Annex 21 - Point 15.2 - ESCO, Physiotherapy and ERWCPT(1)

Presentation on the European
Skills/Competences, qualifications
and Occupations (ESCO) and
approval of the definitions related
to Physiotherapy
Annex 21 – Agenda Point 15.2
2. ESCO & Healthcare and Social activities SREF
Structure of the SREF
Importance of ESCO for healthcare
Skills / Competences
Time plan
3. ESCO, Physiotherapy & ER-WCPT
ESCO & ER-WCPT and opportunity – next steps
Occupations, definitions and and related skills/competences
Skills/Competences, qualifications
and Occupations (ESCO)
1.1 What?
• Identifies and categorises occupations and
the skills, competences and qualifications
for each occupation in a standard way
• A multi-lingual classification / taxonomy
• Linked to relevant international classifications
and frameworks, such as NACE, ISCO and EQF
• To help job matching and facilitate dialogue
between the labour market and
1.2 Why? Europe 2020
An Agenda to new skills and jobs
"To ensure that the competences required to
engage in further learning and the labour
market are acquired and recognised throughout
general, vocational, higher, and adult education
and to develop a common language and
operational tool for education / training and
work: a European Skills Competences and
Occupations framework (ESCO)"
1.2 Why?
Online job portals normally use one
classification system and one language.
It is difficult to exchange data between
them, particularly when the systems are
based in different countries. This makes
it harder to find the right job abroad.
1.3 Who?
• EU Commission – Joint project
between DG Employment and DG
Education and Culture
• Governing Structure – Board, MAI
and SREF
• Public Employment Services
• Private Employment Services
1.3 Who?
• ESCO Maintenance Committee: (MAI)
• Decides on acceptance or rejection of documented proposals that
come from the Reference Groups and Secretariat.
• Recommends proposals for the final approval to the Board.
• ESCO Sectoral Reference Groups (SREF):
• The aim of the work of the SREF is to include in ESCO the common
denominator of the terminology used on the European labour
market and the education/training sector, with the level of detail
that is needed to perform qualitative skill-based job matching.
1.3 Who?
• ESCO Cross-sector Reference Group (CSREF):
• The CSREF develops a structure for the cross-sector
skills/competences and identifies a list of cross-sector
• The CSREF gives the work of the qualifications pillar based on
experiences with the transversal skills and competences.
• ESCO Secretariat:
• It is the permanent central resource that will enable the
establishment and day to day maintenance/editing of ESCO.
• It liaises with other external groups and interests parties as
necessary to refine elements of ESCO.
Section A:
1. Agriculture, Forestry, Fishery
Section B:
2. Mining & Heavy Industry (B, C19, C24)
Section C:
Manufacturing of textile, apparel, leather, footwear and related products (C13,
C14, C15);
4. Manufacturing of food, beverages and tobacco (C10, C11, C12);
5. Manufacturing of electrical equipment, computer, electronic and optional
products (C26, C27);
6. Manufacturing of transport equipment (C29, C30);
7. Manufacturing of consumer goods except
food/beverages/tobacco/textile/apparel/leather (C31, C32, T981);
8. Wood processing, paper and printing (C16, C17, C18);
9. Chemical industry (C20, C21, C22, C23);
10. Fabricated metal products, except machinery and equipment (C25);
11. Machinery and equipment, except electrical equipment (C28, C33)
Section D:
Section E:
12. Energy and water supply, sewerage and waste management (D35, E)
Section F:
13. Construction
Section G:
14. Wholesale, retail trade and rental and leasing (G, N77)
Section H:
15. Transportation and storage (H, N8292)
Section I:
16. Hospitality and tourism (I, N79)
Section J:
17. ICT Service activities (J61, J62, J63); Media (J58, J59, J60);
Section K:
18. Finance, insurance and real estate (K, L)
Section L:
Section M:
19. Veterinary activities (M75);
20. Business administration (M69, M70, M73, N82 except for 8292);
21. Scientific and technical activities (M71, M72, M74)
Section N:
Section O:
22. Public administration and defence and membership organisations
(O, S94, U)
Section P:
23. Education
Section Q:
24. Human health and social services activities
Section R:
25. Arts, entertainment and recreation
Section S:
26. Personal service -administrative support service- and security and investigation
activities (S95, S96, T97, T982, N78, N80, N81)
1.3 Who benefits?
Education/training institutions
Online job portals (first use for
national employment agencies under discussion to open for
private agencies in the future)
1.4 How?
•By means of domain experts that
come together through SREF
•27 Sectoral groups – 11 established
•Review occupations, skills and
qualifications for their sector
•Work is endorsed by the MAI –
experts in classification systems
1.5 When?
1.6 Where?
1.6 Where?
1.6 Where?
1.6 Where?
1.6 Where?
1.6 Where?
1.6 Where?
1.6 Where?
In Brief: What can ESCO do?
Facilitate the dialogue between the labour market and the
education/training sector.
Allow employment services to exchange relevant labour
market information across borders.
Facilitate geographical and occupational mobility through
semantic interoperability.
Boost online and skill-based job-matching.
Help employment services in the shift towards a skills and
competences-oriented approach.
Help describe qualifications in terms of knowledge, skills and
Enable the development of innovative career guidance
Ultimately: getting more people into jobs throughout Europe!
2. ESCO &
Healthcare and
Social activities
2.1. Structure of the SREF:
• Personal expertise, public / private sector, policy
makers, national and European umbrella
• The SREF agreed to divide into two sub-groups in
order to facilitate the work:
 Healthcare - Vice Chair Healthcare – Dr Susanne Weiss
– Austrian Federal Minister of Health
 Social Work - Vice Chair Social Work – Assoc. Prof. Dr.
Jolanta Pivorienè – Faculty of Social Policy in
Chair: David Gorría – ER-WCPT
2.2 Importance of ESCO for healthcare:
• While the labour market reality is the starting point for
developing ESCO, the healthcare and social work
activities sector is regulated to a higher degree than
others at EU and national level
This should be reflected in our project!!!
• Our goal is to match people/jobseekers only to jobs
that they are permitted to practice
• One of the concerns of the Healthcare subgroup is to
avoid the “creation” of new health occupations and
risk to patient safety
2.2 Importance of ESCO for healthcare:
• To create a European Tool that reflects reality and
could be a real value for mobility
• Linking the ESCO project and its three pillars with
other EU initiatives, policies or directives, such as
Modernisation of the Directive on Professional
Qualifications, Skills panorama, Diploma supplement,
CPD and LLL.
2.2 Importance of ESCO for healthcare:
• ESCO will provide a common European language for
skills/competences acquired in the context of
Continuing Professional Development across
• This is especially important in the healthcare sector,
where skills and competences need to be up-to-date
in order for the healthcare worker to be able to work
safely, legally and effectively.
2.3 Occupations
What does ESCO mean by occupations?
• “A grouping of jobs involving similar content in terms of
tasks and which require similar types of skills”.
• Cover all types of labour market activity (unpaid
activities, voluntary work, self-employment and political
• Occupations are not the same than professions.
2.3 Occupations
SREF decision
• The list of occupations in this diagram started by using
ISCO 08 and was then amended based on the expertise of
the group members. However, because of the evolution
of healthcare it may be updated and new occupations
added in future revisions.
• Health care professionals may work in public or private
sector; some of them may also work self-employed and
also can have administrative or management, education
or research occupations related to their core skills, (i.e.
Hospital Manager Director). National implications
according to the various healthcare systems in place in
each of the 28 EU Member States and EFTA countries
may call for specifications and requirements not covered.
2.3 Occupations
SREF decision
• Regulation: For those looking for mobility or being
offered a position in a healthcare occupation it is highly
recommended to take into account, whether the
profession is listed under the professions which are
granted automatic recognition (Directive 2013/55/EU
amending Directive 2005/36/EC), and observe the national
requirements for recognition of diplomas and certificates
as well as registration procedures for practice (see link
below and note after each main category) and the EUdatabase of regulated professions and the national
requirements for scope of practice, recognition and
2.3 Occupations
SREF decision
• Specialisations: The SREF agreed not to include a full list
of specialisations for each occupation on the benefit of
job seekers and because they are too diverse throughout
the Member States.
• There are only a few health professions harmonized
specialisations namely: Doctors of medicine and
• For other specialisations, not mentioned above, they
change country per country and you should contact the
national competent authority to verify requirements for
2.4 Skills/Competences
What does ESCO mean?
• Skills is “the ability to apply knowledge and use knowhow to complete tasks and solve problems”.
• Competences is “the proven ability to use knowledge,
skills and personal, social and/or methodological
abilities, in work or study situations and in professional
and personal development”.
2.4 Skills/Competences
SREF proposes
• Level of skills /competences - only list the minimum
required / core competences (not as a limitation!), and
then refer for further information and compliance to
individual national law regarding requirements for
practice in each Member State – WE will decide the
minimum expected competences by consensus which
should not necessary be the lowest level available in any
of the EU countries.
• Three types of skills/competences
1. Transversal – common with other SREFs
2. Common to all the occupations in the same SREF
3. Specific for each occupation
2.5 Time Plan
Update the List of
documents in Sinapse
December 2013
January 2014
Once received from the ESCO secretariat, comments to the Vice
Chairs (2 weeks)
Health care occupations
sectoral breakdown
15 January 2014
Breakdown to be circulated among the subgroup members before 20
December 2013. Final remarks from the members must be sent to the
Chairman by 10 of January 2014. Final version submitted to the TEG
by 15 January 2014.
Definitions – Health care
occupations / professions
10 February 2014
Group members should send their definitions to Susanne Weiss before
the 20 of January 2014. With the gathered definitions a first draft will be
prepared by 10 of February 2014 and circulated among the Sub group
members for comments previous to the next meeting on 4 March 2014.
Transversal and Subgroup
common Skills/competences
– Both Subgroups
17 February 2014
The Chairman will request to Elizabeth McSkeane, from the Cross
Sectoral Reference Group, the updated / latest versions of documents
on Transversal Skills/Competences with other SREFs and Specific
Skills/Competences for all the occupations in each subgroup. Once
received, the group members will receive a version for comments
before the next meeting. Deadline for preliminary comments was fixed
on 17 February 2014. The comments received will be summarised and
present for further discussion at the next meeting on 4 March 20114.
4 March 2013
22 May 2014
Final sectoral breakdows of occupations – 1st Draft of definitions and
1st discussion of transversal and subgroups skills and competences
2.5 Time Plan
May 2014
27 May 2014
Group specific Skills/competences for
all i.e e-health
Group specific Skills/competences
transversal with other groups
October - November 2014
Core competences for each
November 2014
December 2014
Final proposal including
December 2014
Minimum required competences,
not closed list – reference to
national requirements
3. ESCO,
3.1 ER-WCPT and ESCO
Project DG
social affairs,
and inclusion
nominated on
for Health
Care and
from MOs to
ESCO through
EU Project
Opportunity – If we do not do it, other will do it for us
Region and its
3.1 ESCO and Member Organisations
matters &
EU Project
ESCO European
Project DG
social affairs,
and inclusion
Region and
By 15 of April 2014
1. Send your comments on the definitions proposed by
the WGs for each of the occupations in the next slides
2. Send the core competences (minimum expected list)
for each of the occupations listed in the next slides
3. At the 2014 GM the Education & EU Matters WG will
hold their discussion sessions on these two topics
Kindly note that the agreed classification, definitions
and skills / competences will be used for ESCO and
also for the Region and MOs in other projects,
actions, and documents at National and EU level
3.2 The classification for Physiotherapy related
• Physiotherapy Assistant
• Physiotherapist
• Advanced Physiotherapist
• Clinical Specialist
• Educator
• Manager
• Researcher
3.2 – Physiotherapy Assistant
A physiotherapy assistant assists and works under
the direction and supervision of a
Physiotherapist who delegates a caseload of
clients/patients requiring Physiotherapy
intervention. A physiotherapy assistant practices
within predictable contexts using defined
treatment protocols and procedures. A
Physiotherapy assistant is responsible to the
3.2 – Physiotherapist
A Physiotherapist is an autonomous health care
professional who assesses, diagnoses, plans,
treats and evaluates clients/patients and is
responsible for his/her own actions. A
Physiotherapist has his/her own caseload of
clients/patients with complex needs and practices
within complex and increasingly unpredictable
contexts. A Physiotherapist practices according to
professional codes of practice and conduct. A
Physiotherapist has completed a Bachelor of
Science Physiotherapy education programme,
which is recognised by the State and allows them to
3.2 – Advanced Physiotherapist
An Advanced Physiotherapist is a Physiotherapist who
has formally demonstrated an ability to apply
advanced competence (knowledge, skills and
attitudes) in a defined area, within the scope of
practice recognised as physiotherapy. An Advanced
Physiotherapist has highly specialised skills to
address complex decision-making and manage risk in
unpredictable contexts, which demands innovation.
An Advanced Physiotherapist has completed a
Masters level programme or can demonstrate he/she
can work at an equivalent level, focusing on a specific
area of clinical practice, education, research, or
For further and most updated information:
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