1. European Spas Association (ESPA) Europäischer Heilbäderverband (EHV) Association Européenne du Thermalisme et du Climatisme (AETC) Asociasión Europea de Estaciones Termales (AEDET)

2. by Reinhard Petry Project Manager European Spas Association (ESPA) 04. – 06. June 2009 Muszyna (PL) Activities and services of the ESPA

3. Bulgaria Iceland Portugal Czech Republic Italy Romania Denmark Slovakia Estonia Latvia Spain Germany Lithuania Switzerland Greece Luxembourg Turkey Hungary Netherlands Serbia* * Observing member ESPA Members from

4. Cooperation with: European Tourism Industry Network (ETIN) European Social Insurance Partners (ESIP) World Tourism Organisation (UNWTO) Partners:International Society of Medical Hydrology and Climatology (ISMH) SSI, Berlin Further Partners:TUI-Vital FIT Health Travel EuropeanEuropeanCouncil CommissionParliamentof Europe Lobbying

5. First and only by the EU-Institutions recognised umbrella association Lobby work at the national level, e.g. consultation and support of the national legislation Liason in the ISO-Working Group 2 “spa services” which is setting standards worldwide Internet Portal ”www.espa-ehv.eu” Network of and for health resort and spa professionals Introduction and development of quality standards for health resorts, spa facilities and spa services Main services and activities of the ESPA

6. Network of and for health resort and spa professionals Introduction and development of quality standards for health resorts, spa facilities and spa services Certification of health resorts and spa facilities (EUROPESPA) www.europespa.eu Encouraging fair competition in the health resort and spa industry Communication and collaboration with members and operators in Europe and worldwide Public relations and image promotion in Europe and elsewhere Support for research and the provision of information Staff training in health resorts and spa facilities Main services and activities of the ESPA

7. Increasing competition on the European level Missing transparency in prices and quality for the customers Actual situation: Conclusion: There is a need for coordinated structures and instruments which lead to more transparency in the market and give new impetus for a better quality of the Spas and Health Resorts in Europe Quality Standards for European Spas

8. The first instrument developed by the ESPA is:

9. The second instrument developed by the ESPA is:

10. Spas in Europe (ESPA): Highest level of a health resort as recognised by the national laws, are situated in a clean and healthy environment ( air, water, traffic, noise), have the competence and experience for a qualified prevention and rehabilitation, especially for chronic diseases as well as for wellness offers. Depending to the local remedies the spa may be classified as mineral-, thermal-, peat-, seaside-, or Kneipp-Spa. Spas in USA (ISPA): Spas are places devoted to enhancing overall well-being through a variety of professional services that encourage the renewal of mind, body and spirit. Spa philosophies worldwide

11. USA The health system in the USA is much different from Europe. Many million of citizens are not insured. Spa services are not reimbursed Years ago there was a spa system and there existed spa towns like „Palm Springs“ etc. The „Day Spa“ is not a spa from the medical point of view but only wellness The role of the pharmaceutical industry

12. Difference between Europe and the USA Recognition of natural, local remedies in Europe The use of natural, local remedies has a long tradition in Europe Spa medicine is recognised and reinbursed by health insurances in many European states Prevention and rehabilitation are the keywords for all activities in the spas The EU-Commission is using health and prevention as keywords in the „White Paper“ - a Strategic Approach for the EU 2008 - 2013 - (COM(2007)630 final)

13. Europe180 Mio. overnights Germany100 Mio. overnights Japan130 Mio. visits USA110 Mio. visits Bavaria 60 Mio. visits *Annual Figures Global Spa Market*

14. FRANCE 99 Spas (without Thalasso-Spas) 490.000 Guests yearly with appr. 8,8 Mio. overnights; about 10.000 self paying guests 90.000 Jobs GERMANY Bavaria 53 Spas (Heilbäder und Kurorte) 3,200 Billion in € in 2005 90.000 Jobs 50,30 € Average daily expenses per guest 175.000Guests per day = 64 Mio. per year Economic data

15. CountriesSpas Overnights Stays 200420052006200420052006 Deutschland/ Germany29198.550.64497.689.63897.745.97717.214.51517.623.74318.064.628 Frankreich/ France (Thermal)969.469.8359.052.561 8.824.177571.575504.607492.325 Griechenland/ Greece501.620.000 180.000 Lettland/ Latvia (only Jurmala)20369.353363.881 390.757 67.614101.447124.638 Österreich/ Austria8118.200.00018.030.91318.057.000not registered Portugal34839.099850.000855.00098.51298.52199.057 Romania 61 6.000.000 720.000 Serbien/ Serbia403.964.0273.778.2803.927.055682.000703.359711.829 Slowakei/ Slovakia212.499.606 137.156 Spanien/ Spain1286.298.0006.801.8407.295.000920.0001.011.0001.105.000 Tschechien/ Czech Republic345.429.4275.777.3355.669.938309.258314.928327.078 Ungarn/ Hungary (only Danubius Hotels)32 3.836.000 426.000 Overnights & guests in European Spas

16. Countries Number of Spas/ spa- hotels Turnover in EURO ArrivalsForeignersOvernightsForeigners Number of stays payed by health insurances Germany30028 Mrd.19.000.0001.800.000101.000.0005.200.0002.400.000 Austria814 Mrd. 18.500.000 200.000 Slovakia25 200.00065.0003.300.0001.100.00080.000 Serbia4070 Mio.710.00030.0004.000.000135.00050.000 Portugal34180 Mio.100.000 850.000 85.000 Spain128220 Mio.1.100.000 7.300.000 Greece50 360.000 3.200.000 Economic data

17. Passive- Wellness 40 % Medical- Wellness 60 % Passive- Wellness 21 % Medical- Wellness 79 % 2002 2007 Demand in Health Tourism

18. Wellness philosophy changes

19. CountriesShareChange 2007 2002 Germany40 %44 % - 4 % Italy12 %11 % + 1 % Austria11 %15 % - 4 % Switzerland 9 % 8 % + 1 % Spain 6 % +/- 0 % Thailand 5 % 2 % + 3 % Sri Lanka 5 % ------ Czech Republic 3 % 4 % - 1 % Denmark 3 % 1 % + 2 % Hungary 2 % 5 % - 3 % Preferences of the German health- and wellness-tourists

20. Perspectives for Spas People in Europe are getting older and more flexible. Consequence: They are travelling abroard. Finding combination between spa tourism and cultural highlights Creating packages for prevention and relaxation including medical services on place Working out of spa related offers for people living in Central Europe Integrating spa related offers for families with chidren Offering programs for healthy lifestyle and nutrition in spas

21. EU – Commission and EuGH The „Communication from the Commission“ from 2006- 09-26 - SEC (2006) 1195/4) - Consultation regarding Community action on cross-border health services A high level group has been installed The decisions of the European Court of Justice oblige the EU-Commission to find a regulation. The services in the spas as health services are also touched.

22. Spas in Europe: Trenčianske Teplice, SK

23. Spas in Europe: Bad Wörishofen, D

24. Spas in America: Chicago, USA

25. Spas in Far East: Tokio Water Park, Japan

26. As you see Spas worldwide are very different, common is that they are popular among the customers for relaxation and/or health.

27. Analysis of the main markets in Europe Northern Europe:Thermal water exists only in Iceland Only the Baltic countries are familiar with the „classical cure“ Western Europe:Long cure tradition – momentarily without a real perspective for the future Central Europe:The heart of the „classic cure“ The competition for German guests is getting more and more intensive Southern Europe:P, E and I will mainly stay domestic markets South Eastern Europe: BG, SRB, GR, ROM, TR – to be successful in the Spa-market these countries have to invest and to offer the best quality. There is a lack of information

28. Conclusion I nformation, I nnovation and I nvestment are essential conditions to be successful in the European market.

29. Quality The main objective is, to provide the highest quality in the spas, therapy-centers and spa hotels

30. Therapies ARE YOU SURE THAT THIS IS AN EFFECTIVE THERAPY FOR YOUR BACK PAIN AND MY ARTHRITIC KNEES?