1. Regional Mayor Mr. Esko Lotvonen
CoR Coter Seminar
Kiruna
Esko Lotvonen
Region Mayor
Regional Council of Lapland
WELCOME TO LAPLAND!
Rovaniemi
Regional Mayor Mr. Esko Lotvonen

2. FACTS OF LAPLAND Northernmost county of Finland and the EU
Total area about km2
share of Finlands total area ~30%
about the same size with Hungary
Population about
share of Finlands population 3,4 %
Population density under 2 inhabitants/km2
Finland 16,8 inhabitants/km2
Lapland is an international area bordered
by Sweden, Norway and Russia
• international business (industrial production,
tourism, mines)
• international tourists
Population (2008)

3. CHALLENGES AND POTENTIALS OF LAPLAND
peripherality, long distances
harsh climate - extremely low population density - small size and number of cities
depopulation, quick ageing of population - still high unemployment
shortage of local and regional capital
information society structures
Potentials
natural resources (mining, forestry, energy)
special features of arctic nature
experience industry & tourism
Barents Cooperation and logistics
use of new technology, cold climate and winter technology)
modern and high quality industry (steel, forest sector)

4. Strenghts unique nature
natural products: berries, herbs, mushrooms etc.
- snow and ice
- 4 seasons
- cold climate research
car & tyre testing
minerals and metals: gold, nickel etc.
high technology know-how

6. Laplands status in structural fund programmes in years 1995-2013 (territorial cohesion)
Objective 6 in years for sparse populated areas. Integrated programme with all funds included. Accepted in Accession Treaty of Finland, Sweden and Austria. EU - 23,4 MEuro/year
Objective 1 in years Integrated programme. All funds included. Criteria was sparce population. EU – 25,5 MEuro/year
Objective 2 in years Employment and Competitiveness -programme covering only ERDF. With special financial sum to very sparse population (35 euroa/inh). EU – 15,8 MEuro/year (+ app. 4,4 Meuro ESF, RDF)

7. Strong emphasis to business development
Economical development in Lapland was severe after Finnish economical crise of
We lost about 25 % out of our jobs in Lapland
There was a great need to strengthen SME-sector and create competent labour force
State was withdrawing from Lapland as employer and service provider
Objective 6/1/2 -status has secured our regional development ! Value added for whole of EU !

8. Main development figures in years 1995-2007 in Lapland
Unemployment rate decreased from 26 % to 12 %
Employment rate increased from 55 % to 62 % (+ 7 %)
Number of Jobs increased from to ( )
Compared to the growth of public services private service jobs increased 4,3 times (in private services jobs, in public services jobs; 2007 private services jobs, public services jobs )

13. Four NUTS II -areas: Central Osrtobotnia, Oulu region and Lapland
Northern Finland
Central Osrtobotnia, Oulu region and Lapland
Eastern Finland
Etelä- ja Pohjois-Savo, Pohjois-Karjala ja Kainuu
Western Finland
Satakunta, Pirkanmaa, Keski-Suomi, Etelä-Pohjanmaa ja Pohjanmaa
Southern Finland
Uusimaa, Itä-Uusimaa, Kymenlaakso, Etelä-Karjala, Päijät-Häme, Kanta-Häme ja Varsinais-Suomi

14. ERDF-operational programmes, priorities:
1. Business development
2. Enhancement of innovation activities and networking, strenghtening of competence structures
3. Improvement of regional accessibility and operative environment
4.Technical support (4 % out of public funding)
- 75 % of funding to goals of Lissabon strategy

15. Successful examples to overcome periferality with programme activities
Applications of new Technology in Health and Social Care
Distance Teaching and Learning
Compact Tourism Resorts with Synergy Effects

16. TEL LAPPI – District information technology system for the Lapland Health Care District
in UULA – New models of services in Health and Social Care using technology for the Lapland Area in
Dear Ms, it has been nice to see how many people are interested in health investments and health technology, specially here in north.
My name is Sirpa Liimatta. I am project manager in Lapland health area and here are our two main projects we have or have had – named TEL LAPPI and UULA.
You can have this report which we have done about TEL LAPPI project.
Sirpa Liimatta
project manager 16

17. Regional infrastructure in TEL LAPPI
Digital pictures and archive
Electronic referral-feedback
El ec tron i c
pat I
ent
record sy
s tem
Emergency medical care
Data security
Based on the experience all the health centres were equipped with technological equipment and so video-training, and patient consultations were initiated .
In 2003, we launched a primary care system through MobiMed (but the technology wasn’t yet ready and it failed).
During years , an electronic referral and feedback system with follow-up plan was implemented.
And finally in all X-ray units in the area of Lapland Health Care District were digitalised, also dental pictures which you can hear more in the afternoon.
To develop network and data security has been central during the whole project. The basis for this all is developing a functional patient record system.
Video conferencing system 17 17

18. Regional infrastructure in UULA
Coordinate the work in Lapland to join the National Archive of Health Information (KanTa)
Counselling and appointment services via internet for the citizens
In UULA project we have the whole Lapland both health and social sector in. Our aim is to produce health and social services for the citizens in new ways.
We are still devoloping video conferencing systems so that people can also get health or social services for their home during this systemn.
Also councelling services via internet are taken in use. Then we are taken in use the appointment services where people can reserve consultation hours via internet.
KanTa, the National Archive of Health Information, is a collective name for several national medical information systems. These are
-the electronic prescription and the national Pharmaceutical Database
-the electronic archive of patient records (eArchive)
-online access by citizens to their personal prescription and medical data.
The KanTa services will be opened up to public- and private-sector health care providers, pharmacies and citizens in stages by 1 April 2011
Video consultations and services for the citizens via video 18 18

19. IP video conferencing system
Here you can see the print screen of our video conferencing system. It’s very easy to use. You must just make a phone book and click the number you want to ring. We have the same kind of system nearly in all our municipalities in social and health care. 19 19

20. Video Consultation Services + -
Spare time
Getting to the specialized doctor more quickly
Multi-professional treatment
Training (beginner-master)
Questions of responsibilities
Minimal use – no routine
Benefits are not immediately visible
Resources – change of work culture
Technical problems
The need for utilising video conferencing in consultations, meetings, and patient guidance varied from one health centre to another. In some health centres, video consultation is used weekly, in others they have not found the need for utilising the system.
Consultation has brought general health care and special nursing closer together. Work has been performed in multi-professional teams for the benefit of the patient.
Consultation is also often seen being used in training where a more experienced colleague provides advice to those working in general health care.
Some units regard video consultation as extra work that requires a great deal of resources; doctors, nurses and sometimes AV designer. The minimal use of the video conferencing facilities means that the task does not become routine.
We have also at times some technical problems , for example voice and picture disappear or the connection losts. These problems happen often because of the too thin net work between the places. 20 20

21. Training through Video Consultation+
Knowledge/skill
Regional action has developed
Good lecture reparations -
Technical problems
Interaction
Regional training
Training for doctors who are specialising
Multi-professional meetings
In Health Centres, the video conferencing system has been utilised in regional training, training for registrar doctors and also in short-term training sessions. The health centres have even utilised video conferencing techniques for training sessions also from abroad.
Lectures provided via video conferencing have also placed demands on the lecturer to do more perfect preparations than earlier. As I said before there are some technical problems, for example poor sound which weaken to follow the lectures. 21 21

22. Electronic Referral and Feedback
Inaugurated November 2003
Involves all municipalities and all specialised fields
Four different electronic patient record systems (Effica, Esko, Mediatri, Pegasos) +
Handling of referrals and feedback speeded up
Patient history almost completely electronic
Possibility to change a referral into a consultation
The purpose of the electronic referral feedback system is to implement the message exchange referral feedback system between general health and special care. The production commissioning of the electronic referral system was initiated (inisieitid) in November At this moment nearly all referrals and feedbacks move electronic.
The systems are easy to use and speed up the processing of referrals in specialised nursing and the transfer of feedbacks to the general health care system.
The referral may also change in the consultation of the specialised nursing care and provide treatment instructions for general health care activities. In this way, the costs of specialised nursing may be reduced. We have also some private sectors who send electronic referrals to specialised nursing. 22 22

23. The Need of Distance Teaching and Learning in Lapland
The educational institutes in Lapland are quite small-sized, distances between them are long, selection of subjects is quite narrow and the amount of potential students seems to be smaller in the future (small age groups). These create great challenges for the institutions.
- One way to manage the challenging situation is to utilize technological opportunities, like ICT.

24. Financed themes of distance teaching and learnig
Three main themes have been:
I) equipment needed for connections
II) educational material and research
III) training for teachers and students on how to use the systems of distance learning
- Each of the themes have to be managed or the others can not be utilized.

25. TOURISM STRATEGY • Tourism is crucial for the welfare of Lapland
Integrated tourism planning covers all issues and levels affecting tourism resorts
Water supply and sewage handling are important
Development focus on biggest resorts
Close co-operation with surrounding rural area
Secure accessibility and compact housing taking into account climate change challenges
Boosting international tourism demand
Develop low seasons
Public-private sector partnership and project coordination

28. …RAW MATERIALS FOR THE TOURISM INDUSTRY

31. Territorial cooperation
ENPI Kolarctic CBC 31

32. Priorities Economic and social development (40%)
2. Common challenges(25%)
3. People to people cooperation and identity building (25%)
Technical assistance (10%)
lousel 32

34. Oil and gas activities

35. New Cohesion policy for European North in 2014-2020
Objective 2-type of programme structure has to be secured to EU Northern Sparsely Areas as continuation of former Objective 6/1/2 –status on the basis of territorial cohesion in Lisboa aggrement !
Continuation of existing Interreg A,B and ENPI CBC programmes in European North is important !
EU Makro Regional Strategy for European North (from NW Russia to Island) compared to Baltic Sea Strategy as guiding document, should be worked out ! It would contain the European Arctic Dimension.

36. Thank you for attention!