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Explore the landscape of social service provision in Lithuania's SSGI sector, including the role of employers and the challenges they face. This case study highlights the need for social dialogue to address these challenges.
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Socialdialoguein SSGI sector: Lithuania casestudy Elma Paulauskaitė December 18, 2018
Content Aboutthecasestudy (Verybriefly) SSGI serviceprovisionin LT SSGI employers – whoiswho, whatistheir role Survey: challenges & trends Pointsforfurtherdiscussion
About thecasestudy Objectives: • MaphowSSGIs are provided (public/private) • Identifyemployers‘ organisations • Surveyemployers to identifychallengesinrelation to serviceprovision
SSGI employerorganisations (mostlyprivate/non-profit) No single umbrella organization – only employers’ organization strictly speaking joins some three associations related to social services. Proxies for employer organisations: • Umbrellas of associations: • Lithuania'sConfederationofEmployers / Lietuvos darbdavių konfederacija; • Nationalplatformfornon-governmentaldevelopmentcooperationorganisations / Nacionalinė nevyriausybinių vystomojo bendradarbiavimo organizacijų platforma; • Lithuanian AssociationofLocalAuthorities / Lietuvos Savivaldybių Asociacija • Associationsofprivate/non-profitproviders: • Associationof Lithuanian PrivateHealth Care Organizations / Lietuvos privačių sveikatos priežiūros įstaigų asociacija; • NationalAssociationofHealthcareOrganisations/ Nacionalinė Gydymo Įstaigų Asociacija;
SSGI employer organisations (public and mixed) Associations of public and mixed entities: • Association of Lithuania's children's day centres / Lietuvosvaikųdienoscentrųasociacija • Association of Public Health Bureaus / Visuomenėssveikatosbiurųasociacija • Association of Regional Hospitals / Lietuvosrajoniniųligoniniųasociacija • Lithuanian National Association of Healthcare Organisations/ NacionalinėsSveikatosPriežiūrosĮstaigųAsociacija Associations of directors/executives of SSGI providers: • Association of Directors of Municipal Social Care Institutions / Savivaldybiųsocialinėsglobosįstaigųvadovųasociacija (SIVA) • Association of Directors of Lithuanian Long-term Care Institutions/ LietuvospagyvenusiųirneįgaliųžmoniųglobosįstaigųirvadovaujančiųdarbuotojųasociacijaRūpestingaGloba • Lithuanian Association of Physicians Executives / LietuvosGydytojųVadovųSąjunga
SSGIs - otherassociatedstructures Associationsofemployeesof SSGI providers (nottradeunions: Lithuanian AssociationofSocialWorkers / Lietuvos socialinių darbuotojų asociacija Young Doctors' Association / Jaunųjų gydytojų asociacija Lithuanian MedicalStaffUnion / Lietuvos medikų sąjūdis
EU/internationalcooperation Council of European Municipalities and Regions / Europossavivaldybiųirregionųtaryba European Hospital and Healthcare Employers’ Association (HOSPEEM) Hospeem / Europos ligoninių ir sveikatos priežiūros organizacijų asociacija European Association of Craft, Small and Medium-Sized Enterprises (UEAPME) / Europos amatų, mažųjų ir vidutinių įmonių asociacija Hanse-Parlement – Network for SMEs / HanzaParlamentas European Association for Directors and Providers of Long-term Care Services for the Elderly – EDE / Europos globos įstaigų vadovų ir paslaugų teikėjų asociacija International Federation of Social Workers (Europe) / Tarptautinėsocialiniųdarbuotojųfederacija European Network for Development Cooperation – CONCORD / Europosvystomojobendradarbiavimoorganizacijųtinklas Global Education network – GLEN / Europosglobaliojošvietimotinklas Global Network of NGO Platforms – FORUS / NVO platformųtinklas
What is their role? Unite considerable share of providers/professionals from specific sub-sectors. Lobbying/advocacy on behalf of specific sub-sector as a whole. Contribute to/inform/provide evidence for policy. Knowledge sharing/competence building. Awareness raising/education of the public on specific sub-sector. Networking, facilitation of partnerships on all levels. Intermediary between providers/employees and local/national government or EU. Social dialogue?
Challenges related to employees & service provision Related to employees of providers of SSGIs: Shortage of qualified staff/ wages too low / skills & competence among staff insufficient Unsustainable workload for employees/providers in SSGI sector. Unsafe work environments when working e.g. with social risk families. Room for improvement of professional image of workers in SSGIs in media/public opinion. Related to financing/provision of services: Govt sets low prices for social services (e.g. in case of procurement fixed price / unit) -- e.g. financing of services insufficient. Limited access to social care services for end users / Range of existing services (e.g. extension of services to recreational activities in day care, long-term care) is limited due to lack of funding.
Aspirations: socialdialogueforaddressingchallenges 1. Legal tool: Legally binding [collective] agreements as effective avenue to real change to working conditions of SSGI providers and staff; possibility to inform/change policies. 2.Informational/transparency facilitating tool: Feedback loop from providers/workers to public authorities – including on the utility of services for the end users; 3. Conflict resolution/problem solving tool: Enables agreement between all parties; facilitates solution of local issues through better understanding of positions of all actors involved 4. Tool for bridging the gap (EU level)– could contribute to convergence between Member States, not least through mutual exchange/learning (EU/EU-13 or other)
Trends: social dialogue in SSGIs Representativeness: Trade Unions - % of workers represented ~5%; Employers represent ~ 25%. Checks and balances - government not used to systematically consulting social partners – e.g. in labour exchange reform, education reform, etc. How to getinvolved? All organisations consulted regularly by government on their specific sub-sector, but only ALAL and Employers’ Confederation included in social dialogue (Tripartite Council) – sectoral agreements in Social Care, Health Care and Education include only government and trade unions. Sectoral social dialogue marked as important by all respondents. Cross-sectoral social dialogue marked as important by few respondents. EU level social dialogue seen as useful only for the exchange of good practice; but requires resources most provider organisations can’t afford.
Points for further discussion • How can entities with a stake in SSGI provision have their voice heard in social dialogue if they’re not party to national level agreements? • How can government meaningfully engage social partners in addressing some of the issues above? • Is existing regulation, including the new Labour Code sufficient to address challenges or should social dialogue be further regulated to help it function? • Can higher level issues (competence, mutual learning, EU level cooperation) be meaningfully addressed while there are pending issues like earning a living wage for employees in SSGI sector?
Thankyouforlistening! Elma@policyimpactlab.com