EUROPEAN HEALTH INFORMATION GATEWAY
  • Professional nurses and midwives employed by hospital, per 100 000 population (Line chart)
Data set notes
European database on human and technical resources for health (HlthRes-DB)

HlthRes-DB provides a wide range of statistics on human and technical resources for health and offers data on non-monetary health care resources collected through the joint work of the Statistical Office of the European Union (Eurostat), the Organisation for Economic Co-operation and Development (OECD) and WHO/Europe. It contains nearly 200 indicators on human and technical resources for health.

Human resources indicators: Indicators include the number and density of a wide range of health personnel (such as physicians, nurses, midwives, dentists, pharmacists and health care assistants), according to three different concepts (those practising, professionally active and licensed to practice). Information on employment in hospitals and numbers of medical and other graduates is also available.

Technical resources data: Data include the number and density of hospitals and hospital beds, stratified by ownership of facility (public, non-profit-making private and for-profit private), in addition to the number of beds for long-term care.

HlthRes-DB also contains indicators on the availability of the following medical equipment: computed tomography (CT) scanners, magnetic resonance imaging (MRI) units, positron emission tomography (PET) scanners, gamma cameras, digital subtraction angiography units, mammographs, radiation therapy equipment and lithotriptors.

Coverage: HlthRes-DB contains data from the 53 Member States in the WHO European Region. To be updated yearly, usually in late summer, it is currently available in English and Russian.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-database-on-human-and-technical-resources-for-health-hlthres-db
Indicator notes
Professional nurses and midwives employed by hospital, per 100 000 population
Indicator code: hosp_empl.profnursmid.rate This indicator shares the definition with the parent indicator "Professional nurses and midwives employed by hospital, total number".

Number of professional nurses and midwives (see definition of professional nurses and midwives) directly employed by a hospital.
Country notes
Armenia
Source of data: Republican Research and Information Health Centre and the National Statistic Service of the Republic of Armenia, Report form of the Ministry of Health of the Republic of Armenia ? 17 “Health employment”, http://healthinfo.am/Statistical%20Report.htm, Statistical book, Armenia, English version (zip) 2009.
Reference period: 31 December.
Austria
Source of data: Austrian Federal Ministry of Health, Hospital Statistics.
Reference period: 31 December.
Coverage:
- Head counts/FTE of professional nurses and midwives employed by hospitals (HP.1).
- FTE: Up to 2007, this figure is a combined figure of appr. 85 % FTE (in publicly financed hospitals) and 15 % head counts (in private for-profit hospitals; the latter have to report FTE since the year of 2008).
Azerbaijan
Source of data: Department of Informatics and Statistics, Ministry of Health of the Republic of Azerbaijan.
Reference period: data as of December 31.
Break in time series: 2012. Starting from 2012 data coverage is complete (include both, public and private sector).
Belarus
Source of data: National Statistics Committee of Belarus http://belstat.gov.by/; National Archives of the Republic of Belarus http://narb.by/
Reporting period: 31 December.
Note: Includes nurses, midwives, medical assistants and physician working with outpatient care.
Belgium
Source of data: SPF Sante publique - Service comptabilite des hopitaux.
Reference period: 31st December.
Bosnia and Herzegovina
Source: Public Health Institute of FB&H, Human resources in hospital service in FB&H Public Health Institute of Republica Srpska, Human resources in hospital service in Republica Srpska
Bulgaria
Source of data: National Statistical Institute, Exhaustive annual survey
Reference period: 31st December Metadata information and comments: All qualified nurses and midwives (head counts) who worked on a basic labour contract in inpatient health establishments (HP.1)
Croatia
Source of data: Croatian National Institute of Public Health, Health Manpower Register
Reference period: data on December 31
Coverage: public and private health sectors included
Cyprus
Source of data: Annual survey conducted from the Statistical Service of Cyprus.
Reference period: 31st December of the reference year.
Coverage: From 2006 up to 2010, included are the professionally active nurses and the professionally active psychiatric nurses employed in public sector’s hospitals. Midwives activated in the public sector’s hospitals with the status of nursing officers are included. All the nurses and midwives activated in the private sector are included, irrespectively if they are employed in hospitals or not, since the disaggregation was not available. From 2011 onwards, the disaggregation of the nurses activated in the private sector, to those working in hospitals or in other medical institutions is available, hence , included are the professionally active nurses and the professionally active psychiatric nurses employed in public sector’s hospitals. Midwives activated in the public sector’s hospitals with the status of nursing officers are included. Nurses and midwives employed in hospitals of the private sector are included. Nurses and midwives of the private sector not employed in hospitals have been excluded.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Annual report on health personnel.
Reference period: 31st December.
Coverage:
- Providers: Hospitals and specialised therapeutic institutes (excluding balneologic institutes, convalescence homes for children, institutes for long-term patients and hospices).
- Professions: professional nurses, associate professional nurses and midwives.
- Measurement units: Head counts (employees on payroll and employers), FTE (employees on payroll, employers and contractual workers).
Deviation from definition: These data include also associate professional nurses.
Denmark
Source of data:
- Head counts: Statens Serum Institut, Labour Register for Health Personnel.
- FTE: The joint municipal payroll data office (KRL).
Reference period:
- Head counts: 31st December. Data show the number for January first the following year.
- FTE: yearly average.
Coverage: Only public section of health staff is included.
Note: FTE figures are based on the employee's job description, while head counts figures are based on employee’s education.
Estonia
Source of data: Annual report, National Institute for Health Development, Department of Health Statistics.
Reference period:
- 1980-2012: 31st of December.
- Since 2013: November.
Coverage: For 2006-2010 the head count distribution is made according to their main occupational activity.
Break in time series: 2012. From 2012, the number of practising nurses does not include radiology nurses. Radiology nurses (by job specification - same as radiology technicians) are classified in the category of other health service providers.
Break in time series: 2013
- The data collection methodology was changed in 2013. Aggregated data collection was replaced with data collection on a personal basis. From 2013, the predominant (main) area of practice is based on an occupation with the highest workload.
Finland
Source of data: THL Health Personnel Statistics; National Institute for Health and Welfare. The data are based on the Employment Register kept by Statistics Finland.
Reference period: Data refer to information for the whole year.
Coverage: Professionals working in hospitals listed by their primary employment.
Break in time series: 2007 due to a change in the classification of economic activities.
France
Source of data: Ministere de la Sante et des Sports - Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES). Data are from the “Statistique Annuelle des Etablissements de sante (SAE)”.
Reference period: 31st December.
Coverage: Data refer to metropolitan France and D.O.M. (overseas departments).
Estimation method: Until 2008, fixed-term contracts were not counted in the head count or in the FTE. Only the paid monthly average FTE is known. The FTE of fixed-term contracts are estimated by the paid monthly average FTE. Head counts cannot be estimated.
Break in time series:
- From 2009 onwards, head counts of fixed-term contracts are also included for the non medical staff. Previously only head counts of rolling contracts and holders and trainees of the public service were counted.
- From 2011 onwards, the number of persons employed in nursing structures or in nurses and midwives schools juridically depending of hospitals are not counted. From 2013, we count the number of geographical establishments for all the sectors (public and private). The number of hospital persons employed is clearly less impacted by the recast than the number of hospitals. Nonetheless, in this recast, the change of the unit surveyed results in a better quality of data collected in general (less double counting than before), so that it can improve marginally the quality of the number of persons employed
Georgia
Source of data: Data are based on annual statistical reports collected from health establishments to the Ministry of Health and include both, public and private sectors. and also facilities working under other Ministries, such as Ministry of Justice, Ministry of Internal Affairs, Ministry of Defence.
Reference period: 31 December 2012
Coverage: The provided data cover all regions except separatist regions, Abkhazia and South Osetia. Data for those two regions are unavailable.
Germany
Source of data: Federal Statistical Office, Health Care Personnel 2015; special calculation by the Federal Statistical Office; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: 31st December.
Coverage:
- Data contain the number of professional nurses and midwives directly employed by hospitals.
- Included are professional nurses and midwives employed in general hospitals, mental health hospitals and prevention and rehabilitation facilities in all sectors (public, not-for-profit and private).
- Included are professional nurses and midwives with a 3-year education (nurses, paediatric nurses and nurses for the elderly).
- Excluded are associate professional nurses with a 1-year education, and students who have not yet graduated.
- From 2000 onwards data from Health Care Personnel have been completely revised. Therefore comparable data before 2000 is not available.
Estimation method: The number of FTE is calculated by adding the full and appropriate proportion of part-time occupied employees. FTE are measured by the number of hours of a standard labour contract.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st of December.
Hungary
Source of data: Hungarian Central Statistical Office. “Report on personnel of health service” per ICHA-HP categories: 1.1(General hospitals); 1.2 (Mental health and substance abuse hospitals); 1.3 (Specialty hospitals).
Reference period: 31st December.
Coverage: Includes professional nurses and midwives.
Iceland
Source of data: The Ministry of Finance.
Reference period: December each year.
Ireland
Source of data: HR Management Information, Health Service Executive.
Reference period: 31st December.
Coverage:
- Data refer to publicly funded acute hospitals only. All public hospitals under the aegis of the National Hospitals Office are included.
- Excludes Nursing Students

Historical data has been restated to cover re-structured health service configuration. Some years' data may remain unchanged.
Israel
Source of data: The data are based on the Labour Force Survey which is conducted routinely by the Central Bureau of Statistics and includes persons who had worked for at least one hour during the week before the survey, for pay, profit or other consideration.
Estimation method:
- The data are subject to variations due to sample errors and wide confidence intervals.
- Full-time equivalents (FTE) was measured by the number of hours actually worked by health personnel divided by the average hours worked in full-time jobs in Israel.
Break in time series:
- From January 2012, the Central Bureau of Statistics has made a transition from a quarterly system of measuring labour force characteristics to a new and improved system that better suits the latest international recommendations on employment and unemployment - Monthly Labour Force Survey. Therefore the 2012 data refer to the entire labour force (including the military service) and not to the civilian labour force, as it was before.
- In addition to the transition to a monthly survey, in 2012 a new Standard Industrial Classification of Economic Activities based on ISIC was implemented as well as a new Standard Classification of Occupations based on ISCO-08. The numbers for 2012 are still reported according to the previous classifications, but the numbers for 2013 are based on the new classifications.
Further information: http://www.cbs.gov.il/publications/labour_survey04/labour_force_survey/answer_question_e_2012.pdf. http://www.cbs.gov.il/publications12/economic_activities11/pdf/e_print.pdf.
Note: The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Italy
Source of data: Ministry of Health - General Directorate of digitalization, health information system and statistics - Office of Statistics. http://www.stage.ministerosalute.it/portale/temi/p2_6.jsp?lingua=italiano&id=3836&area=statisticheSS N&menu=pubb.
Reference period: 1st January.
Coverage:
- Data available for head counts only.
- Since 2003 data refer to public and private hospitals, including private hospitals not accredited by the National Health Service.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Latvia
Source of data: Centre for Disease Prevention and Control; Statistical Report.
Reference period: 31 December.
Lithuania
Source of data: Health Information Centre of Institute of Hygiene, data of entire annual survey of health establishments.
Reference period: 31st December
Coverage: Data for all hospitals excluding nursing hospitals. Service contracts with non-employed health professionals are excluded.
Luxembourg
Data not available.
Malta
Sources of the data: Data comes from the establishments themselves.
Reference period: 31st December
Coverage: For 2007, number of qualified nurses and midwives employed by hospital, head count: includes 18 Nurses/Midwives working on contract For 2009 data collected from state and private hospitals. The figure of 2159, head count, includes 1 working on contract. Figures from 2010 onwards include nurses working on contract. Break in series: 2009.
Montenegro
Source of data: The source for all data submitted is the Institute of Public Health. Some additional information can be found in Health Statistical Yearbooks available at http://www.ijzcg.me/.
Reference period: December 31st.
Note: There is no data available for FTE.
Netherlands
Source of data: Statistics Netherlands.
- 1999-2002: survey;
- 2002-2005: Prismant survey;
- 2006 onwards: Annual reports social account, combined with BIG register and SSB data.
- 2012: Data based on BIG Register (register of (para)medical professions); SSB database (micro-integrated database of Statistics Netherlands with data from the municipal register, tax register, social security, and business register).
Coverage: No distinction could be made between qualified nurses, associate nurses and caring staff. Therefore, figures show total nurses and caring staff.
Estimation method:
- since 1999: The figures according to the annual reports social account have been distributed among 1) physicians (based on the BIG register) 2) nurses and midwives (based on the BIG register) 3) Health care assistants (based on LFS estimates for ISCO 5132) 4) other employees (up till 2010 further distribution was possible to other health service providers and other staff using the annual reports social account).
Norway
Source of data: Statistics Norway; Register-based statistics on employment of health-care personnel.
Reference period: 3rd week of November.
Deviation from the definition: Data refer to economically active professionals.
Coverage:
- The figures provided give the number of practising personnel within HP1. There is no guarantee that these professionals actually work in patient care as data refer to education the individuals have rather than the job they hold within the HP structure.
- The health sector in Norway underwent a large reorganisation in 2001. Figures are therefore provided from 2002.
Break in time series: 2009. New calculation method.
Poland
Source of data: Ministry of Health.
Coverage: Excludes nurses and midwives employed in hospitals founded by the Ministry of Interior and Administration and by the Ministry of National Defence.
Portugal
Source of data: National Statistical Office - Survey on Hospitals.
Reference period: 31st December.
Coverage:
- The Hospital Survey began in 1985. This survey covers the whole range of hospitals acting in Portugal: hospitals managed by the National Health Service (public hospitals with universal access), non-public state hospitals (military and prison) and private hospitals.
- Includes all specialised nurses employed by hospital since 1999. (Before 1999, data are included in “Other health service providers employed in hospital”).
- Information on full time equivalents is not available.
Republic of Moldova
Source of data: Ministry of Health of the Republic of Moldova, National Centre for Health Management, Annual statistical report N17 “On staff and cadres of health institutions”. http://cnms.md/areas/statistics/anyar/.
Reference period: Data as of December 31.
Coverage: Data exclude Transnistria.
Deviation from the definition: Foreign health personnel are not included.
Romania
Source of data: National Institute of Statistics, Activity of Sanitary Units – annual survey performed by NIS.
Reference period: data as of 31st December.
Coverage: Data cover public and private sector. Since 2007, the first series of nurses ISCED 5 were graduated. The trend of increasing of number of professional nurses remains because new generations of nurses are graduated from university.
Russian Federation
Source of data: Annual reporting form ?30 «Information about medical organization", Ministry of Health of the Russian Federation.
Reference period: 31 December.
Coverage: Includes only data for medical institutions of the Ministry of Health. Data from institutions of other ministries and private sector are not included.
San Marino
Data not available.
Serbia
Source of data: Institute of Public Health of Serbia, National register on health care human resources. Data as of December 31. http://www.batut.org.rs/.
Coverage: Data for Kosovo-Metohija province are not included in the coverage of data for the Republic of Serbia. Data from health institutions under other ministries (military services, prisons, social services) than the Ministry of Health are not included. Data from private health sector are not included.
Deviation from the definition: The method 3) For countries which do not have any detailed information on working hours has been used to convert head counts into FTE data.
Slovakia
Source of data: National Health Information Center.
- “Annual report S (MZ SR) 1 – 01 on network of health care providers” for data up to 2008.
- “Report on network of health care providers” since 2009.
Reference period: 31st December.
Coverage:
- Data are available for FTE hospital employment in Hospitals - HP1 (according to the recommendations and definitions following the SHA version 1.0.) in the territory of the Slovak Republic (i.e. general hospitals, specialty hospitals, sanatoriums - i.e. hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation and related services to physically challenged or disabled people).
- There are no data available for head count.
Break in time series:
- 2009: Data source changed from “Annual report S (MZ SR) 1 – 01 on network of health care providers” for years 2008 and earlier to “Report on network of health care providers”.
Slovenia
Source of data: National Institute of Public Health, Slovenia, National Health Care Providers Database. With this database, data on hours worked (FTE) and jobs (number of contracts) were not available.
Reference period: 31st December.
Spain
Source of data:
- Up to 2009: Ministry of Health, Social Services and Equity from Statistics on Health Establishments Providing Inpatient Care (ESCRI). http://www.msssi.gob.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/homeESCRI.htm.
- Since 2010: Ministry of Health, Social Services and Equity from Specialised Care Information System (Sistema de Informacion de Atencion Especializada - SIAE).
Reference period: 31st December.
Coverage:
- All public and private hospitals in Spain are included.
- FTE data are not available.
Sweden
Data not available.
Switzerland
Source of data: FSO Federal Statistical Office, Neuchatel; hospital statistics; yearly census.
Estimation method: Until 2009, the hospital employment estimate was made with data on professions from 75% of hospitals.
Break in time series: Since 2010, hospital statistics have been revised; no estimation needed.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health –Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Break in time series:
- 2004: Methodological change in inclusion and exclusion criteria was introduced in line with EUROSTAT in 2004.
Turkey
Source of data: General Directorate for Health Services, Ministry of Health.
Coverage:
- Professional nurses and midwives employed by hospitals cover those in the MoH, universities, and the private sector.
- Also, it covers professional nurses and midwives acting as managers in the MoH, universities, and the private sector.
- For 2010 and 2012 other sectors (other public establishments and local administrations) are included. MoND-affiliated facilities are not included until 2011.
Break in time series:
- MoND-affiliated facilities are included since 2012.
Turkmenistan
Data not available.
Ukraine
Source of data: Centre of Health Statistics, Ministry of Health. Reporting form 20 "Report of health care institutions” of the Ministry of Health, other agencies and private entities.
Reference period: 31 December.
Break in time series: 2009, before 2009 data included only health professionals working in the institutions reporting to the Ministry of Health, starting from 2009 data coverage is complete.
United Kingdom
Data not available.
Uzbekistan
Source of data: Institute of Health and Medical Statistics, the Ministry of Health of the Republic of Uzbekistan, reporting form 15-SSV “Report on Health personnel by categories”.
Reference period: 31 December.
Coverage: data include personnel working within the system of the Ministry of Health only.