Dokumendiregister | Terviseamet |
Viit | 6.3-9/25/10436-4 |
Registreeritud | 06.01.2025 |
Sünkroonitud | 07.01.2025 |
Liik | Väljaminev dokument |
Funktsioon | 6.3 Tervishoiutöötajate registreerimine ja kutsekvalifikatsiooni tunnustamine |
Sari | 6.3-9 Kirjavahetus tervishoiutöötajate registreerimise ja kvalifikatsiooni küsimuses |
Toimik | 6.3-9/2024 |
Juurdepääsupiirang | Avalik |
Juurdepääsupiirang | |
Adressaat | NTT Data |
Saabumis/saatmisviis | NTT Data |
Vastutaja | Liina Saar (TA, Peadirektori asetäitja (3) vastutusvaldkond, Tervishoiuteenuste osakond) |
Originaal | Ava uues aknas |
06.01.2025
Question-1: Has your authority identified the need to request proof of qualifications that are not covered by the currently tertiary education and the vocational education & training requirements currently listed in the slides 19 to 21? For example, for qualifications mentioned in Article 11(a) or Article 11(b).
No futher education training/schooling gives an applicant any further rights or benefits. We only accept documents listed in the directive or other documents (if the title is different) that are presented with a certificate issued by the competent authority.
Question-2: Spain has submitted a separate proof for qualifications that do not fall under tertiary (higher) education diplomas but that refer to course/training that proves specialist competence and which may be required in addition to the diploma. Has your authority identified the need for requesting such proof?
All qualifications recognized under articles 21 and 23 require tertiary education. If some other documents must be presented then these are also listed in Annex V.
If we are talking about the registration of assistant pharmacists (the general system) then – in addition to the diploma - they only have to provide a certificate issued by the competent authority stating that they have a license. I don’t know if there are any member states that train assistant pharmacists at a level below 3?
• Question-2.1: If the answer to the above is yes, would you re-use the description shown in slide 30 or would you need to revise it and how?
---
• Question-2.2: Would such proof need to be added to Level 2 proofs, alongside the general and vocational proofs shown in the diagram above, or would it be a type of general/vocational qualification?
---
B. Proof of absence of criminal record
Yes, we do not need an additional document regarding an absence of criminal record – if the competent authority issues a document proving that the person has the right to practice the profession and they are not being restricted or investigated from a professional point of view then that is enough.
C. Proof of absence of suspension/prohibition of practice
No history is needed, only information regarding the current situation.
D. Proof of change of name
This proof can only be issued by the corresponding competent authority.
For example, In Estonia, marriage is contracted by a local government of the county center (in Tallinn, Vital Statistics Office) official, a minister of religion or a notary. So the document must be issued by one of those instances (or an extract from the population register). If one has changed the
06.01.2025
name because of other reasons then the local government can issue the document (or an extract from the population register).
The competent authority in the field of professional qualifications in health care will most likely know of the change of name but they do not perform the action in the first place. So if they have a document issued by the other competent authority and they have the right to forward this document to Health Board then they can do so – however, if the document is not in English then it also has to be translated.
E. Proof of acquired rights
Question-1: Does your comment mean that instead of having two separate requirements, like the ones shown in slides 34 & 35, it would be sufficient to have a single requirement “proof of compliance with acquired rights” that would cover all cases of Article 23?
Basically yes.
If the profession/speciality is to be recognized under article 23 then we need a certificate from the competent authority proving everything it has to prove based on article 23 + confirmation that the person is not suspended or restricted professionally. Whether the competent authority issues this information as one document or many – that is not relevant.
Question-2: What are your thoughts about merging compliance of qualifications with Annex V (slide 26) and compliance with acquired rights in a single requirement? For instance, using as name “proof of conformance to EU harmonised minimum training requirements” and as description “Proof that the evidence subject's (natural person) formal qualification conform to the harmonised minimum requirements as laid down in Chapter III, Title III of the Directive 2005/36/EC.”?
As long as the certificate also refers to the right article (21, 23), I have no objections.
Question-3: As the evidence provider, does your authority have such evidence of compliance ready for exchange, or would the applicant need to request it first for your authority to issue it and make it available for exchange?
If the qualification is automatically recognizable then we have the information.
If the qualification is to be recognized under article 23 then the applicant must first issue an application and proof of work experience to Health Board.
Just a thought: I think it would be unfair if one group has to first issue a separate application to Health Board while the other does not – it would mean that one group has to pay the state fee and the other does not.
F. Proof of diploma supplement/Proof of transcript
Question-1: Do you request any of these proofs for applicants falling under the general system?
If a person has acquired a speciality of specialised medical care in a Member State of the European Economic Area or Switzerland and the speciality does not exist in Estonia or the speciality acquired
06.01.2025
by the person is not automatically recognised since it not listed for a particular country in Annex V, then yes, we do need a diploma supplement.
If the answer is yes:
• Question-1.1: Do the current definitions (slides 41-42) reflect the information needs of your authority?
Yes, I believe so.
• Question-1.2: The minimum information defined for the “proof of tertiary education transcript” (ID 3) is also contained in the current minimum information of the “proof of diploma supplement” (ID 312). Consequently, the information contained in the evidence of transcript would be a subset of the information that is contained in the evidence the diploma supplement. Does your authority still see both as relevant? Is there some other proof that may be relevant, e.g., for clarifying the extent/subject matters of the studies?
In most cases (the automatic recognition system) we do not need a diploma supplement or information about the subjects passed.
Documents proving the completed subjects must only be provided if the recognition falls under the general system (see the answer to question 1).
From: Liina Saar
Sent: Mon, 06 Jan 2025 13:43:02 +0000
To: 'Stamatia Dasiopoulou' <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; Kaidy Teppe <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>
Cc: MC GRATH Nils (DIGIT-EXT) <[email protected]>; Marina Lanzuela Sanchez <[email protected]>; Giuliano Sciurti <[email protected]>
Subject: Vs: OOTS EM - Professional Qualifications stream follow-up
Hello
Firstly, just to avoid misunderstanding, I’d like to point out that I’m mostly talking about the qualifications that are recognizable under articles 21 and 23 (doctors, dentists, nurses, midwives and pharmacists).
The only health care profession that we register that does not fall under those articles is an assistant pharmacist (might be called a pharmacy technician in some places). If a person has acquired a speciality of specialised medical care in a Member State of the European Economic Area or Switzerland and the speciality does not exist in Estonia or the speciality acquired by the person is not automatically recognised since it is not listed for a particular country in Annex V, then this also falls under the general system.
The answers are attached to the e-mail.
Kind regards,
Liina Saar
Republic of Estonia
Health Board
Department of Health Care Services
Paldiski Road 81
Tallinn 10614
Estonia
+372 6509858
CONFIDENTIAL
This e-mail and any attachments transmitted may contain confidential and privileged information. If you are not the intended recipient, please notify the sender immediately by returning the e-mail and permanently deleting what you have recieved. Any dissemination or use of this information by a third person without permission is prohibited and may be illegal.
Saatja: Stamatia Dasiopoulou <[email protected]>
Saatmisaeg: neljapäev, 12. detsember 2024 14:51
Adressaat: Liina Saar <[email protected]>; [email protected]; [email protected]; [email protected]; [email protected]; Kaidy Teppe <[email protected]>; [email protected]; [email protected]; [email protected]
Koopia: MC GRATH Nils (DIGIT-EXT) <[email protected]>; Marina Lanzuela Sanchez <[email protected]>; Giuliano Sciurti <[email protected]>
Teema: Re: OOTS EM - Professional Qualifications stream follow-up
Tähelepanu! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte avada. |
Dear Lina, Margit, and colleagues,
any thanks for your valuable feedback and our apologies for the delay in our response. We wanted to make sure that we incorporate all perspectives and insights from the input provided by all participating Member States. Thank you very much also for your clarification questions (e.g., about multiple citizenships, whether history data are needed, etc.); we have passed these to the other participants of the workstream and noted them down for consideration for the broad consultation phase as well.
Attached you can find our comments to your feedback as well as some follow-up questions. Feel free to provide your feedback either by adding comments directly to the PDF, replying via email, or both.
We understand that with the attachment being rather lengthy, it may take some time to process. Therefore, we'd appreciate if we could have your input by Friday, January 17th.
If in the meantime you have questions or need additional information, please don't hesitate to reach out.
best,
Stamatia
From: Liina Saar <[email protected]>
Sent: 17 October 2024 11:11
To: Stamatia Dasiopoulou <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; Kaidy Teppe <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>; [email protected] <[email protected]>
Cc: MC GRATH Nils (DIGIT-EXT) <[email protected]>; Marina Lanzuela Sanchez <[email protected]>; Giuliano Sciurti <[email protected]>
Subject: Vs: OOTS EM - Professional Qualifications stream follow-up
NTT DATA Security Awareness - This is an incoming mail from an EXTERNAL SENDER ([email protected]). Please verify sender before you open attachments or access links.
Hello
The chart is attached to the e-mail.
Overall classification of the qualification such as summa cum laude is not needed and we do not have the information either.
Just a comment: in IMI competent authorities can also ask about disciplinary action taken against the applicant. Estonia does not have the information (if it does not result in the professional having their rights revoked for some time).
We do not have the information regarding one’s place of birth and we do not ask for it either.
Acquired rights are largely based on one’s work experience and we do not have this information. Therefore we have to ask the applicant to get a letter of proof from their employer and then Health Board will be able to provide the needed confirmations regarding article 23. However it should be taken into account that since the applicant must get a document from their employer first, replying to the inquiry might take time.
Regarding the general system: for Estonia this means mostly (although not only) professionals that do not have to be registered to have the right to practice (for example physiotherapists, care worker, chiropractor etc). If they are not registered then Health Board will not be the one to issue any information regarding them – this is then up to the Ministry of Education And Research.
Liina Saar
Service Manager – Recognition And Registration
Of Health Care Practitioners
Department of Health Care Services
+372 6509858
Republic of Estonia
Health Board
+372 794 3500
Paldiski mnt 81, 10614 Tallinn
Estonia
This e-mail is confidential and meant for use by the person named in the letterhead. Any use in any way or copying of it by a person not marked as the addressee thereof is prohibited. If you have got this e-mail by mistake, please notify of it the sender without delay and delete the received e-mail together with all its attachments.
Saatja: Stamatia Dasiopoulou <[email protected]>
Saatmisaeg: teisipäev, 15. oktoober 2024 11:48
Adressaat: [email protected]; [email protected]; [email protected]; [email protected]; Liina Saar <[email protected]>; Kaidy Teppe <[email protected]>; [email protected]; [email protected]; [email protected]
Koopia: MC GRATH Nils (DIGIT-EXT) <[email protected]>; Marina Lanzuela Sanchez <[email protected]>; Giuliano Sciurti <[email protected]>
Teema: OOTS EM - Professional Qualifications stream follow-up
Tähelepanu! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte avada. |
Dear all,
Thank you again for all the time and effort put in the PQ workstream activities and your valuable inputs & insights.
Please find attached the slides from today's follow-up meeting for your review at your convenience.
As part of the immediate next steps (summarised also in slides 50 & 51), we'd appreciate your feedback via email on the following:
1. Have we missed any requirements that your authorities need in relation to the recognition of PQ of healthcare professionals? If yes, please indicate so following the template shown in slide 9. Please note that if such a missing requirement happens to overlap with an existing "gray area" requirement, we'd still need you to indicate your definition of it.
2. Regarding the minimum information of the listed requirements:
a. As Evidence Requesters: are there any redundant or missing data? I.e., data that you do not need but are listed or data that you do need but aren't currently listed.
b. As Evidence Providers: are there any data that you cannot provider? (If for some of these requirements you have already commented directly in the wiki you don't need to repeat the comment)
3. Are there any requirements for which further specialisation (i.e., replacing by more specific ones) or, conversely, merging (i.e., replacing by a broader one) is needed to more accurately capture the information needs of your authorities? If yes, please explicate the rationale (e.g., replace Req_X by the more specific ones Req_X1 and Req_X2 because of separation of concerns since in some cases only part of the evidence data are actually needed by the authorities; or replace Req_A and Req_B by a combined Req_AB because the authority doesn't need to distinguish between the two).
4. Any other comments on how to further improve the definitions of the requirements. E.g., revise a requirement name to be more concise or elaborate further a requirement description to enhance its understandability.
As always, please don't hesitate to reach out if you have any questions or for any additional comments and thoughts you'd like to share.
best,
Stamatia
06.01.2025
Question-1: Has your authority identified the need to request proof of qualifications that are not covered by the currently tertiary education and the vocational education & training requirements currently listed in the slides 19 to 21? For example, for qualifications mentioned in Article 11(a) or Article 11(b).
No futher education training/schooling gives an applicant any further rights or benefits. We only accept documents listed in the directive or other documents (if the title is different) that are presented with a certificate issued by the competent authority.
Question-2: Spain has submitted a separate proof for qualifications that do not fall under tertiary (higher) education diplomas but that refer to course/training that proves specialist competence and which may be required in addition to the diploma. Has your authority identified the need for requesting such proof?
All qualifications recognized under articles 21 and 23 require tertiary education. If some other documents must be presented then these are also listed in Annex V.
If we are talking about the registration of assistant pharmacists (the general system) then – in addition to the diploma - they only have to provide a certificate issued by the competent authority stating that they have a license. I don’t know if there are any member states that train assistant pharmacists at a level below 3?
• Question-2.1: If the answer to the above is yes, would you re-use the description shown in slide 30 or would you need to revise it and how?
---
• Question-2.2: Would such proof need to be added to Level 2 proofs, alongside the general and vocational proofs shown in the diagram above, or would it be a type of general/vocational qualification?
---
B. Proof of absence of criminal record
Yes, we do not need an additional document regarding an absence of criminal record – if the competent authority issues a document proving that the person has the right to practice the profession and they are not being restricted or investigated from a professional point of view then that is enough.
C. Proof of absence of suspension/prohibition of practice
No history is needed, only information regarding the current situation.
D. Proof of change of name
This proof can only be issued by the corresponding competent authority.
For example, In Estonia, marriage is contracted by a local government of the county center (in Tallinn, Vital Statistics Office) official, a minister of religion or a notary. So the document must be issued by one of those instances (or an extract from the population register). If one has changed the
06.01.2025
name because of other reasons then the local government can issue the document (or an extract from the population register).
The competent authority in the field of professional qualifications in health care will most likely know of the change of name but they do not perform the action in the first place. So if they have a document issued by the other competent authority and they have the right to forward this document to Health Board then they can do so – however, if the document is not in English then it also has to be translated.
E. Proof of acquired rights
Question-1: Does your comment mean that instead of having two separate requirements, like the ones shown in slides 34 & 35, it would be sufficient to have a single requirement “proof of compliance with acquired rights” that would cover all cases of Article 23?
Basically yes.
If the profession/speciality is to be recognized under article 23 then we need a certificate from the competent authority proving everything it has to prove based on article 23 + confirmation that the person is not suspended or restricted professionally. Whether the competent authority issues this information as one document or many – that is not relevant.
Question-2: What are your thoughts about merging compliance of qualifications with Annex V (slide 26) and compliance with acquired rights in a single requirement? For instance, using as name “proof of conformance to EU harmonised minimum training requirements” and as description “Proof that the evidence subject's (natural person) formal qualification conform to the harmonised minimum requirements as laid down in Chapter III, Title III of the Directive 2005/36/EC.”?
As long as the certificate also refers to the right article (21, 23), I have no objections.
Question-3: As the evidence provider, does your authority have such evidence of compliance ready for exchange, or would the applicant need to request it first for your authority to issue it and make it available for exchange?
If the qualification is automatically recognizable then we have the information.
If the qualification is to be recognized under article 23 then the applicant must first issue an application and proof of work experience to Health Board.
Just a thought: I think it would be unfair if one group has to first issue a separate application to Health Board while the other does not – it would mean that one group has to pay the state fee and the other does not.
F. Proof of diploma supplement/Proof of transcript
Question-1: Do you request any of these proofs for applicants falling under the general system?
If a person has acquired a speciality of specialised medical care in a Member State of the European Economic Area or Switzerland and the speciality does not exist in Estonia or the speciality acquired
06.01.2025
by the person is not automatically recognised since it not listed for a particular country in Annex V, then yes, we do need a diploma supplement.
If the answer is yes:
• Question-1.1: Do the current definitions (slides 41-42) reflect the information needs of your authority?
Yes, I believe so.
• Question-1.2: The minimum information defined for the “proof of tertiary education transcript” (ID 3) is also contained in the current minimum information of the “proof of diploma supplement” (ID 312). Consequently, the information contained in the evidence of transcript would be a subset of the information that is contained in the evidence the diploma supplement. Does your authority still see both as relevant? Is there some other proof that may be relevant, e.g., for clarifying the extent/subject matters of the studies?
In most cases (the automatic recognition system) we do not need a diploma supplement or information about the subjects passed.
Documents proving the completed subjects must only be provided if the recognition falls under the general system (see the answer to question 1).
Nimi | K.p. | Δ | Viit | Tüüp | Org | Osapooled |
---|---|---|---|---|---|---|
Vastuskiri | 13.01.2025 | 1 | 6.3-9/25/10436-6 | Väljaminev dokument | ta | NTTData |
Vastuskiri | 10.01.2025 | 3 | 6.3-9/25/10436-5 | Sissetulev dokument | ta | NTTData |
Vastuskiri | 16.12.2024 | 1 | 6.3-9/24/10436-3 | Sissetulev dokument | ta | NTT Data |
Vastuskiri | 17.10.2024 | 1 | 6.3-9/24/10436-2 | Väljaminev dokument | ta | NTT Data |