Patient and client organisations, healthcare transport providers and health insurers have jointly made agreements about the quality of patient transport. They laid down the agreements in the Patient Transport Guidelines Covenant. The signing of this covenant is an important step in safeguarding the agreements. Dutch Kidney Patients Association (NVN), the Dutch Federation of Cancer Patient Organizations (NFK), Elke(in) and the Netherlands Patient Federation signed the covenant on behalf of the patient and client organisations. KNV signed on behalf of the healthcare providers. Zorgverzekeraars Nederland did this on behalf of the insurers.

The guidelines framework forms the basis for agreements between carriers and health insurers on high-quality seated patient transport for adequate compensation. With these guidelines, the signatories want to provide the negotiations between the parties with a good basis, taking into account price, efficiency and quality. For example, patients or clients can not only count on good quality transport, they can also rely on these guidelines that complaints will be dealt with adequately. After all, the aim is that they ultimately lead to noticeable improvements. By signing this covenant, all parties commit themselves to jointly ensure that this is safeguarded.

Reason for covenant and delay due to corona
The reason for the covenant was the commitment in 16 from the Minister of Health, Welfare and Sport to the House of Representatives to ask the Dutch Healthcare Authority (NZa) to conduct an exploratory study with the parties about possible problems in purchasing patient transport. Together with trade unions, KNV Zorgtransport has been working towards this for some time. The minister’s commitment led to exploratory talks, initially under the leadership of the NZa and in a later phase, with the consent of the NZa, under the direction of the parties themselves. Due to the corona pandemic, the talks were delayed, but last summer the talks were picked up again by the parties involved.


KNV coordinated with a representative of the employees during the process. NVN and NFK did the same with other patient organisations. Agreements have been made about, among other things, quality levels and improvement cycles. The quality framework for patient transport that NVN had already drawn up previously served as the starting document for the new framework of guidelines.


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