(CoE) Speech: Protecting human rights in the digitalisation of social welfare systems

Date of article: 18/03/2026

Daily News of: 20/03/2026

Country:  EUROPE

Author: (CoE) Commissioner for Human Rights

Article language: en

Speech delivered on the occasion of the Side event: "Digitalisation of social protection systems in Europe -The promise of efficiency versus the reality of exclusion" of the High level Conference on Social Rights, Chișinău, Republic of Moldova

This week, we are going to focus attention on the Charter of Social Rights. We are going to focus on social issues as human rights and therefore binding obligations on states.

That is obviously very welcome, but it is pretty empty if we do not pay equal attention to the delivery of those rights. How do we move from the fine principle on paper to the change in lived experience of the human being. It is in that context that I so very much welcome this discussion. Because social welfare systems are among the most important of the deliverers of the formal human rights duty.

In what sense? Well, obviously, they deliver the services they offer. We have human rights to the highest attainable levels of healthcare. We have human rights to benefits  when unemployed. We have human rights to all manner of things in the social context. Welfare systems deliver on those, but just as importantly they enable for everything else. They empower the rights holder to enjoy every aspect of their human rights. And, by the way, not just social rights, but their civil rights, every human right.

In that context I welcome the digitalisation of social welfare systems.

We have already seen how AI can strengthen that delivery. We see it already, at least in some places, in terms of improved client support, automated back office support and fraud detection. What is more, the OECD, in a very interesting study of last year, identified further spaces for the digitalisation of social welfare, such as for predictive analysis, forecasting demand and shocks, predictive analytics to improve client identification, enhanced outreach and reduction of the non-take up of social welfare services.

But, of course, side by side with all of the advantages that digitalisation brings to social welfare systems, it is also a very hazardous undertaking. This was very strongly messaged to us, at least those of you in the EU, by the manner in which the EU AI Act characterises welfare algorithms as “high risk”.

The high risk of welfare algorithms and of the digitalisation of social welfare was well illustrated in the famous case in the Netherlands regarding child care benefits. A scandal so great that you will recall that it brought down a government.

More recently, we see again, across Europe instance after instance of problems generated by the digitalisation of welfare. We see for example allegations with regard to social welfare systems in Serbia, France, Denmark and elsewhere.

Learning from such situations and from recent empirical research, I suggest that the levels of risk with the digitalisation of social welfare can be broadly categorised into five.

The first has to do with why we digitalise at all. It is clear from empirical research, when you ask the users and the appliers of technology that the primary driver is not about the quality of the service, it is about the speed and efficiency of the service. There is nothing wrong with speed and efficiency, but when that is preferred over quality, then obviously you can see the danger.

Secondly, and drawing from the examples I gave, we have seen the manner in which technology can produce discriminatory outcomes. And much more evident over recent years how through the application of feedback loops the discriminatory outcome can get worse and worse over time.

Third of the five, and this is quite recent, very interesting psychological research in the last couple of years has identified something called the “automation bias”. This is the situation where the human overseer of the technology trusts that the technology is going to do a better job than the human. And so, therefore, when there is a clash between the human assessment and the machine assessment, the human will opt for the machine assessment.

Fourth, there are the challenges of the access to digitised services and the extent to which we experience digital illiteracy in our society. The Fundamental Rights Agency in 2023 identified through one of its large scale surveys that only one in four people over the age of 65 has minimum digital literary skills. Only a quarter of people over the age of 65. This obviously is a red flag in terms of requiring people to access their social welfare services digitally. And by the way, I have given an example of older people, but you can think of so many marginalised people on the edges of our societies and the extent to which a digitised service becomes a remote and inaccessible one. I think, for example, of Roma in irregular settlements where they do not even have electricity, never mind access to digital services.

The fifth and the final of the concerns regarding the digitalisation of social welfare is that we implement it opaquely. Most people do not know the extent to which their social welfare entitlements have moved online, or some element of the assessment exercise has moved online. Governments have done a poor job of alerting their populations to the extent to which these essential services have been automated. And then in turn, of course, this raises serious issues around access to remedies when something goes wrong. How can you access a remedy when you do not quite know how and where the error offered.

What can we do to address these five categories and make sure that we have a digitised social welfare future that is really at the service of our peoples? Again, I would like to suggest just a few things.

The first, concerns those of you from the EU and in particular those of you from EU governments.

I encourage you to defend the fundamental European legislation that governs the digital space. I am referring here to the AI Act and the Digital Services Act. These are not perfect instruments, but they are probably the world's best models for the oversight of the rollout of artificial intelligence and all related aspects of digitalisation, including in the social welfare context. And so those of you here from EU governments, but please transmit the message. There is an ongoing so-called simplification exercise which ultimately, if all of its proposals were to be adopted, would in effect weaken these two essential bits of legislation.

Secondly, we need our governments to take the necessary steps to sign and to ratify the Council of Europe Framework Convention on Artificial Intelligence. It has been neglected. We have nothing like enough signatures and ratifications yet.It is only once it is in effect that we will have the normative tool whereby we can work with member states of the Council of Europe to put in place effective human rights-based national oversight systems, including in the social welfare space.

Third, we need our states to engage with and adopt the tools whereby they can do human rights testing and assessment of algorithms for the delivery of social welfare.

I would like to commend here the excellent Council of Europe tool, the so-called HUDERIA Human Rights Assessment Tool, as very fit for engagement and use. I think we could apply it in our own specific national contexts.

A couple of other points in terms of what we need to do. We need to make sure that on, the one hand, humans remain in charge, that we never cede decision-making to the machine, but then of course that we deal with “automation bias”. That we train those who oversee the technical tools to recognise that they are probably smarter than the tool, than the digital application, and that they need to watch it with great vigilance.

Then of course it goes without saying that there is the need to invest in digital literacy and the improvement of effective access to the digital space, particularly for older people and for those on the edges of societies.

Let me wrap up, by mentioning two roles that I consider must be included in our engagement as we go forward.

I refer to the importance of inviting into a central position in our work our national human rights institutions and civil society organisations.

Take national human rights institutions first. They have moved very fast across Europe in recent years in embracing their responsibility in the context of artificial intelligence. And they match that with their profound human rights experience. And we need to make sure they are integrally consulted, woven in as I said to the work.

Secondly civil society. How often is it civil society that is alerting us to how tech can go wrong? And then how often has it been that having alerted us to how tech can go wrong, it is civil society, not governments, that find the fix. We have to have a profound partnership.

And my very last point, dear friends, it has to do with trust. Delivery of safe and effective social welfare is one of the most sensitive and important dimensions of governance in any of our countries. It will only work if it is trusted. We have seen how easily things can go, do go wrong and can go wrong. And I would like to invite you to reflect on how you can build and enhance and strengthen the trust between social welfare systems and citizens through that engagement with civil society and with national human rights institutions and proceeding forward in as transparent and consultative a manner as is possible.

Thank you for your attention.

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Unacceptable delays in prostate cancer care at Betsi Cadwaladr University Health Board

Date of article: 18/03/2026

Daily News of: 20/03/2026

Country:  United Kingdom - Wales

Author:

Article language: en

Our new Public Interest report published today finds delays in scans and treatment more than tripled waiting times and likely contributed to a patient’s cancer becoming more advanced.

 

The Complaint

We launched an investigation after Mr C complained about the care and treatment he received following his prostate cancer diagnosis.

In particular, we considered delays in Mr C receiving a PSMA PET scan – an advanced imaging test that uses a radioactive tracer to identify and visualise prostate cancer cells.

The investigation also considered the delay in Mr C receiving hormonal therapy and its potential impact on the progression of his cancer.

The Findings

We found that, whilst the care and treatment Mr C received overall followed the NHS Wales National Pathway for Prostate Cancer, there were significant delays at key stages.  As a result, Mr C waited more than three times longer than he should have before his treatment began.

A biopsy indicated that a PSMA PET scan was appropriate for Mr C. However, the scan did not take place for almost four months. We found this delay unacceptable and a clear service failure.

The investigation also examined whether Mr C should have received hormonal therapy sooner. It found that it was clinically appropriate not to start hormonal therapy before the PSMA PET scan was known, as this could have affected interpretation of the scan. However, because the scan itself was significantly delayed, Mr C’s hormonal therapy was also delayed unnecessarily. This was an injustice for Mr C, leaving him waiting more than 180 days from the point of suspicion to definitive treatment.

We were further concerned about the Health Board’s failure to recognise the delays when responding to Mr C’s complaint. In our report Groundhog Day 2, the office highlighted that poor complaint handling can compound the sense of injustice for complainants and make pursuing concerns exhausting.

Mr C’s case is a clear example. Escalating his complaint further must have been especially difficult given his diagnosis and ongoing treatment. Whilst complaint handling was not formally within the scope of the investigation, we recommended that the Health Board reviews its handling of Mr C’s complaint in line with its legal Duty of Candour, particularly given its failure to acknowledge clear service failures.

Commenting on the report, Public Services Ombudsman for Wales, Michelle Morris, said:

“This is the fourth report issued over 9 years by my office about delayed prostate cancer management at this Health Board. In previous reports, we urged the Health Board to fully commit to change and improvement so that men would not need to bring similar concerns to my office again.”

“It is therefore bitterly disappointing to be reporting once again on failings in the same area. Previous recommendations have not been fully complied with, and the Health Board’s own improvement plan - agreed with the Royal college of Surgeons - has not been completed. A majority of the actions remain outstanding, despite my office having sight of this plan following our last public interest report.”

“The Health Board cited staff sickness and capacity issues as reasons for the delays - explanations that have also been given in previous investigations by my office. However, these reasons do not fully explain why Mr C waited more than 180 days from the point of suspicion to definitive treatment.”

“On the balance of probabilities, these delays more likely than not contributed to Mr C’s cancer being more advanced. The uncertainty this creates will sadly be an enduring injustice for Mr C and his family.”

Our Recommendations

We made a number of recommendations, all of which Betsi Cadwaladr University Health Board accepted. These included:

  • Apologising to Mr C for the delays and the injustice caused.
  • Sharing the report with the clinicians involved in Mr C’s care so the findings can be considered and discussed, and providing feedback to us on any improvements identified.
  • Auditing patients who have required a PSMA PET scan in the last two years to assess waiting times between the point of suspicion and the start of treatment, and taking appropriate action to ensure patient care aligns with national guidance.
  • Reviewing its local prostate cancer pathways and benchmark it against the National Optimal Pathway and those used by other health boards in Wales, including formal audits before and after any changes.
  • Reviewing Mr C’s case under its legal Duty of Candour to determine how his cancer pathway exceeded 180 days, and reporting the findings to its Quality and Patient Safety and Audit Committees and include its findings in its Annual Report on the Duty of Candour.
  • Reminding complaint handling staff of the need for in-depth and robust investigations.
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Verpflichtende Einzahlung aller Bürger in das GKV-System

Date of article: 18/03/2026

Daily News of: 20/03/2026

Country:  Germany

Author:

Article language: de

Berlin: (hib/HAU) Der Petitionsausschuss hält eine Petition mit der Forderung, dass alle Bürgerinnen und Bürger verpflichtend in das solidarische System der gesetzlichen Krankenversicherung (GKV) einzahlen, für geeignet, in die Vorbereitung von Gesetzentwürfen, Verordnungen oder anderen Initiativen oder Untersuchungen einbezogen zu werden. In der Sitzung am Mittwoch verabschiedete der Ausschuss daher die Beschlussempfehlung an den Bundestag, die entsprechende Eingabe dem Bundesministerium für Gesundheit „als Material“ zu überweisen.

 

Der Petent verlangt, dass alle Bürgerinnen und Bürger - unabhängig von ihrem Beruf, ihrem Einkommen oder ihrem Versichertenstatus - verpflichtend in das solidarische System der GKV einzahlen. Dies schließe Beamte, Selbstständige sowie Arbeitnehmer mit einem Einkommen über der Versicherungspflichtgrenze ein, heißt es in der öffentlichen Petition (ID 175929). Ziel sei es, eine gerechtere Finanzierung des Gesundheitssystems zu gewährleisten.

 

Das solidarische Gesundheitssystem in Deutschland basiere auf der gemeinsamen Verantwortung aller Versicherten, schreibt der Petent. Dennoch zahlten derzeit bestimmte Berufsgruppen wie Beamte, Selbstständige und gutverdienende Arbeitnehmer, die in die private Krankenversicherung (PKV) wechseln können, nicht in die gesetzliche Krankenversicherung ein. „Dies führt zu einer ungleichen Lastenverteilung, die das System finanziell belastet und die solidarische Idee untergräbt“, urteilt er.

 

Der Petitionsausschuss verweist in der Begründung zu seiner Beschlussempfehlung auf umfangreiche Strukturreformen im Gesundheitswesen, die in der 20. Wahlperiode begonnen worden seien und aktuell fortgesetzt würden. Auch wenn anzuerkennen sei, dass die Qualität und Effizienz des Gesundheitswesens durch die bereits begonnenen Maßnahmen künftig insgesamt erhöht werden kann und damit alle Patientinnen und Patienten - egal, ob gesetzlich oder privat krankenversichert - davon profitieren, hält der Ausschuss der Beschlussempfehlung zufolge weitere Schritte für geboten. „Gerade mit Blick auf die hohen finanziellen Defizite in der gesetzlichen Krankenversicherung besteht weiterer Handlungsbedarf“, schreiben die Abgeordneten.

 

Hierbei dürfe das Argument, das heutige Finanzierungssystem der GKV sei historisch gewachsen und seit vielen Jahrzehnten in engem Zusammenhang mit den anderen Sozialversicherungszweigen kontinuierlich weiterentwickelt worden, angesichts der stetig wachsenden Herausforderungen im Gesundheitswesen und in der Pflege kein Hindernis sein, betonen sie.

 

Ob eine Ausweitung der Pflichtversicherung auf weitere Personengruppen eine dauerhafte Lösung für die demografischen Herausforderungen sein kann, vor denen das Gesundheitssystem derzeit steht und in den kommenden Jahren stehen wird, bleibt aus Sicht des Petitionsausschusses zu prüfen. Gleichermaßen zu überprüfen sei, ob dadurch die finanzielle Nachhaltigkeit der GKV langfristig gestärkt oder die gesundheitliche Versorgung der Menschen verbessert würde. Ein funktionierender Wettbewerb zwischen GKV und privater Krankenversicherung, so heißt es, könne Anreize dafür schaffen, „dass sich Versicherer um eine effiziente und qualitativ hochwertige Versorgung ihrer Versicherten bemühen“.

 

Abschließend verweist der Ausschuss auf die derzeit arbeitenden Expertenkommissionen. Ein erster Bericht werde bereits Ende März 2026 erwartet und solle kurzfristig wirksame Maßnahmen zur Stabilisierung der Beitragssätze ab dem Jahr 2027 vorschlagen. Ein zweiter Bericht sei bis Dezember 2026 vorzulegen und solle Reformoptionen für strukturelle Anpassungen der GKV aufzeigen, „die das Ausgabenwachstum in der GKV mittel- bis langfristig wesentlich reduzieren und den Herausforderungen auf der Einnahmenseite begegnen“.

 

Die Petition im Petitionsportal des Bundestages: https://epetitionen.bundestag.de/petitionen/_2024/_12/_17/Petition_175929.nc.html

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Scottish Welfare Fund update - March 2026

Date of article: 18/03/2026

Daily News of: 20/03/2026

Country:  United Kingdom - Scotland

Author:

Article language: en

During February we 

  • responded to 79 enquiries
  • made 64 decisions
    • 16 community care grants
    • 48 crisis grants
  • upheld 8 (50%) of community care grants and 14 (29%) of crisis grants
  • signposted an additional 61 applicants to other sources of assistance. Of these, 61% were calling us instead of their local council in error. A further 30% told us they were experiencing accessibility barriers when trying to contact their council, such as the lack of a freephone number, difficulties applying online or problems with council phone lines. The remaining callers got in touch too early in the process and were directed back to their local council or other organisations
  • received 11 enquiries from council staff seeking advice.

Engagement 

We continued our engagement programme this month to promote awareness and accessibility of the review process, meeting with one council’s SWF team and a local Tackling Poverty team. We also delivered bespoke training for another local authority, focusing on key areas of the SWF guidance.

Case studies

Consideration of children's rights

C applied for a community care grant for flooring for their home. They have weekly shared care of their pre‑school children, and the exposed concrete floors posed a risk of injury, potentially affecting their care arrangements.

The council refused the application, assessing that the qualifying criteria for an award were not met. C’s representative then asked the SPSO to review the decision not to award carpets and vinyl.

We reviewed the council’s file and engaged with C’s representative. C was receiving support from a family centre and participating in an intensive mental health programme related to chronic pain and PTSD. There were concerns that shared care could be withdrawn because of the risk to the children if they fell on the concrete floors.

Taking account of ‘Children whose rights under the UNCRC Act may be impacted’ under Annex C of the guidance, we assessed that the qualifying criteria relating to exceptional pressure were met. We changed the council’s decision and awarded carpets for the sitting room and two bedrooms, as these met the high‑priority criteria.

Recommendations

  • Award carpets for the two bedrooms and sitting room.

Feedback for the council

  • The council did not fully consider the impact on children’s rights under the UNCRC when assessing vulnerability.

 

You can find more case studies in the searchable case directory on our website.

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Volksanwältin Gaby Schwarz im Falter-Interview: Situation im Strafvollzug erschüttert mich!

Date of article: 18/03/2026

Daily News of: 20/03/2026

Country:  Austria

Author:

Article language: de

„Die Situation im heimischen Strafvollzug erschüttert mich. Und nicht erst seit dem tragischen Todesfall in der Justizanstalt Hirtenberg. Laufend weise ich auf eklatante Missstände in Österreichs Gefängnissen hin. Leider wurden unsere Empfehlungen seit Jahren ignoriert, während die Zustände prekärer und die Häftlingszahlen höher wurden. Es ist Zeit für Reformen“, betont Volksanwältin Gaby Schwarz im Interview mit Chefredakteur Florian Klenk in der Wochenzeitung Falter.

„Die Folge aus Personalmangel und Überbelag in allen Gefängnissen sind hohe Einschlusszeiten, zu wenig Beschäftigungsmöglichkeiten, mangelnde Versorgung und schlechte Resozialisierung. Wenn Menschen bis zu 23 Stunden in einem überfüllten Haftraum verbringen, kann sich jeder ausrechnen, dass das keine idealen Bedingungen sind.“ Sie ortet ein „absolutes Systemversagen“ und nennt im Interview einige dramatische Fälle, die in den Parlamentsberichten der Volksanwaltschaft dokumentiert sind.

Als „äußerst mangelhaft“ bezeichnet Gaby Schwarz die Versorgung psychisch erkrankter Häftlinge. Die Volksanwaltschaft arbeitet seit dem Vorjahr dazu an einem Prüfschwerpunkt. Die Ergebnisse werden Ende März 2026 veröffentlicht. Die Erhebungen zeigen, dass zu wenige Fachärzte für Psychiatrie im Strafvollzug tätig sind, um eine adäquate Versorgung sicherzustellen. Das bedeutet, dass sich Justizwachepersonal um diese Inhaftierten kümmern muss, das dafür nicht ausgebildet ist und Betroffene häufig in Einzelhafträumen weggesperrt werden.

„Ja, der Umgang mit psychotischen Menschen ist eine extreme Herausforderung, aber solche Missstände sind unzumutbar“, hält Volksanwältin Gaby Schwarz angesprochen auf Fotos jenes Haftraums der Justizanstalt Hirtenberg fest, die in der aktuellen Falter-Ausgabe zu sehen sind. „Die Volksanwaltschaft hat Mängel in besonders gesicherten Hafträumen mehrfach kritisiert und Deeskalationsschulungen gefordert. Passiert ist nichts. Im Mai 2023 habe ich die damalige Justizministerin Alma Zadic in einem Brief sogar explizit auf das Betonbett in Hirtenberg hingewiesen, an dem sich der betroffene Häftling schwere Verletzungen zugezogen hat. Ich höre, dass diese Betonbetten jetzt in mehreren Justizanstalten weggestemmt werden und frage mich: Warum hat man nicht früher auf uns gehört und die besonders gesicherten Hafträume mit Hartschaumstoff ausgestattet?“

„Dass es erst eines tragischen Todesfalls bedurfte, damit man auf den dringenden Handlungsbedarf aufmerksam wird, erfüllt mich mit großem Ärger. Ich hoffe, dass jetzt ein Zeitfenster für Verbesserungen offen ist. Ich werde jedenfalls weiter meinen Finger in die Wunde legen“, so Volksanwältin Gaby Schwarz im Falter-Interview.

 


"Es ist Zeit für Reformen im Strafvollzug", so Volksanwältin Gaby Schwarz im Falter-Interview. Foto: Volksanwaltschaft

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Link to the Ombudsman Daily News archives from 2002 to 20 October 2011