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WHAT CHANGES IN GERMANY

Daylight saving time: When do the clocks go back in Germany?

It's that time of year again: soon clocks around Germany will be set back an hour. When does the change occur, and how do Germans feel about the shift?

clocks around Germany
A compilation of town hall clocks from around Germany. Photo: picture alliance/dpa

Twice a year, the clock in Germany is changed between summer time (Sommerzeit) and winter time (Winterzeit). However, the dates for the time shift (Zeitverscheibung) differ from year to year.

When will the time change to winter time in 2023?

Germany introduced the switch between summer and winter time in 1980 after the global oil crisis. The idea was that it would save energy by making the most of sunlight hours.

However, the switch continues to be unpopular, and eliminating it altogether has been a source of constant debate for decades. 

READ ALSO: When will Germany ditch the seasonal clock changes?

The changeover to winter time always takes place on the last Sunday in October. In 2023, the clocks will therefore shift from summer to winter time on October 29th. The changeover to daylight saving time took place on March 26th, 2023 – the last Sunday in March.

And unless you have an old-fashioned clock on the wall, whose arms you’ll need to shift manually, all of your devices will automatically update to the new time.

In Germany, the signal for the automatic time change comes from the Physikalisch-Technische Bundesanstalt (PTB) in Braunschweig.

The experts at the authority ensure that radio-controlled clocks, station clocks and many industrial clocks are supplied with the signal via a long-wave transmitter called DCF77, located in Mainflingen in Hesse.

Is the clock set forward or backwards?

When winter comes, it gets colder outside and we retreat for longer into our four walls. And so the clock is also turned back for winter time – from 3am. to 2am. This means that it gets light earlier in the morning – but darker earlier in the evening.

Some people might be drinking more coffee for a few days following the time change. Photo: Congerdesign/Pixabay

In summer, the weather is usually nicer and we would much rather spend our time outside. So in the warmer months, we also set the clock one hour ahead: from 2am to 3am. This means that it is light longer in the evening in Germany and people can be out and about for a longer time.

If you struggle to remember which way the clocks go, there’s a helpful mnemonic for American English speakers: spring forwards and fall backwards. 

Time change: similar to jetlag

“Many people manage the time change without any problems,” sleep physician Kneginja Richter, chief physician of the Curamed Day Clinic Nuremberg and professor at the Nuremberg University of Technology, told DPA. 

But some people do feel the change. “The clock was invented to structure our activities,” said Richter.

Yet if we were to follow our sleep-wake rhythm – completely free of clock times – it would be longer – or shorter –  than 24 hours for many people.

Those who tend to sleep poorly may find it harder to cope with the time change, with age playing a major role.

“From the age of 55, the pineal gland in the brain releases less melatonin, the sleep hormone,” added Richter. This can be a risk factor for sleep disorders – and thus make you more sensitive to the time change.

How to adjust to the change

Our expectations can also influence how well we cope with the change. After all, the time change doesn’t come out of nowhere – it creeps into our consciousness days before.

“And if we know we’re sensitive to it, we may programme ourselves to think, ‘oh, I’m going to sleep badly this week too’,” said Richter. This thought can stress us out so much that we find it even more difficult to rest.

Richter also advised slightly adjusting your sleep rhythm by a few minutes each day before the time change comes into effect.

Those who missed this opportunity can rely on another tip from the sleep physician: “Light, light, light. Because the more light we get during the day, the more energy we feel and the easier it is to cope with problems like the time change.”

READ ALSO: Everything that changes in Germany in October 2023

What do people in Germany think about the clock changes?

Germans might take these tips to heart, but in Germany public opinion is resoundingly in favour of scrapping the hour change.

A opinion poll by YouGov in 2021 found 71 percent of Germans are in favour of abolishing the practice of changing the clocks in spring and autumn.

In a survey published by the health insurance company DAK-Gesundheit, 78 percent were in favour of abolishing the time change, and 30 percent of respondents said they had experienced health or psychological problems after the clocks changed.

Meanwhile, a KKH survey provided a similar picture. A total of 24 percent said they were irritable or tired in the days after the time change, and 26 percent had trouble falling asleep or sleeping through the night.

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OPINION AND ANALYSIS

OPINION: Why it’s becoming harder to get a doctor’s appointment in Germany

Germany's health service is known as one of the best in the world but securing a timely appointment with a doctor is getting harder. A creaking system and the culture around excessive doctor visits are part of the problem, argues Brian Melican.

OPINION: Why it's becoming harder to get a doctor's appointment in Germany

Germans have always been known for being health-conscious – some would even say hypochondriacs. That has its down-sides (see Covid…), but also some notable advantages. One is the ability to go to any doctor’s practice and request treatment, skipping general practitioners, referrals, and all of the attendant bother.

As a result, in any well-to-do area of a major German city, you’ll have a bewildering array of medical practitioners within walking distance, from general physicians (Allgemeinmedizin) and orthopaedic practices (Orthopädie) to ones that will have you Googling (HNO stands for Hals-Nase-Ohren – ears, nose, and throat – by the way. You’re welcome.)

The strength of this patient-choice system is that it allows people to manage their own care. So if one doctor can’t see you, you go and find another. And if you’ve moved towns or fall ill away from home, you can still access care. In theory, this spreads demand and keeps people with non-urgent complaints out of casualty wards. Yet in practice, the system is now creaking audibly. 

In recent months, I’ve tried to get appointments for several routine procedures with doctors’ offices I have been visiting for years – and the earliest I could get anything was, to my surprise, now several months off. Both dentists and dermatologists are currently, it would seem, planning their schedules for September and October. And when a rather unpleasant case of shoulder pain struck earlier this year (fittingly, just ahead of my 39th birthday…), the earliest appointment I could get at any of the three(!) local orthopaedic practices was at least a month off.

This isn’t just me getting unlucky here. In a recent representative survey, only 25 percent of respondents reported having no trouble getting a doctor’s appointment. The rest are having to wait anything between two weeks and two months – and I’m clearly now one of the 15 percent who report even longer delays. 

I’m not alone in thinking – knowing – that it didn’t used to be this way. So what has gone wrong? 

READ ALSO: Seven things to know about visiting a doctor in Germany

Structural changes in medical practice: fewer doctors working fewer hours

First off, there are changes afoot among Germany’s niedergelassene Ärzte – literally ‘settled doctors’ with surgeries, called so in order to distinguish them from hospital medics. For one, these doctors are getting old and retiring – just like the population they serve (or rather: have served). And as younger cohorts are less numerous, physicians looking to pass on their practices are having difficulty finding takers – especially in disadvantaged urban areas or out in the sticks.

A patient undergoes a consultation with his doctor.

A patient undergoes a consultation with his doctor. Photo: picture alliance/dpa/AbbVie Deutschland GmbH & Co. KG | AbbVie Deutschland GmbH & Co. KG

Even where there is no shortage of potential successors, ever fewer of them actually want to set up in business for themselves. For most young medics’ taste, there’s too much paperwork, too much commercial risk, and far too much work involved in running their own surgery. Instead, they prefer to merge with others or sell on to management companies who will, in turn, employ them (often part-time, with no annoying evenings or weekends on call). 

The results of all of this are as follows. Within the space of just one year, between 2022 and 2023, the number of surgeries fell by 1,987 – a drop of over two percent. Meanwhile, in 2023, for the first time ever, more than one third of Germany’s 150,000 non-hospital doctors were employees, not self-employed. That’s twice the number in 2013. Moreover, over the same period, the number of medics opting to go part-time has gone up by 235 percent to 60,000. This means that, if your local surgeries haven’t closed, the likelihood is that the doctors there are now working fewer hours – and so there are fewer appointments left to go round.

READ ALSO: Do doctors in Germany have too little time for their patients?

This would be bad news for any society, but it hits particularly hard in Germany. As a rapidly-ageing society with a relatively unhealthy population (high rates of smoking and obesity), our demand for medical services – often for complex chronic illnesses – is rising just as provision is declining.

Cultural differences in consulting doctors

Another problem is that Germans are accustomed to a historically high number of available doctors – and, serial worriers (and passionate sick-note seekers) that we are, make excessive use of them. Your average German racks up almost 10 consultations a year – not including visits to the dentists! The OECD average is closer to six. And the stoic Swedes, strong silent types that they are, go the doctor’s just 2.3 times a year.

Even if I wanted (or needed) to, I simply couldn’t to get to the quack’s almost once a month: I don’t have the time and they don’t have the appointments. But in conversation, I notice that others clearly do manage to find both. Increasingly, I’m wondering how many of them, unlike me, have private health insurance. 

This brings us to the third major issue facing non-hospital care in Germany. When the figures in the representative survey I quoted above are broken down, it transpires that almost 60 percent of people who are insured in the state system (gesetzlich versichert) are now waiting longer than two weeks for an appointment; among those who are privately insured (privat versichert), that figure is only 37 percent.

Doctors ‘keen on private patients’ 

Doctors are keen on private patients because their insurers pay more for the same procedures and will also cover all sorts of supplementary stuff – from the clinically-proven through to the just plain wacky. As such, practices reserve as many appointments as possible for private patients and try to keep the rest of us at bay.

Given that around four in five people in Germany are in the state system, however, this leaves the majority of patients competing for the minority of slots. If you want to see how the other fifth live, try “accidentally” clicking privat on surgeries’ online booking tools: you will now see a range of appointments available within days while the rest of us are being fobbed off for weeks or even months.

Not only is this, as my grandmother used to say, enough to make you want to join the Communist Party – it’s wildly inefficient. By restricting the hoi-polloi to slots often months off, doctors are creating their own appointment-management problems: sometimes, the complaint in question will have disappeared by the time the consultation rolls around; more often, it will have actually been dealt with – not infrequently by the same physician – if the patient presents as an acute case earlier.

As such, slots weeks away are booked, only to be cancelled later by conscientious patients (and left blocked by others), while those same patients crowd into waiting rooms begging to be seen urgently at an open surgery. (That’s how I got my shoulder looked at.)

A German health insurance card.

A German health insurance card. Photo: picture alliance/dpa | Jens Kalaene

The cynic in me says that, in the long run, this might not be such a bad thing. If the increasing scarcity of doctor’s appointments gets Germans thinking about whether they really, really need to be seen for yet another case of the common cold (“No, Christian, it isn’t pneumonia this time, either!”) or various nebulous self-diagnosed ills (Kreislaufbeschwerden (circulatory problems) is the day-off-work-one I love to hate), maybe it’s not a bad thing.

Swedes don’t die unnecessarily because they avoid the doctor’s: in fact, they live a good year longer than us on average. The German in me, though, says: “My shoulder hurts. Maybe I’ve got early-onset arthritis. I should probably go and get it checked out…” And even though I don’t go too often, I’ve got used to being able to see a specialist when I need one. It’s a shame that this is becoming markedly more difficult.

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