1. Statens autorisasjonskontor for helsepersonell (SAFH) European Partnership for Supervisory Organizations in Health Services and Social Care (EPSO) The 9th EPSO Conference Tallinn, Estonia May 20th and 21st 2010 Director Per Haugum

2. Statens autorisasjonskontor for helsepersonell (SAFH) Theme How to deal with Supervising on malpractice by health care professionals crossing borders and ongoing work of the Health Care Professionals Crossing Borders (HPCB) working group? What do HPCB (http://www.hpcb.eu/ ) do about information exchange about health care professionals crossing borders?http://www.hpcb.eu/

3. Statens autorisasjonskontor for helsepersonell (SAFH) Purpose of the HPCB work The main purpose of the HPCB work is to help the competent authorities in EEA-countries to have efficient systems for information exchange about health care professionals crossing borders, so those few that can be at risk for the patient’s safety and security can be stopped. This is of great importance if we will remain the public’s confidence in the health care systems and in health care professionals.

4. Statens autorisasjonskontor for helsepersonell (SAFH) Possible methods for information exchange Common database, as they have in USA (http://www.fsmb.org/ ) and Canada, and are about to establish in Australiahttp://www.fsmb.org/ Professional identity card, as the pharmacists in France and Belgium are trying to establish for the five harmonized professions in directive 2005/36/EU (HPRO Card – http://www.hprocard.eu/ ) http://www.hprocard.eu/ Accumulated lists of health professionals who have had their license rewoked, limited etc, as we do between the Nordic countries (Sweden. Finland, Denmark, Iceland and Norway)

5. Statens autorisasjonskontor for helsepersonell (SAFH) Possible methods for information exchange cont.: National database which is searchable at Internet, as we have in Norway (www.safh.no) and in Denmark (www.sst.dk)www.safh.nowww.sst.dk Electronic exchange of questions and answers, as established by the EU-Commission with the Internal Market Information system (IMI - http://ec.europa.eu/internal_market/imi-net/about_en.html )http://ec.europa.eu/internal_market/imi-net/about_en.html Exchange of Certificate of Current Professional Status (CCPS), former Letter of good standing (Health Care Professionals Crossing Borders Edinburgh agreement of October 2005 - http://www.hpcb.eu/activities/ccps.asp ) http://www.hpcb.eu/activities/ccps.asp Reactive and proactive information exchange (Health Care professionals Crossing Borders Portugal agreement of using The memorandum of Understanding (MoU) of October 2007 - http://www.hpcb.eu/activities/information_sharing.asp ) http://www.hpcb.eu/activities/information_sharing.asp

6. Statens autorisasjonskontor for helsepersonell (SAFH) What more can be done to improve the information exchange? Create better contact between the competent authorities (and other regulators) Establish better bilateral and multilateral agreements between competent authorities about information exchange –Agreements about when to exchange information before and after license are given (reactive and proactive) –Agreements about how to exchange information (electronic and efficient) –Agreements about what kind of information that shall and can be exchanged (information about fitness to practice, health issues, criminal record etc)

7. Statens autorisasjonskontor for helsepersonell (SAFH) Contact details Web site: www.safh.nowww.safh.no E-mail: peh@safh.nopeh@safh.no Post address: Postbox 8053 Dep., 0031 Oslo, Norway