Let's be clear on the access to the Italian health care system (SSN) by the JSIS members

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 Let's be clear on the access to the Italian health care system (SSN) by the JSIS members

Let's be very clear on a very complex problem and that due to its particular importance "our health" has always been a priority in the more or less visible actions of R&D Ispra.

 

Currently we look forward to receiving the additional documentation of the dossier to evaluate the next steps. However, we believe that the solution to this problem must be found at the political level with an agreement between the European Commission and the Italian Government.

Anyhow, the priority remains to ensure access to all services of the National Health System to all staff of the European institutions in Italy, regardless of nationality, and whether they are in active service or retired.

 

Non-access to the SSN (Servizio Sanitario Nazionale)  is even more problematic in this pandemic period, considering that the delivery of the Covid-19 vaccine during 2021 will be managed by the Italian public health system. This creates even more concerns among our colleagues and needs clarification quickly.

 

Considering the importance of this issue that touches each of our colleagues personally, R&D Ispra has always considered important and more effective to carry out joint actions with all forms of trade union and staff representation.

 

For this reason, in addition to all the actions listed below, R&D Ispra raised the issue of coverage to the Italian National Health System as a specific topic for Ispra during the COCORE meeting on 1st July 2020 and also at the CSC (Central Staff Committee) .

 

Battles are never won alone. Let's go on!

Below you will find the various actions taken during this year that involved us on several fronts to find a appropriate solution to guarantee adequate health coverage for all colleagues.

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03/03/2020  At the very beginning of the Covid 19 emergency R&D sent an email to the PMO-6 Head of Unit asking for clarification concerning the JSIS & SNN issue. In our request we asked to receive guidance on the JSIS procedure to follow in case of infection, and reassurances on the level and for the costs related to hospitalisation and intensive care. Read more

 

18/03/2020 Even Alliance,  the trade union group of Brussels, of which R&D is a member, wrote a note to Commissioner Hahn worried about the possible consequence of the costs related to treatment for Covid-19. Read more

 

03/06/2020 Considering the uncertain situation that the European Commission staff based in Ispra have always faced, R&D Ispra organised an extraordinary inter-union meeting together with the Local Staff Committee of Ispra. As a result of this meeting, a Note was sent to Mr Sakkers, Head of Unit HR Social Dialogue, asking for clarification and interventions regarding the access to the Italian National Health System. Read more

 

26/10/2020 Following the communication on Connected from the PMO.6 dated 20/03/2020 Update on the access to the Italian health care system by the JSIS members R&D Ispra deemed it necessary to call an extraordinary inter-union meeting to discuss the SSN issue.

   

05/11/2020   As result of this meeting together with the LSC and the other trade unions we have requested access to the documents of the health coverage dossier to Mr Sakker HoU HR Social Dialogue. Read more

 

05/11/2020 At the beginning of November 2020 R&D Ispra officially applied as European citizens to have access to the documents of the negotiation between the European Commission and the Italian authorities. At the moment we are still waiting to receive the dossier, since the administration asked for a time derogation to be able to send us all the documentation.

 

Subject: Request for access to documents – Reference : 2020/6785

Your request for access to documents has been registered. This message is an acknowledgement of receipt.
In accordance with Regulation 1049/2001 regarding public access to European Parliament, Council and Commission documents, you will receive a reply within 15 working days (27/11/2020).
Document request: Complete exchange documents (2018-2019-2020)related to the negotiation between the European Commission and the Italian authorities (Italian Ministry of Health) for the access to the Italian National Health System (Servizio Sanitario Nazionale - SNN) for European Institutions staff
Commission reference: GESTDEM 2020/6785
European Commission Secretariat-General / Transparency, Document Management & Access to Documents (SG.C.1)

 

09/11/2020 In collaboration with another trade union we have analysed a legal opinion on the removal of SSN cards from JSIS members.  The report by an Italian lawyer is a starting point for a more complete analysis that we want to carry out together with the administration

 

27/11/2020  Colleagues from the EFSA agency informed us of the extension for the validity of the Italian health card for the employees and families granted by the Emilia Romagna region until the end of 2021, according to the text below:

"The renewal of the tessera sanitaria was recently confirmed by AUSL, granting coverage under the Italian national health system to EFSA staff and their family members until the end of 2021. If your tessera sanitaria has expired or will by 31 December 2020, please follow the detailed instructions on the portal in order to request for an extension".

 

04/12/2020 At that time R&D is carrying out verifications on those services with exclusive access through the National Health Service card, such as :

  • SURGICAL OPERATIONS PROVIDED ONLY BY SPECIALIZED CENTRES
  • DISABILITY RECOGNITION PROCEDURES
  • ACCESS TO DRUGS OF CATEGORY H *

*Through our contacts with an expert with a managerial role in the pharmaceutical field, we have collected more information on drugs that are accessible only through the SSN.

Among these are life-saving drugs and other drugs accessible only through hospital pharmacies under the ASL-controlled regime.

We looked for a list of such drugs to be checked with the PMO in order to be sure to have accessibility  through the JSIS system.

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Gender balance: All that glitters is not gold!

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Gender balance : All that glitters is no gold!

The recently announced nomination of deputies to Directors is the result of the administrative decision of the College of 30/09/2020 with the specific aim of reinforcing the gender balance in management positions.

Beyond the fact that the selections have been made in a rather non-transparent manner and other issues regarding the role, we at R&D Ispra are seriously questioning whether the gender balance policy throughout the entire hierarchy is being realised with the best possible tools and actions. We wonder if our female colleagues really think they are being valued by through appointments to inferior positions which have no real decisional power.

If we look at the statistics, it might appear that we are on the right track, since in the last two years many female colleagues have indeed acquired more management positions. However, if we look deeper we find ingenious inventions such as deputy Unit Head and deputy Director who have no formal management role! So we washed our consciences and our female colleagues should be joyful to have been made fun of! To paraphrase Il Gattopardo, "tutto deve cambiare affinchè tutto resti uguale" (everything has been changed in order not to change anything).

Please feel free to share your comments and according to your feedback we will decide on further appropriate actions.    


R&D Ispra Team


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Court of Auditors EPSO Special Report confirms the pitfalls repeatedly denounced by R&D : a largely unsuitable selection process !

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EPSO - SPECIAL REPORT - read

A largely unsuitable selection process

The report just made public by the Court of Auditors on the European Personnel Selection Office (EPSO) confirms the pitfalls repeatedly denounced by R&D for months, even years.


The lack of attractiveness of the European institutions, recruitment at basic grades despite con­firmed professional experience, the creation of new recruitment channels as open to criticism as the Junior Professional Program, the difficulty for fellow contract agents to have prospects of long-term employment, the lottery generated by internal competitions… so many problems clearly identi­fied for a long time by R&D which show that the recruitment system is unsuited to the needs of the Institutions and particularly to the European Commission.

With the special report on EPSO that the Court of Auditors has just made public, this finding is once again confirmed.

Since 2003, these competitions have been organised by the European Personnel Selection Office (EPSO), in cooperation with the institutions.

The EPSO selection process has been running in its current frame since 2012 with large-scale gene­ralist competitions (public administrators, lawyers, economists, linguists, secretarial assistants, etc.) and specialist competitions from which have come 42% of the winners identified between 2012 and 2018. This process has three phases: planning, assessing candidates, and publication of reserve lists. The tests vary from one competition to the next, but the phases of each competition are general­ly similar with a preselection (psychometric tests on a computer), an examination of application files, a talent screener for some competitions, the assessment centre where candidates are assessed against a set of predefined skills and competencies, and finally, a reserve list.

Every year, the EU institutions recruit around 1 000 new permanent staff members (officials) for long-term careers, from more than 50 000 applicants.

Generalist profiles represented 37 % of all requests for laureates, over the 2012-2018 period, and lin­guists an additional 20 %. Over the years, there has been a decline in the generalist profiles. The de­mand for translators has plummeted in recent years, as a result of technological progress, as well as from decisions to increase the use of outsourcing. The context for recruitment within the institutions has changed since the design and implementation of the EPSO Development Programme. Since 2012, the reserve lists of most of the competitions organized by EPSO have fewer than 20 successful candidates. One can therefore wonder about the cost of such procedures.

It is essential to create a good, attractive working environment that brings about positive stimulation, so that the staff is willing to go to work.

1. The "EU Careers" brand, created in 2010 with the aim of increasing the attrac­tiveness of the EU as an employer, has not fulfilled its objective, both geographically and socio-economically

On the one hand, it appears that the "EU Careers" brand remains very concentrated in Brussels and Luxembourg and is not very attractive beyond, geographically speaking.

It appears that 37% of the people who answered the surveys carried out outside of EPSO as­sessment centres declared having a direct link with the institutions, either because they were already employed by one of them, or because they worked in the public sector and exercised functions re­lated to the EU. Whatever their nationality, two thirds of the candidates take the pre-selection tests in Belgium or Luxembourg.

The "EU Careers " brand has failed to attract sufficient numbers of university graduates or young professionals.

Candidates for AD5 competitions often have professional experience and the proportion of candidates under the age of 35 is declining. Only 22% of recently recruited AD civil servants are under 35 and 62% are over 40. These officials already had at least 10 years of professional experience by the time they joined the institutions, much longer than that generally required for competition grades.

In 2019, the average age of entry into the Commission for AD officials was 39 years old. For the last generalist AD / 2018 competition, the average age of the successful candidates was 31.5 years. Currently less than 4% of the Commission's workforce is under 30 years old.

It follows that the recruitment of experienced people to entry-level positions is detrimental to the age pyramid of the workforce and to career management.

And in the face of this imbalance, some institutions like the Commission have launched their own "Professional Juniors" programs in defiance of the rules of equal treatment, and opening the door to favouritism.

2. An inadequate recruitment process for specialists

However, it should be noted that the regular organization of large-scale competitions has general­ly helped to ensure the availability of an appropriate number of generalists who could be recrui­ted. However, with regard to specialists (eg specialist linguists, administrators specialized in macroe­conomics or information and communication technologies, etc.), the EPSO process is not suited to the current needs of the institutions.

On the one hand, the EPSO selection process is too long, on the other hand, it is too expen­sive for this type of competition.

Therefore, the institutions prefer to launch their own recruitment procedures, which last on average eight months against thirteen months for EPSO, giving full latitude for using any type of test they deem necessary, and then opt for the recruitment of temporary staff rather than officials.

All profiles combined, the average cost per successful candidate for generalist competitions amounts to around € 24,000. Broken down by function groups, this cost is € 25,000 per AD laureate, € 21,900 per AST-SC laureate and € 15,300 per AST-SC successful candidate, knowing that the preselection tests cost between € 48 and € 92 per candidate, depending on the competition.

For specialized competitions, the cost varies greatly depending on the number of candidates and suc­cessful candidates. Since the latter is generally very low, the average costs are high: nearly € 30,000 per successful candidate for AD7 lawyer-linguists (26 laureates for 1,170 candidates), or even nearly € 40,000 for AD5 and AD7 conference interpreters (13 laureates for 573 candidates).

3. The weaknesses of the recruitment process

Psychometric tests are not only used to assess the suitability of candidates for the job, but also, in fact, to exclude some of them in order to facilitate the management of the competition procedure. It should be noted that when these tests are used, 16.5 % of candidates on average give up the compe­tition before taking them. The success rate (ratio between the number of successful candidates and the number of applicants who have taken at least the 1st test) is 2 %. So, the process is very competi­tive. But there is no mechanism to measure the satisfaction of the institutions with the candidates re­cruited.

The limited number of languages that can be used for some parts of the selection process creates legal uncertainty. Legal actions led to the cancellation of competitions (without cancelling the aptitude lists) and the suspension of EPSO's activities for a good part of 2016. The current regime has not been annulled by a decision of a court, but language limitations open the way to new legal actions.

Finally, competitions depend on the availability of jury members, who are appointed on an equal basis between the administration and the staff representation. However, all the parties have difficulty finding competent and available staff to attend a competition jury. Not only is the lack of cooperation between EPSO and the institutions a cause, but also the total lack of recognition of the interest of the service in the procedure,which does not facilitate the engagement of staff in these tasks. In addition, mana­gers are often reluctant to release their best performing agents to perform these tasks.

Conclusion

Faced with these issues, the Court of Auditors has issued several recommendations to which R&D fully subscribes:

1)  Address identified weaknesses in the selection process,

2)  Introduce a new selection framework for specialist competitions,

3)  Improve EPSO’s capacity to adapt to a fast-changing recruitment environment.

R&D requests that these recommendations are fit into the more general framework of HR stra­tegy. It is indeed a matter of developing a holistic approach to the question of recruitment and not of inventing ”quick fix” procedures such as the JPP or the selection of temporary agents to overcome specific problems because, over and above, recruitment places the whole of career development into question.

In this regard, R&D reiterates its attachment to the basic principles of the civil service: equal treatment between candidates and competition with anonymous tests. R&D has always worked in this direction by allowing all potential candidates to be trained free of charge since it is not a question of "business" on the backs of colleagues.

No, the future of all those who dedicate themselves to the European civil service is such an important matter that one cannot conceive that this service will not finally be seriously re­formed.

Cristiano Sebastiani,

President

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