Building on EUREGIO III: needs and opportunities
Brussels 3 February 2011
Professor Jonathan Watson PhD FRSMHCN Executive DirectorEUREGIO III Project leadSpecial Professor of Health & Public Policy, University of Nottingham Medical SchoolLay Court Member – Edinburgh Napier UniversityExternal Partner to European Masters degree in Sustainable Regional Health Systems (Deusto, Vilnius, Corvinus, Verona)
light and shadowEU policy directions (EU2020, Post-2013 Cohesion Policy, Solidarity in Health)
Key messages from EIII
SF management and delivery
Regional support needs
Project lifecycle support
Principles, needs & capacity
Completing EUREGIO III
Summary
EU responses I
SMART growth (Innovation Union, Youth on the Move, European Digital Agenda)
SUSTAINABLE growth (Resource Efficient Europe, Industrial Policy for a Global Age)
INCLUSIVE growth (New Skills and Jobs, Platform Against Poverty)
EU responses II: post 2013 Cohesion Policy
Three scenarios:
Health continues to feature as an objective for Cohesion Policy
Health exists as a sub-priority under a number of other priorities
SF are no longer used to invest in health
Health system reform mandate given as part of
economic governance
social determinants of health
Solidarity in Health (2009)
WHO/EU Equity Project briefing paper (2010)
EU responses III
EU2020 Flagship initiative
Indicative health sector actions
Innovation Union (Smart)Regional excellence clusters based on public health systems, universities and health industry collaboration, innovation partnership (healthy ageing), bio-economy, functional foods
Youth on the Move (Smart) Inclusive employment, life long learning, transnational and interregional mobility
European Digital Agenda (Smart)
E-health, ICT-based support for dignified and independent living, telemedicine, tele-coaching, distance learning, patient information services
Resource Efficient Europe (Sustainable)
Pluralistic health care model (less hospital-centric), cross-border health care, improved local procurement with the health sector supply chain, energy efficient capital investment
Industrial Policy (Sustainable) Joint R&D regional platforms for medical device SMEs, regional health sector supply chain SME Networks
New Skills & Jobs (Inclusive) Inclusive employment, flexible workforce, active ageing, life long learning, mobile health professionals
Platform against Poverty (Inclusive)
Inclusive employment, improved social protection (pensions), closer to home health care access
key messagesLessons emerging from case studies of the 2000/6 SF programme differ significantly from those of the 2007/13 programme
e-health is ranked above other investments priorities closely followed by infrastructure development, with health promotion and education and training somewhat lower down the scale.
There is little evidence of forward planning for the down turn in economic activity and growth
Clear demands for better and faster communication with the EC
Specific help is needed to improve understanding, confidence and expertise in preparing good Structural Fund applications
Specific help is needed to improve understanding, confidence and expertise in managing SF projects
There is a need to improve (regional) absorption capacity to manage these changes and plan and implement relevant and effective SF investment;
needs IManagement of SF
Communication
Conditions for pre-assessment
Health Equity Impact Assessment
Intersectoral governance
Incentivise operational flexibility
Comparable monitoring and evaluation
needs IIDelivery of SF
Project development support
Peer review
Mentoring
Real-time knowledge exchange during implementation
Good practice clearing house
regional support
Knowledge platformQuality support
programme
Training and development
Events and policy dialogue
Good Practice Clearing House
project lifecycle support
Project development
(create the right thing)
Application Process
(apply for funding the right way)
Implementation(do the right thing)
JASPERS+EIII follow-up
Conceptualising and connecting
EIII follow-up
Action research/learning
principles, needs and capacity
Principles Needs Capacity
StrategicDisinvest to reinvestReturn on investmentPeople focusSustainability
EntrepreneurshipConditionalityProject development supportHealth Equity Impact AssessmentComparable regionsReal time knowledge sharingMentoring & Peer review
OrganisationalWorkforceLeadershipPartnershipsResources allocation
completing EIII
New case material on website from February
Liaise with EMPLOY to find more ESF case studies
Capacity building audit with selection of regions
Training workshops (Budapest in May/June and Brussels in September)
Master classes (Lisbon in March and Stockholm in September)
Peer-review publications and online thematic papers
Final conference in September
summary – preparing for 2014-2020
Health systems are an economic investment and not a cost
Apply conditionality to funding decisions
Work and learn together on issues where regions & organisations share priorities
Build capacity and expertise to ensure health systems remain reliable, can adapt, act creatively and manage sustainably.
www.healthclusternet.eu www.euregio3.eu