Presentation on theme: "EU Cohesion Policy supporting health for regional development"— Presentation transcript:
1 EU Cohesion Policy supporting health for regional development Andor Urmos Policy Analyst, Thematic Coordination, InnovationDG RegioVenice Stakeholder EventEUREGIO III25th of February, 2010European Commission, Regional Policy Directorate General
2 OUTLINE Regions, health policy and Cohesion policy Cohesion policy investments in healthHealth inequalities
3 PART I - Health and regions Regional / territorial dimension of health policyRelevance of health in Cohesion PolicyHealth as a prerequisite for socio- economic developmentHealth care “industry” R&D, SMEsPublic health care initiatives
4 EU cohesion policy in a nutshell Disparities in levels of development between EU27 regions are significant and have doubled compared to EU15 (measured in GDP/head).Based on a strategic approach (Community StrategicGuidelines on Cohesion), cohesion policy instruments invest in endogenous growth potential, competitiveness of regional economies and infrastructure.Cohesion policy instruments account for one third of the EUbudget or EUR 347 billion over the period.Based on the policy’s principles of concentration, programming, partnership, additionality and efficiency, the funds’ implementation follows shared management between the Commission, the Member States and the regions.
5 Regional Disparities in EU27 GDP per head in % in Purchase Power Standard PPS (2004)<50³ 125Index, EUR-27 = 100
6 EU Cohesion Policy 2007-2013 Eligible Regions Total Budget: EUR Mrd.(35,6% of the EU-Budget)Of which 82% forConvergence Regions,15% for the other.
7 PART II - Cohesion Policy 2007-2013 STRUCTURAL FUNDSOBJECTIVESHEALTH INVESTMENTSERDF‘Convergence’Investment in health infrastructure to contribute to regional development and quality of life‘European territorial cooperation’Development of collaboration and capacityESFAnd‘Regional competitiveness and employment’Training of health professionalsSafety at work to promote more productive forms of work organisation
8 EU Funding 2007-2013 Between 2007 and 2013: €5.1 billion (1.5% of the total of cohesion policy funding) has been earmarked to support health infrastructure€5 billion have been earmarked for e-services (including e-health)€1 billion has been earmarked for active ageing, etc.0 %<1%1-2%2-3%3-4%4-5%>5%Health infrastructure: Percentage of planned investments in health infrastructure in relation to the total amount of Structural Funds allocated to Member States in
9 Cohesion policyHealth infrastructure is the most visible priorityAdditional range of actions to eligible for Structural Funding:Population ageingHealthy workforceHealth innovation and researchKnowledge and information technologyEnvironment
10 Structural Funds and Cohesion Fund Cohesion Policy: instruments and objectives3 ObjectivesStructural Funds and Cohesion FundConvergenceERDFESFCohesionFundHEALTHHEALTHRegional Competitivenessand EmploymentERDFESFHEALTHHEALTHEuropean territorialCooperationERDFHEALTHInfrastructure,InnovationTrainingMeasuresOccupationalhealthMember States with aGDP/head below 90%Environment,TransportinfrastructureAll Member States and regions
11 Cohesion Policy: instruments and objectives 2007-2013 Direct investmentsERDF, ESF – infrastructure, e-health, health promotion, access to services, edication/training, etc.Indirect investmentsERDF, ESF - workplace health, inclusive employment, health & safetyInvestment with potential health gainERDF, ESF, Cohesion Fund - urban rehabilitation, social cohesion, R&D, transport, environment, etc.By Jonathan Watson (Health and Structural Funds in : Country and regional assessment)
12 Structural Funds 2007-2013: health investments Member States health priorities in NSRFs and OPs (by area of investment)Health promotion, prevention: BE, CZ, EL, HU, IE, LT, SK7Screenings: HU, LT, SK3Health promotion, safety at work: BE, CZ, DE, DK, EL, ES, FI, HU, LX, RO, SK11eHealth: CY, DK, EL, LT, NL, RO6Health infrastructure: BG, CZ, DE, EL, FR, HU, LT, LV, PL, RO, SKEducation of health care professionals: CY, CZ, EL, ES, HU, LT, LV, SK8Quality (management): CZ, EL, HU, LT, PL, SKEnvironmental health: CZ, FI, HU, LT, MT, RODemographic change: AT, FI, FR, RO, SK5Access to health care: BE, CZ, EL, ES, FI, FR, HU, LT, LV, SK10Emergency care: HU, LT, LV, PL, SK
13 PART III - Health inequalities in the EU: BETWEEN Countries Life expectancy at birth (years) for males ranges from 65 (Latvia, Lithuania) to 79 (Sweden), a gap of 14 yearsLife expectancy at birth (years) for females ranges from 76 (Bulgaria, Latvia, Romania) to 84 (France, Italy, Spain), a gap of 8 years
14 5-fold difference in deaths of babies (under 1 year) Solidarity in Health: Reducing Health Inequalities in the EU Communication, OctoberBackground5-fold difference in deaths of babies (under 1 year)14 year gap in life expectancy (men), 8 year gap (women)Regions, rural-urban areas, neighbourhoods, etc.
15 Lisbon agenda objectives Solidarity in Health: Reducing Health Inequalities in the EU Communication, OctoberNeed for further actions – negative consequence for health, social cohesion, economic developmentAn equitable distribution of health as part of overall social and economic developmentLisbon agenda objectivesEconomic growthGreater social cohesionHealthy life years indicator (to monitor progress)Need for reducing health inequalities
16 Solidarity in Health: Reducing Health Inequalities in the EU Communication, 2009. October ActionsImproving data base (measuring, monitoring, evaluation, reporting)Collection of data and health inequality indicators (age, sex, socio-economic status, geographic dimension)Orientation of EU research - 7th EU Framework Programme for ResearchCommon set of indicators – monitoring health inequalities (Member States, Commission)Building commitment across societyImproving the exchange of information, knowledge, across sectors (social care, employment, education, regional development, etc.)Promotion of good practices at EU levelTraining to address health inequalities
17 Solidarity in Health: Reducing Health Inequalities in the EU Communication, 2009. October Meeting the needs of vulnerable groupsSpecial attention to be given to needs of people in poverty, migrants, ethnic minority groups, people with disabilities, elderly, child povertyRaise awareness, promotion of actions to improve access to health services, health promotion, preventive careReport on using Community instruments and policies for Roma inclusion (Roma Summit April, 2010, Spain)Report on health inequalities by Fundamental Right Agency (access to adeqaute health care, social and housing assistance, etc.)Developing the contributions of EU policiesHalf of EU Member States do not place emphasis on reducing health inequalities, lack of comprehensive inter-sectoral strategies.To assist Member States about better use of SF, Cohesion Policy for reducing health inequalitiesFurther use of rural development policy, market policy (school milk, school fruit scheme) – rural povertyProvide funding under PROGRESS, peer reviews, developing relevant strategies
18 From health infrastructure to health promotion The 'Saude' programme, PortugalExample of a comprehensive health programme, funded by ERDF and ESF since In the initial phase, construction of hospitals and health centres, training of nurses. Focus now as well on health promotion and disease prevention, access to health services and partnership structures in the health sectorBudget : EUR 698 million, of which 476 million from Structural Funds
19 Health, research, innovation and ICT Kuopio Science Park, East of FinlandRegional cluster for health, nutrition and environmental sciences reinforced by ICT development, in the second half of the 1990ies. 18,000 people work and study in the science parkFunding: ERDF
20 Interregional networking The “Regions for Economic Change“ initiativeBetween 2007 and 2013, networks of regions working together on 30 selected themes will be created under the initiative. Three of them will be specific for health related issues:Making healthy communitiesMeeting the demographic challengePromoting a healthy workforce in healthy workplaces
21 Thank you for your attention! Andor UrmosDG RegioTel: