conformance to EU harmonised minimum training requirements Draft x - -

Other Proof of change of family name OOTS x x x

Art. 23(1) Proof of acquired rights (Art. 23.1) Draft - x -

Art. 23(6) Proof of acquired rights (Art. 23.6) Draft - x -

Annex VII: 1(b) Proof of diploma supplement OOTS - - x

Annex VII: 1(b) Proof of tertiary education transcript OOTS - - x

Annex VII: 1(b) Proof of vocational education transcript Queued - - x

Next steps: 1 - Consultation with PQD stream MSs

50

• Have we missed any requirements that your authority needs in relation to the

recognition of PQ of healthcare professionals?

o If yes, please indicate so using the template of slide 9

• Regarding the minimum information of the listed requirements:

o Evidence Requester perspective: Are there any redundant or missing data?

o Evidence Provider perspective: Are there any data that you cannot provide?

Next steps: 1 - Consultation with PQD stream MSs

51

• Are there any requirements for which splitting/specialisation (i.e., replacing by more

specific ones) or, conversely, merging/generalisation (i.e., replacing by a broader one) is

needed to better capture the information needs of your authorities?

o e.g., Use of two separate requirements to prove license/registration to practice and to prove absence

of suspension/prohibition to practice VERSUS use of a single, composite, requirement to prove both

registration & absence of suspension/prohibition?

o If yes, please explain what motivated your choice: e.g., need for two separate requirements (A, B) vs a

composite (AB) one to promote separation of concerns because there are situations where the

applicant needs to provide only the A-specific or B-specific set of evidence data, and not their union

• Any other comments on how to further improve the definitions of the requirements

o e.g., suggestions for rewording to improve a requirement's name and description

Next steps: 2 – Validation & Evidence Mapping

52

Present and validate the PQ evidence mapping framework at sub-group level

Add the corresponding data to the Common Services

• EC to add the validated requirements

• MSs to add the respective evidence type(s) and their corresponding evidence provider(s)

Next steps: 3 – Extend to other professions

53

• Analyse & collaboratively agree on priority professional qualifications

• Do any of the requirements defined for healthcare professionals apply to the

selected professions in their current form?

• If yes, proceed to evidence mapping;

• If no, use template of slide 9 to indicate the missing requirements

User journey & experience notes

54

• We follow a per regime analysis to facilitate the review and discussions, but given that

inherently the requirements that apply to an applicant depend on their specific situation,

integrating this distinction in the user journey can improve user experience:

o for example, at the time of application, the applicant could be asked to indicate whether they can benefit

from automatic recognition (as in the current EPC implementation, the YourEurope portal where applicants

are to find information on the necessary documents, etc.)

o another example: "Proof of nationality" applies for EU country nationals, otherwise proof of long-term

residency status with the right to work in the EU needs to be proven, e.g., using "Proof of citizenship" [or

other proofs, such as "Proof of refugee status", not currently considered in the analysis as no MS has

submitted this requirement]

55

Annex: initial MS submissions that have been reworked or dropped

Proof of lifelong learning

56

OOTS/EM requirement FI

Name - Proof of lifelong learning

Description - not provided

Minimum information

- not provided

Decision: Given that Annex VII (1b) mentions "evidence of formal qualifications giving access to the profession in question", and that lifelong

learning qualifications aren't assessed in order to determine access to the profession, this can be dropped.

Proof of acquired rights (art. 23.1)

57

OOTS requirement EE ES FI SE

Name - Proof of acquired rights (art. 23.1)

Description - Proof that the user has effectively and lawfully been engaged in the activities of the above-named profession for at least three consecutive years during the five years preceding the award of

this certificate, thereby satisfying the requirements as laid down in Article 23.1 of Directive 2005/36/EC.

Minimum information

- • Given name • Family name • Date of Birth

• Profession • Date of registration (when the user became qualified for

profession) • Date of issue (when the evidence was issued) • Name of authority

• Action SE: Is the date of registration relevant? Also, the name of the issuing authority & the

issuance date of the evidence are both part of the evidence metadata during OOTS exchange

Proof of acquired rights (art. 23.6)

58

OOTS requirement EE ES FI SE

Name - Proof of acquired rights (art. 23.6)

Description - Proof that user's qualification is equivalent to the qualification listed in Annex V 5.1.X. and hence fulfils the criteria in art 23.6 in directive 2005/36/EG. For applicants who hold an education

after the reference date but where the title has been changed.

Minimum information

- • Given name • Family name • Date of Birth

• Profession • Date of registration (when the user became qualified for

profession) • Date of issue (when the evidence was issued) • Name of authority

• Action SE: Is the data of registration relevant? Also, the name of the issuing authority and

the issuance date of the evidence is part of the evidence metadata during OOTS exchage

Proof of good standing

59

OOTS req. EE ES FI SE

Name - Proof of good standing Proof of good standing

Description - According to the Annex VII (d) of the Directive. It could be issued by a public administration or professional association.

Qualification of Healthcare Professional that proofs that user holds a license as a (profession) in MS, registration status and users' license to practice is neither revoked nor limited in MS.

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person):

• Given name • Family name • Date of birth • Place of birth

• Confirmation of the good standing

• Name of authority

• Given name • Family name • Date of Birth

• Profession • Date of registration (date when user became qualified for

profession) • Date of issue (date when evidence was issued)

Proof of formal qualifications giving access to a health profession according to Annex V

60

OOTS req, EE ES FI SE

Name - Proof of formal qualifications giving access to a health profession according to the Annex V of the Directive 2005/36/CE

Certificate of conformity for health care professions (doctor, nurse, dentist, midwife, pharmacist, specialised doctor, specialised dentist)

Description - - Proof that user holds a diploma for profession in accordance with Annex V, point 5 of Directive 2005/36/EC and the training received meets the requirements as laid down in Articles of Directive 2005/36/EC. (Doctor: point 5.1.1 and Article 24; Nurse: point 5.2.2 and Article 31; Dentist: point 5.3.2 and Article 34; Midwife: point 5.5.2 and Article 40-41; Pharmacist: point 5.6.2 and Article 44; Specialised doctor: point 5.1.3 and Article 25 and 28; Specialised dentist: point 5.3.3 and Article 35)

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person):

• Given name • Family name • Date of birth • Place of birth

• Confirmation of access to the health profession according to Annex V of the Directive 2005/36/CE

• Name of authority

• Given name • Family name • Date of Birth

• Profession • Specialist title/s (for specialised doctors and dentist) • Reference to article in directive 2005/35/EC • Date of registration (date when user became qualified for profession) • Date of issue (date when evidence was issued)

OOTS | PQD stream Evidence Mapping for PQD related requirements

Follow-up meeting

Outline

2

• Objective & scope

• Approach evolution

• Status of analysis

• Summary & Next steps

Objective

3

Define the information to be added to the Common Services to complete the exchange of

evidence through OOTS for the recognition of healthcare professions in the context of PQD

• Evidence Requesters define all the applicable procedural requirements including

• Name of the requirement

• Description of the requirement

• List of information an evidence must contain

• Evidence Providers define the evidence in their Member State to meet the requirements

• Name of the evidence type

• Name of the evidence provider

Scope: healthcare professionals recognition regimes

4

Automatic Recognition

Acquired rights

General System

The applicant's qualifications are listed in Annex V and their training started after the reference date.

The applicant's qualifications, though not conforming to Annex V provisions, comply with the harmonised minimum training requirements OR the applicant has attained rights as result of their professional activity.

The applicant's situation does not fit into either the Automatic Recognition or Acquired rights regime.

PQD recognition regimes for healthcare

professionals

Initial approach

5

• Starting points

• Member State's inputs (submitted requirements & feedback)

• Directive 2005/36/EC

• Annex VII lists documents and certificates that may be requested by the competent authorities that decide on the

application to pursue a regulated profession

• Use of Annex VII proof categories as reference for structuring & carrying out the

comparative analysis of MSs inputs and reconcile requirements and their respective

minimum information

Mapping of Annex VII documents to proof categories # Document description Proof category

1(a) Proof of the nationality of the person concerned. Nationality

1(b) Copies of the attestations of professional competence or of the evidence of formal qualifications giving access to the profession in question, and an attestation of the professional experience of the person concerned where applicable.

The competent authorities of the host Member State may invite the applicant to provide information concerning his training to the extent necessary in order to determine the existence of potential substantial differences with the required national training, as laid down in Article 14.

Professional competence

Formal qualifications

Professional experience

Training information

1(c) For the cases referred to in Article 16, a certificate concerning the nature and duration of the activity issued by the competent authority or body in the home Member State or the Member State from which the foreign national comes.

Professional activity nature and duration

1(d) Proof that they are of good character or repute or that they have not been declared bankrupt or suspends or prohibits the pursuit of that profession in the event of serious professional misconduct or a criminal offence.

Good character/repute

Absence of bankruptcy declaration

Right to practice the profession

Absence of criminal record

1(e) Where a host MS requires of its own nationals wishing to take up a regulated profession, a document relating to the physical or mental health of the applicant, that MS shall accept as sufficient evidence thereof the presentation of the document required in the home MS. Where the home MS does not issue such a document, the host MS shall accept a certificate issued by a competent authority in that State.

Physical or mental health

1(f) Where a host Member State requires its own nationals wishing to take up a regulated profession to furnish: - proof of the applicant's financial standing, - proof that the applicant is insured against the financial risks arising from their professional liability in accordance with the laws and regulations in

force in the host Member State regarding the terms and extent of cover shall accept as sufficient evidence an attestation to that effect issued by the banks and insurance undertakings of another MS.

Financial standing

Liability insurance

2 To facilitate the application of Title III, Chapter III, of this Directive, Member States may prescribe that, in addition to evidence of formal qualifications, the person who satisfies the conditions of training required must provide a certificate from the competent authorities of his home Member State stating that this evidence of formal qualifications is that covered by this Directive.

Conformance to the Directive's minimum training conditions

Annex IV professions

Non OOTS

Revised approach

7

• Motivation

o referencing Annex VII alone proved insufficient to fully lift ambiguities in terms of the scope & purpose of

the requirements

• Updates

o updated framework for requirements definition that contextualises further the requirements, including, as

applicable, references to specific articles of the Directive

o updated requirement template for capturing the additional contextual information

Updated framework for PQD workstream

8

Directive 2005/36/EC

Proof Category (Annex VII)

Requirement 1

Requirement 2

Requirement 3

Evidence in each MS

Evidence Provider

Evidence Provider

Evidence Provider

Requirement 4

Requirement 5

Articles

Evidence in each MS

Evidence Provider

Evidence Provider

Revised template for requirements

9

Field Definition

Name The name of the requirement

Description A description of the scope and purpose of the requirements.

Minimum information The minimum information that evidence must contain in order to prove the requirement.

Context (procedure & reference framework)

Recognition regime & pertinent Annex VII or Article reference, for example: "Acquired rights: Article 23.1", "General system: Annex VII 1(b)".

Status of analysis

10

• Current findings per recognition regime:

o overview of requirements across MSs

o streamlined requirement definitions based on the initial MSs inputs

o gray area requirements

11

Automatic Recognition regime

Streamlined Requirements: Automatic Recognition

12

PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - x

Annex VII: 2 Proof of conformance to EU harmonised minimum training requirements

Draft x x x

Other Proof of change of name OOTS x - x

13

Annex VII 1(a) - Proofs of Nationality

Proof of nationality

14

OOTS requirement - ID 83

Name Proof of nationality

Description Request for evidence regarding the nationality of the person (evidence subject).

Minimum information

• Information about the person (evidence subject) o given name o family name o date of birth o place of birth

• Information on the person's nationality: o nationality

Context Automatic recognition/Acquired rights/General system: Annex VII 1(a)

Proof of citizenship

15

OOTS requirement - ID 80

Name Proof of citizenship

Description Request for evidence regarding the citizenship(s) of the person (evidence subject).

Minimum information

• Information about the person (evidence subject) o given name o family name o date of birth o place of birth

• Information about each of the person's citizenships: o citizenship o citizenship issue date

Context Automatic Recognition/Acquired rights/General system: Annex VII 1(a)

User journey considerations

16

• Different requirements apply depending on the applicant's situation

• EU country nationals: Proof of nationality

• Non-EU country nationals: Proof of citizenship

▪ other proofs that provide evidence that the applicant can benefit from EU rights could be used, butfor the moment only

proof of citizenship was included in the submitted MSs inputs

• To enhance user experience, the procedure portals could prompt users to indicate which is

their situation so that the list of requirements the user is presented with contains only the

one applicable to their situation

• This would be in line with the YourEurope and EPC paradigms where applicants are prompted to indicate

profession, purpose (establishment vs temporary practice), and whether they can benefit from automatic

recognition

17

Annex VII 1(b) - Proofs of formal qualifications

Tertiary Higher Education (EQF 5-8)

Formal qualification proofs state of play:

18

Proof of formal qualification

Proof of vocational orientation

qualification

Initial Vocational Education & Training

(EQF 3-4)

Vocational Education & Training (EQF 5)

Vocational Education & Training (EQF 6-8)

Proof of general (academic) orientation

qualification

Secondary Education (EQF 2-4)

Tertiary Vocational Education

& Training (EQF 5 - 8)

Short Cycle (EQF 5)

Lower Secondary (EQF 2)

Bachelor (EQF 6)

Master (EQF 7)

Ph.D. (EQF 8)

Upper Secondary (EQF 3-4)

Comon Services

Healthcare PQ

Proof of tertiary higher education qualification

19

OOTS requirement - ID 1 Proposed Revision

Name Proof of tertiary education diploma/certificate/degree Proof of tertiary higher education qualification

Description Request for evidence proving that the person (evidence subject) has completed tertiary education studies (i.e. EQF levels 6/7/8).

Request for evidence proving that the person (evidence subject) has completed general orientation tertiary education studies (i.e., EQF levels 5-8).

Minimum information

• Information about the person (evidence subject) who is the holder of the tertiary education degree

• given name • family name

• Information about the person's tertiary education degree • name of the degree (name of qualification, name of qualification

study field) • name of awarding tertiary education institution • date of award • country of award • overall classification of the qualification (e.g., summa cum laude,

gut, sobresaliente, λίαν καλώς, etc.)

Suggested revisions: a) "name of the degree" ->split into "title

of qualification" (mandatory) & "thematic area/study field" (optional, to cater for non-structured evidence)

b) make "overall classification of qualification" optional

c) add "EQF level" as optional

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)

Proof of initial vocational education & training (EQF 3- 4)

20

OOTS requirement Proposed requirement

Name - Proof of initial vocational education & training qualification

Description - Request for evidence proving that the person (evidence subject) has completed initial vocational education & training studies (EQF 3-4).

Minimum information

- • Information about the person (evidence subject) who is the holder of the vocational education/training qualification:

• given name • family name

• Information about the person's vocational education/training qualification that entitles admission to tertiary education:

• name of vocational education/training qualification • date of award of vocational education/training qualification • name of awarding body • country of awarding body

Context Automatic recognition/acquired rights/General system: Annex VII 1(b)

OOTS requirement - ID 24 Proposed revision

Name Proof of vocational education/training certificate that entitles admission to tertiary education

Proof of vocational education & training (EQF 5- 8) OR (EQF 5), if we opt for higher granularity

Description Request for evidence proving that the person (evidence subject) has completed vocational education (EQF levels 4/5) studies that give access to tertiary education (i.e. to EQF levels 6/7/8).

Request for evidence proving that the person (evidence subject) has completed vocational education & training that give access to tertiary education (i.e., EQF 5-8).

Minimum information

• Information about the person (evidence subject) who is the holder of the vocational education/training qualification:

• given name • family name

• Information about the person's vocational education/training qualification that entitles admission to tertiary education:

• name of vocational education/training qualification • date of award of vocational education/training qualification • name of awarding vocational education/training institution • country of awarding vocational education/training institution

Replace: • "name of awarding vocational

education/training institution" with "name of awarding body"

• "country of awarding vocational education/training institution" with "country of awarding body"

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)

Proof of tertiary vocational education & training (EQF 5-8)

21

22

Annex VII 1(d): Proofs of absence of suspension/prohibition to practice the profession

Proof of absence of suspension/prohibition of practice

23

OOTS req. Proposed requirement (based on ES's & SE's submissions)

Name - Proof of absence of suspension or prohibition of practice (Proof of right to practice the profession)

Description - In accordance with Annex VII 1(d) of the PQ Directive, request for evidence proving that the evidence subject (natural person) has the right to practice the profession, i.e., holds a license to practice the profession in the MS of origin and that this license is neither revoked nor suspended. The requested evidence may be issued by a public administration of professional association.

Minimum information

- • Information about the evidence subject (natural person): • given name • family name • date of birth • confirmation of absence of suspension or prohibition to practice the profession • date of registration (i.e., date when the evidence subject obtained the right to practice

the profession in the MS of origin)

Context - Automatic recognition/Acquired rights/General system: Annex VII 1(d)

Proof of absence of criminal record

24

OOTS requirement – ID 340

Name Proof of absence of criminal record

Description Request for evidence proving that the criminal record of the evidence subject (natural person) is empty at the time of the evidence request.

Minimum information

Information about the evidence subject (natural person): • family name • given name • date of birth • place of birth • confirmation of absence of criminal record

Context Automatic recognition/Acquired rights/General system: Annex VII 1(d)

25

Annex VII 2: Proofs of conformance to harmonised minimum training requirements

Proof of conformance to EU harmonised minimum training requirements

26

OOTS req. Proposed requirement (based on ES's & SE's submissions)

Name - Proof of conformance to EU harmonised minimum training conditions

Description - Proof that the evidence subject's (natural person) formal qualification is listed in Annex V of Directive 2005/36/EC and the training received meets the harmonised minimum requirements as laid down in the respective to the profession article as provisioned in Article 21 of the Directive 2005/36/EC. (Specifically: Doctor: point 5.1.1 and Article 24; Nurse: point 5.2.2 and Article 31; Dentist: point 5.3.2 and Article 34; Midwife: point 5.5.2 and Article 40-41; Pharmacist: point 5.6.2 and Article 44; Specialised doctor: point 5.1.3 and Article 25 and 28; Specialised dentist: point 5.3.3 and Article 35)

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth# o confirmation that the formal qualification of the evidence is listed in Annex V and complies with

the minimum training requirements laid out in the Directive 2005/36/CE's Title III, Chapter III article that corresponds to the evidence subject's profession

Context Automatic recognition: Annex VII 2

27

Other proofs

Proof of change of family name

28

OOTS requirement – ID 54

Name Proof of change of family name

Description Request for evidence related to the change of the family name of the person (evidence subject).

Minimum information

Information about the person's (evidence subject) change of family name: • given name • family name • date of birth • previous family name • date of name change

Context Automatic recognition/Acquired rights/General system

29

Automatic recognition regime: Gray area requirements

Proof of health specialist

30

OOTS req. ES

Name - Proof of health specialist

Description - There are tertiary diplomas that provide general competences, so the applicant could need a specific course or grade for specialization on specific health matters.

Minimum information

- • Information about the issuing authority • name of issuing authority • country of issuing authority

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth • name of the health specialization course or grade

Context Automatic recognition/Acquired rights/General system: Annex VII 1(b)?

To clarify with ES: I) confirm the recognition regimes & ii) what prevents considering this covered by the available formal qualification

proofs

31

Acquired rights regime

Streamlined requirements: Acquired rights

32

PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - - x

Other Proof of change of name OOTS x - x

Article 23.1 Proof of acquired rights (Art. 23.1) Draft x x x

Article 23.6 Proof of acquired rights (Art. 23.6) Draft x x x

33

Article 23: Proofs of acquired rights

Proof of acquired rights (art. 23.1)

34

OOTS requirement Proposed requirement (based on SE's submission)

Name - Proof of acquired rights (art. 23.1)

Description - Proof that the user has effectively and lawfully been engaged in the activities of the above-named profession for at least three consecutive years during the five years preceding the award of this certificate, thereby satisfying the requirements as laid down in Article 23.1 of Directive 2005/36/EC.

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth

• Confirmation that the evidence subject has been effectively and lawfully engaged in the profession in accordance with the provisions of Article 23.1

Context Acquired rights: Article 23(1)

Proof of acquired rights (art. 23.6)

35

OOTS requirement Proposed requirement (based on SE's submission)

Name - Proof of acquired rights (art. 23.6)

Description - Proof that user's qualification is equivalent to the qualification listed in Annex V 5.1.X. and hence fulfils the criteria in art 23.6 in directive 2005/36/EC. For applicants who hold an education after the reference date but where the title has been changed.

Minimum information

- • Information about the evidence subject (natural person): o given name o family name o date of birth

• Confirmation in accordance with Art. 23.6 that the qualification of the evidence subject meets the minimum training criteria and is treated in the same way as those listed in Annex V

Context Acquired rights: Article 23(6)

36

Acquired rights regime – Gray area requirements

Proof of formal qualifications giving access to a health profession not fully compliant with the Directive 2005/36/CE

37 To clarify with ES: confirm the recognition regime(s) and the reference PQD article

OOTS req. ES

Name - Proof of formal qualifications giving access to a health profession not fully compliant with the Directive 2005/36/CE

Description - When the diploma on health matters is not fully compliant with the education requirements set by chapter III of title III of the Directive 2005/36/CE.

Minimum information

- • Information about the issuing authority (name and country) • Information about the evidence subject (natural person):

• Given name • Family name • Date of birth

• Confirmation of access to the health profession not fully compliant with the Directive 2005/36/CE

Context Acquired rights: which article?

38

General system regime

General System

39

PQD reference

Requirement Status FI SE ES EE IT DE

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) - x - -

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x - -

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS - x

Other Proof of change of name OOTS x - x

Annex VII: 1(b) Proof of tertiary education transcript OOTS x - -

Annex VII: 1(b) Proof of diploma supplement OOTS - - x

Annex VII: 1(b) Proof of vocational education transcript Draft x - -

40

Annex VII 1(b): Proofs of training information

OOTS requirement - ID 3 Minor Revision

Name Proof of tertiary education courses & grades [completed/in progress]

Description Request for evidence regarding the transcript (courses taken; grades obtained; etc.) of tertiary education studies (EQF levels 6/7/8). The transcript may refer to completed or on-going studies of the person (evidence subject).

Replace "EQF levels 6/7/8" with "EQF levels 5-8"

Minimum information • Information about the person (evidence subject) who has completed/is attending tertiary education studies:

• given name • family name

• Information about the detailed record (transcript) of the person's completed/underway tertiary education studies:

• name of study programme that the person is pursuing/has completed • name of of tertiary education institution to which the person is pursuing/has completed the

study programme • for each course (unit) attended as part of the referenced study programme:

• name of course • grade obtained • ECTS credits obtained • dates of attendance (start/end date)

Context General system: Annex VII 1(b)

Proof of tertiary education courses & grades (transcript) [completed/in progress]

41

OOTS requirement - ID 312

Name Proof of tertiary education courses & grades [completed/in progress]Proof of tertiary education diploma supplement (EU DS template)

Description Request for evidence based on the diploma supplement tool that was jointly developed by the Council of Europe, the European Commission and UNESCO and the updated version of which was adopted by the Lisbon Recognition Convention Committee in 2007 (https://education.ec.europa.eu/education-levels/higher- education/inclusive-and-connected-higher-education/diploma-supplement).

Minimum information

• Information about the person (evidence subject) who is the holder of the qualification: • family name (section 1.1) • given name (section 1.2) • date of birth (section 1.3) • student identification number/code; if applicable (section 1.4)

• Information identifying the qualification: • name of the qualification and (if applicable) title conferred (section 2.1) • main field(s) of study (section 2.2) • name and status of awarding institution (section 2.3) • name and status of institution administering the studies if different from awarding institution (section 2.4) • language(s) of instruction (section 2.5)

• Information about the level and duration of studies • ...

(for the complete list, please refer to the Airtable/CommonServices/Wiki)

Context General system: Annex VII 1(b)

Proof of tertiary education diploma supplement

42

Proof of vocational education courses & grades (transcript) [completed/in progress]

43

Queued requirement - ID 24 Revised requirement

Name Proof of vocational education courses & grades [completed/in progress] Same

Description Request for evidence regarding the transcript (e.g. courses taken; grades obtained; etc.) of vocational education/training studies that give access to tertiary education (ISCED 2011level 6/7/8). The transcript may refer to completed or on-going studies.

Request for evidence regarding the transcript (i.e., courses taken; grades obtained; etc.) of vocational education & training studies. The transcript may refer to completed or on-going studies.

Minimum information

• Information about the person (evidence subject) who is the holder of a vocational education qualification or is currently attending vocational education/training studies:

• given name • family name

• Information about the completed/underway vocational education/training studies: • name of vocational education/training institution where the courses were attended • for each Course attended as part of the completed/underway vocational

education/training: • name of the course • grade obtained

• dates of attendance (the date the student stated studying and/or finished studying this course)

Same

Context General system: Annex VII 1(b)

Overview of proofs of applicant's training

44

Proof of Higher

education transcript

Proofs of training information of

higher education qualification

Proof of Diploma

Supplement (Europass)

Proofs of training information of

vocational education & training qualification

Proof of VET

transcriptProof of Certificate

Supplement (Europass)

> >

45

General system regime: Gray area requirements

Proof of professional experience

46

OOTS req. ES

Name - Proof of professional experience

Description The competent authority (Public Administration or professional association) should certify that the subject has practiced the health profession during a year in full time dedication or equivalent when dedication was not full time, during the last 10 years in the member state where the proof is issued. In cases of recognition of qualification in other member state, the practice should last 3 years during the last 5 years.

Minimum Information

- • Information about the issuing authority: • name of issuing authority • country of issuing authority

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth

• Information about the professional practice • profession denomination • practice duration (number of years) • period of professional practice in the last years (start year, end year) • dedication time (full time / part time / mix )

Context General system: Annex VII 1(b)?

To clarify with ES: confirm recognition regime(s) and reference PQD article/Annex VII proof

Proof of professional qualifications recognition in other Member State

47

OOTS requirement ES

Name - Proof of professional qualifications recognition in other Member State

Description - ?

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person): • given name • family name • date of birth • place of birth

• Information about the recognition • Member State • competent authority of the recognition • year of the recognition • professional qualifications recognised

Context General system: article?

To clarify with ES: i) confirm recognition regime & reference PQD article, ii) provide the missing "description" text

48

Summary & Next Steps

Requirements overview across recognition regimes

49

PQD reference Requirement Status Automatic Recognition

Acquired Rights

General System

Annex VII: 1(a) Proof of nationality OOTS x x x

Proof of citizenship OOTS x x x

Annex VII: 1(b) Proof of tertiary higher education (EQF 5-8) OOTS* x x x

Proof of initial vocational education & training (EQF 2-4) Draft x x x

Proof of tertiary vocation education & training (EQF 5-8) OOTS* x x x

Annex VII: 1(d) Proof of absence of suspension or prohibition of practice Draft x x x

Proof of absence of criminal record OOTS x x x

Annex VII: 2 Proof of conformance to EU harmonised minimum training requirements Draft x - -

Other Proof of change of family name OOTS x x x

Art. 23(1) Proof of acquired rights (Art. 23.1) Draft - x -

Art. 23(6) Proof of acquired rights (Art. 23.6) Draft - x -

Annex VII: 1(b) Proof of diploma supplement OOTS - - x

Annex VII: 1(b) Proof of tertiary education transcript OOTS - - x

Annex VII: 1(b) Proof of vocational education transcript Queued - - x

Next steps: 1 - Consultation with PQD stream MSs

50

• Have we missed any requirements that your authority needs in relation to the

recognition of PQ of healthcare professionals?

o If yes, please indicate so using the template of slide 9

• Regarding the minimum information of the listed requirements:

o Evidence Requester perspective: Are there any redundant or missing data?

o Evidence Provider perspective: Are there any data that you cannot provide?

Next steps: 1 - Consultation with PQD stream MSs

51

• Are there any requirements for which splitting/specialisation (i.e., replacing by more

specific ones) or, conversely, merging/generalisation (i.e., replacing by a broader one) is

needed to better capture the information needs of your authorities?

o e.g., Use of two separate requirements to prove license/registration to practice and to prove absence

of suspension/prohibition to practice VERSUS use of a single, composite, requirement to prove both

registration & absence of suspension/prohibition?

o If yes, please explain what motivated your choice: e.g., need for two separate requirements (A, B) vs a

composite (AB) one to promote separation of concerns because there are situations where the

applicant needs to provide only the A-specific or B-specific set of evidence data, and not their union

• Any other comments on how to further improve the definitions of the requirements

o e.g., suggestions for rewording to improve a requirement's name and description

Next steps: 2 – Validation & Evidence Mapping

52

Present and validate the PQ evidence mapping framework at sub-group level

Add the corresponding data to the Common Services

• EC to add the validated requirements

• MSs to add the respective evidence type(s) and their corresponding evidence provider(s)

Next steps: 3 – Extend to other professions

53

• Analyse & collaboratively agree on priority professional qualifications

• Do any of the requirements defined for healthcare professionals apply to the

selected professions in their current form?

• If yes, proceed to evidence mapping;

• If no, use template of slide 9 to indicate the missing requirements

User journey & experience notes

54

• We follow a per regime analysis to facilitate the review and discussions, but given that

inherently the requirements that apply to an applicant depend on their specific situation,

integrating this distinction in the user journey can improve user experience:

o for example, at the time of application, the applicant could be asked to indicate whether they can benefit

from automatic recognition (as in the current EPC implementation, the YourEurope portal where applicants

are to find information on the necessary documents, etc.)

o another example: "Proof of nationality" applies for EU country nationals, otherwise proof of long-term

residency status with the right to work in the EU needs to be proven, e.g., using "Proof of citizenship" [or

other proofs, such as "Proof of refugee status", not currently considered in the analysis as no MS has

submitted this requirement]

55

Annex: initial MS submissions that have been reworked or dropped

Proof of lifelong learning

56

OOTS/EM requirement FI

Name - Proof of lifelong learning

Description - not provided

Minimum information

- not provided

Decision: Given that Annex VII (1b) mentions "evidence of formal qualifications giving access to the profession in question", and that lifelong

learning qualifications aren't assessed in order to determine access to the profession, this can be dropped.

Proof of acquired rights (art. 23.1)

57

OOTS requirement EE ES FI SE

Name - Proof of acquired rights (art. 23.1)

Description - Proof that the user has effectively and lawfully been engaged in the activities of the above-named profession for at least three consecutive years during the five years preceding the award of

this certificate, thereby satisfying the requirements as laid down in Article 23.1 of Directive 2005/36/EC.

Minimum information

- • Given name • Family name • Date of Birth

• Profession • Date of registration (when the user became qualified for

profession) • Date of issue (when the evidence was issued) • Name of authority

• Action SE: Is the date of registration relevant? Also, the name of the issuing authority & the

issuance date of the evidence are both part of the evidence metadata during OOTS exchange

Proof of acquired rights (art. 23.6)

58

OOTS requirement EE ES FI SE

Name - Proof of acquired rights (art. 23.6)

Description - Proof that user's qualification is equivalent to the qualification listed in Annex V 5.1.X. and hence fulfils the criteria in art 23.6 in directive 2005/36/EG. For applicants who hold an education

after the reference date but where the title has been changed.

Minimum information

- • Given name • Family name • Date of Birth

• Profession • Date of registration (when the user became qualified for

profession) • Date of issue (when the evidence was issued) • Name of authority

• Action SE: Is the data of registration relevant? Also, the name of the issuing authority and

the issuance date of the evidence is part of the evidence metadata during OOTS exchage

Proof of good standing

59

OOTS req. EE ES FI SE

Name - Proof of good standing Proof of good standing

Description - According to the Annex VII (d) of the Directive. It could be issued by a public administration or professional association.

Qualification of Healthcare Professional that proofs that user holds a license as a (profession) in MS, registration status and users' license to practice is neither revoked nor limited in MS.

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person):

• Given name • Family name • Date of birth • Place of birth

• Confirmation of the good standing

• Name of authority

• Given name • Family name • Date of Birth

• Profession • Date of registration (date when user became qualified for

profession) • Date of issue (date when evidence was issued)

Proof of formal qualifications giving access to a health profession according to Annex V

60

OOTS req, EE ES FI SE

Name - Proof of formal qualifications giving access to a health profession according to the Annex V of the Directive 2005/36/CE

Certificate of conformity for health care professions (doctor, nurse, dentist, midwife, pharmacist, specialised doctor, specialised dentist)

Description - - Proof that user holds a diploma for profession in accordance with Annex V, point 5 of Directive 2005/36/EC and the training received meets the requirements as laid down in Articles of Directive 2005/36/EC. (Doctor: point 5.1.1 and Article 24; Nurse: point 5.2.2 and Article 31; Dentist: point 5.3.2 and Article 34; Midwife: point 5.5.2 and Article 40-41; Pharmacist: point 5.6.2 and Article 44; Specialised doctor: point 5.1.3 and Article 25 and 28; Specialised dentist: point 5.3.3 and Article 35)

Minimum information

- • Information about the issuing authority • name • country

• Information about the evidence subject (natural person):

• Given name • Family name • Date of birth • Place of birth

• Confirmation of access to the health profession according to Annex V of the Directive 2005/36/CE

• Name of authority

• Given name • Family name • Date of Birth

• Profession • Specialist title/s (for specialised doctors and dentist) • Reference to article in directive 2005/35/EC • Date of registration (date when user became qualified for profession) • Date of issue (date when evidence was issued)