banner banner

About Norwegian Association of Physiotherapists

The Norwegian Association of Physiotherapists (NFF) organizes authorized physiotherapists, rotation candidates and students.  

The Norwegian Association of Physiotherapists is a politically independent association.

NFF must:

  • strengthen the position and importance of physiotherapists in the health service nationally and internationally.
  • develop the subject of physiotherapy and the practice of the profession based on the development of society and the needs of the population.
  • promote quality and a high ethical standard in the education and practice of physiotherapy as well as in physiotherapy-related research.
  • safeguard and strengthen income and framework conditions for self-employed members.
  • safeguard and strengthen pay and working conditions for employed members.


The national meeting is held annually and is NFF's highest authority. The board of the association manages the association's interests between the national meetings and ensures proper organization of the association. The federal board  is chaired by union leader Fred Hatlebrekke.   

NFF's secretariat  is headed by the general secretary, and consists of the union leader, general secretary and other 32 employees distributed on the editorial board of the journal Fysioterapeuten and four sections: Organization and communication, Personnel and finance, Subjects and Negotiation. The journal Fysioterapeuten follows Redaktørplakaten.

 From 1 July 2014, NFF's members are automatically members in one of the association's five regions : Central, North, Oslo area, South-East and West. In addition, members can join one or more of NFF's 13 professional groups , the Young Physiotherapists 'Community ( UFF ) and the Commercial Physiotherapists' Group ( NFG ).


Unio
NFF was admitted as a member of the main organization UHO (later Unio) in December 2001. As of 17 December 2018, Unio had 13 member unions with a total of about 360,000 members. Unio is an important tool for the member organizations in the work with pay and working conditions and as an actor in socio-political involvement and influence.


International cooperation

WCPT
NFF is a member of the World Confederation of Physical Therapy (WCPT), which is an association of 106 national physiotherapist organizations with a total of more than 350,000 members (January 2015). The NFF co-founded the WCPT in 1951.

WCPT collaborates with several of the UN's sub-organizations and other international organizations on e.g. preventive health work and rehabilitation. WCPT has several subgroups and interest groups that stimulate cooperation in various subject areas. WCPT is divided into five regions, and NFF actively participates in the European Region of WCPT.

Nordic co-operation
The management of the Nordic physiotherapist associations meet every year to discuss current professional policy, professional and educational policy issues.



Vision, values and main goals

The mainland meeting 2019 adopted the vision, values and main goals for the period 2020–2022. The main objectives are rooted in NFF's purpose, which is enshrined in NFF's laws, section 2.


NFF's purpose

The Norwegian Association of Physiotherapists is a politically independent association.

NFF must:

  • Strengthen the position and importance of physiotherapists in the health service nationally and internationally
  • Develop the physiotherapy subject and the practice of the profession based on the development of society and the needs of the population
  • Promote quality and a high ethical standard in the education and practice of physiotherapy as well as in physiotherapy-related research
  • Maintain and strengthen income and framework conditions for self-employed members
  • Maintain and strengthen pay and working conditions for employed members

On the basis of an assessment of NFF's opportunities and challenges, the main goals for the organization have been formulated. The challenge picture is described below.

To make the goals clear, they are formulated point by point. Under each main goal, strategic goals have been prepared.

The organization's vision, values, main goals and strategic goals shall together be leading for NFF's work and priorities during the national meeting period.


Vision for NFF as an organization

Strong, proud and visible is a well-established vision, which will be continued for the national meeting period 2020–2022.

 

Values in the NFF

The overall
NFF must be characterized by a unifying culture. The organization must appear as an organization that speaks with one voice - and must be able to gather the members' commitment in a common position. NFF shall be an organization for all physiotherapists. 


Community-
engaged Physiotherapy is important for large patient groups, and physiotherapists can also contribute in several areas of society. NFF must therefore show a high level of community involvement, and NFF's political views must be seen in a broader perspective - both in relation to society's needs and societal development.

Competent
The individual member has a responsibility to stay professionally up to date, and NFF shall contribute to this being possible. It is expected that employees in the secretariat and shop stewards also stay up to date within their area of competence - and NFF must facilitate this.

Brave
To be a union characterized by courage, it is required that the NFF dares to challenge established truths, take the difficult discussions, the ability to prioritize and make difficult choices. NFF should not allow itself to be governed by conventions, but encourage innovation, and challenge claims, policies and practices where it is natural.

Respectful
The association's activities must be characterized by respect for each other, others and others' views, also for actors who are critical of NFF's activities. These must be discussed and treated in a respectful manner, also in internal forums.


challenge Photo

Members The
welfare state is based on tripartite cooperation, strong trade unions, strong employers' organizations and centrally coordinated wage negotiations. Many take the welfare state for granted, but we are now experiencing a slow pressure on important welfare schemes such as sick pay, disability benefits and work clearance, etc.

In order for NFF to be a powerful player in all the arenas we want to gain a foothold in, we are dependent on many members. Compared with a number of other unions and the public sector in general, where the degree of organization is 80 per cent, the degree of organization among physiotherapists is low. 64 percent of the physiotherapists who are at work are members. The fact that there are three unions that organize physiotherapists, and that have different objectives, further contributes to weakening physiotherapists' impact and our opportunities for influence. There is an increased risk of withdrawals from NFF in the transition from student to rotation, when starting out as a self-employed physiotherapist or in the event of changes in the life situation. Easily accessible information about the benefits of being part of the community and visibility of NFF's activities and results is important in this context. 

Social development and political framework conditions
In Norway, we generally have good health and good health services, but the social health differences are greater than in most other European countries. A person with a low level of education lives on average 6-7 years shorter than a person with a high level of education. In addition, it seems that highly educated patients receive more health care than those with lower education. The national public health policy has been too little offensive, too little political will to prioritize preventive health work.

The national e-health initiative places great demands on physiotherapists' organization of the service. Introduction of One inhabitant - one medical record, increased focus on privacy and personal safety changes physiotherapists' everyday work. Electronic communication between health professionals and different levels of health services is still fragmented and deficient. This entails a risk of poor quality, efficiency and security in the interaction in the health services.

The proportion of time for administration increases; including journal requirements, epicrisis, interaction. This goes beyond time to patient-oriented work. Electronic collaboration schemes work too poorly, especially between the specialist health service and the municipal health service.

We are seeing an increasing division of the health service. There is an increased privatization where more public services are being put out to tender. This can in some cases mean that prices are pushed so low that the quality of the services provided must necessarily be harmed. In recent years, we have also seen an increase in private health insurance that provides access to physiotherapy outside the public health service.

Especially after the collaboration reform was introduced in 2012, we have experienced increased pressure on municipal health and care services as new tasks have been added, at the same time as patients have become worse and competence has not increased correspondingly. Offers in the specialist health service are being reduced, as we have seen in the rehabilitation field, without the offer being built up correspondingly in the municipal health service.

The increased pressure has also meant that priority must be given more strongly to the health service. The severity criterion has taken precedence, which is important for many patients with long-term pain and chronic diseases. For physiotherapists, this means that it must be prioritized harder than desired, and in some cases this can go beyond professional soundness. Physiotherapists experience that they face the priority challenges in everyday life when this must be done to a greater extent at a municipal or national level.

Other challenges that are important for physiotherapists and the health services include:

- An aging population

- A more sedentary population

- Mental health problems, especially among young people

- An obesity epidemic

- Many people live with prolonged pain

- A changed working life with increased digitalisation, efficiency, temporary employment and the boundary between working life and private life is blurred

- Globalization and climate change

Subjects, quality and ethics
Quality and ethics in the practice of the subject are challenged when physiotherapists move into gray areas between physiotherapy and other subject areas. NFF believes it is important for the profession to focus on gray areas in the subject, this challenges the profession's reputation. Physiotherapists experience competition from other health professionals and alternative therapists, physiotherapists must focus on what is physiotherapy and the quality of the service and what it means to be an authorized health professional.

The lack of joint management for all physiotherapists in the municipal health service means that our competence is not utilized well enough in collaboration with other professional groups.



Main objectives and strategic objectives

1. Membership in NFF shall be the natural choice for all physiotherapists and physiotherapy students

  • NFF will have more and more satisfied members in 2022 than in 2019. The goal is for the degree of organization to increase from 64 to 67 percent during the period. NFF shall have planned and targeted activities to recruit and retain members.
  • NFF's membership offers will be strengthened and further developed so that they are adapted to different member groups and life phases the members are in.
  • Leaders must experience NFF as a relevant and attractive member organization.
  • New forms of communication and channels will be used to strengthen communication with members.
  • Strengthen unity and promote collaboration between physiotherapists.


2. NFF shall contribute to the development of good physical and mental health and good health services in society
  • NFF shall be a visible participant in the public debate in areas that are important for physiotherapy's place in society.
  • NFF will work for a good implementation of e-health.
  • NFF shall work for a well-organized and competently led physiotherapy service in all parts of the health service.
  • NFF wants a strong public physiotherapy service that provides an equal health service to all.
  • NFF will work to get more physiotherapists into leading positions in the Norwegian health care system.
  • NFF will take part in the international work to achieve recognition of the role of physiotherapy in the development of better health and quality of life.
  • In the period 2019-22, NFF will prioritize three areas for strengthening the physiotherapists' place in relation to:
    • Public health
    • Work and health
    • Habilitation and rehabilitation


3. NFF shall be a driving force for quality and ethics in the physiotherapists' professional practice
  • NFF supports the UN's sustainability goals and will integrate these into its work.
  • NFF will work for a physiotherapy service that maintains high professional quality and is correctly dimensioned.
  • Patients must be at the center and experience safe services that are well coordinated with other health services.
  • NFF shall work for a professional ethical awareness and practice among the members and in the profession. All members must know the professional ethics guidelines, and NFF must take a clear stand on professional ethics issues.
  • During the period, NFF will start work on the development of a supervisor and quality in professional and professional practice.


4. NFF shall contribute to the development of physiotherapists' professional competence
  • NFF shall stimulate lifelong professional updating among the members.
  • NFF shall have a broad continuing education offer that provides members with up-to-date knowledge in all important subject areas. The continuing education offer will be strengthened and expanded during the period.
  • NFF shall manage and develop the specialist scheme for physiotherapists in line with the health service's needs. NFF will work for a public specialist scheme.
  • NFF shall influence the basic and further education of physiotherapists so that it is adapted to the profession's and the health service's need for competence. The physiotherapist's unique clinical competence must be safeguarded.
  • NFF shall contribute to highlighting the need for research in the field of physiotherapy.


5. NFF shall be an organization with competence and capacity to take care of NFF's members and promote NFF's policy
  • NFF shall have competent shop stewards and contact persons who know the subject and the profession and who are given good conditions for exercising their role. All shop stewards and contact persons shall be given training.
  • NFF shall have shop stewards and contact persons in all municipalities.
  • NFF's secretariat shall have highly qualified staff and effective support systems to be able to provide good service and support to shop stewards and members, negotiate the best possible terms for the members and promote the physiotherapists' cause in society.
  • NFF shall be a democratic organization where different views are promoted, discussed and heard, and which have clear internal lines of communication to enable influence within their own organization. Participation will help to strengthen the organization.


6. Employed physiotherapists must have secure employment conditions and good pay and working conditions
  • Wage policy shall be based on central collective bargaining and pension agreements.
  • The salary shall pay for education, competence and responsibility.
  • Employees must have good, safe and predictable pension schemes. The pension schemes shall be part of the collective agreements.
  • NFF shall work to ensure that more employed members obtain full-time positions and that collective bargaining rights for working hours are maintained.


7. Physiotherapists with an operating agreement must have a good and predictable framework for the performance of the service
  • NFF shall contribute to the physiotherapy service in the municipalities being organized and dimensioned so that it supports the goal of good quality in the service.
  • Members with an operating agreement shall participate in the development of the health service.
  • The earnings basis for physiotherapists with an operating agreement shall be secured in line with the wage development in society.
  • NFF will work to ensure that specialist competence provides a better financial return.
  • NFF shall prioritize the work of adjusting the operating subsidies to the municipalities' service needs.


8. Self-employed physiotherapists without an operating agreement shall be offered highly qualified assistance to carry out their activities
  • NFF shall contribute to making visible self-employed physiotherapists who operate outside the public health service.
  • NFF will be an important supporter for members who want to establish their own business on an independent basis.
  • NFF shall contribute to the members having the necessary competence to run independent business activities, including knowledge of regulations and framework conditions for private health services.


Website:Norwegian Physiotherapy Association

See More Product:

About Norwegian Association of Physiotherapists

The Norwegian Association of Physiotherapists (NFF) organizes authorized physiotherapists, rotation candidates and students.  

The Norwegian Association of Physiotherapists is a politically independent association.

NFF must:

  • strengthen the position and importance of physiotherapists in the health service nationally and internationally.
  • develop the subject of physiotherapy and the practice of the profession based on the development of society and the needs of the population.
  • promote quality and a high ethical standard in the education and practice of physiotherapy as well as in physiotherapy-related research.
  • safeguard and strengthen income and framework conditions for self-employed members.
  • safeguard and strengthen pay and working conditions for employed members.

The national meeting is held annually and is NFF's highest authority. The board of the association manages the association's interests between the national meetings and ensures proper organization of the association. The federal board  is chaired by union leader Fred Hatlebrekke.   

NFF's secretariat  is headed by the general secretary, and consists of the union leader, general secretary and other 32 employees distributed on the editorial board of the journal Fysioterapeuten and four sections: Organization and communication, Personnel and finance, Subjects and Negotiation. The journal Fysioterapeuten follows Redaktørplakaten.

 From 1 July 2014, NFF's members are automatically members in one of the association's five regions : Central, North, Oslo area, South-East and West. In addition, members can join one or more of NFF's 13 professional groups , the Young Physiotherapists 'Community ( UFF ) and the Commercial Physiotherapists' Group ( NFG ).

Unio
NFF was admitted as a member of the main organization UHO (later Unio) in December 2001. As of 17 December 2018, Unio had 13 member unions with a total of about 360,000 members. Unio is an important tool for the member organizations in the work with pay and working conditions and as an actor in socio-political involvement and influence.

International cooperation

WCPT
NFF is a member of the World Confederation of Physical Therapy (WCPT), which is an association of 106 national physiotherapist organizations with a total of more than 350,000 members (January 2015). The NFF co-founded the WCPT in 1951.

WCPT collaborates with several of the UN's sub-organizations and other international organizations on e.g. preventive health work and rehabilitation. WCPT has several subgroups and interest groups that stimulate cooperation in various subject areas. WCPT is divided into five regions, and NFF actively participates in the European Region of WCPT.

Nordic co-operation
The management of the Nordic physiotherapist associations meet every year to discuss current professional policy, professional and educational policy issues.



Vision, values and main goals

The mainland meeting 2019 adopted the vision, values and main goals for the period 2020–2022. The main objectives are rooted in NFF's purpose, which is enshrined in NFF's laws, section 2.


NFF's purpose

The Norwegian Association of Physiotherapists is a politically independent association.

NFF must:

  • Strengthen the position and importance of physiotherapists in the health service nationally and internationally
  • Develop the physiotherapy subject and the practice of the profession based on the development of society and the needs of the population
  • Promote quality and a high ethical standard in the education and practice of physiotherapy as well as in physiotherapy-related research
  • Maintain and strengthen income and framework conditions for self-employed members
  • Maintain and strengthen pay and working conditions for employed members

On the basis of an assessment of NFF's opportunities and challenges, the main goals for the organization have been formulated. The challenge picture is described below.

To make the goals clear, they are formulated point by point. Under each main goal, strategic goals have been prepared.

The organization's vision, values, main goals and strategic goals shall together be leading for NFF's work and priorities during the national meeting period.

Vision for NFF as an organization

Strong, proud and visible is a well-established vision, which will be continued for the national meeting period 2020–2022.

 

Values in the NFF

The overall
NFF must be characterized by a unifying culture. The organization must appear as an organization that speaks with one voice - and must be able to gather the members' commitment in a common position. NFF shall be an organization for all physiotherapists. 

Community-
engaged Physiotherapy is important for large patient groups, and physiotherapists can also contribute in several areas of society. NFF must therefore show a high level of community involvement, and NFF's political views must be seen in a broader perspective - both in relation to society's needs and societal development.

Competent
The individual member has a responsibility to stay professionally up to date, and NFF shall contribute to this being possible. It is expected that employees in the secretariat and shop stewards also stay up to date within their area of competence - and NFF must facilitate this.

Brave
To be a union characterized by courage, it is required that the NFF dares to challenge established truths, take the difficult discussions, the ability to prioritize and make difficult choices. NFF should not allow itself to be governed by conventions, but encourage innovation, and challenge claims, policies and practices where it is natural.

Respectful
The association's activities must be characterized by respect for each other, others and others' views, also for actors who are critical of NFF's activities. These must be discussed and treated in a respectful manner, also in internal forums.

challenge Photo

Members The
welfare state is based on tripartite cooperation, strong trade unions, strong employers' organizations and centrally coordinated wage negotiations. Many take the welfare state for granted, but we are now experiencing a slow pressure on important welfare schemes such as sick pay, disability benefits and work clearance, etc.

In order for NFF to be a powerful player in all the arenas we want to gain a foothold in, we are dependent on many members. Compared with a number of other unions and the public sector in general, where the degree of organization is 80 per cent, the degree of organization among physiotherapists is low. 64 percent of the physiotherapists who are at work are members. The fact that there are three unions that organize physiotherapists, and that have different objectives, further contributes to weakening physiotherapists' impact and our opportunities for influence. There is an increased risk of withdrawals from NFF in the transition from student to rotation, when starting out as a self-employed physiotherapist or in the event of changes in the life situation. Easily accessible information about the benefits of being part of the community and visibility of NFF's activities and results is important in this context. 

Social development and political framework conditions
In Norway, we generally have good health and good health services, but the social health differences are greater than in most other European countries. A person with a low level of education lives on average 6-7 years shorter than a person with a high level of education. In addition, it seems that highly educated patients receive more health care than those with lower education. The national public health policy has been too little offensive, too little political will to prioritize preventive health work.

The national e-health initiative places great demands on physiotherapists' organization of the service. Introduction of One inhabitant - one medical record, increased focus on privacy and personal safety changes physiotherapists' everyday work. Electronic communication between health professionals and different levels of health services is still fragmented and deficient. This entails a risk of poor quality, efficiency and security in the interaction in the health services.

The proportion of time for administration increases; including journal requirements, epicrisis, interaction. This goes beyond time to patient-oriented work. Electronic collaboration schemes work too poorly, especially between the specialist health service and the municipal health service.

We are seeing an increasing division of the health service. There is an increased privatization where more public services are being put out to tender. This can in some cases mean that prices are pushed so low that the quality of the services provided must necessarily be harmed. In recent years, we have also seen an increase in private health insurance that provides access to physiotherapy outside the public health service.

Especially after the collaboration reform was introduced in 2012, we have experienced increased pressure on municipal health and care services as new tasks have been added, at the same time as patients have become worse and competence has not increased correspondingly. Offers in the specialist health service are being reduced, as we have seen in the rehabilitation field, without the offer being built up correspondingly in the municipal health service.

The increased pressure has also meant that priority must be given more strongly to the health service. The severity criterion has taken precedence, which is important for many patients with long-term pain and chronic diseases. For physiotherapists, this means that it must be prioritized harder than desired, and in some cases this can go beyond professional soundness. Physiotherapists experience that they face the priority challenges in everyday life when this must be done to a greater extent at a municipal or national level.

Other challenges that are important for physiotherapists and the health services include:

- An aging population

- A more sedentary population

- Mental health problems, especially among young people

- An obesity epidemic

- Many people live with prolonged pain

- A changed working life with increased digitalisation, efficiency, temporary employment and the boundary between working life and private life is blurred

- Globalization and climate change

Subjects, quality and ethics
Quality and ethics in the practice of the subject are challenged when physiotherapists move into gray areas between physiotherapy and other subject areas. NFF believes it is important for the profession to focus on gray areas in the subject, this challenges the profession's reputation. Physiotherapists experience competition from other health professionals and alternative therapists, physiotherapists must focus on what is physiotherapy and the quality of the service and what it means to be an authorized health professional.

The lack of joint management for all physiotherapists in the municipal health service means that our competence is not utilized well enough in collaboration with other professional groups.

Main objectives and strategic objectives

1. Membership in NFF shall be the natural choice for all physiotherapists and physiotherapy students

  • NFF will have more and more satisfied members in 2022 than in 2019. The goal is for the degree of organization to increase from 64 to 67 percent during the period. NFF shall have planned and targeted activities to recruit and retain members.
  • NFF's membership offers will be strengthened and further developed so that they are adapted to different member groups and life phases the members are in.
  • Leaders must experience NFF as a relevant and attractive member organization.
  • New forms of communication and channels will be used to strengthen communication with members.
  • Strengthen unity and promote collaboration between physiotherapists.

2. NFF shall contribute to the development of good physical and mental health and good health services in society
  • NFF shall be a visible participant in the public debate in areas that are important for physiotherapy's place in society.
  • NFF will work for a good implementation of e-health.
  • NFF shall work for a well-organized and competently led physiotherapy service in all parts of the health service.
  • NFF wants a strong public physiotherapy service that provides an equal health service to all.
  • NFF will work to get more physiotherapists into leading positions in the Norwegian health care system.
  • NFF will take part in the international work to achieve recognition of the role of physiotherapy in the development of better health and quality of life.
  • In the period 2019-22, NFF will prioritize three areas for strengthening the physiotherapists' place in relation to:
    • Public health
    • Work and health
    • Habilitation and rehabilitation

3. NFF shall be a driving force for quality and ethics in the physiotherapists' professional practice
  • NFF supports the UN's sustainability goals and will integrate these into its work.
  • NFF will work for a physiotherapy service that maintains high professional quality and is correctly dimensioned.
  • Patients must be at the center and experience safe services that are well coordinated with other health services.
  • NFF shall work for a professional ethical awareness and practice among the members and in the profession. All members must know the professional ethics guidelines, and NFF must take a clear stand on professional ethics issues.
  • During the period, NFF will start work on the development of a supervisor and quality in professional and professional practice.

4. NFF shall contribute to the development of physiotherapists' professional competence
  • NFF shall stimulate lifelong professional updating among the members.
  • NFF shall have a broad continuing education offer that provides members with up-to-date knowledge in all important subject areas. The continuing education offer will be strengthened and expanded during the period.
  • NFF shall manage and develop the specialist scheme for physiotherapists in line with the health service's needs. NFF will work for a public specialist scheme.
  • NFF shall influence the basic and further education of physiotherapists so that it is adapted to the profession's and the health service's need for competence. The physiotherapist's unique clinical competence must be safeguarded.
  • NFF shall contribute to highlighting the need for research in the field of physiotherapy.

5. NFF shall be an organization with competence and capacity to take care of NFF's members and promote NFF's policy
  • NFF shall have competent shop stewards and contact persons who know the subject and the profession and who are given good conditions for exercising their role. All shop stewards and contact persons shall be given training.
  • NFF shall have shop stewards and contact persons in all municipalities.
  • NFF's secretariat shall have highly qualified staff and effective support systems to be able to provide good service and support to shop stewards and members, negotiate the best possible terms for the members and promote the physiotherapists' cause in society.
  • NFF shall be a democratic organization where different views are promoted, discussed and heard, and which have clear internal lines of communication to enable influence within their own organization. Participation will help to strengthen the organization.

6. Employed physiotherapists must have secure employment conditions and good pay and working conditions
  • Wage policy shall be based on central collective bargaining and pension agreements.
  • The salary shall pay for education, competence and responsibility.
  • Employees must have good, safe and predictable pension schemes. The pension schemes shall be part of the collective agreements.
  • NFF shall work to ensure that more employed members obtain full-time positions and that collective bargaining rights for working hours are maintained.

7. Physiotherapists with an operating agreement must have a good and predictable framework for the performance of the service
  • NFF shall contribute to the physiotherapy service in the municipalities being organized and dimensioned so that it supports the goal of good quality in the service.
  • Members with an operating agreement shall participate in the development of the health service.
  • The earnings basis for physiotherapists with an operating agreement shall be secured in line with the wage development in society.
  • NFF will work to ensure that specialist competence provides a better financial return.
  • NFF shall prioritize the work of adjusting the operating subsidies to the municipalities' service needs.

8. Self-employed physiotherapists without an operating agreement shall be offered highly qualified assistance to carry out their activities
  • NFF shall contribute to making visible self-employed physiotherapists who operate outside the public health service.
  • NFF will be an important supporter for members who want to establish their own business on an independent basis.
  • NFF shall contribute to the members having the necessary competence to run independent business activities, including knowledge of regulations and framework conditions for private health services.

Website:Norwegian Physiotherapy Association

See More Product: