Preliminary assessment of the second payment request of Romania

The objective of sub-reform 3.2 is to strengthen the capacity of the Romanian health system and to educate, recruit, retain and motivate a workforce ready to respond to the current and future health needs of the population. Milestone #357 requires the entry into force of the legislation for the strategic framework for the development of human resources in health by Government Decision. Milestone #357 is the first step of the implementation of the sub-reform, followed by milestone #358 on the adoption of the sectorial action plans for the development of human resources in health, milestone #359 on the setting up of a framework of differentiated recognition of professional merits and reward of health professionals. In addition, target #360 related to building and fully equipping two new skill development centres for public healthcare staff and target #362 on trainings on human resources management in health institutions complement the implementation process. The sub-reform has a final expected date for implementation of 30 June

2025.

Evidence provided:

In line with the verification mechanism set out in the Operational Arrangements, the following evidence was provided:

  i)    Cover note duly justifying how the milestone (including all the constitutive elements) was
        satisfactorily fulfilled;
  ii)   Copy of the Government Decision No. 854 of 30 June 2022 on the approval of the Multi-
        Annual Strategy for the development of human resources in health 2022-2030, published in
        the Official Journal No. 663 on 1 July 2022, with the Multi-Annual Strategy incorporated in
        the annex of the Government Decision.

The authorities also provided:

 iii)   Substantiation Note to Government Decision No. 854 of 30 June 2022, published in the
        Official Journal No. 663 on 1 July 2022.

Analysis:

The justification and substantiating evidence provided by the Romanian authorities covers all constitutive elements of the milestone.

Entry into force of the legislation for the strategic framework for the development of human resources in health by Government Decision. The law shall set out a new strategic framework for the development of human resources in health, in line with the overall objectives of the health system. With its Government Decision No. 854 of 30 June 2022, the Romanian Government approved the Multi-Annual Strategy for the development of human resources in health 2022-2030 (hereinafter referred to as “the Strategy”). The Government Decision, which includes the Strategy in its annex as mentioned in Article 1, entered into force on the date of its publication in the Official Journal, on 1 July 2022, in accordance with Article 12(3) of Law No. 24/2000 on the rules of legislative technique for the drafting of legislative acts.

Chapter 3 of the Multi-Annual Strategy for the development of human resources in health 2022- 2030 describes the priorities and policies for the development of human resources for generating, managing and motivating the human resources in health, thus contributing to the promotion of health, sickness prevention and improving the quality of life of the population as main objectives of

49