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HEALTH

One billion Danish kroner assigned for ‘extraordinary’ health service spending

Significant extra funding is to be given to the Danish health service after the government and its parliamentary partners agreed a deal as part of the 2022 budget.

Denmark has an announced an emergency, one-off investment of one billion kroner on health services for winter 2021-22.
Denmark has an announced an emergency, one-off investment of one billion kroner on health services for winter 2021-22. File photo: Henning Bagger/Ritzau Scanpix

The deal means a billion kroner has been set aside for additional spending in extraordinary circumstances, and will be used to retain health sector staff and boost hospital capacity.

Following weekend negotiations, the parties behind the budget revealed that it would include a significant one-off investment in the public health service, which has come under increasing strain due to factors including the Covid-19 pandemic and industrial disputes, notably between nurses and the government.

The money is to be distributed to the regional authorities who can decide how to spend it in consultation with staff organisations, broadcaster DR writes.

As such, it is currently unclear precisely how the spending will resolve issues such as treatment backlogs and staff shortages.

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“Not least because of corona, our health service has been put under a considerable strain and we have therefore decided to put aside an extraordinary one billion kroner for a temporary response during the winter so we can protect our health service, our staff and our patients,” finance minister Nicolai Wammen said during the presentation of the budget.

Health minister Magnus Heunicke also commented on the decision, DR reports.

“It’s very unusual to give a billion kroner to one area in this way as part of a budget. But this is also an unusual situation,” Heunicke said.

The leader of one of the other parties behind the budget, Pia Olsen Dyhr of the Socialist People’s Party, called the decision an “acute solution”.

“But we are obviously not solving the big problem with equal pay or the health service in general. This is an acute solution which is needed at a very, very difficult time after two years with corona,” Dyhr said.

A trade union for social care workers expressed backing for the decision.

“This is a package that is extremely welcome. We’re in an extremely critical situation at hospitals and something needed to be done now. But it’s too early to speculate about what it will mean exactly for our members,” Mona Strib, head of FOA, the union that represents healthcare personnel including hospital social care staff, said in comments reported by DR.

“It could mean that some go from working part time to full time for a while, that some have a high amount of overtime, and that tasks are distributed between staff groups temporarily. We’ll see a hybrid of different solutions,” Strib added.

The deal also includes provisions to extend a freeze on taxation of extra income for people who take on extra jobs related to Covid-19 (such as retirees who work at test centres, for example).

It also earmarks spending to reduce processing times for authorisation of foreign health professionals, an area which is currently subject to severe delays.

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HEALTH

Denmark’s five regions could become four under government health plan

The Danish government on Wednesday proposed reforms to the country’s healthcare structure which could see the five administrative regions reduced to four.

Denmark’s five regions could become four under government health plan

The government plans to merge the Zealand and Greater Copenhagen regions into a single “East Denmark” megaregion, reducing the number of regions from five to four, government leaders said at a press briefing on Wednesday.

The plan forms part of a broader health reform which was presented by the government leadership. 

The new East Denmark Region would result in a significant size disparity between the regions. For example, Region North Jutland covers only 10 percent of the population, while the new megaregion would encompass nearly half of Denmark’s population of 5.9 million people.

The three remaining regions would not be changed by the reform.

“There will not be fewer hospitals around the country. This is about strengthening them,” Prime Minister Mette Frederiksen said at the briefing.

Currently, Denmark is organised into 98 different municipalities and five regions.

The primary task of municipalities is local administration of welfare and social needs including schools, while the job description for regions involves healthcare and social development.

Regions – and their elected boards – administrate public hospitals and the GP system. They also orchestrate regional mass transit and manage initiatives to create economic growth.

The names of the five regions (Greater Copenhagen, Zealand, North Jutland, Central Jutland and South Denmark) are most commonly associated with hospital care and health care. If you want to know which region you’re in in Denmark, you’ll find its logo at the entrance to most hospitals or public health facilities, as well as on your yellow Danish health insurance card.

READ ALSO: What’s the difference between a municipality and a region in Denmark?

The proposal presented on Wednesday includes three main elements. These are targets to provide more local services, increase the number of doctors and overhaul treatment of chronic diseases.

That includes addressing a shortage of doctors at some hospitals outside of larger cities – including in the Zealand regional authority – by ensuring better distribution of regional medical staff.

“The Regions must ensure hospitals that continue to deliver high quality treatment and they must ensure that resources are distributed in such a way that there are enough doctors in the areas where members of the public are most in need of treatment,” the proposal states.

“They will also be responsible for an overarching economy that must be targeted towards places where needs are greatest,” it continues.

Under the plan, the number of elected councillors across the country, currently 41 per region, would be reduced by the merger between two of the regions and by reducing the number of councillors in the remaining regions to 31, or 25 in the case of the smaller North Jutland region.

The government also wants to create 17 new health councils or sundhedsråd as part of the reform. These councils would consist of elected officials from both regional health boards and municipal governments, and would be tasked with implementing government initiatives.

The plan will also see increased uptake on medicine degrees in Esbjerg, Aalborg and Køge.

If the plan is adopted, the changes would take effect from 2027.

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