Building on EUREGIO III: needs and opportunities

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Building on EUREGIO III: needs and opportunities Brussels 3 February 2011 Professor Jonathan Watson PhD FRSM HCN Executive Director EUREGIO III Project lead Special Professor of Health & Public Policy, University of Nottingham Medical School Lay Court Member – Edinburgh Napier University External Partner to European Masters degree in Sustainable Regional Health Systems (Deusto, Vilnius, Corvinus, Verona)

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Building on EUREGIO III: needs and opportunities. Brussels 3 February 2011 Professor Jonathan Watson PhD FRSM HCN Executive Director EUREGIO III Project lead Special Professor of Health & Public Policy, University of Nottingham Medical School Lay Court Member – Edinburgh Napier University - PowerPoint PPT Presentation

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Page 1: Building on EUREGIO III:  needs and opportunities

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)

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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

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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)

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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

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social determinants of health

Solidarity in Health (2009)

WHO/EU Equity Project briefing paper (2010)

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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

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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;

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needs IManagement of SF

Communication

Conditions for pre-assessment

Health Equity Impact Assessment

Intersectoral governance

Incentivise operational flexibility

Comparable monitoring and evaluation

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needs IIDelivery of SF

Project development support

Peer review

Mentoring

Real-time knowledge exchange during implementation

Good practice clearing house

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regional support

Knowledge platformQuality support

programme

Training and development

Events and policy dialogue

Good Practice Clearing House

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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

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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

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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

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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.