1. Health Professionals Crossing Borders
Torben Hærslev, MD

2. Danish Health Personnel Authorisation
16 groups of authorised health personnel
Authorisation given by DHMA
Full licence annulled at 75 without re-application
All authorised groups under the Health Personnel Act
All under the supervision of DHMA

3. Based on incidence reports
Supervision from
Based on incidence reports
Evaluation of whether the health personnel have displayed care and conscience
Limitation of the prescription right (1956)
Reprimand or acquittal by the courts or the complaint system
Revocation of authorisation only due to illness, abuse or severe malpractice (danger for patients)
Fratagelse af ordinationsret

4. Changed Legislation in 2000
Mandatory change of professional performance, when repeated malpractice is proven by the Patient complaints board or the courts.
Limitation in authorisation or loss of authorisation, if the sanction is not complied with
Weakness: DHMA had to await the decisions of others before we could act – very time consuming

5. Another change in 2006 Intensified surveillance
When there is reason to believe that the health person's practice is a safety risk for the patients
Publication of all sanctions on the web site

6. The latest change of enactment
2011: No longer any need to wait for decisions from other agencies or the courts 2013: Temporary revoking or limitations to the authorisation if the health person does not cooperate with the DHMA

7. Volume Before 2005: 1-2 revoked authorisations/year 2012/2013:
17 voluntary renouncement's
7 work bans
12 prescription limitations

8. Sanctions in Danish legislation
Intensified surveillance
Mandatory change of professional conduct
Limitations in prescription or fully revoked
Limitations in authorisation or fully revoked
Work ban
Injunction to comply with medical examination

9. Arrival and departure Going out Coming in
Certificate of current professional standing
When an authorised health person applies for a licence in another country
We always write all current or recent sanctions
We do not inform about:
Health issues
On-going not resolved cases
CCPS
If issues then contact to other supervisory organisation
We only refuse, if the issues would cause loss of authorisation in Denmark
Immediate sanctions can be relevant

10. Exchange of information
According to a Nordic agreement we exchange the following with the Nordic countries
Revokements and renouncements
Limitations
We have a register available to all on our web
Other information is given on request to all countries
Health information only by consent

11. Problem areas
When a Health Person (HP) all ready authorised in several countries, gets sanctioned – how do we know?
Can we within our legislation use the sanctions of other countries?
How do we keep track of the HP who always leave, when the going gets though?

12. Thank you!