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UG reference: Nurse Bluff: Part 2

2020-01-22T11:10:02.445Z

See the script and sources for the report Nurse Bluff: Part 2. You will find source references both in the text and at the bottom of the page.



Reporter: Excuse me, can I ask you something?

Reporter: Are you studying at this university?

Andreas: Yea, yea, yea, yea.

Reporter: We made a documentary, about a year ago, about nursing schools ...

Andreas: Alright.

Reporter: ... where actually students never went. You know?

Andreas: Yea, yea.

Reporter: Like they paid for the results, for the exam, for the tests and so on.

Matei: Alright.

Reporter: You've heard about that?

Matei: Yea, we know about this kind of people.

A college in central Bucharest. We stop by and talk to some students - everyone has heard rumors of fake education, schools without students, payments under the table for the right answer to the tests.

Andreas: There are definitely rumors going around, that that is happening.

Mihnea: There are some rumors, but we don't know if its true.

Reporter: Okay.

Mihnea: There are rumors but we don't know for sure.

Reporter: Okay.

Mihnea: You never know.

Antonia: I don´t know anything for sure. Like I haven`t seen any proof.

Reporter: You haven't seen any proof? But you heard the rumors?

Antonia o Joanna: Yea.

Antonia: Everybody hears the rumors.

Reporter: Everybody?

Antonia: Rumors on social media.

Joanna: On the internet.

Antonia: But you can´t be sure.

It's the rumors - which are hard to prove.

But we had evidence of false nurses and already on the same day as our report was sent the news spread in Romanian media.

From Antena 1:

The mafia of fake diplomats in Romania jeopardizes the health of Europeans.

A former truck driver, Romanian, took a job as a nurse at a hospital in Sweden.

Ur Digi 24

It's just one of the shocking interviews from Scandinavian television's review. However, the Swedish authorities cannot identify the scams.

And shortly after our publication came a promise from the then Minister of Education:

Ecaterina Andronescu, former Minister of Education Romania: We control everything that can be controlled. The accuracy, how well the syllabus corresponds to what the schools do as well as the study certificates (grades, diplomas etc.). I intend to make sure things get right / good and "punish" what has not gone right. Believe me.

Now it is said that the government's investigation should be completed - and the question is what they found and how to approach such a studied cheating - because while the students have been enrolled in the schools, they have worked in Sweden or Romania.

"Mirela": Who is it?

Reporter: I hope I come right. My name is Karin Mattisson and I call from Sweden's television. But are you educated then, you are trained in Romania to nurse?

"Mirela": Eh ... Since I'm a little careful, why should I answer to you?

Reporter: Yeah, why don't I think? What is the problem? If you have educated yourself abroad?

She is one of the fake nurses we revealed. It turned out that she worked full time at a warehouse in Skåne - during the same period she must have sat in the school bench.

Despite this, the school confirmed her presence:

Telefonare:

School: Yes, she went out here with us, in post-secondary school. In 2014 she went out.

Yes, yes, it also looks like the diploma from the school. In all the credentials we reviewed, there are genuine documents - grades, certificates of practice - that have subsequently provided Romanian nurse identification. And that in turn has caused the Swedish Social Board to do the same.

"Petru": I worked on internal medicine, so kind of palliative if you say so.

Reporter: So you were there full time all the time?

"Petru": Yes.

Reporter: Yeah. Where do you work then?

"Petru": I am production and responsible for ... I work with chickens if I say so.

Reporter: With chickens?

“Petru”: Yes with production and chickens. I have paid much more than I had as a nurse. I already work in the workplace that I am at today, I have worked for eleven years.

Reporter: Yeah!

"I've been working for eleven years," he says. In Sweden - with chicken breeding.

But - you can't be in two places at the same time: work full time in Sweden and at the same time study for three years full time to nurse in Romania.

In his application to obtain Swedish credentials lies the grade from the school in Romania.

It says that he studied daytime and graduated in 2009. Thus while he was here.

We compare the years he should have pitched in Romania with his income the same year in Sweden.

On average, he has earned about 19,000 a month on chicken breeding during the years he should have sat in the school bench.

2007: 158,000 in annual income

2008: 271 000

2009: 245 000

We found several cases: For the National Board of Health, they have stated that they went to school in Romania - but we saw that they were written here and had an annual income here.

We reviewed all the credentials granted by the National Board of Health of Romania over the past five years by comparing information from the Swedish Tax Agency, the CSN, the National Archives, the National Register of Employment, employment contracts, public and private employers - so we found out what they had actually done when they claimed to have plugged in nurse.

Reporter: We would like to talk to someone, like the headmaster of the school, or some ....

When we went to Romania for the previous report, we visited the authorities and schools to check that our information was correct.

Schools that stated that students were there full time - daytime.

We found five nursing schools, all of which examine hundreds of students each year - and it was clear on site how difficult this is to see.

Camelia Ţăran, Rector of Nursing Education:

Reporter: So he has gone here for sure according to this book?

Camelia Ţăran: Yes, of course.

Reporter: But can you work in Sweden full time and read here at the same time?

Camelia Ţăran: No, no such thing does not work.

In Bucharest lies the organization that issues Romanian nurse credentials. With it you can then get a ID from Sweden or any other EU country. The site manager was not so surprised by our information.

Beatrice Nimereanu, Deputy Director General, Association of Nurses: I will say, I have heard it before, but it has to be proven ... You know ... yes.

Reporter: But you've heard it before, that this is happening in some schools?

Beatrice Nimereanu: It's something everyone is discussing.

Reporter: And how is it discussed, what do they say about it?

Beatrice Nimereanu: They hear that there are schools where no one has gone.

Reporter: But it is interesting that you heard about the rumors.

Beatrice Nimereanu: Yes, everyone in the area. Not only for the nurses, but also for other professions. There is something general.

The National Board of Health and Welfare has given the fake nurses identification - but what we revealed was a news to the authority - that through them you can get into Swedish health care with genuine documents from a school - and yet be a scam.

Reporter: This is a woman who works at Danderyd, this man works at Sahlgrenska and ... he no longer works because he tested for a couple of weeks but he didn't really manage to work as a nurse. This man has worked with chicken breeding. I have a roof installer and a shop assistant, we have a warehouse worker. They claim to have gone to school in Romania, but at the same time they have done something completely different. How do you react when you hear it?

Zara Warglo, Swedish National Board of Health: This particular situation is nothing I recognize or have heard about. On the other hand, it is true that they have, of course, sought on the basis of genuine documents, and what we do when we look at these cases is that, according to this professional qualification directive, we have to look at the degree that you have submitted as the basis for their application. And we also request certificates from the corresponding authorities, authorities in these countries.

Reporter: We have gone through the Swedish Tax Agency, we have looked at CSN and all sorts of different sources in order to get this information. Is there anything the National Board of Health could do?

Zara Warglo: We do not have the opportunity under the current regulations. The Professional Qualifications Directive is, after all, an EU regulatory framework based on trust, and we also do not have the formal opportunities quite simply.

Reporter: Can't you?

Zara Warglo: We must not go in and look this deeply, but what we have to relate to is the diploma that you have with you when applying for credentials.

They must not do what we have done, Swedish legislation limits the authority to survey persons with public records. They must approve credentials from other EU countries. Because that is the idea of ​​free movement - that you can take your profession across borders.

That agreement is based on trust. But we could reveal what happens when that trust is challenged by corruption.

Our review was noticed in London a few months ago.

Conference clips:

“In order to work as a nurse you have to have a certificate ...

It is the world's largest fraud investigator organization holding its annual conference on the topic of academic corruption - ie bribery and cheating within the education system.

Paul Milata, Fraud Investigator: This segment makes it very clear what the consequences are from academic corruption. If so often in fraud cases the victims of fraud are invisible and Mission Investigation has shown that buying a diploma and pretending to be a nurse is not just a funny sideshow a person can do in order to earn more money - this act has serious consequences. To be more precise it has very high risks for people who are patients in hospitals where nurses like this are working. I was, I was excited to see this segment I was excited to see it because they presented very clear evidence, because everything that Mission Investigate published points to a very clear possibility that this is just a tip of the iceberg.

Corruption is also Bo Rothstein's special area. He is a professor of political science and has been researching the subject for over 20 years.

Reporter: So the fact that the education system in Romania is - that there is corruption there - it is well known?

Bo Rothstein: It's very well known. And empirically grounded and that it is at a high, as we say, systematic level. Thus, by systematic we mean that this is something that one can more or less take for granted.

Reporter: How surprised were you when you saw this report?

Bo Rothstein: I am surprised by the incredible naivety of the Swedish authorities in this and ignorance. I am not at all surprised at what one finds in Romania.

Reporter: Explain, why are Swedish authorities as naive as you say? What is the background to it?

Bo Rothstein: Yes, the background is multiple. On the other hand, until ten, fifteen years ago, issues of corruption were almost taboo, both in the media and especially in the research world. It was perceived that pointing to corruption as a problem in, for example, developing countries was a way to blame the victims. This question was not simply taken up. The second is that you are above this in Sweden.

Before our last report, we looked up some of the nurses to let them handle our tasks:

"Elena": I went to school.

Reporter: But what I understand is that you were working at a financial institution in, in Romania at the same time.

"Elena": Yes, yes, that's right.

Reporter: Full time.

"Elena": Ehhh ... I worked as a manager and I've been able to do school.

Reporter: But you can't work full time as a manager and at one, at a completely different job and at the same time go to school.

"Elena": But it works. You can learn at home too. If you take your degree, it works.

Reporter: But it says you have gone daytime - full time in this school. But at the same time you have been in Sweden and worked, right?

This is the chicken breeder, who told me on the phone that he worked in Sweden for eleven years.

"Petru": So I've been to Sweden and worked and since I went to tests all the time.

Reporter: Yes but it says here that you have gone during the day, full time.

"Petru": No, I can't, it's not okay.

No, it's not okay, because according to EU rules, 4,600 hours of teaching is required. Thus, equivalent full-time studies, in place for three years.

Reporter: But imagine that you yourself that you in a school where you educate yourself to nurse just go and take the tests. So it is dangerous for the patients.

"Petru": It's 100 percent dangerous, I know.

Reporter: But the National Board of Health does not know that you did not go there full time, they think you did when you got this ID. Is that right you think?

"Petru": No that's not right, wouldn't be right.

Reporter: But they do not know that you read, were here while you read?

"Alex": No, no.

Reporter: No. Didn't you tell me?

"Alex": No.

When we met “Alex” he worked at Sahlgrenska University Hospital.

Reporter: But how do you think it is possible to work as a nurse then if you do not have the entire education, how does it work? How are you doing here, working here at the hospital?

“Alex”: Well, I think it's going well.

Reporter: Because I think you have patients ...

That it went well - that's his version. But there is also another version. We will be contacted later by several of his colleagues.

In the documents he submitted to the National Board of Health, it does not appear that during the last school year he actually moved here, read Swedish for immigrants, SFI - and that he got a job here.

Reporter: But there is something that is not right, For you, in this documentation it says that you went to school, in Romania, in 2011 and 2012. But then you had moved here.

"Alex": Yes. But then yes, then I went a distance course then.

Reporter: But they say at school that you can't read remotely. But then you haven't been there.

"Alex": Yes. Yes I have been there but as I said I just graduated. I asked them if it's okay for me to just graduate, so then they said it's no problem.

Reporter: If the National Board of Health had known what you were saying that you were not at school, that you were here, etc., then you would not have received the ID.

"Alex": No, I know. I know, I know.

The National Board of Health begins to investigate - the IVO reports, contacts the Romanian authorities but then goes to bed. So they go to the police instead. Several of the people we disclosed are reported and a preliminary investigation is started.

Arne Fors, prosecutor of international crime: The first hearings were held in May, when three suspects were heard. They were constantly upset that they were told this suspicion and that they were heard. And they deny all crimes.

Reporter: What, how do they defend that they have had these incomes in Sweden at the same time that they should have plugged in there?

Arne Fors: Yes, they mean that they have plugged in Romania. That they have traveled there and read and that they have been able to get some exemption then, that they have not had to be present all the time and so on. So that, they maintain that they have read these courses.

Reporter: It says daytime and full time in these certificates, is it possible to combine?

Arne Fors: Timely so ... I can't get it together. The investigators also do not get it together. And so that's what's in the scales. Partly the information that comes from the suspects and these people at the schools in Romania. Then you have what it looks like with the number of hours you should have worked in Sweden and maybe even when information from employers in Sweden, what it looks like. So it's hard to get it together.

The police investigators have used our method and found another suspect. Four people are being investigated for "using false records". On behalf of the Prosecutor, Romanian police have interrogated representatives of the schools - who claim that the persons were present - just as it says in the diploma.

Reporter: What do you think about it when you get the answer from Romania that this is true?

Arne Fors: Yes, I know that there is a review in Romania of different schools and it is probably because there have been problems with the education system and the supervision of schools I can imagine. So that report is very interesting to see.

For months, we have been trying to get an interview with the Minister of Education in Romania about exactly the report that the prosecutor also wants to see.

Thus, the result of the examination of the nursing schools.

Reporter: Is it complete yet?

Telefonare:

Daniel Tomoni, Press Secretary, Ministry of Education Romania: No it is not. I think the report had some issues. But I don't know exactly what that issue is.

Reporter: Because that would be very interesting to us as this report is a result of our investigation.

Daniel Tomoni: There is no doubt about it but we would like to give you official information on this matter.

Reporter: So when do you think it will be ready for us to read?

Daniel Tomoni: I don't know. I don't know.

Several bluffing nurses told us that you don't have to be in school. It is enough to do the exams.

At the same time as the schools said the opposite. They guarantee that students have been on site full time - to us when we call, in police interrogations and of course in the diploma.

That was not the case when journalist Adriana Stere entered one of every hundreds of private medical schools in Romania - with a hidden camera.

From PRO TV:

Reporter: What are the requirements for attendance?

Secretary: Compared to other schools, we have no strict requirements. No problem.

Reporter: If there is an absence?

Secretary: No. She doesn't have to worry.

Adriana Stere, journalist, PRO TV: So I went in with a very simple scenario, saying that I was the sister of a future student of theirs. That was not interested in learning that did not have much time to go to classes. So the question was simple - could you please have her as a student paying taxes? And hoping that she will get the diploma in three years, was that possible I asked. And the secretary said: yes. There is no problem.

Reporter: So how was your reaction when you got that answer? She didn't even have to be at school?

Adriana Stere: From my journalistic point of view, it was just what I needed to prove that your story was in the right direction. On a personal level, I would not have my family or myself in the hands of a nurse who did not have their full training as a background.

This particular school is one of Romania's cheaper private schools - a place costs about SEK 8,000 a year, she says.

Adriana Stere: It's good business. These people charge about three thousand ley which is about eight hundred Euros a year. Times three years. For doing nothing. It's just good business. But you know - a very honest country no one should be allowed to do this, right?

The school's explanation afterwards is that the secretary was not entitled to comment on the school's rules.

Prior to our first report, we wondered how to work as an uneducated nurse without being detected. But after the broadcast we received several emails from colleagues to “Alex” at Sahlgrenska University Hospital.

"Everything fell into place" was a recurring reaction ... "We have long suspected that he can not be a real nurse," wrote a colleague.

Then he worked in a rehabilitation department. But it turns out that he not only retained his nurse's credentials, but we also get a tip that he has got a new job ...

Even "Elena" at Danderyd's hospital had had a colleague feel uneasy. Already a year before we revealed her, the colleague called the National Board of Social Security to check - did she really have identification?

And - after the program, the colleague took another step and reported "Elena" to the Inspection for Health and Care, IVO.

It is noticeable that she has no education, writes the colleague, "when she does not understand cause and effect ... and when she discards care-related words without understanding the meaning of them".

Reporter: But you can't work full time as a manager and at one, at a completely different job and at the same time go to school.

"Elena": But it works.

Reporter: It is ..

"Elena": It works.

But the managers end up at the "Elena's" side. They feel that the notification is unfounded and that she is doing her job competently.

IVO goes on the words of "Elena's" managers and the case is closed.

She was one of the police reports but the prosecutor did not go further in her case. Her income from a financial institution came from Romania and the prosecutor has chosen to only compare study time with income in Sweden.

When we go to Bucharest in Romania just before Christmas, it is almost on the day 30 years since the dictator Nicolae Ceausescu was executed and the totalitarian communist regime fell. But the country is still suffering from poverty and corruption. And this is especially hot in the education system.

We have two goals with the trip - to know what the report contains, ie what was found in the review initiated by the government of all nursing schools - and - to ask questions about it to someone at the Ministry of Education.

It doesn't look so bright.

We meet the journalist Raluca Pantazi, who has sources in the government and who for a long time tried to get the report out.

Raluca Pantazi, journalist, edupedu.ro: Your revelation was a big news for us as a country and for me because I am a journalist on education.

Reporter: So you covered the story when it was revealed here

Raluca: Yes I covered the story and I put questions to the three education ministers that have changed since you broke the news.

Reporter: But could you show me around?

Raluca Pantazi: It was a terrific reality that you showed us. Because - if that happens in Sweden, that could happen in any country and in Romania. And now we have over 40 000 youth studying in this nursery collage, private collages in Romania.

So the number of students in this private nursery school is very high. And the fraud that you have discovered has made this problem a security issue.

Reporter: So have you heard about this issue but in other educations, other schools? Then just nursing that we revealed?

Raluca Pantazi: Oh, if diplomas ... yes!

Reporter: Fake diplomas? Fake diplomas. Yes. it's a big issue here in Romania. Even now we have a scandal, now this day antimafia prosecutors just went to Spiru haret University one of the biggest private universities in Romania. For fraud, and fake diplomas. Not in nursery, not in medicine, in all other areas.

From Romanian Pro TV:

With meat, wine, bells and, of course, money, students should be credited with grades, research results and diplomas. The principal, university staff, some 15 teachers and some 30 students are suspected of crimes.

It is a comprehensive organized crime that has been going on for several years.

Reporter: And this is todays news?

Raluca Pantazi: Yes, this is todays news. Yes I think its a problem that we can find in any sector.

Reporter: So what do you think about that?

Raluca Pantazi: Its one of the main problems of Romania. Thats why we have this corruption, thats why we have very poor results on education because we can fraud everything.

We want to know how the government has acted with regard to health schools, but it has been silent on the part of the ministry and the minister has not made any public interview.

Raluca Pantazi: One year after we did not report publicly, no news from the ministerial government sources said that ... the current minister rejected the current version of the report made by the control body.

Reporter: Do you think this report will be public one day?

Raluca Pantazi: I hope this report will be public because it is a national security matter. We have to see it, the prosecutors have to see what the port contains and to fix the problems, close those colleges that make fake nurses.

Since Raluca Pantazi has sources in the government, we ask her to call the department - to try to get someone to line up and answer questions about the report.

It has been late tonight and we have received a positive message.

We should ask questions about the report.

The Minister of Education, Monica Anisie, has on short notice - now tonight - decided to put up an interview with us. But on her terms.

We may film the Minister of Education here before the interview, but she has said no to the camera when we ask questions about the report itself. We do not get a clear explanation as to why she does not want to show her face during the interview.

Reporter: But is this the report?

Monica Anisie Minister of Education: No.

Reporter: No

Reporter: Nice to meet you. Karin Mattisson.

Person at the table: Nice to meet you.

Monica Anisie, Minister of Education: The new government to which I belong does not support corruption under any form.

The report carried out by the inspection body was not approved by the previous management of the Ministry of Education. I cannot take responsibility for that report. Then I did not sit in the department.

Raluca Pantazi: What does "not pass" mean?

The Minister: It must be approved by the Minister.

Raluca Pantazi: Can't you do that?

Monica Anisie: Because it was made when I was not working at the Ministry of Education, I cannot approve it.

Raluca Pantazi: Reporter: Have you noticed any irregularities in it?

Monica Anisie: From what I have seen, the report does not contain any measures that the Ministry of Education should take.

Reporter: Yes. How did you react when you saw our documentary about the nursing schools here, how did you react?

Monica Anisie: When one finds that something illegal has taken place - the reaction becomes simple. The report will be forwarded to the relevant legal bodies for review.

Raluca Pantazi: Thank you.

Reporter: Is she .... should she go now? Is she coming back or?

Raluca: No.

Reporter: Okay, okay.

Since the Minister does not approve the report, it is now back with the inspection body that carries out the review. And the chairman has the same requirement not to be filmed.

Dan Tremen, chairman of the Ministry of Education's control body: We cannot publish it because, as Mrs Minister said, it has not been approved. We will resume the checks

Reporter: Were you surprised when you saw our review?

Dan Tremen: No.

Reporter: No? Why?

Raluca Pantazi: How's it going?

Dan Tremen: Because there have been cases where diplomas

has been issued in an illegal manner.

Reporter: We found five schoolchildren in Romaniathat have been “educated” fake nrses, so how come yu dnt find anying

Raluca Pantazi: (translates)

Dan Termen: We also found things. We connected legal bodies for a school.

Raluca Pantazi: Which one?

Dan Tremen: I can't say that.

Raluca: Is the new investigation based on the existing report - or are you starting a new report from scratch?

Dan Tremen: We start from scratch.

Raluca Pantazi: (translates) We start all over from scratch.

Reporter: Now again?

So the report that we have been hearing for a long time should be ready - is rated by the Minister.

It didn't die.

They are back on box one - with several hundred medical schools to review.

Raluca Pantazi: Honestly, one year ago when the report was launched, I didn't expect anything to be found by the control body. And I don't expect to see a report full of real things.

Reporter: Why?

Raluca Pantazi: Because all the origin, all the colleges, maybe not all, but most of them are run by the same people involved in political, in business, and in everywhere.

But in one area, the rules have now been tightened - the check that the student is really present at the internship.

Mircea Timofte is the chair of the nurse organization that issues certificates in Romania - what the National Board of Health does in Sweden.

Mircea Timofte, head of the Association of Nurses: In my opinion, post-secondary medical education in Romania is a disaster.

Mircea Timofte gives several examples of why he is critical.

Mircea Timofte: Do you want me to show you a test written by a student with high grades? Who got a job. You have to judge what he can possibly do at all. He was illiterate, but has high graduation rates.

Reporter: How common is it for students who never attend and get a diploma anyway?

Mircea Timofte: I don't know how often they attend classes. But I know the absence is great when they are going to do an internship in a hospital.

He says that when a hospital would employ 30 nurses, many people applied for and tested with knowledge tests. But it did not work out.

Mircea Timofte: 300 candidates registered. Not all 30 posts were added. Only some of the services were added. So bad is the level. Not even ten percent passed the test. They are cheaters with unhealthy values. I ask the school for a certificate that each student has completed the education, signed by the principal. With signature. I demand that. I want to confirm that they went to education, not that they got a diploma.

Thus, unlike the National Board of Health, he does not rely on diplomas from nursing schools. Neither does Bo Rothstein. So how should employers in Sweden do to see through a scam?

Bo Rothstein: Yes, so there are many ways to find out if people can do what they want. You can ask some questions. You do quite such extensive tests with people coming from outside the EU. And you are not forced to do this with people who have degrees from the EU, but there is nothing to stop them from doing so. The health care principals have an interest organization in Sweden's municipalities and county councils, and they could, for example, raise this issue. And they could prepare some kind of manual .... so you should do this when there is a risk that this person comes from or has his education from a country where we know there are irregularities.

Reporter: A form of knowledge test?

Bo Rothstein: Of course! Yes, so you can, for example, ask them to do a test lecture on some subject that you give them that they should be able to. If they can, they can. If they can't, they can't.We do not hire anyone here, even though they have degrees from the very finest universities in the world without this person One: being properly interviewed and Two: giving a test lecture. But here it is much easier here no one will bleed and break if we hire the wrong person. In health care this is a little more serious.

Reporter: Within the EU, there are many countries that are burdened by corruption and where you know that the education system is part of it - should you even hire nurses and medical staff from there?

Bo Rothstein: So you shouldn't punish an entire group for what maybe a minority is doing. Collective punishment is not something we should do. Without it, it is much better to introduce systems where I think in fairly simple ways you can check that you actually have the skills for the job you are looking for.

Reporter: I think in this way that the individual employers out in the hospitals it is one thing that they should check that the one they employ has the right paper and credentials and so ...

Bo Rothstein: No, they should check that they actually have the knowledge they need. Paper and credentials are an indication that one has the knowledge needed. But that is not evidence as they can be falsified and problematic in some other way.

Agneta Jöhnk is the supreme head of employer affairs at the organization in Sweden that employs the country's nurses. Both in municipalities and regions.

Agneta Jöhnk: When we ask if you have credentials with the National Board of Health and they say yes, it is genuine or they have it. We ask IVO if there is anything about these people. We take references if it is possible to take references then we basically have to trust.

Reporter: If you have to trust, if the employer has to trust the documents, you said, what do you mean by that, then how can you do it? After all, does everything actually look right?

Agneta Jöhnk: We have a professional qualification directive in the EU that says you should be able to go from different countries with your ID and get a new ID in another country. Then it is a matter of course that all these countries have taken care of the fact that we want one, we want a mobility and one should be able to change countries.

Reporter: What prevents the employer from doing a knowledge test on the person to make sure this will not harm any patients?

Agneta Jöhnk: I do not in itself believe that this is hindering but should we do it then it is, you should know that we have about 100,000 nurses in our org ... healthcare organizations today and we recruit quite a few every year and should everyone do clinical tests then i think it will be difficult.

Reporter: So I mean the only way when it comes to patients who actually have to meet this person - life and death - is good to test - can they do their job?

Agneta Jöhnk: Yes, and that is, it is about patient safety. Of course. Now and it is so that these people have been given a job on false grounds, it will, I think, appear right soon. Then we have to have systems IF we now happen, as we have done, to recruit such people, then we must have systems to detect it.

Reporter: And then I intend to discover it BEFORE you come you come in .... I want that if I am a patient.

Agneta Jöhnk: Yes, yes, I understand. And I can really respect that but these are people who have really gone in to bluff and cheat and then, then our systems are not built on that all bluffs and cheats.

In our last review, we found fake nurses from different countries. Five of them had graduated from Romania, linked to five different schools.

So what has happened since then? The National Board of Health did not go anywhere, IVO has closed all cases.

And - during the investigation, the prosecutor found that the suspected crime was not serious but of the normal degree and thus the limitation period has expired. So now the preliminary investigation against the suspects has been closed down.

And it turns out that everyone has their Swedish nurse credentials.

Yes everyone, except “Petru” the chicken breeder.

Shortly after the interview - where he himself said it was not right that he got the ID - he called us:

Reporter: Hi there.

"Petru": Karin I want to say that I called the National Board of Health and Welfare. Yes I want to tell them that they can get the license because I have not been to a hundred percent in school.

Reporter: So you simply want to get rid of your Swedish nurse ID?

"Petru": Yes yes, and as I told you I have not worked and I do not want to work either.

Reporter: But that's good, so you can expect that we will not meet you as a nurse in the future anyway.

"Petru": No no no. With that, you can be 100 percent sure.

Yes, no patient learns to meet him as a nurse but what about "Alex" at Sahlgrenska - who we received several emails about after our last report.

Quote colleague 1: The nurses who were employed by us were instructed to train him as a nurse. Everything from taking a blood pressure, ECG to sharing medication which he couldn't. And everything else that is part of a nurse's duties.

Quote colleague 2: Me and many people with me experienced a high lack of knowledge about healthcare ... We have flagged to the management that something is not right, after your disclosure all pieces fall into place!

Quote colleague 3: We have long suspected that he can not be a real nurse. When he started, he did not know what paracetamol (Alvedon) was, he did not know how to take blood tests.

Quote colleague 4: He was later given extended duties. Many in the staff feel very bad about this.

Quote colleague 5: Now XX (PIP) has been working as a nurse for a while and it is clear that he has improved. Anyone who can read can share medicine that is on a computer screen but if you do not understand the meaning of what you give you are a great risk to patient safety.

We have received a tip that he has a new job at Sahlgrenska University Hospital. And not any job. "Alex" should have advanced. Could it be possible?

One of our team goes into the hospital.

Reporter: Do you bring flowers here?

"Alex": Eh, I'll ask someone here ... but ah, I don't think ..

Reporter: There are no problems?

"Alex": No problem.

Yes, it's "Alex". On the neurosurgeon. Here, patients are cared for, among other things, after brain surgery.

We know that several colleagues reacted strongly - even here at his new workplace.

But the management takes him in defense, we hear from several people - and that it is perceived as sensitive to question his placement in the department.

We have heard that there has been criticism in the mail so we ask to see what concerns "Alex" - but do not get it.

It is only when we claim that we actually know that there is an email from the medically responsible physician who questions "Alex" suitability - as the answer comes - that it was found in the human resources trash bin.

The doctor has also asked a number of questions about "Alex" employment but the message from the staff manager is brief:

He works on the same terms as everyone else.

Sahlgrenka's explanation is that e-mails are thinned and that it is unfortunate that it was not found on an initial search.

The management knew who they were at the Neurosurgeon.

But why did he have to keep his job at Sahlgrenska and - moreover - a more advanced service?

The one who will answer our questions about Alex is Per Albertsson, he sits on the hospital management team.

Reporter: I was just going to start playing, it's very, very short from my meeting with "Alex" in the park, from the report. When he says this:

Cut:

If the National Board of Health had known what you were saying now that you were not at school, that you were here and then you would not have received the ID! "Alex": No, I know, I know, I know.

Reporter: You heard what he said?

Per Albertsson, physician, area manager Sahlgrenska: I heard what he said.

Reporter: What do you think when you hear him say it?

Per Albertsson: So I, the first time I heard this, I thought this can't be true. It may not be true that we have a nurse who does not have education so - I was of course upset when I first saw the program. Then we have had contact with Alex of course and he says that this is due to linguistic consternation, that he did not understand all the issues, he speaks in general terms about being a non-legitimate nurse working.

Reporter: He ... I talked to him for almost 40 minutes in the park and it was very clear that we talked about him. I did not get the impression that he did not understand my questions.

Per Albertsson: No, but it was obvious that he did not understand the questions because he was in the lessons. We have done a proper investigation and found out what really happened.

After our disclosure, Sahlgrenska made an inquiry about “Alex”. They called the school and two hospitals where he then claimed he had done an internship seven years ago. The report shows that "Alex" warned the supervisors about the conversation. He gets good ratings.

But now the school has changed: he had an absence, but they claim he took up again in the spring of 2012, on location in Romania.

So when he was in Sweden at the same time - and read SFI at ABF.

Reporter: But do you trust - I suppose you say you call Romania and this school and know that he went there - I did, too - got to know that he went there.

Per Albertsson: We call the school and we call two hospitals where he has done his internship.

Reporter: But is that enough for you?

Per Albertsson: Yes.

Reporter: When he says at the same time that he was not there?

Per Albertsson: Yes, he has Swedish credentials. When he says at the same time that he misunderstood your questions. That he tells us he's been there. And we have no reason to distrust him then.

Reporter: But while this was happening, there is also evidence that he has read full time at SFI - how do you relate?

Per Albertsson: I don't know. I can't answer that.

Reporter: But you can't be in two places at the same time.

Per Albertsson: No.

Reporter: You can't be there and here at the same time.

Per Albertsson: No. But SFI what I know we got confirmed that he went to read at Hermods and got Swedish approved. Where we have come to the conclusion that what he says is right, with our timeline that we have. And what you tell me is completely new information.

Reporter: What is new information for you?

Per Albertsson: That he has been in Sweden for such a long time in spring 2012. We must of course find out what happened that spring. And then we have to await this investigation which is now underway, a police investigation.

Reporter: I think when he started here at Sahlgrenska there were several colleagues who sounded alarmed that he was incompetent. That he couldn't be a nurse at all, that he couldn't even take a blood pressure. Several of them have contacted us afterwards and confirmed this.

Per Albertsson: It was like this when he started working here it was 2016, then it was four years since he last did his internship. So that he was inexperienced and he had not worked as a nurse before. And that's why he got a probationary first. And during this time we noticed that he was not fully competent to work as a nurse and then we decided that he would work as a nurse for four months. Under supervision and with the help of instructors and we do several tests and then assess that he is competent to work as a nurse.

Reporter: His colleagues mean that they have covered up for him and thinks he would not work alone. They have trained him a little from the ground up in principle for him to do this nursing job.

Per Albertsson: There is nothing that I have heard and nothing that his closest managers have heard either.

Reporter: But why is he allowed to work here?

Per Albertsson: Because he is a registered nurse. And can handle their work.

Reporter: Now he has been relocated or got a new job or how would you define it?

Per Albertsson: He still has his employment but he has a new workplace. And there he has been for two months and constantly worked only under supervision. Nothing worked independently.

Reporter: There are those who even now who think he is inexperienced and not competent enough? How do you react to it?

Per Albertsson: He's inexperienced.

Reporter: After three years as a nurse here, at rehab?

Per Albertsson: Sure, but it's a whole new department he comes to, a new patient group really, which he comes to.

Reporter: But now I talk about his experience and skills as a nurse, in general.

Per Albertsson: Again, there is nothing that you have mentioned to your managers and nothing that you have mentioned to the supervisor. There is nothing that has reached us in any way.

Reporter: You do not know there is such information?

Per Albertsson: No, I don't know that.

Reporter: But do you trust that he has a good education from Romania?

Per Albertsson: I can't do anything else - he has all the papers in order, he has Swedish credentials.

Reporter: Don't you think it sounds a little naive when you know that there is high corruption in these countries? Like Romania above all.

Per Albertsson: Not when we have clarified how things are going. We have, as I said, we have done a thorough investigation and we have therefore not found any reason why he should not work as a nurse and we have no deviations and we have no incidents regarding his treatment of patients.

Just over a week after this interview, "Alex" suddenly resigns at his own request and with immediate effect.

That all the papers are in order and to rely on the documents - we have shown that there is no guarantee against nurses.

And if you look closely, there may be warning signals there - in front of your eyes.

Because when we now again go through "Alex" CV - for which he applied for a job at Sahlgrenska, we find a few more information that is not right. The internship he states in his resume is quite different from the two he now claims in Sahlgrenka's investigation that he has done internships.

And he does not mention that he read SFI in Sweden as early as 2011-2012, ie his last year of education in Romania.

"Alex" explanation is that he has practiced in several different hospitals.

And Sahlgrenska believes that they have controlled "Alex" as far as it is reasonable.

Bo Rothstein: I think it's very strange that you don't set examples here. It sends out a very strange signal to those who are prepared to deal with this type of irregularity. That you can get away with it. It's very hard for me to understand. Even though the person would, by having been at this job for a long time, now managed to gain competence, this is not how it should go and that can lead to many others trying to enter this path.

In Romania, corruption is being fought - as in many other EU countries - where communities suffer from a lack of trust. There you do not take for granted that what is black on white corresponds.

In Sweden they say: "We must be able to rely on documents" and the "handshakes" taken in the EU.

Maybe that's why - just over a year after our disclosure - the authorities still stand by.

Sign:

"Alex" has been given the opportunity to comment on the information about him in the report. He writes that he has not been informed of complaints from colleagues at the neurosurgeon and points out that he did not cause any injury.

He recently received a new position as a nurse in the home care service.

Source: svt

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