The organizational changes of the Swedish Health and Social care inspectorateTove Gemzell - Head of unit- Health and Social Care Inspectorate, Sweden

Helsinki EPSO - September 29, 2015

Public sector in Sweden –three levels

State legislation, supervision, foreign policy, public order, higher education and research, labour market, social insurance and transfer payments

County councilshealth care, but also regional development and support to cultural activities and public transport

Municipalitiessocial services, elderly care, care of people with physical or intellectual disabilities, schools, spatial planning and building, health and environmental protection, refuse collection and waste disposal, rescue services, water and sewerage, order and security

Brief facts about IVO

• IVO is a state ruled agency and comes under the Ministry of Health and Social Affairs

• Annual budget is about 650 million SEK

• IVO has a staff of about 700

• Started June 1 in 2013 and is led by director Gunilla Hult Backlund

NorthMiddel

East and the Department for permitsCentral functions

South West

South East

South

The Swedish inspectorate!

Sweden has an area: 450 000 km2, third largest

country in Western Europe

Organization

What’s new? What changed?

Diffrentiating regulation/norm setting and inspection – trend in Sweden

Deregulation of the Swedish health care sector

Looking at performance instead of structure

Better feedback for learning

Our new declaration – a supervision policy

The aim of supervision

Supervision shall contribute towards ensuring that health and social care is both safe and of high quality, and works to best serve its recipients.

The supervision's focus

Supervision is carried out from a user- and patient perspective, and must focus on matters that are important for individuals or groups. Unless laws or ordinances state otherwise, supervision should be risk-based and only review matters that are essential to ensure a health and social care service which is safe and of high quality. Supervision must be effective.

Some inspection-tools to foster learning

Platform for analysis of performance indicators

Feedback at different levels for enhanced learning

Warnings of risk-areas to consider – Prevention

Improvement of the many, inspection of the few – feedback to all

Thank U!

www.ivo.se

Inspection to foster improvement?

Does not work! Says Don Berwick in his speech Because the main harvest of inspection is on learning – it is fear!

Questions

How can we design our inspection-work in such a way that it supports continues improvement of the healthcare system?

How can we contribute  to leadership to be a driver for improvement and change, and how do we reduce negative effects from inspection.