| WORKERS (DIRCECT & INDIRECT)- MEDICAL, NURSES, OS, ADMINISTRATIVE STAFF, CONTRACTORS |
Occupational Health and Safety |
Exposure to biological, chemical or physical risks |
How is workers’ exposure to biological, chemical or physical risks expected to evolve over time? |
Exposure levels are expected to remain stable over time, with existing control measures effectively maintained. |
Significant risk reduction is expected due to strong existing systems, declining activity levels, or external regulatory improvements.. |
Minor improvements may occur through routine maintenance or informal practices, leading to a slight reduction in exposure. |
Exposure is expected to gradually increase, as existing controls deteriorate or fail to keep pace with operational needs. |
Exposure is expected to significantly increase due to aging infrastructure, obsolete equipment, lack of maintenance or increased workloads, without additional controls. |
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Workload, shift patterns and fatigue |
How are workload, shift patterns and fatigue currently managed, and what are the prevailing fatigue-related risks for workers (direct and indirect)? |
Workload and shift patterns are expected to remain stable, with current management practices continuing to adequately control fatigue-related risks. |
Workload and shift patterns are optimally designed and proactively managed, with strong staffing levels, effective fatigue risk management systems, and practices that exceed legal or sector standards. |
Workload and shift patterns are generally well managed, with adequate staffing, predictable schedules and measures in place to monitor and mitigate fatigue. |
Workload or shift patterns present recurring challenges, such as regular overtime or uneven shift distribution, with partial or inconsistent fatigue management measures in place. |
Workload is excessive and systematically misaligned with staffing levels. Shift patterns involve long hours, frequent overtime or night shifts, with insufficient rest, leading to high fatigue and burnout risks. |
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Employment Conditions & Labor Rights |
Employment stability |
What is the current level of stability and security of employment contracts for direct workers? |
Employment conditions are expected to remain stable, with no significant changes in contract security or employment arrangements. |
Employment is highly stable, with predominantly permanent contracts, strong contractual protections and clear employment security guarantees. |
Employment contracts are mostly stable, with a significant share of permanent or long-term contracts and adequate protections. |
Employment stability is limited, with a high share of temporary or fixed-term contracts and weak job security. |
Employment is highly insecure, with widespread use of informal, zero-hour or very short-term contracts, and limited protection against dismissal. |
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Fair wages and benefits |
What are the current wage levels and employment benefits provided to direct workers, and how adequate are they in relation to responsibilities, cost of living and applicable standards? |
Wage levels and benefits are expected to remain stable over time, broadly aligned with current standards and practices. |
Wages and benefits clearly exceed legal and sector standards, ensuring fair pay, strong social protection and equitable treatment. |
Wages and benefits are fair and competitive, with additional non-wage benefits supporting workers’ wellbeing. |
Wages or benefits are insufficient to fully reflect responsibilities or cost of living, or benefits are unevenly applied. |
Wages are inadequate or below legal or living wage standards, benefits are minimal or absent, and wage inequality is significant. |
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Working hours and overtime |
What is the current level of users’ access to health services, considering affordability, physical access, waiting times and administrative requirements? |
Working hours and overtime patterns are expected to remain stable, with continued compliance with applicable standards |
Working hours are optimally managed, overtime is exceptional, and robust systems ensure full legal and contractual compliance. |
Working hours are well managed, overtime is limited and properly compensated, and compliance is monitored. |
Overtime is frequent or poorly controlled, with partial compliance or weak monitoring mechanisms. |
Excessive working hours and systematic overtime are common, with frequent non-compliance with legal limits. |
| HEALTHCARE USERS / BENEFICIARIES - PATIENTS, CLIENTS, RELATIVES |
Access & Quality to Health Services |
Accessibility |
What is the current level of users’ access to health services, considering affordability, physical access, waiting times and administrative requirements? |
Access to services is expected to remain stable, with no significant changes in affordability, physical access or waiting times. |
Access is highly equitable and inclusive, with minimal barriers and specific measures supporting vulnerable or underserved groups. |
Access is generally good, with reasonable affordability, accessibility and waiting times for most users. |
Access is limited for some users due to moderate financial, physical or administrative barriers. |
Access is severely restricted due to high costs, long waiting times, physical barriers or exclusion of vulnerable groups. |
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Quality of services |
What is the current quality and safety of health services provided to users, including infrastructure, staffing, continuity of care and service organization? |
Service quality and safety are expected to remain stable, with existing infrastructure, staffing and organization maintained. |
Service quality and safety are excellent, supported by high standards, well-trained staff and effective service organization. |
Service quality is good, with adequate infrastructure, staffing and continuity of care. |
Quality is uneven, with weaknesses in staffing, continuity of care or service organization. |
Service quality is poor, with serious safety concerns, inadequate infrastructure or insufficient staffing |
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Users's rights and Privacy |
How are users’ rights and privacy currently protected, including informed consent, data protection and dignity in service delivery? |
Protection of users’ rights and privacy is expected to remain stable, with existing procedures and safeguards continuing to be applied. |
Users’ rights and privacy are strongly protected through robust systems, transparency, and a rights-based service culture. |
Users’ rights and privacy are well respected, with clear procedures and safeguards in place. |
Rights and privacy protections are partially implemented or inconsistently applied. |
Protection of rights and privacy is weak, with frequent breaches, misuse of data or lack of informed consent. |
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Family Impacts |
Time burden for caregivers/family |
What is the current time burden experienced by caregivers or family members in relation to care provision and access to services? |
The time burden for caregivers is expected to remain stable, with no significant changes in service efficiency or support systems. |
The time burden is low, with strong formal support systems, efficient services and respite options. |
The time burden is moderate, supported by accessible services or informal support mechanisms. |
Time demands are significant and place strain on caregivers, with limited support measures. |
Caregivers face a very high time burden, with extensive care responsibilities and little external support. |
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Travel/financial cost for caregivers |
What are the current travel time and financial costs borne by caregivers or family members to access relevant services? |
Travel time and financial costs are expected to remain stable, with no significant changes in accessibility or affordability. |
Travel and financial costs are minimal, supported by nearby services, subsidies or cost-free access. |
Travel time and costs are relatively low, with some affordability or proximity advantages. |
Travel or financial costs are moderately high and strain household resources. |
Caregivers face very high travel time or financial costs, creating significant economic or time pressure. |
| LOCAL COMMUNITIES |
Community health and safety |
Health risk, security, adverse enviornmental exposure |
What are the current community health and safety conditions, including exposure to environmental hazards, security risks and other factors affecting community health? |
Community health and safety conditions are expected to remain stable, with existing risk management measures maintained. |
Community health and safety conditions are excellent, with minimal risks and strong preventive systems |
Community health and safety conditions are generally good, with effective risk management. |
Health or safety risks are present and partially managed, with gaps in mitigation. |
Communities face high health or safety risks, including pollution, hazardous exposure or serious security concerns. |
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Community wellbeing and social cohesion |
impact on life quality, worklife-balance, social coehsion |
What is the current level of community wellbeing, quality of life, work–life balance and social cohesion in the area affected? |
Community wellbeing and social cohesion are expected to remain stable, with no significant changes in quality of life or social dynamics. |
Community wellbeing and social cohesion are strong, with high quality of life, social trust and balanced daily life. |
Community wellbeing is generally positive, with functioning social networks and acceptable work–life balance. |
Wellbeing or social cohesion is weakened in some areas, with visible stress or tensions. |
Quality of life is poor, with high stress, social fragmentation or significant inequalities. |
