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Trade Unions RESEARCH REPORT Industrial relations Representativeness of the European social partner organisations: Human health sector Representativeness of the European social partner organisations: Human health sector European Foundation for the Improvement of Living and Working Conditions When citing this report, please use the following wording: Eurofound (2020), Representativeness of the European social partner organisations: Human health sector, Sectoral social dialogue series, Dublin. Authors: Pablo Sanz (notus-asr) and Peter Kerckhofs (Eurofound) Research manager: Peter Kerckhofs, with Victoria Cojocariu Eurofound project: Representativeness studies Provider: Network of Eurofound Correspondents PDF: ISBN 978-92-897-1683-3 doi:10.2806/243432 TJ-04-20-457-EN-N This report and any associated materials are available online at http://eurofound.link/ef20020 It is part of Eurofound’s Sectoral social dialogue series. See the full series at http://eurofound.link/efs006 © European Foundation for the Improvement of Living and Working Conditions, 2020 Reproduction is authorised provided the source is acknowledged. For any use or reproduction of photos or other material that is not under the Eurofound copyright, permission must be sought directly from the copyright holders. Cover image: © rawpixel/Shutterstock.com Any queries on copyright must be addressed in writing to: [email protected] Research carried out prior to the UK’s withdrawal from the European Union on 31 January 2020, and published subsequently, may include data relating to the 28 EU Member States. Following this date, research only takes into account the 27 EU Member States (EU28 minus the UK), unless specified otherwise. This report presents the results of research conducted largely prior to the outbreak of COVID-19 in Europe in February 2020. For this reason, the results do not fully take account of the outbreak. The European Foundation for the Improvement of Living and Working Conditions (Eurofound) is a tripartite European Union Agency established in 1975. Its role is to provide knowledge in the area of social, employment and work-related policies according to Regulation (EU) 2019/127. European Foundation for the Improvement of Living and Working Conditions Telephone: (+353 1) 204 31 00 Email: [email protected] Web: www.eurofound.europa.eu Contents Introduction ................................................................................................................................... 1 1. Sectoral characteristics and employment trends ........................................................................ 8 Labour market trends and working conditions at EU level ................................................................................ 8 Recent employment trends in the EU27 and the UK ......................................................................................... 9 Impact of digitalisation and greening on social dialogue in the human health sector .................................... 14 Human health system characteristics .............................................................................................................. 15 2. National level of interest representation ................................................................................... 17 Trade unions .................................................................................................................................................... 18 Employer organisations.................................................................................................................................... 37 3. Collective bargaining patterns and social dialogue .................................................................... 49 Collective bargaining system ............................................................................................................................ 49 Participation in public policy ............................................................................................................................ 53 Reasons for fragmentation and pluralism in the human health sector ........................................................... 56 4. European level of interest representation ................................................................................. 5 8 Membership composition of EPSU .................................................................................................................. 58 Membership composition of HOSPEEM ........................................................................................................... 71 Capacity to negotiate ....................................................................................................................................... 76 Effective participation in the ESSDC ................................................................................................................. 81 Conclusions ................................................................................................................................... 82 References .................................................................................................................................... 87 Annex 1: Details of individual organisations .................................................................................. 88 Trade unions .................................................................................................................................................... 88 Employer organisations.................................................................................................................................. 104 Annex 2: Organisation names and abbreviations ......................................................................... 123 Annex 3: Network of Eurofound Correspondents ........................................................................ 139 List of tables Table 1: Demarcation of the human health sector based on NACE codes ........................................................................ 3 Table 2: Domain patterns for members of an organisation .............................................................................................. 4 Table 3: Employment in the healthcare sector in the EU and the UK, 2008 and 2018 (in 000s) ...................................... 9 Table 4: Predominant ownership type of hospitals in the EU27 and the UK, 2018 ........................................................ 16 Table 5: Number of sector-related organisations per country, 2018–2019 .................................................................... 17 Table 6A: Sector coverage of trade unions in the human health sector, EU 27 and the UK, 2018 ................................. 19 Table 6B: Sector coverage and European affiliations of trade unions in the human health sector, by country, 2018 ... 19 Table 7: Collective bargaining of trade unions, 2018 (%) ................................................................................................ 29 Table 8: Trade union involvement in policymaking ........................................................................................................ 37 Table 9A: Sector coverage and European affiliates of employer organisations in the human health sector, 2018 ....... 37 Table 9B: Sector coverage and European affiliates of employer organisations in the human health sector, 2018 ........ 37 Table 10: Collective bargaining coverage of employer organisations, 2018 ................................................................... 44 Table 11: Employer organisation involvement in policymaking, 2018 ............................................................................ 47 Table 12: Social partner organisations involved in collective bargaining, 2018 .............................................................. 49 Table 13: Sectoral collective bargaining system, 2018 ................................................................................................... 49 Table 14: Consultation of national social partners ......................................................................................................... 54 Table 15: Tripartite and bipartite sector-specific, public policy bodies, 2018 ................................................................ 55 Table 16: Basis of fragmentation of trade unions ........................................................................................................... 56 Table 17: Reasons for fragmentation of employer organisations ................................................................................... 57 Table 18A: Total number of sector-related trade unions affiliated to EPSU, EU 27 and the UK, 2018 ........................... 58 Table 18B: Affiliation of sector-related trade unions to EPSU by country, 2018 ............................................................ 59 Table 19: Affiliation of sector-related trade unions to EPSU .......................................................................................... 63 Table 20: Sectoral densities of trade unions affiliated to EPSU and employer organisations affiliated to HOSPEEM .... 65 Table 21: Sectoral trade unions affiliated to other European associations .................................................................... 67 Table 22: Other European professional associations in the sector not covered by this study ....................................... 70 Table 23: Employer associations affiliated to HOSPEEM in 2018–2020 ........................................................................
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