The aim of this economic and societal impact study is to measure the benefits to the Brussels-Capital Region’s economy of the activity generated by CHU Brussels as an employer and, more specifically, by each of the four hospital institutions it comprises, in terms of monetary flows and jobs.
The data shown, unless otherwise stated, apply to the year 2016..
The economic and societal impacts are addressed separately in the study:
This is calculated in terms of monetary flows based on two elements:
Multiplier coefficients enable us to calculate the impact of final demand on production. They can be applied, in other words, to an increase in demand for healthcare, such as an increase in the number of patients, possibly correlated to demographic changes in the Brussels Region (population growth and ageing).
The calculations are based on coefficients produced by the Planning Bureau in 2015 on the basis of data from 2010, as part of an inter-regional and sectoral approach [Hospital activity - code NACE 86 A].
In this case these coefficients enable us to assess the direct and indirect benefits on revenues and employment in the Brussels Region, cascading out of the activity produced by the supply chain, to respond to the increase in demand:
One million Euros of revenue generated by the hospital sector will produce an injection of 710,000 Euros into the Brussels economy.
One FTE at CHU therefore indirectly generates 0.33 FTE in the supply chain
This is assessed with a more qualitative approach, which enables the following elements to be appreciated:
The study covers the economic and societal impact generated by the activities of the four public university hospitals comprising CHU Brussels, and by those of the legal entity of CHU Brussels for shared support services (in2016: legal and human resources departments).
Five “employers” (distinct legal entities) are thus involved :
Included in “CHU Brussels staff” are contractual or statutory staff paid directly by one of these five employers (“salaried staff”), staff placed at the disposal of the employer by another employer (secondments), independent (mainly paramedics and physicians) and Interims. Students (nurses, physicians, paramedics etc.) are not included, with the exception of candidate specialist physicians in training – also called “post graduates” (PG) - who are paid and accounted for as salaried staff.
The study addresses the economic and societal impact of CHU Brussels in the three Regions of Belgium (the Brussels-Capital Region, the Flemish Region, and the Walloon Region), with a more specific focus on the Brussels Region.
The study assigns no value to the indirect economic impact of CHU Brussels such as the economic benefits (hotel expenses, various purchases etc.) generated by patients, students in training and participants in any events organised by the CHU who do not reside in the Brussels Region. Such an approach has not been adopted. This first study focuses on estimating, in terms of activity, the attractiveness of CHU Brussels to patients and staff not resident in the Brussels Region5.
The following expenditure and receipts items have been ex- trapolated, wholly or partially, on the basis of objective data:
As the data used has been rounded, some graphs display a total of 99% or 101%.
4 Taking into account the low economic and societal impact of CHU Brussels as a coordinating structure, only the data and results of each of the four hospitals are detailed in the last four sections of the report. Data on the coordinating structure is recorded in these results, at the start of the report, for CHU Brussels as a whole.
5 Other similar studies carried out in French regions have estimated this indirect economic impact to be less than 2% of the direct economic impact, or a marginal indirect impact compared to direct impact. This concerns, particularly, the Economic and Societal impact Study of CHU Limoges in the Limoges Region (2014) and the Economic Impact Studies of the Grand Ouest CHU and CHR (2014).
6 This mainly concerns, for each entity, the 100 suppliers with the highest total orders recorded in 2016 regarding investments (acquisition values).