/Entry into force: 04/01/2017
Chapter 1. Introductory provisions
paragraph 1 of this regulation are supplementary provisions to the health care Act (2017:30).
The words and terms used in the regulation have the same meaning as in that Act.
as stated in paragraph 2 of this regulation if the county councils also applies to municipalities that are not part of a County.
Chapter 2. National care (rikssjukvård)
1 § National Board decides which health care which will form the national care (rikssjukvård) under Chapter 2, section 7 of the health care Act (2017:30).
section 2 of the National Board decides upon application from the County Council for permission to conduct national care (rikssjukvård).
3 § Rikssjukvården shall be coordinated to the devices where a high quality of care and an economically efficient operations can be ensured.
Chapter 3. Regions for health services section 1 For health care that affects several regions should the country be divided into regions that are listed in the following schedule. Each region includes the counties and the municipalities listed in the schedule.
Region County
Municipalities
Stockholm, Stockholm County
Gotland County
Linköping region of Östergötland County, Jönköping County, Kalmar county
Lund/Malmö region Kronobergs län
Blekinge County
Skåne County
Halmstad municipality
Hylte municipality
Laholm municipality
The Gothenburg Region Västra Götaland County
Falkenberg municipality
Kungsbacka municipality
Varberg municipality
Uppsala/Örebro, Uppsala County
Södermanlands län
Värmland County
Örebro County
Västmanlands län
Dalarnas län
Gävleborg County
The umeå region Västernorrlands län
Jämtland County
Västerbottens län
Norrbotten County
Chapter 4. Competences and responsibilities for certain groups of employees
Operational Manager
section 1 of A Director pursuant to Chapter 4. section 2 of the health care Act (2017:30) shall ensure that the patient's need of security, continuity, coordination and safety in health care. The operations manager shall designate a permanent care contact as specified in Chapter 6. paragraph 2 of the law on patient rights (2014:821).
section 2 of the Operating head shall designate one or more physicians to have responsibility for the clinical autopsy is done when there are reasons for this.
paragraph 3 of the Business Manager shall be responsible for: 1. the who has been hospitalised upon request free of charge, certificate of the cause of admissions and the length of admission and discharge, 2. the chief guardian be informed when an inmate can be adopted need guardian or trustee under the parental code, and when a manager's mission should end, 3. a loved one immediately notified when a patient dies or a patient's condition seriously deteriorates;
4. any related party shall be informed immediately when a patient leaves or intends to leave hospital is dangerous for someone else's personal security or their own lives. If the patient is dangerous to an specific person responsible business manager of that person and, if necessary, the appropriate authority shall be informed immediately.
section 4 of the Business Manager may decide on diagnosis or treatment of individual patients only if he or she has sufficient expertise and experience for this.
paragraph 5 of the Business Manager may instruct such officers in operations which have sufficient expertise and experience to meet individual management tasks.
Medical Director nurse
6 § a medically responsible nurse under Chapter 11. paragraph 4(1) health care Act (2017:30) shall be responsible for: 1. patients receive safe and appropriate health care of good quality within the local authority's area of responsibility, 2. the patient will get the health care that a doctor ordered, 3. journals are brought to the degree provided for in patient data law (2008:355), 4. the decision to delegate the responsibility for care tasks are consistent with patient safety, 5. There are adequate and effective procedures for
a) pharmaceutical management, b) reporting under Chapter 6. 4 § the patient safety Act (2010:659), and (c)) to contact a doctor or other health care professional when a patient's condition requires it.
The same applies in the applicable scale of such physiotherapists and occupational therapists referred to in Chapter 11. 4 section health care Act.
Staff of the units carrying out medical education or research
paragraph 7 of a doctor who is employed at a unit in the Swedish health and medical care where it is pursued tertiary education for the medical degree or research are required to assist in the supervision of the medical student.
A a specialist trained doctors who are employed by an entity referred to in the first subparagraph are, in so far as the committees engaged in the management of health and sjukvårdsverksamheten of the unit permits, required to perform teaching within their field of activity and the examination necessary for tertiary education for the medical exam can be conducted effectively.
8 § Clinical assistants and medical student may assist in health care by such entities referred to in paragraph 7 of the first paragraph.
Chapter 5. Eligibility for employment, and the addition of services section 1 this chapter applies within the county health care. The provision of § 5, also applies within the local health care.
Eligibility for employment
2 § Qualified for employment as a doctor of public service is the one that has
1. completed a medical degree, or
2. completed medical training abroad and to undergo additional training.
Qualified for employment as a doctor for specialiseringstjänstgöring is the identification of a doctor.
section 3 jurisdiction for other employment as a doctor than as stated in section 2 of the certificate of specialist expertise. If there are special reasons, the National Board of health and Welfare explain a doctor qualified for such employment even if the doctor does not comply with the qualification requirements.
section 4 If the county can't hire someone who is qualified to practice medicine as a substitute for doctors at holidays or other leave or during a vacancy, the Board of health permit the County to hire someone else who the Board considers essentially can perform the with the employment United data.
§ 5 Qualified for employment as a midwife, physiotherapist, psychologist, psychotherapist, medical physicists or nurse is the identification of such a profession and, in the case of the psychologist, also undergoing prescribed practical service.
The same applies to substitute for such employment, if the National Board does not admit exceptions.
The procedure for the employment of doctors
section 6 of the regulations on employment as a doctor and other jobs that are associated with a position as a teacher at a high school can be found in Chapter 3. 8 of the higher education Act (1992:1434).
section 7 of the County Council will announce the appointments for physicians available to the application. If there are special reasons may be employed without public notice.
Notices referred to in the first subparagraph shall be inserted in the Official Gazette or, if the Government allows it, in another publication with the imposition of three-week application period, counted from the day of promulgation.
§ 8 other employment for physicians than referred to in section 6, by a unit within the Swedish health and medical care where it is pursued tertiary education for the medical degree or research, the three experts examine each applicant's eligibility and to assess the skill of all qualified applicants. In assessing skills, account shall be taken of all to education and to the clinical and scientific skill. The experts will take up the top four competent applicants on proposals. The County Council may then employ one of the proposed candidates.
§ 9 two of the experts referred to in section 8 and alternates for those appointed for not more than four years as the College Board determines. The County Council will appoint an expert for the same time and substitute for the latter. The higher education Board appoints a Chairman and vice chairman from among the experts.
If none of the experts are active in the area of the employment concerns, they should call a doctor for be included as special.
If necessary, the experts, with the consent of the County Council, seek the opinion of another doctor with particular experience in the area of operation of the employment concerns.
section 10 Special shall consult with each other and without undue delay, submit their employment proposals.
In the case of the experts ' decision comes 18 and 19 of the Administrative Procedure Act (1986:223) on voting and on the right to have a dissenting opinion recorded.
section 11 for other employment for physicians than referred to in paragraphs 6 and 8, the County Council attention to mainly by the skills for employment.
section 12 temporary positions on employment as a doctor who is estimated to be at least six consecutive months will be given in the same order as the employment, on welfare do not admit exceptions.
paragraph 13 of the Doctor for General Service is appointed by decree for a maximum of two years. The mandate may be extended if there are special reasons.
section 14 of the authority should hire somebody referred to in this Regulation shall, without delay, appropriate the experts ' decision on employment suggested the County Council's Board with an indication of the date on which the decision was posted.
Appeal
section 15 decision of experts on employment proposal may be appealed to the National Board. The letter of appeal should be submitted to the National Board of health within three weeks from the date on which the decision was allocated under section 14.
The Board's decision cannot be appealed.
Chapter 6. Health care guarantee
According to section 1 of Chapter 9, health guarantee. section 1 of the health care Act (2017:30) shall contain a statement that the individual may
1. contact with primary care on the same day that the individual seeking contact with primary care (availability guarantee),
2. visit primary care physicians within 7 days from the time the individual has sought contact with primary care, if the caregiver has assessed that the individual will need to visit the doctor (visit warranty in primary care)
3. visit the specialist care within 90 days of the referral is issued or, if a referral is not necessary, from the time the individual has sought contact with specialist care (visit warranty within the specialised health care), and
4. planned care within 90 days of the health care provider has decided that the individual should get the current care (treatment guarantee).
section 2 in order to determine whether the health care guarantee under section 3 or 4 is met, shall not be counted when the individual
1. for medical reasons cannot be given care,
2. use of the option to choose health care in another county pursuant to Chapter 9. paragraph 1 of the law on patient rights (2014:821), or 3. voluntarily abstaining from care.
The individual should be considered to voluntarily relinquish care if he or she has
1. informed about the health care guarantee,
2. offered medical care in accordance with the health care guarantee, and
3. announced the health care provider that he or she declines the offer of care.
paragraph 3 of the county councils ' reporting obligations under Chapter 9. section 3 of the health care Act (2017:30) to be performed by the county councils provide information on waiting times for the national waiting time database maintained by the Swedish Association of local authorities and regions.
4 § the National Board may announce further provisions on the reporting obligations of the County pursuant to Chapter 9. section 3 of the health care Act (2017:30).
Chapter 7. Other provisions
1 § Pharmaceutical stores referred to in Chapter 12. section 4 of the health care Act (2017:30) should contain most of the drugs that the property needs (full supply) or only some basic medicine (acute repositories).
section 2 of the county or municipality of, in the cases referred to in Chapter 8.
section 9 or 12. section 6 of the health care Act (2017:30) provide continuous supplies needed for urinary incontinence, urinary or bowel incontinence.
Chapter 8. Other appropriations
§ 1 the National Board may provide for health care that is needed for the protection of the individual.
section 2 of the National Board of health shall notify the additional requirements necessary for the enforcement of Chapter 5. section 4 of the health care Act (2017:30).
Transitional provisions
2017:80
1. This Regulation shall enter into force on april 1, 2017.
2. The regulation repeals
a) Ordinance (1982:777) about the Kingdom's regionalization of health care relating to several county municipalities,
(b)) Regulation (1996:933) if the Director in health care,
c) Ordinance (1998:1518) on access to certain jobs in health care, etc., d) Decree (2010:349) if the health care guarantee.
3. for the purposes of Chapter 4. section 6, shall be treated as a physiotherapist physiotherapists.
4. Jurisdiction for employment as a doctor according to Chapter 5. section 3 is also the one who has proof of competency as general practitioners (physicians) according to Chapter 4. section 7 of the patient safety act
(2010:659) in the version in force before 1 July 2012.
5. Qualified for employment as a physiotherapist in accordance with Chapter 5.
section 5, or as a substitute for such employment, is also the one that has the ID as a physiotherapist.
