Public services

This report addresses the impact of the COVID-19 crisis on social services in the EU. While the pandemic negatively affected social services, it nevertheless provided lessons on how to adapt them in response to new challenges and social risks. One lesson, for instance, is that policies should be developed to make better use of digitalisation in the sector, to improve access to new technologies and training for both workers and services’ target groups. And, most importantly, there is a need for clear contingency plans and funding for adaptation in times of crisis.

An increase in public expenditure on social protection, healthcare and education was a critical part of the pandemic response. However, there is uncertainty about the future development of social services in the context of the overarching policy interest and investment in the green and digital transition. This implies that the contribution of social services to the resilience of European societies needs to remain in the policy debate and that policies should be further fine-tuned.

The impact of COVID-19 has moved public health up the EU social policy agenda. As the EU directs its efforts towards establishing a European Health Union to guard against future health crises, this policy brief examines the extent to which the EU achieved upward convergence in terms of health and healthcare outcomes, as well as health expenditures and delivery, prior to the pandemic. It also examines convergence patterns in infections and deaths from COVID-19 and in the mitigating measures adopted by the EU and national governments.
The findings indicate that, from 2008 to 2019, the health of EU citizens improved overall, and Member States converged in health outcomes, but disparities in government expenditures and delivery of health services continued to widen. Against this background, the COVID-19 pandemic caused further divergence, with death and infection tolls varying greatly across countries. The policy brief stresses that a European Health Union would ideally not only reinforce the crisis preparedness of the EU but also ultimately enable convergence in health and healthcare indicators across its Member States.

The right of access to good-quality care services is highlighted in the European Pillar of Social Rights. This report focuses on three care services: early childhood education and care (ECEC), healthcare, and long-term care. Access to these services has been shown to contribute to reducing inequalities throughout the life cycle and achieving equality for women and persons with disabilities. Drawing on input from the Network of Eurofound Correspondents and Eurofound’s own research, the report presents an overview of the current situation in various EU Member States, Norway and the UK, outlining barriers to the take-up of care services and differences in access issues between population groups. It pays particular attention to three areas that have the potential to improve access to services: ECEC for children with disabilities and special educational needs, e-healthcare and respite care.