A sponsorship agreement seems far away now that two major trade associations have refused to sign internal

setback for the government. ActiZ, one of the largest sector organizations in the Dutch healthcare sector, is not signing an important agreement on the future of healthcare at the moment. General practitioners also don’t want to sign the agreement, it turned out tonight at a meeting of members of the National Association of General Practitioners (LHV). With this, the conclusion of a sponsorship agreement seems far-fetched.

Due to the aging of the population, the demand for care is expected to increase sharply in the coming years. The so-called Integrated Care Agreement (IZA) contains all kinds of measures to prevent the sector from faltering. For example, more effort should be done in prevention and work should be done more efficiently. According to leaked draft versions, complex care needs to be more focused and, for example, it becomes more difficult to hire caregivers who do not have a contract with a health insurance company.

The sponsorship agreement in which the government and representatives of the care sector laid out plans for the future of the sector is not supported by all. ActiZ, one of the largest sector organizations in the Dutch healthcare sector, does not see any profit at the moment, as it turned out at a meeting of the organization’s members. There are a total of about four hundred organizations affiliated with ActiZ, which are mainly active in the care of the elderly and the chronically ill, from nursing homes to home care.


We’re on the eve of tough choices in healthcare, and we’re already noticing that things are going awry

V&VN Professional Association

The trade union says it supports the “movement” of the agreement, but says it can only support it if “the viability of the agreements is also ensured in 2023”. According to the association, more work needs to be done on investments in district nursing. According to ActiZ, “It is of the utmost necessity to be able to help and support as many people as possible in a rare caring capacity.” This should already be done in the contracts that caregivers enter into with health insurance companies for the next year. “It’s not happening enough and it doesn’t provide enough confidence to sign now.”

The National Association of General Practitioners (LHV) also spoke out against the agreement tonight. GPs want more guarantees in the short term, for example from the Dutch Health Care Authority (NZa) about next year’s rates and from health insurers about agreeing they will have more time for their patients. In short, their response to the agreement as is is “No, unless.”

The fact that ActiZ and LHV do not support the agreement is painful for the Cabinet, which hopes to conclude a broadly supported agreement with the healthcare sector before Prinsjesdag. An interesting detail is that the current Minister for Long-Term Care Connie Helder was a board member and spokesperson for ActiZ prior to her ministry. In addition to Helder, Minister Ernst Kuipers (Public Health) was involved in particular on behalf of the Cabinet in the implementation of the Integrated Care Agreement (IZA).

disease prevention

IZA can count on the support of the nurses, even if they also have something to say about it. The V&VN professional association announced this Monday evening. Intentions to invest in nursing and training in the region are positive points according to the organizations. However, the Nurses and Carers Organization adds that there are still “important points of interest” if IZA is to be successful. Commitment to disease prevention is an important point for V&VN.

“We’re on the eve of difficult choices in healthcare, and we’re already noticing that things are going awry,” continues V&VN. “And that is precisely why it is so important that we as a profession take responsibility for this sponsorship agreement.”

The goals can only be achieved if there is good collaboration between all kinds of different parties in the healthcare sector, according to V&VN. The organization then refers to general practitioners, nursing providers and insurance companies in the area. For example, they must jointly ensure that more care can be provided at home.

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