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Latvia

Zobārstniecības māsa (Latvia)


  • Proportionality information

    1. Have you examined whether the requirements under your national legal system are
    directly or indirectly discriminatory on the basis of nationality or residence?
       

    No, because regulated professional activity in health sector has special requirements specified in the regulatory enactments regulating the relevant field of professional activities in relation to education, documents certifying the professional qualification or the use of the title of the professional activity of the performer of professional activity. Professional activity is not related with persons nationality or residence.


    2. Which of the following overriding reasons relating to the general interest justifies the measure(s)?
         
    • Public health

    3. What specific risks or benefits have you identified that your measure(s) is designed to, respectively, minimise or maximise?

       Please try to be specific in describing the nature of the risks/benefits you have identified
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. Wherever possible please include evidence.

       

    Important role in the health sector is to ensure the conformity of professional activities with specific quality requirements and criteria, if these activities are related to the protection of public interests, the safety and the protection of health thereof. As well to protect individual socially important professions from the involvement of unqualified persons therein, determining higher requirements for these professions.


    4. How specifically do your measures operate to minimise the risk(s) or maximise the benefit(s) identified in question 3?

       When addressing this question please try to explain how the measures prevent the risks or guarantee the benefits.
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. Wherever possible please include evidence.

       

    Provisions mentioned in Law On the Regulated Professions and the Recognition of Professional Qualifications precisely prescribes actions to be taken for minimisation of possible risks:

    1) to ensure the conformity of professional activities with specific quality requirements and criteria, if these activities are related to the protection of public interests, the safety and the protection of health thereof;

    2) to protect individual socially important professions from the involvement of unqualified persons therein, determining higher requirements for these professions.


    5. In so far as you are able, please provide information that you have gathered regarding the concrete effects of the measure(s).

       For example, through impact assessments or information gathered during implementation or review of a measure. Member States who have recently undergone reforms may in particular be able to contribute helpfully to this field. Where you are able to provide cost-benefit analyses this would be particularly valuable.
       Information on whether the measures indeed successfully prevented risks from being realised (e.g. the number of sanctions imposed, a drop in transgressions since the measure was introduced or consequences from previous modifications of the regulation) would equally be helpful.
       Where you have selected more than one overriding reason relating to the general interest in question 2 please be sure to address each of these in your response. You may also wish to include evidence on consumer satisfaction or other measurements of the impact.

       

     N/A, because only medical practitioners, who are registered in Medical practitioners registers, are allowed to practice.


    6. Is the general interest objective you indicated in question 2 pursued in a consistent and systematic manner?.

       In approaching your response to this question please consider examples where you have addressed similar risks for comparable professions, not necessarily within the same sector. Is the approach you have adopted in this particular profession comparable or distinct from such similar cases and why?

       

    In order to practice in the health sector in the Republic of Latvia there is necessity to recognize person’s diploma. For the recognition of qualification in Latvia person has to turn to the Academic information centre of Latvia.

    Assessments of the professional knowledge of the applicant are performed by institutions which issue the certificates of the recognition of a professional qualification in the regulated professions. The aim of the test is to evaluate the abilities of the applicant to work in the regulated profession in the Republic of Latvia.


    7. Please explain in how far the degree of complexity or the nature of the activities
    which are reserved justify that these activities can be exclusively performed by professionals possessing a specific professional qualification?

       For example: when the tasks are essentially of a straightforward nature (such as preparing and printing pay slips etc.), or involve essentially the execution of instructions, specific professional aptitudes should not be required.

       

    The minimum specialty training programme requirements are regulated by Regulations No 268 of the Cabinet of Ministers of 24th March 2009 “Regulation on medical practitioner and student, who study in first or second level higher professional medical education programs, competence in health care and theoretical and practical level”. The minimum specialty training programme is training frameworks, because medical practitioners who have been certified and registered in the medical practitioners register are permitted to independently engage in medical treatment in a specific basic speciality, sub-speciality or additional speciality in conformity with the competence stipulated by Regulations No 268 of the Cabinet of Ministers of 24th March 2009 “Regulation on medical practitioner and student, who study in first or second level higher professional medical education programs, competence in health care and theoretical and practical level”.


    8. Where you have indicated several measures in place in the screening tab,
    have you reviewed the cumulative effect of all these measures on professional activities?

       If not, why not?
       If yes, please outline for us how you approached assessing this issue as well as the results and conclusions or any learning you drew from this. Where possible please include evidence.

       

    N/A, because only medical practitioners, who are registered in Medical practitioners registers and who have certificate, are allowed to practice. Licence is valid for 5 years. After 5 years period person needs re-registration and re-certification.


    9. Have you considered the use of alternative mechanisms to achieve your objective(s)?
         
    • Other, please specify

       Please briefly explain. Where you have selected more than one option, please be sure to address each of these in your response.

       

    Alternatives can’t be implemented, because professional activities in health sector are related on patient safety and service quality.


    10. Conclusion

       Following your internal examination of this regulated profession, which of the following have you concluded?

    •    Maintain current system

       Explain where relevant:

       

    Only some minor supplements could be developed in the future. Minor changes in national rules for basic speciality, sub-speciality or additional speciality which are not included Directive 2005/36/EC in the Annex V.


    11. Any other comments?
       

    There is mandatory registration for the health practioner in the Medical Practitioners Register (http://www.vi.gov.lv/).

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