Policy responses for Finland - HSRM


Policy responses for Finland

2.2 Workforce

On 19th March, MSAH announced that requirements for emergency/first aid staff can be relaxed in order to ease their recruitment for work. Helsinki-Uusimaa Hospital district operating at the epidemic centre has started training existing surgical and ward staff in treating COVID-19 patients, including intensive care. Similar efforts have also been taken by other hospital districts, for instance Pirkanmaa hospital district and Tampere University Hospital. There have also been discussions on recruiting medical students to do contact tracing as the test capacity increases.

On March 25th the Government issued a decree (1) to implement the obligation of healthcare professionals to carry out work set out in the Emergency Powers Act (2011)(2). The aim is to ensure the sufficiency of labour force in the healthcare sector so that labour shortage caused by the coronavirus epidemic does not endanger human lives. The Decree will be in force from 26 March 2020 to 14 May 2020 throughout Finland. In line with the decree, people working in both public and private healthcare who have received training in the field and who are between 18 and 68 years of age may be required to work. An order to work is issued based on the needs of the healthcare system and on individual discretion. A person who is covered by the obligation to work in the healthcare sector and has been issued with a work order must carry out necessary work in the healthcare sector. The obligation to work can be introduced to safeguard resources for the performance of any necessary tasks in the healthcare sector during the state of emergency. In addition, provisions on the employment relationship of a person obliged to work, the terms and conditions of employment, employer’s obligation to disclose information and work obligation register will apply. On April 2nd the Constitutional Law Committee of the Parliament considered that the work obligation had been introduced too early, but declared it valid.(3)

The Union of Health and Social Care Professionals in Finland and the Finnish Medical Association (FMA) emphasise the importance of the health care workforce’s wellbeing. FMA offers distant external counselling to support the physicians in their work during the epidemic (4). The Union of Health and Social Care Professionals calls attention to employers’ responsibility to take care of the employees' wellbeing (5). According to the corona survey conducted by Sairaanhoitajaliitto (Nurses’ Union) there are deficiencies in the occupational safety, and nurses are worried about insufficient guidance for new work tasks such as ICU work and they are burdened by rapidly changing information and unclear governance (7). The Union is running a radio and social media campaign through which the public can show their appreciation of nurses' efforts during the corona epidemic (8). The City of Helsinki has made special parking arrangements to ensure easy commuting and sufficient parking areas close to hospital for health care personnel (6). Private actors and companies have supported health care personnel e.g. with free wellness coaching and discounts for home cleaning.

TerveyskyläPro is a service portal for health and social care professionals. Among other information it provides, it now gathers essential information related to COVID-19, such as instructions by the MSAH, the University Hospitals, and also general instructions on how to take care of professionals own mental wellbeing during the epidemic. (13)

On 6 May 2020 the Government issued further decrees on extending the use of powers under the Emergency Powers Act in order to safeguard the functioning of the healthcare social welfare service system. The aim is to extend the powers provided under the Emergency Powers Act to direct the operations of the healthcare and social welfare units and to adjust the operations of healthcare and social welfare units. This could mean for instance temporary derogations in the application of certain provisions of the Annual Holidays Act, the Working Hours Act and the Employment Contracts Act in critical functions of society. (9)

The Pirkanmaa and Northern Ostrobothnia Hospital Districts have announced co-operation negotiations to ensure the organization of workforce according to the current needs of health care, given the long duration of the epidemic. (10,11) The Varsinais-Suomi Hospital District announced then the implementation of actions and possible co-operation negotiations to mitigate the financial difficulties caused by the epidemic due to response and decreased use of other services. (12) Until 18th of May only a few clusters of COVID-19 cases among health care workers have been reported in Helsinki-Uusimaa region.

1. Finnish Government (27/03/2020) https://valtioneuvosto.fi/en/article/-/asset_publisher/1410877/tyontekijan-tyovelvollisuus-turvaa-tyovoiman-riittavyytta-terveydenhuollossa
2. Finlex https://www.finlex.fi/fi/laki/ajantasa/2011/20111552  
3. Finnish Government 2/4/2020 https://www.eduskunta.fi/FI/vaski/Mietinto/Sivut/PeVM_9+2020.aspx 
4. FMA (28/4/2020) https://www.laakariliitto.fi/palvelut/edunvalvonta/koronatilanne/tyoturvallisuus-ja-tyohyvinvointi/ 
5. Tehy (1/4/2020) https://www.tehylehti.fi/fi/uutiset/hoitajat-kovilla-koronaepidemian-takia-tyonantajan-pitaisi-kuunnella-nyt-herkalla-korvalla?
6. City of Helsinki (27.3.2020) https://www.hel.fi/uutiset/fi/kaupunkiymparisto/pysakointi-terveydenhuolto-henkilosto-varaus
7. Sairaanhoitajaliitto (21/4/2020) https://sairaanhoitajat.fi/koronakysely-paljastaa-epakohtia-tyoturvallisuudessa/
8. Sairaanhoitajaliitto (7/4/2020) https://sairaanhoitajat.fi/anna-arvostuksesi-kuulua-sairaanhoitajillekiitos/#
9. Government of Finland (06/05/2020) https://valtioneuvosto.fi/en/article/-/asset_publisher/10616/valtioneuvoston-periaatepaatos-suunnitelmasta-koronakriisin-hallinnan-hybridistrategiaksi 
10. Pirkanmaa Hospital District (21/4/2020) https://www.tays.fi/fi-FI/Sairaanhoitopiiri_aloittaa_ytneuvottelut(106005)
11. Northern Ostrobothnia Hospital District (6/5/2020) https://www.ppshp.fi/Sairaanhoitopiiri/Ajankohtaista/Pages/Koronatilanne-toistaiseksi-rauhallinen-PPSHP-aloittaa-yt-menettelyn-toiden-uudelleen-organisoimiseksi.aspx
12. Varsinais-Suomi Hospital District (28/4/2020) http://www.vsshp.fi/fi/sairaanhoitopiiri/media-tiedotteet-viestinta/tiedotteet/Sivut/Sairaanhoitopiiri-varautuu-koronakriisin-aiheuttamiin-talousvaikeuksiin.aspx
13. TerveyskyläPro https://www.terveyskyla.fi/terveyskyl%C3%A4pro