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Core Competences of Healthcare Assistants in Europe (CC4HCA): an exploratory study into the desirability and feasibility of a common training framework under the Professional Qualifications Directive.

Schäfer, W., Kroezen, M., Hansen, J., Sermeus, W., Batenburg, R. Core Competences of Healthcare Assistants in Europe (CC4HCA): an exploratory study into the desirability and feasibility of a common training framework under the Professional Qualifications Directive. Utrecht: Nivel, 2016. 98 p.
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Background
This report presents the findings of the study ‘Core Competences of Healthcare Assistants in Europe’ (CC4HCA), which aimed to map out the position of healthcare assistants in all 28 EU Member States and explore the feasibility to adopt a common training framework for this professional group under Directive 2013/55/EU, amending the Professional Qualifications Directive (2005/36/EC), and interest among Member States for doing so.

Methods
Firstly, the roles of HCAs in all 28 EU Member States were mapped out, including identification of competent authorities and European stakeholder organisations. Next, a Delphi study of three rounds was organised with the competent authorities, followed by two interactive workshops with the Delphi participants and European stakeholder organisations.

Results
Country informants and Delphi participants from all 28 Member States actively participated in all parts of the study. The map of the current situation shows substantial variation between European countries in HCAs’ roles in terms of education, regulation and the tasks they perform. There appears to be consensus among EU Member States on the need to define the role of HCAs across Europe. There was also consensus between EU
Member States on the core knowledge, skills and competences of HCAs that could be included in a CTF, although further refinement would be required. At the same time, there was a great deal of discussion on the differences between Member States with regard to the qualification level that this set should have. In terms of feasibility of a CTF, Member States and European stakeholder organisations see barriers regarding a number of conditions that are formally required for proposing a CTF. There is also perceived uncertainty about a CTF as
a new EU legal instrument and its potential consequences for national training, occupation and financing systems.

Conclusion
There is willingness among Member States and European stakeholders to be involved in further exploration of a potential CTF for HCAs. A possible roadmap has been sketched out for stakeholders at the national and European level who are interested in developing a CTF for HCAs