Swedish healthcare introduction

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Directors of communications from 15 Swedish county councils visited London to learn more about the health and care system in England.This presentation is from this visit.

NHS Improving Quality planned and hosted the study tour as a result of close links with Jönköping, one of the councils represented in the delegation. Our guests learned about the important role of communications specialists in transforming healthcare in England, and the leading role NHS Improving Quality has taken in engaging and mobilising staff at scale and pace.

During the study tour it became obvious that many of the challenges and opportunities we face in our health and care system mirror those in Sweden, in particular issues such as emergency care, obesity and smoking, patient safety and working with the media. This was a fantastic opportunity for NHS Improving Quality to strengthen alliances at an international level and share ideas and approaches, and we hope to build on this in the future

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  • Greater responsibility for Sweden’s county councils – building regions Four of 21 county councils are currently regions. From 2015 the figure will rise to 10 of 21. Regions have the added responsibility of, for example, ensuring regional development and growth, and planning infrastructure. Opportunity to influence incomes – not just expenditure.
    Major recruitment needs. There is a considerable need to recruit employees to replace those retiring over the coming years. Within county councils/regions there is a particular need for healthcare assistants, dental personnel, doctors and nurses. Demand far exceeds supply. Joint campaign with the municipalities: “Sweden’s most important job”. The welfare sector needs to recruit a total of over 420,000 new employees during the 2010 – 2020 period.
  • Financing and cost increases within healthcare. Tax revenue is insufficient to finance healthcare to an increasing, and ageing population. The number of people seeking emergency treatment has risen by about 10 percent each year.
    New generations have high demands and expectations on healthcare and for greater participation. eHealth is a key tool for meeting this development.
    Inequality in health and lifestyles. The health gap between different groups in society has widened. Affected by, for example, level of education and income. Also inability to provide equal care. There are variations between different regions as well as between different groups and individuals.
  • Greater responsibility for Sweden’s county councils – building regions Four of 21 county councils are currently regions. From 2015 the figure will rise to 10 of 21. Regions have the added responsibility of, for example, ensuring regional development and growth, and planning infrastructure. Opportunity to influence incomes – not just expenditure.
    Major recruitment needs. There is a considerable need to recruit employees to replace those retiring over the coming years. Within county councils/regions there is a particular need for healthcare assistants, dental personnel, doctors and nurses. Demand far exceeds supply. Joint campaign with the municipalities: “Sweden’s most important job”. The welfare sector needs to recruit a total of over 420,000 new employees during the 2010 – 2020 period.
  • Confidence in healthcare system and county councils
    Image of Swedish healthcare. Media image – a sector in crisis. But surveys reveal that healthcare is one of the social institutions that enjoys the highest level of confidence among the general population. In international comparisons, Sweden’s healthcare system performs well in terms of results and effectiveness.
    Antibiotic resistance
    Fewer people living in sparsely populated areas
  • The ID Network in county councils and regions is a network of directors of communication (and equivalent) that has existed since 1993.
    We meet eight times a year to exchange information and discuss common issues. The Network also functions as a contact and reference group for authorities and organisations, and is able to make decisions regarding communication matters in which county councils and regions require consensus.
    The Network’s meetings take place at the Swedish Association of Local Authorities and Regions (SKL), which has a permanent information point on the agenda.

    Representatives from other authorities can also be invited to attend the meetings for dialogue on common issues.

    Alongside the Network meetings we also hold a joint action meeting with representatives of the county council directors.
  • All county councils and regions have jointly developed 1177 Vårdguiden – a hub for information and services within healthcare. Offers healthcare advice, information and e-services online and by phone, round the clock. The website is 1177.se and the phone number for healthcare advice is 1177.
    Joint e-service development. The e-services are available via 1177.se. Example: Book appointments, renew prescriptions, read medical records, order chlamydia test, choose/change health centre, etc. Log in using e-identification or password/text.
    Joint campaigns. During the 2011 – 2014 period, a jointly funded initiative was carried out to raise awareness about stroke and the development of treatment services for stroke. Excellent results. The World Stroke Organization designated the campaign the best in the world.
  • Joint campaign to encourage interest in working in the public sector – Sweden’s most important job.
    Health promotion initiatives – planning underway to join forces on health issues and encourage lifestyle changes.
    Communication days – joint forum offering skills development for county councils’/regions’ employees within the area of communication.
  • The Swedish Association of Local Authorities and Regions (SALAR) represents Sweden’s 290 municipalities and 20 county councils/regions.
    We act as an employer’s organisation, and we defend and promote the interests of our members, for example by working to strengthen local selfgovernment and the development of regional and local democracy.
  • En attraktiv arbetsgivare måste ha goda anställningsvillkor och kunna motivera och ta tillvara medarbetarnas kompetens.
    SKL:s uppdrag är att teckna centrala kollektivavtal, att stärka kommuner och landsting i arbetsgivarrollen och att skapa förutsättningar för lokala lösningar. Varje kommun och landsting måste ha stort inflytande över såväl löneökningarnas storlek som fördelning. Den lokala lönebildningen har grundläggande betydelse för vår arbetsgivarpolitik.
    Vi arbetar för ökad jämställdhet och minskad diskriminering.
    Vi erbjuder våra medlemmar rådgivning och service. De löpande medlemskontakterna ger viktiga lärdomar så att vi bättre kan tillvarata våra medlemmars intressen.

    Korta fakta
    År 2010 var 760 000 anställda i kommuner och 261 000 i landsting. Det motsvarar var fjärde förvärvsarbetande i Sverige. Cirka 80 % kvinnor.
  • Swedish healthcare introduction

    1. 1. Presentation of the ID Network, county councils & regions in Sweden and SALAR 23-26 June 2014
    2. 2. Swedish Health System  Run by county councils and regions  The regions also have responsibility for regional development  County councils/regions are financed by taxes  Elections every 4th year (general elections)  Regulations and laws from the government  https://sweden.se/society/healthcare-in-sweden/
    3. 3. Opportunities and challenges facing Swedish county councils and regions  Financing and cost increases within healthcare.  High demands and expectations on healthcare and for greater participation.  Inequality in health and lifestyles. Also inability to provide equal care.
    4. 4. Opportunities and challenges facing Swedish county councils and regions  Greater responsibility for Sweden’s county councils – building regions.  Major recruitment needs.
    5. 5. Opportunities and challenges facing Swedish county councils and regions  Confidence in healthcare system and county councils.  Image of Swedish healthcare. Media image – a sector in crisis.  Antibiotic resistance.  Fewer people living in sparsely populated areas.
    6. 6. The ID Network – who are we?  A network of directors of communication. Existed since 1993.  Meet eight times a year to exchange information and discuss common issues.  Contact and reference group for authorities and organisations. Representatives from other authorities can be invited for dialogue.  Able to make decisions regarding communication matters in which county councils and regions require consensus.  Swedish Association of Local Authorities and Regions (SALAR) has a permanent information point on the agenda.  Joint action meetings with representatives of the county council directors.
    7. 7. What are we doing together?  1177 Vårdguiden – a hub for information and services within healthcare. Website (1177.se) and phone number.  Joint e-service development.  Joint campaigns. During the 2011 – 2014 awareness about stroke and the development of treatment services for stroke. Excellent results.
    8. 8. What are we doing together?  Joint campaign to encourage interest in working in the public sector – Sweden’s most important job.  Health promotion initiatives – planning underway to join forces on health issues and encourage lifestyle changes.  Communication days – joint forum offering skills development for county councils’/regions’ employees within the area of communication.
    9. 9. What is the purpose of this trip?  Global reconnaissance! Gain new knowledge and inspiration on current areas for development:  New ways of meeting the population’s needs/development of eHealth  Brand strategy issues  Increased participation and dialogue with patients and inhabitants  Greater responsibility for county councils (regional development – region-building)  Networking and sharing experiences.
    10. 10. How will we follow up what we’ve learned?  Feedback on what we’ve learned  Continued networking within a selected area?  More long-term contacts and partnerships?
    11. 11. The Swedish Association of Local Authorities and Regions
    12. 12. The Swedish Associations of Local Authorities and Regions (SALAR)  We act as an employer’s organisation, and defend and promote the interests of our members.  290 municipalities, 20 county councils/regions  1,1 million employees  Service and support to all members
    13. 13. Our members SALAR represents Sweden’s:  290 municipalities  20 county councils/regions
    14. 14. A matter of democracy SALAR is a member organisation for municipalities, county councils and regions. As their employer organisation and representative we advocate the interests of our members and offer them support and service. We raise issues, act decisively and enlighten public opinion. Our mission is to provide municipalities, county councils and regions with better conditions for local and regional self-government. The vision is to develop the welfare system and its services. It is a matter of democracy.
    15. 15. Employers´organisation  Employers’organisation for Sweden’s municipalities, county coucils and regions.  Our members are employers for more than one million people.  Strengten our members as employers’  Signs central collective agreements.  Make room for local collective agreements.
    16. 16. Service and support  Offer our members service and support for example in legal affairs and development of activities.  Economic analysis.  A meetingpoint for our members, to share experiences and discuss issues on top of the agenda for them.
    17. 17. Public Affairs  Represent the members towards government, parliament and other national authorities.  Raising issues, important for our members.  Active in media and public opinion
    18. 18. Priority issues 2014  A successful school  Jobs for young people  Better life for sick elderly people  Equality in care and in health  Culture and leisure for all  Digital welfare services for all  Users and patiens as active co-creators  Sweden´s most important job  Quality –guaranteed welfare  Strengthened local and regional growth  Immigrants establishment – an investment for the future  The long-term financing of the welfare state

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