Federal popular initiative for strong care (care initiative)

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The Federal Popular Initiative for Strong Nursing (Nursing Initiative ) is a Swiss popular initiative of the Swiss Professional Association of Nursing Women and Nursing Specialists SBK . It demands that the Confederation and the cantons are obliged to ensure adequate nursing care for the needs of the Swiss population. This is to be done in particular through investments in the training of sufficient nursing staff, an improvement in working conditions and partial autonomy in the settlement of nursing services with the health insurance companies.

background

According to calculations by the Swiss Federal Statistical Office , the number of people over 65 in Switzerland will rise to 2.7 million over the next 30 years. At the end of 2014 it was 1.5 million. This means that the proportion of old, chronically and multiply ill people will continue to increase sharply. In addition, the length of stay in hospital after surgical interventions - and sometimes also in the event of illness or accident - is steadily decreasing. One of the consequences of this is that more patients need to be cared for, instructed and advised in less time.

Switzerland does not succeed in training sufficient staff for the existing and future needs for professional care. The situation is particularly acute among qualified nurses . For example, the number of training in 2014 across all training levels ( qualified nursing professionals HF and FH , specialist women / specialists in health FaGe EFZ ; assistants in health and social affairs EBA ) was only around 56 percent of the calculated requirement, and only 43.1 percent of the qualified nursing professionals trained at tertiary level Percent. The degree of fulfillment in the following years was also well below the requirement of 6,075 nursing diplomas at the tertiary level: 2,580 in 2015, 2503 in 2016 and 2,632 in 2017.

The shortage of nursing staff is exacerbated by the high proportion of people leaving their jobs: 45.9 percent leave their jobs early.

Initiative text

The Federal Constitution1 will be amended as follows:

Art. 117c2 Care

1 The Confederation and the cantons recognize and promote long-term care as an important part of health care and ensure adequate, high-quality care that is accessible to all.

2 They ensure that a sufficient number of qualified nursing professionals is available to meet the increasing demand and that those working in nursing are deployed according to their training and skills.

Art. 197 no. 123

12. Transitional provision to Art. 117c (care)

1 Within the scope of its responsibilities, the Confederation shall issue implementing provisions on:

a. the definition of the care services that are provided by nurses at the expense of the social insurance:

1. under own responsibility,

2. on medical order;

b. the appropriate remuneration for care services;

c. working conditions that meet the requirements for those working in care;

d. Opportunities for professional development of those working in care.

2 The Federal Assembly shall adopt the statutory implementing provisions within four years of the adoption of Article 117c by the people and the cantons. Until the statutory implementation provisions come into force, the Federal Council shall take effective measures to remedy the shortage of qualified nursing staff within eighteen months of the acceptance of Article 117c by the people and the cantons.

1 SR 101

2 The final number of this article will be determined by the Federal Chancellery after the referendum; This coordinates the numbering with the provisions of the Federal Constitution as they apply at the time this article is adopted by the people and the cantons, and makes the necessary adjustments to the entire text of the initiative.

3 The final number of this transitional provision will be determined by the Federal Chancellery after the referendum.

chronology

The care initiative was launched on January 17, 2017. The initiative was submitted on November 17, 2017. The Federal Chancellery confirmed on November 29th that the initiative came about with over 114,078 signatures.

On March 9, 2018, the Federal Council announced that it would reject the care initiative without a counter-proposal. On November 7, 2018, he specified his rejection in his message to Parliament. The main reason was that the competency required for billing certain care services would lead to additional costs in the compulsory health insurance and to increased premiums.

Initiative Committee

The initiative committee consists of the following people:

  • Carobbio Guscetti Marina , National Councilor SP, doctor
  • Chabbey Julien, nursing student, board member of the Association of Swiss Nursing Students
  • Chapuis Jacques, Director Haute Ecole de la Santé La Source (HES-SO)
  • Dätwyler Weber Barbara, qualified nurse HF, President SBK Section SG / TG ​​/ AI / AR
  • Glanzmann Ida , National Councilor CVP
  • Gysi Barbara , National Councilor SP
  • Häsler Christine , National Councilor for the Greens
  • Heim Bea , National Councilor SP
  • Joder Rudolf , former National Councilor SVP
  • Juchli Liliane Klara , Dr. theol. hc, Nursing Expert
  • Kessler Margrit , President SPO, former National Councilor GLP
  • Lehn Isabelle, Nursing Director
  • Ley Sophie , Vice President SBK-ASI
  • Lohr Christian , National Councilor CVP, lecturer and publicist
  • Lüthi Regula , MPH, Director Care MTD, Social Work, President Swiss Nurse Leaders
  • Marbet Peter, Director of the Bern Care Education Center,
  • Marchand-Balet Géraldine, National Councilor CVP, qualified nurse,
  • Müller Staub Maria, Prof. Dr., Prof. in Nursing Diagnostics, President of the Swiss Association for Nursing Science VfP,
  • Poletti rosette, care expert
  • Quadranti Rosmarie , BDP National Councilor
  • Ribi Yvonne , managing director SBK-ASI
  • Schmid-Federer Barbara , National Councilor CVP
  • Spirig Rebecca , Prof. Dr., Director of Nursing and MTTB
  • Sprenger Ramon, qualified nurse HF
  • Théraulaz Pierre, former President SBK-ASI
  • Volpi Marco, Head of Nursing, President SBK-ASI Section VS
  • Zaugg Helena , President SBK-ASI

Indirect counter-draft

The Commission for Social Security and Health of the National Council (SGK-N) decided on January 24, 2019 to oppose the care initiative with an indirect counter-draft in the form of a parliamentary initiative (19,401 for strengthening care - for more patient safety and more care quality).

Web links

Individual evidence

  1. ↑ Report of the Federal Council of 9 December 2016 “Demographic change in Switzerland: areas of action at the federal level”. Retrieved February 22, 2019 .
  2. ^ Müller-Staub Maria: Care and DRG . In: Poser M. (Ed.): Textbook ward management: Care management for the middle management level . Hogrefe, 2012, ISBN 978-3-456-85033-7 , pp. 513-539 .
  3. ↑ Swiss Conference of Cantonal Health Directors and odASanté: National Report on Care for the Health Professions 2016. Need for young talent and measures to secure personnel at national level . S. 46 f .
  4. ↑ Statistics on training in the health sector. In: Odasanté. Retrieved February 22, 2019 .
  5. ↑ Obsan Bulletin 7/16 Resignation of Health Workers. Retrieved February 22, 2019 .
  6. ↑ Federal popular initiative 'For a strong care (care initiative)' on the website of the Federal Chancellery. Retrieved February 22, 2019 .
  7. ↑ Federal Council rejects “care initiative”. March 9, 2018, accessed February 22, 2019 .
  8. ↑ Media release of the Federal Council of November 7, 2018. Retrieved February 22, 2019 .
  9. ↑ 19,401 Parliamentary initiative for strengthening care - for more patient safety and better quality of care. Retrieved February 22, 2019 .