Open ECP Committee meeting - 18 May 2018 Hong Kong Fédération Internationale des Podologues - International Federation of Podiatrists

Welcome Dr. Carles Verges, Chair ECP

Agenda Welcome by the Chair of the ECP - Carles Verges Presentation of the Current state of European Affairs related to Podiatry Information on the Informal Health Professionals Dialogue/ CEPLIS Survey on Podiatry & ENPODHE Coffee Break 10:30am (Second part starts at 11am – 1pm) Common Training Framework: state of play of the CTF – Feedback from the meeting at the European Parliament 16 February 2018 Presentation of the ECP 2018-2019 activities

Current state of European Affairs related to Podiatry What is important to follow on what is happening in Europe? INTERNAL MARKET : General Data Protection Regulation the Proportionality Test Directive The legislation on mutual recognition of professional qualifications & the Common Training Framework

Proportionality Test Directive Asses whether the provisions are: - necessary to attain a public interest objective - suitable to securing the attainment of the objective - do not go beyond what is necessary to attain that objective Other Member States abd interested parties may submit comments 42% aere professions in the health and social sector.

Breakfast meeting @ European Parliament 5 September Information session organised by Council of European Dentists @ European Parliament 18 October Update March 27, 2018 Two amendments, in summary: Member States should be granted a margin of discretion to decide on the degree of protection which they wish to afford to public health etc   Where regulation of a profession is justified by the protection of public health, the special characteristics of health services shlould be borne in mind.

More, more, more,… Informal meetings of health ministers (epsco) E-Health M-Health: Implementation of the Medical Devices Regulation Integrated Care Standardisation of healthcare delivery (“healthcare services”) Digital Health Society Declaration

CEPLIS The European Council of the Liberal Professions (CEPLIS) is the only inter-professional association bringing together the liberal professionals at the Community level. 11 inter-professional and 12 mono-professional organisations. Only 9 medical . Small office : 1 director and thee juniors ( students) Executive board: 1 president and 9 vice-presidents!!! Gate-keeping information and network. No union and no supportive work FIP-IFP = member since >20y Information on European affairs related to Podiatry: none Information on European affairs related to Health: little Information on European affairs related to Liberal professions: tiny

First Initiative taken by the FIP-IFP : 29 August 2017 Second meeting hosted by the FIP-IFP : 16 February 2018

Health Professionals Dialogue First Initiative FIP-IFP : 29 August 2017 Second meeting hosted again by the FIP-IFP : 16 February 2018 Conference call planned on 12 June 2018 Next meeting 28 September hosted by European Federation of Associations of Dietitians

Survey on Podiatry & ENPODHE

Before the Break

List of competencies as filled in by the members In preparation of this meeting all participants were asked to fill in the document on competences Mark level of importance Add if necessary more or less skills & competences

Common Training Framework

Common Training Framework A common set of minimum knowledge, skills and competencies necessary for the practice of the podiatrist This is being encouraged by the European Government to facilitate “free movement of persons” throughout Europe

Automatic Recognition In the EU, there is a system of automatic recognition of professional qualifications for seven so-called sectoral professions: nurses, midwives, doctors, dentists, pharmacists, architects and veterinary surgeons. To work in another EU country, professionals must apply to the authority that oversees the profession in that country, providing proof of their qualifications. The authority must: acknowledge your application within 1 month of receiving assess your qualifications, and decide whether to grant your application within 3 months 

General Recognition For all the other professions not falling under the general recognition  Common training Framework

Summary “CTF” The legal background is the Directive 2013/55/EU The directive introduces the possibility to set up a common training framework aimed at offering a new avenue for automatic recognition. A CTF should be based on a common set of knowledge, skills and competences necessary to pursue a profession. A CTF can only be set up if the profession concerned or the education and training leading to the profession is already regulated in at least one third of the Member States. Qualifications obtained under such a common training framework should automatically be recognised in the other participating Member States. A common training framework is not a European curriculum A common training framework is not a qualification A common training framework is not a European degree

Conditions for establishing a “CTF” Occupation or training should be regulated in 1/3 of the Member States OR must be in the curriculum of 1/3 of the member states The common set of knowledge, skills and competences of the CTF includes knowledge, skills and competences in at least 1/3 Member States The Common Training Framework aims to enable professionals to travel

Podiatry in Europe No podiatry recognition Level 5: certificate / diploma Level 6: Bachelor Degree Level 7:Master Degree / or higher

Effects of implementing the “CTF” CTF enables more professionals to move across the members states Automatic recognition without any additional conditions

Process of adoption CTFs Suggestions made by representative professional organisations at Union level and/or national professional organisations or competent authorities from at least 1/3 of Member States. European Commission can also make suggestions Check if conditions are fulfilled. delegated act Prepared following a transparent and due process  discusssion with Member States (art. 57 c) describing the CTF list national qualifications and national professional titles that comply with the common training framework adopted in an Implementing act

Exemption A Member State can ask for an exemption for the obligation of introducing the common training framework on its territory thus the obligation of granting automatic recognition to the professional qualifications acquired under that common training framework

Exemption criteria (one sufficient) (a) there are no education or training institutions available in its territory to offer such training for the profession concerned; (b) the introduction of the common training framework would adversely affect the organisation of its system of education and professional training; (c) there are substantial differences between the common training framework and the training required in its territory, which entail serious risks for public policy, public security, public health or for the safety of the service recipients or the protection of the environment.

After the entry into force of the delegated act (1) Member States shall, within six months of the entry into force of the delegated act notify to the Commission and to the other Member States: the national qualifications, and where applicable the national professional titles, that comply with the common training framework; OR use of the exemption referred to in paragraph 5, along with a justification of which conditions under that paragraph were fulfilled.

Summary “CTF” The CTF can be a powerful document to use for country’s were there is no podiatry recognition If a person who is trained as a podiatrist in regulated country moves to a country were there is no podiatry, they will have to give recognition (unless they asked for an exemption) If a country with a recognition of podiatry which has not all competences recognized will be able to get that regulated

Is the lowest dominator Conclusion CTF Bachelor level without Local anaesthesia Soft tissue procedures Prescription Is the lowest dominator

Which way to proceed?

OPTION 1 Create the CTF based on the common dominator of 9 country’s Bachelor Level or Equivalent Conservative treatments

OPTION 1 PRO CONS No problems for adaptation by the EU Only conservative treatments Not the highest level present in Europe for the moment

OPTION 2 We want to establish Podiatry on a higher level than the common dominator and include Local anaesthesia Soft tissue procedures (partial) Prescription ECP will keep on working on the CTF Every country will try to work on implementing new skillsets

By adding them in the curricula OPTION 2 2 way’s to implement new skills (in order to adopt them in the CTF) By adding them in the curricula By law In 1/3 of the member country’s (9 country’s)

OPTION 2 Implementing new skills by law FIP could/will help every country in their advocacy Member country’s who have accomplished this process can help other country’s Implementing new skills in curricula Job shadowing Staff mobility Sharing syllabus

OPTION 2 PRO CONS Establish a higher level of podiatry Includes non – conservative treatments This process will take time and effort We will have to wait to establish the CTF

OPTION 3 the ECP will create the CTF within the lowest dominator for the moment If several country’s implement new skills in their law and/or curricula: establish a NEW CTF

OPTION 3 PRO CONS No problems for adaptation by the EU We don’t know when and if the EU adopts a new version of the CTF

CTF for Podiatry FIP-IFP AGM Montreal May 2016 ECP suggests to consider a better collaboration between associations CTF Workshop on 20 Jan 2017 FIP-IFP delegates unanimously agreed to mandate the ECP to make further steps into the elaboration of a CTF FIP-IFP AGM Tübingen May 2017 ECP discuss with associations the pathway of a patient Brussels ECP Workshop @ the EP on the CTF: 16 February 2018

OUTCOME OF DISCUSSION Brussels 16 February 2018

General take away: the development and the process are great incentives for working on raising the level of each country. The countries where this is already the case will do everything to support their colleagues to reach this goal. To move forward avoid discussing issues already discussed

All present members agreed to level up podiatry to at least a bachelor degree or equivalent Concerning the skills all agreed to have a minimum level including soft tissue surgery, prescription medication and medical imaging It is crucial that if this minimum level cannot be obtained, it may not impact countries that have achieved the inclusion of high level skills and competences within their profession. Even partial recognition of podiatrist should respect the current level of podiatry in the member countries. In developing the CTF it is important to keep the competences as wide and open as possible.

on the structure of the CTF on the definition of Podiatry Agreements !!! on the structure of the CTF on the definition of Podiatry on the high level of podiatry to be achieved

Next steps Every association have a discussion with their board on this matter  have you done this? ECP asks that 1 person is designated by the association as the contact person concerning CTF  who is it? Very important that all countries participate actively delegated vote should be given to another association  to whom could you give your vote? Information sent in advance. This will allow a better preparation for the meetings  this has been addressed A meeting will be organised in the fall with all the European Members of Europe to continue to make progress -- > Will you make yourself available?

Snapshop of the framework of the CTF in podiatry as decided in Brussels 16 Feb 2018

1.     Introduction of the document 2.     Podiatry in Europe a.     Education  results of survey b.    Profession  results of new survey 3. Description of the profession - need for CTF a.    Specialisation/benefits of podiatry in different domains b.     Research on value of podiatry C.     Other professions in health care/same prof. characteristics description of comptencies 4. Process of development / List of collaboration of associations / institutions 5. Competencies + references 6. Code of conduct 7. Glossary 8. Conclusion

The definition of podiatry that will be used in the CTF as decided in Brussels 16 Feb 2018

Podiatry is that profession of health sciences concerned with the research prevention, diagnosis and treatment of deformities, pathologies and injuries of the foot and associated structures - in relation with the body as well as the manifestations of systemic diseases - by all appropriate systems and technologies using scientific and professional specialised knowledge.

Future project on the Common Training Framework in Podiatry

AND is also important to work on the process of IMPLEMENTING the CTF! Creating the “CTF” Creating the CTF is not only defining competences There is need for research on the value op podiatry in several domains AND is also important to work on the process of IMPLEMENTING the CTF!

Meeting in Ghent 15.03.2018 Meeting with Caroline Teugels Enpodhe board members:, Joris De Schepper, Alfred Gatt, Mieke Fransen andYves Lescure, Mark Verbeke, Erasmus + coordinator of the Artevelde University College in Ghent Discussion about the possibility of applying for an Erasamus + grant (short deadline)

Erasmus + European Community Action Scheme for the Mobility of University Students Erasmus+ is the EU's programme to support education, training, youth and sport in Europe. Its budget of €14.7 billion will provide opportunities for over 4 million Europeans to study, train, gain experience, and volunteer abroad. Key actions: Policy Cooperation Knowledge alliance Mobility

Knowledge Alliance What does this support (examples)? Boosting innovation in higher education, business and in the broader socio – economic environment Jointly developing AND implementing new learning and teaching models Organising continuing education Jointly developing solutions for challenging issues, product and process innovation Developing entrepreneurial mind – set and skills Stimulating the flow and exchange of knowledge between higher education and enterprises Study field related activities in enterprises which are embedded in the curricula Exchange of students, researchers, teaching staff and company staff Involvement of company staff into teaching and research

Knowledge Alliance Erasmus + Length: 2 – 3 years Maximum grant award: 700,000€ for 2 years 1,000,000 € for 3 years

Knowledge Alliance: Who can Aplly? A consortium must be led by an applicant = the coordinating organization – The FIP-IFP The applicant submits the proposal on behalf of the partners. The applicant is responsible for the overall implementation of the project Organizations interested in participating must do so as part of a consortium, including: a minimum of 6 independent organizations with: at least 3 different countries at least 2 must be higher education institutions AND at least 2 must be enterprises/businesses

Stimulate entrepreneurship Creating a code of conduct Knowledge Alliance Create new curricula Innovation in Podiatry: how can we bring technology in to the private practice? Research on the value of the Podiatrist Stimulate entrepreneurship Creating a code of conduct Creating the “CTF”

Dissemination of the Knowledge Alliance Project Care pads Continuous education platforms Minimum competences to work as a safe practitioner Minimum requirements of practice Code of Conduct Implementing the CTF !

Goal? Possibility of creating the CTF based on research, cooperation between educational institutions, professional associations and the industry All patients receive the same standard of care trough: Same competences Similar guidelines on continuous education shared platforms for continuous education Similar requirements of practice Similar care pads for different patient groups … Good tool for advocacy in each European Country

Further steps Cooperation between FIP – ECP and ENPODHE Looking for partners Exploratory meeting on the 7the of July Meeting on the 3the of December in Brussels Possible partners: Podiatry educational institutions Industry Professional organizations

The ECP 2018-2019 activities ECP cohesion – Support to integrate more members Common Training Framework - fall meeting Health Professionals Network further develop Better Monitoring EC Information Collaboration other associations/Professions (ENPODHE) Support podiatry in other countries Knowledge Alliance Continued Advocacy http://www.myessentia.com/blog/is-memory-foam-safe-for-a-baby/

SPECIAL THANKS!!! DANK U! DANK U! Merci! Merci! GRACIAS! GRACIAS!