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

2. Welcome Dr. Carles Verges, Chair ECP

3. 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 activities

4. 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

5. 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.

6. Breakfast meeting @ European Parliament 5 September
Information session organised by Council of European 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.

7. 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

8. 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

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

10. 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

11. Survey on Podiatry & ENPODHE

12. Before the Break

13. 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

14. Common Training Framework

15. 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

16. 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 

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

18. 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

19. 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

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

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

22. 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

23. 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

24. 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.

25. 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.

26. 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

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

28. Which way to proceed?

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

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

31. 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

32. 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)

33. 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

34. 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

35. 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

36. 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

37. 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 the EP on the CTF: 16 February 2018

39. OUTCOME OF DISCUSSION Brussels 16 February 2018

40. 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

41. 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.

42. 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

43. 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?

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

45. 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

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

47. 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.

48. Future project on the Common Training Framework in Podiatry

49. 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!

50. 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)

51. 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

52. 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

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

54. 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

55. 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”

56. 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 !

57. 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

58. 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

59. The ECP 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

60. SPECIAL THANKS!!!
DANK U! DANK U!
Merci! Merci!
GRACIAS! GRACIAS!