1. INTERNATIONAL PRIVATE PRACTITIONERS ASSOCIATION Harrogate, England,Harrogate, England, Sunday 15th September 2013Sunday 15th September 2013 Direct access in GermanyDirect access in Germany

2. National health insurance in Germany Available for all citizens regardless income social status place of residence

3. Direct access in GermanyDirect access in Germany National health insurance in Germany Pillars of the health service solidarity subsidiary

4. Direct access in GermanyDirect access in Germany National health insurance in Germany Subsidiary principle Self - administration This is not a state-operated health service It is an independent co-operation between health insurance providers and professional organisations

5. National health insurance in Germany Direct access in GermanyDirect access in Germany Self - administration Health insurance providers Professional organisations

6. Direct access in GermanyDirect access in Germany National health insurance in Germany Out-patient healthcare for patients is primarily carried out by private practioners 43.000 registered physiotherapists as private practioners in Germany

7. Direct access in GermanyDirect access in Germany National health insurance in Germany Furnishing curative services requires a medical prescription Social health insurance legislation only grants the right to direct access to physiotherapists in the context of prevention services

8. Direct access in GermanyDirect access in Germany National health insurance in Germany Physiotherapists have filed lawsuits at various Administrative Courts to achieve approval of direct access The Federal Administrative Court has confirmed the patient`s right to see PT first

9. Direct access in GermanyDirect access in Germany National health insurance in Germany The Federal Administrative Court has also ruled conditions who must be fulfilled for approval of direct access The physiotherapist must undergo a limited examination of his/her knowledge, in order to commence activities without a medical prescription

10. Direct access in GermanyDirect access in Germany National health insurance in Germany The examination should enable the physiotherapist to recognise and consider the possibilities and limits of his/her own diagnostic abilities