Keit Pentus-Rosimannus
Rahandusministeerium Teie 03.08.2022 /
[email protected] Meie 12.08.2022 nr 1.1-8/2611-2
Taastekava muutmine
Lugupeetud rahandusminister
Tulenevalt valitsuskabineti 30. juuni 2022. a protokolli märgitud otsusest nr 3 esitame teile
informatsiooni selle kohta, kas taastekavas kokku lepitud investeeringute ja meetmete vahe-
ja lõpptulemused on võimalik saavutada seni planeeritud eelarve piires koos muu olulise
infoga.
Tulenevalt valitsuskabineti 30. juuni 2022. a suunisest vähendada taastekava mahtu arvates
sellest välja Tallinna haigla investeeringu, tuleb taastekavast välja jätta kõik investeeringu „6.2.
Põhja-Eesti meditsiinilinnaku loomine“ eesmärgid ja sihid, aga ka reformi „6.1. Eesti
tervishoiukorralduse terviklik muutmine“ eesmärk nr 94 „Haiglavõrgu arengukava käsitleva
valitsuse määruse jõustumine“, kuna see on üks-ühele seotud Tallinna haigla projektiga.
Täpsemalt oleks tegemist olnud Vabariigi Valitsuse 2. aprilli 2003. a määruse nr 105
„Haiglavõrgu arengukava“ § 2 lg 2 punktide 1 ja 2 muutmisega.
Lisaks teeme ettepaneku muuta reformi „6.1. Eesti tervishoiukorralduse terviklik muutmine“
eesmärgi nr 95 „Tervishoiutöötajate nappuse leevendamise strateegilise raamistiku
heakskiitmine“ tähtaega, lükates see 2022. a IV kvartalist 2025. a IV kvartalisse. Kuna Euroopa
Komisjoni struktuurireformide toetusprogrammist rahastatud projekti „Inimkeskne ja
integreeritud haiglavõrk 2040“ analüüsist saadud personali vajaduste hinnangud ei ole
piisavalt detailsed, siis eesmärgi täitmiseks seda planeeritud kujul kasutada ei saa. Samas on
Sotsiaalministeerium osalemas EU4health Joint Action’is, kus tervishoiusüsteemide ja
tervishoiu tööjõu programmi ühe eesmärgi raames – health workforce to meet health
challenges – forecasting and planning for workforce in the healthcare sector – hakatakse
2023. a looma just tervishoiutööjõu prognoosimise raamistikku. Projekt kestab 2025. aastani.
Selle käigus vaadatakse kogu tervishoiu tööjõu vajadust ehk esmatasandist ja kiirabist haiglani
välja, samuti kaasuvaid spetsialiste (nõustamine, toetavad teenused, sotsiaalvaldkond jms).
Projekti kestel analüüsitakse tööjõu prognoosimiseks olulise kolme punkti – andmed, tööriistad
ja meetodid, meeskonna oskused – hetkeolukorda, luuakse tuvastatud puuduste
parandamiseks tegevuskava ning lõpptulemusena kirjeldatakse riiklik tervishoiutööjõu
planeerimise raamistik, kus on kõikidel osapooltel selged rollid ning vastutused.
Valitsuskabinet tegi 21. juulil 2022. a ettepaneku lisada Viljandi haigla ERFi meetme tegevuse
2.4.2. projektid 2014–2020 Ühtekuuluvuspoliitika fondide rakenduskavast taaste- ja
vastupidavusrahastusse ühe osana sotsiaal- ja tervishoiu komponendist. Sellega seoses
rõhutame Sotsiaalministeeriumi poolt üle järgmised olulised aspektid:
Viljandi haigla tõstmisel RRFi tuleb muuta nii Taastekava kui 2014–2020
Ühtekuuluvuspoliitika fondide rakenduskava. Projekti tõrgeteta elluviimise jätkumiseks
Suur-Ameerika 1 / 10122 Tallinn / 626 9301 /
[email protected] / www.sm.ee / registrikood 70001952
2
on oluline, et kuni taastekava muudatuse kinnitamiseni jätkatakse projekti elluviimist
ERFist. Projekti ümbertõstmise korral on oluline koostöö Rahandusministeeriumi ja
Riigi Tugiteenuste Keskusega muudatuse sujuvaks tehniliseks teostamiseks toetuse
saaja vaatest.
Tänaseks on lõppenud leping senise tööde teostaja Fund Ehituse, Riigi Kinnisvara ja
Viljandi Haigla vahel. Riigi Kinnisvara kuulutab 2022. a augusti jooksul välja uue
riigihanke, et leida uus ehitaja Viljandi haigla ja tervisekeskuse ehitustööde lõpuni
viimiseks. Uue ehituslepingu sõlmimine on plaanis 2022. a lõpus, mis võimaldaks
töödega jätkata 2023. a alguses. Leiame, et lõpliku otsuse Viljandi haigla projekti
maksumuse kohta saab teha hanke tulemuste selgumise järel, kuna uue hanke käigus
selgub tõenäoliselt täiendav kallinemine. Kuna hanke ajakava ei pruugi kattuda
riigieelarve protsessi omaga, on projektile taastekavast eraldatavate vahendite
otsustamiseks tõenäoliselt vaja eraldi Vabariigi Valitsuse otsust. Kuna RRFist ei ole
käibemaks abikõlblik kulu, jääb investeeringuga kaasneva käibemaksu osa toetuse
saaja omafinantseeringuks ja riiklikuks kaasfinantseeringuks. Samuti vajab lahendust
enne taasterahastu abikõlblikkuse perioodi tehtud kulude küsimus. Vältimaks Tallinna
haigla projektile osaks saanud Riigikontrolli kriitikat, on oluline valitsuse tasandil kokku
leppida konkreetses eelarve jaotuses, mis tagab projekti elluviimise täies mahus.
Teeme ettepaneku alustada läbirääkimisi tervise valdkonna digipöörde reformi rahastuse
lisamiseks taastekavva laiendades taastekava reformi „6.4. E-tervise valitsemisraamistiku
uuendamine“. Selle eesmärk nr 109 „E-tervise valitsemisraamistiku ja selle rakenduskava
heakskiitmine“ on tänaseks täidetud ja raporteeritud. Järgmine etapp on valitsemisraamistiku
elluviimine, mis eeldab 55 mln euro ulatuses investeeringuid, millest 32 mln euro
rahastamiseks teeme ettepaneku kasutada taastekava vahendeid. Valitsemisraamistiku
elluviimise tulemusena tagame vajaduspõhiste ja personaalsete lahenduste pakkumise nii
inimeste, tervishoiutöötajate kui ka poliitikakujundajate vaatest. Tänane kogemus e-tervise
arendamises ning e-tervise valitsemisraamistikus toodud probleemid näitavad vajadust
tugevdada digitaalsete lahenduste arendamist tervikuna, seda nii keskselt kui ka eriarstiabis
ning esmatasandil. Investeeringute tegemisel seatakse eesmärgiks valitsemisraamistikus
toodud eesmärgid, keskendudes inimkesksuse parandamisele, integreeritud teenustele ning
otsustustugede loomisele nii inimese kui tervishoiutöötaja jaoks. Neid investeeringuid tehes
lähtutakse EL andmeruumi ettepaneku lisas 2 toodud põhimõtetest. Ettepanek rahastada e-
tervise arendusi adresseerib vähest e-tervise investeeringute rahastamise kriitikat 2021–2027
Ühtekuuluvuspoliitika fondide rakenduskavale, mida taastekavast rahastamine
tasakaalustaks.
Teeme ettepaneku muuta reformi „6.8. Pikaajaline hooldus“ eesmärgi nr 118 „Integreeritud
sotsiaal- ja tervishoiuteenuste osutamise tegevuskava“ tähtaega, lükates see 2022. a IV
kvartalist 2023. a II kvartalisse. Samuti soovime avada arutelu ülesande sisu täpsustamiseks.
Eesmärgi nr 118 kohaselt kinnitab minister integreeritud sotsiaal- ja tervishoiuteenuste
osutamise tegevuskava, milles nähakse ette hoolduse integreerimise mudel, mida rakendada
üle terve Eesti, ning määratakse kindlaks süsteemi finantseerimise mudelis osalejate rollid ja
vastutus. Oleme otsustanud, et pikaajalise hoolduse väljatöötamiskavatsuse II osa, mis on
plaanis saata EISi kooskõlastusringile 2023. a I poolaastal, sisaldab ka hoolduskoordinatsiooni
teemat. 2023. a keskel jätkub seadusloome kooskõlas RES/RE protsessiga, kuna
VTK/seaduse muudatus on seotud rahastamisega. Sellest sõltub, kas jõustamine on võimalik
juba 2024. a. VTK-s saab olema sama sisu, mida näeb ette taastekava eesmärk nr 118
tegevuskava vormis, mistõttu soovime Rahandusministeeriumi hinnangut ja/või Euroopa
Komisjoniga konsulteerida, kas võime VTK-s sisalduvat koordinatsioonimudeli üle-eestiliseks
viimise plaani tõlgendada tegevuskavana või tuleks läbirääkimiste käigus muuta ka tegevuse
sõnastust.
Sotsiaalministeerium peab väga oluliseks taastekava reformi „6.8. Pikaajaline hooldus“
rahastamist, kuid näeme, et olukorras, kus Euroopa Komisjon soovib seada fookuse
kliimaeesmärkide saavutamisele ja RePowerEU rahastamisele, soovime olla partnerid
3
leidmaks lahendusi selle raames avalike hoonete, sh sotsiaal- ja tervishoiutaristu
energiatõhususe suurendamiseks.
Teeme ettepaneku muuta reformi „6.8. Pikaajaline hooldus“ eesmärgi nr 120 „Suure
hooldusvajadusega laste tugisüsteemide seadusemuudatuste jõustumine“ tähtaega, lükates
see 2025. a I kvartalist 2026. a I kvartalisse. Käesolev mastaapne tugisüsteemide reform vajab
nii poliitilisi kui ametkondlike kokkuleppeid. Seoses Vabariigi Valitsuse vahetusega on vaja
täiendavat aega poliitiliste kokkulepete sõlmimiseks. Haridus, tervise- ja sotsiaalvaldkonna
ametnikel on veel vaja detailsemalt analüüsida, kuhu konsolideerida valdkondadeülesed
hindamised ning mil viisil tagada jätkusuutlik infovahetus, mis toetaks samaaegselt nii suure
hooldusvajadusega lapsi kui nende peresid.
Juhime tähelepanu, et riigieelarve protsessis vajab üheselt kokku leppimist reformi „6.9.
Soolise palgalõhe vähendamine“ eesmärgi nr 123 „Digitaalne soolise palgalõhe töövahend“
katteallikas. Arenduse hinnanguline maksumus on 400 000 eurot, millel puudub kate.
Palgalõhe mõõtmise ja analüüsimise digitaalne tööriista prototüüp on uurimisprojekti „Soolise
palgaerinevuse vähendamine“ (REGE) käigus välja töötatud. Tööriista eesmärk on tagada
tööandjatele soolise palgalõhe analüüsimise võimalus kasutades registriandmeid. Lisaks
organisatsiooni palgalõhe(de) mõõtmisele saab digitööriistaga edendada ka tööandjate
teadlikkust palgalõhest, sh palgalõhe vastu võitlemise viisidest ja pakkuda võimalusi
informatsiooni visualiseerimiseks nii palkade läbipaistvuse direktiivis ettenähud osapooltele kui
ka laiemalt, parandades seega tööturu osapoolte teadlikkust. Digitaalne soolise palgalõhe
tööriist peab valmima 2024. a I kvartaliks. Palgalõhe digitööriista arendamist juhib
Sotsiaalministeerium koostöös Statistikaametiga.
Lugupidamisega
(allkirjastatud digitaalselt)
Peep Peterson
tervise- ja tööminister
(allkirjastatud digitaalselt)
Signe Riisalo
sotsiaalkaitseminister
Lisad:
1. Põhi RRP tulemuste ümbersõnastamiseks
2. RRP muutmise sisendi põhi
Kristiina Hunt 626 9262
[email protected]
Annex I
Milestones, Targets and Related Indicators
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
Summary document duly The Strategic Framework for
justifying how the milestone addressing health workforce
Approval of (including all the constitutive shortages shall outline:
the Strategic elements) was satisfactorily - measures on the organisation of
Framework for fulfilled. health care services in the different
Approval of the
6.1 A comprehensive addressing This document shall include as health sectors, in particular
Strategic
change in the health Ministry of Social an annex the copy of the specialised care,
95 Milestone Framework for Q4 2025
organisation of health workforce Affairs adopted Strategic Framework - allocation of physical and human
addressing health
care in Estonia shortages by for addressing health resources to ensure the provision of
workforce shortages
the Minister of workforce shortages and a link health care throughout the territory,
Health and to the website where the - financing, governance and
Labour Strategic Framework can be information exchange mechanisms
accessed. that ensure performance throughout
the country.
Copy of the publication in the Entry into force of the Decree of the
Official Journal of the decree Minister of Health and Labour and
Entry into force of
of the Minister of Health and Health on the Service Organisation
the Decree of the Entry into
Labour on the Health Services Act which shall improve the
Minister of Health force of the
Organisation Act amending the reimbursement system for doctors,
and Labour and Decree of the
reimbursement system for nurses and pharmacists to incentivise
6.1 A comprehensive Health on the Minister of
doctors, nurses and the health workforce to work in remote
change in the Service Health and Ministry of Social
96 Milestone Q1 2023 pharmacists and reference to areas.
organisation of health Organisation Act Labour and Affairs
the relevant provisions
care in Estonia amending the Health on the
indicating the entry into force,
reimbursement Service
accompanied by a summary
system for doctors, Organisation
document duly justifying how
nurses and Act
the milestone (including all the
pharmacists
constitutive elements) was
satisfactorily fulfilled.
1
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
Summary document duly The admission of persons to nursing
justifying how the target training has been increased by 5%
Percentage (including all the constitutive compared to 2020.
increase in elements) was satisfactorily
6.1 A comprehensive
the number fulfilled.
change in the Admission to Ministry of Social
97 Target of persons 0 5 Q4 2023 This document shall include as
organisation of health nursing training Affairs
admitted to an annex the (anonymised)
care in Estonia
nursing annual admission rolls of
training nursing training providers for
the years 2020, 2021, 2022
and 2023.
Copy of the publication in the Entry into force of the Ministerial
Entry into force of Entry into Official Journal of the Regulation amending the agreement
the Ministerial force of the Ministerial Regulation on between the Ministry of Social Affairs
Regulation Ministerial amending the agreement and the University of Tartu which shall
amending the Regulation between the Ministry of Social lay down the requirements for the
6.1 A comprehensive agreement between and Affairs and the University of gradual increase of admission in
change in the the Ministry of agreement Ministry of Social Tartu and reference to the certain professions with shortages, in
98 Milestone Q2 2026
organisation of health Social Affairs and between the Affairs relevant provisions indicating particular general practitioners,
care in Estonia the University of Ministry of the entry into force, psychiatrists, internal diseases.
Tartu on the Social Affairs accompanied by a summary
shortage of doctors and the document duly justifying how
in certain University of the milestone (including all the
specialisations Tartu constitutive elements) was
satisfactorily fulfilled.
Copy of the publication in the Entry into force of legislative
Official Journal of the Decree amendments which shall improve the
Entry into force of of the Government on access to specialised care by
the Decree of the amending the list of health extending the use of e-consultation in
Entry into
Government, which care services of the Estonian primary care allowing patients to be
force of
amends the list of Health Insurance Fund and advised by a specialist without having
legislative
6.3 Strengthening health care services Ministry of Social reference to the relevant to consult them face-to-face.
106 Milestone amendments Q3 2020
primary health care of the Estonian Affairs provisions indicating the entry
to the Decree
Health Insurance into force, accompanied by a
of the
Fund on access to summary document duly
Government
specialised medical justifying how the milestone
care (including all the constitutive
elements) was satisfactorily
fulfilled.
2
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
Copy of the publication in the Legislative amendments shall enter
Entry into force of Official Journal of the Decree into force providing for the financing of
amendments to the of the Government amending fixed costs and services for general
Decree of the Entry into the list of health care services practitioners in order to increase the
Government which force of the of the Estonian Health allocation of resources to primary
amends the list of legislative Insurance Fund and reference medical practice outside metropolitan
6.3 Strengthening Ministry of Social
107 Milestone health care services amendments Q1 2021 to the relevant provisions areas, especially in remote areas, and
primary health care Affairs
of the Estonian to the Decree indicating the entry into force, to increase patients’ access to
Health Insurance of the accompanied by a summary diagnostic and screening services.
Fund on costs and Government document duly justifying how
services of general the milestone (including all the
practitioners constitutive elements) was
satisfactorily fulfilled.
Copy of the publication in the Entry into force of the amendments to
Official Journal of the Health Services Organisation Act
legislation on amendments to which shall amend the management of
the Health Services the list of patients, ensure continuity of
Provision in Organisation Act and primary care and extend the rights of
Entry into force of
the law reference to the relevant nurses to prescribe medicines to
6.3 Strengthening amendments to the Ministry of Social
108 Milestone indicating the Q1 2023 provisions indicating the entry patients.
primary health care Health Services Affairs
entry into force into force, accompanied by a
Organisation Act
of the law summary document duly
justifying how the milestone
(including all the constitutive
elements) was satisfactorily
fulfilled.
Approval of Summary document duly Approval of the proposal on the
the proposal justifying how the milestone Governance Framework and
on the eHealth (including all the constitutive implementation roadmap which shall
Governance elements) was satisfactorily update the governance framework for
Framework fulfilled. eHealth and the coordination of the
Approval of the
and This document shall include as development of eHealth services.
eHealth Governance
6.4 Renewal of the implementatio Ministry of Social an annex the copy of the
109 Milestone Framework and its Q2 2023
eHealth Governance n roadmap by Affairs adopted eHealth Governance
implementation
the Steering Framework and its
roadmap
Committee of implementation roadmap and
the “Eesti a link to the website where the
tervise IKT Framework and the roadmap
juhtimise can be accessed.
raamistik”
3
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
Link to the website where the Entry into force of the Decree of the
legislation of strengthening the Minister of Health and Labour which
“My First Job” scheme can be shall define the characteristics of the
Entry into force of Entry into
accessed and reference to the scheme and the conditions for its
6.6 Providing labour the Decree of the force of the
relevant provisions indicating implementation, including financing
market measures to Minister of Health Decree of the Ministry of Social
113 Milestone Q1 2022 the entry into force, and target group. The aim of the
reduce youth and Labour to Minister of Affairs
accompanied by a summary scheme shall be to enable young
unemployment strengthen the “My Health and
document duly justifying how people without work experience or
First Job” scheme Labour
the milestone (including all the with little work experience to gain work
constitutive elements) was experience and to improve their skills
satisfactorily fulfilled. to participate in the labour market.
Summary document duly The Government shall adopt an
justifying how the milestone amended Youth Guarantee Action
(including all the constitutive Plan to support youth employment.
Adoption of elements) was satisfactorily This action plan shall
the reinforced fulfilled. - include measures to improve the
6.6 Providing labour
Youth This document shall include as skills of young people,
market measures to Youth Guarantee Ministry of Social
114 Milestone Guarantee Q2 2022 an annex the copy of the - define actions to prevent and
reduce youth Action Plan Affairs
Action Plan by adopted Youth Guarantee address youth unemployment,
unemployment
the Action Plan and a link to the including outreach and prevention of
Government website where the action plan NEET-situation
can be accessed. -define key parties and their roles of
preventing and dealing with youth
unemployment.
Summary document duly At least 3 178 young people aged 16-
justifying how the target 29 have participated in the “My First
(including all the constitutive Job” scheme (cumulative number of
elements) was satisfactorily entrants).
fulfilled.
This document shall include as
an annex the following
6.6 Providing labour Number of young
documentary evidence:
market measures to people participating Number of Unemployment
115 Target 0 3178 Q4 2025 a) an extract of the register
reduce youth in the “My First Job” participants Insurance Fund
containing the identification
unemployment scheme
number of the individual
contracts signed between the
Unemployment Insurance
Fund and the employer
proving alignment with the
description of the target in the
CID annex;
4
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
b) an extract of the register
containing the individual
training reimbursement
decisions by the
Unemployment Insurance
Fund;
c) summary of the training,
including its content.
Alongside the Copy of the publication in the Entry into force of the amendments to
NAIRU/NAWRU, Official Journal of the the Act which shall lay down a
other reference legislation on the amendments permanent mechanism to activate the
unemployment to the Unemployment Services extension of the duration of
rates (such as and Benefits Act and the unemployment insurance benefits by
multi-year moving Unemployment Insurance Act 60 days, notably when the registered
Entry into force of
averages) may and reference to the relevant unemployment rate exceeds the non-
the amendments to
6.7 Extending the Entry into also be used as provisions indicating the entry accelerating inflation/wage rate of
the Unemployment
duration of force of the Ministry of Social benchmarks for into force, accompanied by a unemployment by a significant margin.
116 Milestone Services and Q2 2023
unemployment legislative Affairs activating the summary document duly The mechanism of prolongation and
Benefits Act and the
insurance benefits amendments extension, based justifying how the milestone the margin, which shall not be higher
Unemployment
on the result of (including all the constitutive than 2%, shall be agreed upon in
Insurance Act
the consultation elements) was satisfactorily dialogue with the social partners.
with social fulfilled.
partners as
reported under
interim step 116.1
in Annex II.
Copy of the publication in the Entry into force of legislative
Official Journal of the amendments to the Social Welfare Act
legislation on the amendments which shall lay down the concept of
to the Social Welfare Act and long-term care and require local
Entry into reference to the relevant authorities to take into account the
Entry into force of
force of Ministry of Social provisions indicating the entry principle that a person must be able to
117 6.8 Long-term care Milestone amendments to the Q2 2022
legislative Affairs into force, accompanied by a live as long as possible in his or her
Social Welfare Act
amendments summary document duly home, in his or her usual environment,
justifying how the milestone with sufficient quality services
(including all the constitutive available.
elements) was satisfactorily
fulfilled.
Summary document duly The Ministry of Social Affairs shall
Action Plan on an Adoption of
Ministry of Social justifying how the milestone adopt an Action Plan that provides for
118 6.8 Long-term care Milestone integrated care the Action Q2 2023
Affairs (including all the constitutive the establishment of an integrated
model Plan
care model throughout Estonia and
5
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
elements) was satisfactorily the roles and responsibilities of the
fulfilled. actors involved in the future financing
This document shall include as model of the system.
an annex the copy of the
adopted Action Plan on an
integrated care model and a
link to the website where the
action plan can be accessed.
Copy of the publication in the The Decree of the Minister of Social
Official Journal of the Decree Protection shall define the design and
of the Minister of Social characteristics of services by local
Protection on the design, authorities to people with lower care
characteristics and conditions needs, as well as the conditions of
Entry into for the local authorities on how their implementation. In particular, it
Entry into force of force of the to provide independent living shall include investments and
the decree of the decree of the Ministry of Social for elderly in supported living development of services by local
119 6.8 Long-term care Milestone Q4 2024
Minister of Social Minister of Affairs service and reference to the authorities to provide for independent
Protection Social relevant provisions indicating living for older people with lower care
Protection the entry into force, needs and people with disabilities to
accompanied by a summary support independent living.
document duly justifying how
the milestone (including all the
constitutive elements) was
satisfactorily fulfilled.
Copy of the publication in the Entry into force of legislative
Official Journal of the Social amendments which shall provide for
Welfare Act on amendments of the modernisation and integration of
the support system for children services for children with higher care
with higher care needs and needs. In particular,
Entry into force of
reference to the relevant - services in the health, education,
the legislative Entry into
provisions indicating the entry social protection and employment
amendments of the force of the Ministry of Social
120 6.8 Long-term care Milestone Q1 2026 into force, accompanied by a areas shall be integrated in order to
support system for legislative Affairs
summary document duly provide comprehensive support for
children with high amendments
justifying how the milestone families under care burden, and
care needs
(including all the constitutive - the current support system shall be
elements) was satisfactorily simplified and the assessment of care
fulfilled. needs consolidated so that parents
have a secure point of contact for
initial advice and support.
6
Non-Repayable Support
Qualitative Quantitative indicators Date for
Sequenti Responsibility for Further
Related measure Milestone indicators (for targets) completion
al Name reporting and specification (if Verification mechanism Milestone and target description
(reform or investment) / Target (for milestone
number implementation necessary)
s) Unit Baseline Goal Quarter Year
Summary document duly The Plan shall outline the measures to
justifying how the milestone reduce the gender pay gap.
(including all the constitutive
elements) was satisfactorily
Adoption of the
Adoption of fulfilled.
Welfare
6.9 Reducing gender the Welfare Ministry of Social This document shall include as
121 Milestone Development Plan Q1 2024
pay gap Development Affairs an annex the copy of the
2023-2030 by the
Plan adopted Welfare Development
government
Plan 2023-2030 and a link to
the website where the
Development Plan can be
accessed.
Summary document duly A prototype of a gender pay gap tool
justifying how the milestone for employers shall be developed with
(including all the constitutive the aim of providing them with data
elements) was satisfactorily and information concerning the gender
fulfilled. pay gap and its possible reasons in
Developing a
This document shall include a their organisations and thereby
6.9 Reducing gender Digital gender pay prototype of a Ministry of Social
122 Milestone Q4 2022 confirmation by the Ministry of supporting making informed decisions
pay gap gap tool gender pay Affairs
Social Affairs that the and taking effective action in order to
gap tool
prototype of a digital gender implement the principle of equal pay
pay gap tool has been and to reduce the gender pay gap.
developed and is in line with
the requirements of the
milestone.
Summary document duly The digital gender pay gap tool shall
justifying how the milestone be available to employers with the aim
(including all the constitutive of providing them with data and
elements) was satisfactorily information concerning the gender pay
fulfilled. gap and its possible reasons in their
Roll-out of a This document shall include a organisations and thereby supporting
6.9 Reducing gender Digital gender pay Ministry of Social
123 Milestone digital gender Q1 2024 confirmation by the Ministry of making informed decisions and taking
pay gap gap tool Affairs
pay gap tool Social Affairs that the digital effective action in order to implement
gender pay gap tool is the principle of equal pay and to
operational and has been reduce the gender pay gap.
made available to employers
and is in line with the
requirements of the milestone.
7