The issue is identical in virtually all European international locations: there’s a rising scarcity of healthcare personnel, significantly nurses. It exhibits up within the official statistics of the WHO, the OECD, and the international locations themselves. The shortfall is now affecting even these international locations with substantial workforces within the sector, reminiscent of Finland, Denmark and Germany.
The phenomenon is well defined: longer life expectancy and the overall ageing of the inhabitants. mixed with the truth that younger individuals are little inclined in the direction of such a demanding and undervalued occupation.
The position of businesses
The scenario is especially dangerous in Bulgaria, Poland, Greece and Spain. Right here, the PULSE mission (of which Voxeurop is a member) has spotlighted a associated phenomenon: nurses are more and more tempted (if not all the time recruited) by international locations reminiscent of Switzerland, Germany, Belgium, Austria and the Netherlands.
Speaking to El Confidencial, a nurse, Paloma Garzón Aguilar, hints on the cause: “In Spain they provide us renewable fixed-term contracts. Within the Netherlands [we get] a secure job, a 36-hour working week and the assure of an annual wage enhance of seven.4%.”
Paloma left her native Castilla-La Mancha to work in Ibiza, the place circumstances had been higher within the public sector, however she confronted virtually unaffordable rents: “I used to be nonetheless sharing a flat, like I did in my college days, and I could not get monetary savings as a result of I used to be spending every part on necessities.”
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That is when she got here throughout Eduployment. This Dutch firm gives nurses from different international locations not solely language coaching but in addition the prospect of a full-time job. “To work within the Netherlands, nurses from different EU international locations want first rate language abilities, so we get them to the mandatory degree”, says Selwyn Paehlig, the corporate’s managing director.
The programs are paid for by Dutch healthcare establishments as a response to their ongoing labour scarcity. College students want solely come up with the money for their books. “A workers scarcity is why we’ve been working with [healthcare] establishments for 20 years, as a result of a big a part of the baby-boomer era wants care”, explains Paehlig. The Netherlands is responding with varied measures: growing the variety of locations at universities, elevating nurses’ salaries (by 2.5% final 12 months), and recruiting them from different European international locations.
In 2023, 1,473 Spanish nurses emigrated to a different nation seeking a job, based on information from the Organización Colegial de Enfermería.
A migration of blue robes
Europe’s healthcare employees are taking off in lots of instructions. In line with Hungary’s chamber of professions, yearly 2,000 of the nation’s nurses and 1,000 of its docs migrate to Germany, Austria and the UK. In such locations they earn three to 4 instances extra.
A primary-care nurse in Austria can earn between €2,500 and €3,000. In Hungary, the identical job earns round €900. And but Hungary can be a vacation spot for nurses, from locations reminiscent of Serbia, war-ravaged Ukraine and, more and more, Asian international locations reminiscent of India and the Philippines.
The scarcity is especially acute in power, palliative and aged care, in addition to in psychiatric nursing. Added to that is one other downside: the shortage of replacements for retiring nurses. Zoltán Balogh, president of the Hungarian Chamber of Well being Professionals, says that “there are now not any nurses below 40 working in specialised care”.
In Bulgaria, the typical age of nurses is 53 and that of midwives is 49. “Yearly, 20% of the graduate nurses go away Bulgaria to work in different EU international locations, primarily Germany, Austria and Belgium”, says Milka Vasileva, president of Bulgaria’s nurses union, to Mediapool. Lots of those that keep select to not practise “as a result of they like a greater paid job”. Additionally they cite work overload and the unprestigious popularity of the occupation.
The scenario is comparable in Italy, the place burned-out and underpaid nurses have typically chosen to to migrate to neighbouring Switzerland. Italy has no less than 70,000 job vacancies and it’s anticipated that round 100,000 of Italy’s 460,000 nurses will retire within the subsequent 4 years.
To fill the hole, the federal government of Giorgia Meloni has chosen to import them: the well being minister, Orazio Schillaci, is presently negotiating to recruit Indian nurses. In the meantime, Lombardy, the nation’s most populous area with 10 million inhabitants, is focusing its recruitment efforts on South America. And Vatican-affiliated well being centres plan to tackle round 1,000 nurses a 12 months from spiritual universities in growing international locations.
“This type of recruitment is unethical,” Paul De Raeve, secretary common of the European Federation of Nurses’ Associations (EFN), tells El Confidencial. He considers the EU’s bilateral agreements to recruit workers from South America, Africa and Asia “a mistake”. He argues that well being ministers ought to moderately develop their very own workforce, and “make nursing extra enticing”.
About 4 million nurses are presently working within the EU. We’d like 1,000,000, if not 1,000,000 and a half, extra.
As an EU common, there have been 8.3 nurses per 1,000 inhabitants in 2020. The figures differ considerably from nation to nation: 13.6 in Finland; 12.8 in Eire; 12 in Germany; 11.7 in Luxembourg; 11.3 in France; 6.3 in Italy; 6.1 in Spain; and fewer than 5 in Poland, Bulgaria and Greece (3.4).
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This text is a part of the PULSE mission, a European initiative to advertise cross-border journalistic cooperation. This text was compiled utilizing materials supplied by El Confidencial (Héctor García Barnés Lola García-Ajofrín), EFSYN in Greece, HVG in Hungary (Boróka Parászka), Mediapool in Bulgaria (Martina Bozukova), Deník Referendum in Czechia (Petr Jedličk), and Il Sole 24 Ore in Italy (Marzio Bartoloni).