Sustainable Investments in Healthcare and the EU Structural Funds EHMA, TCN Meeting EU Health Policy and Practicalities of EU funding opportunities Dr. Rostislava Dimitrova DG Health and Consumers European Commission 12 March 2010, Innsbruck 1
Outline How to get funding from the EU Structural Funds? What is sustainable investment in healthcare? What is DG SANCO doing to support Member States, regions and stakeholders to strategically plan and effectively utilise the EU Structural Funds for Health? 2
How to get funding from the EU Structural Funds? Learn more about the Structural Funds: Commission website : DG SANCO website General information about the process, what type of health investments can be funded, find a link to you regions or Member State Watson report and country fiches assessment of the SF resources allocated for health in the MS Good practice examples case studies 3
Cohesion policy 2007-2013 Health infrastructure is the most visible priority Additional range of actions to eligible for Structural Funding: Population ageing Healthy workforce Health innovation and research Knowledge and information technology Environment 4
5 billion have been allocated to OPs to support health infrastructure (fixed assets) + 6 billion earmarked for ageing and e- services priorities (incl e-health) + X for ESF (amounts being investigated) (out of 349 billion) Health infrastructure: Percentage of planned investments in health infrastructure in relation to the total amount of Structural Funds allocated to Member States in 2007-13. Source: European Commission, Dg SANCO 2007 5 0 % <1 % 1-2% 2-3% 3-4% 4-5% >5 %
Cohesion Policy 2007-2013: Health investment opportunities Direct investments ERDF, ESF infrastructure, e-health, health promotion, access to services, edication/training, etc. Indirect investments ERDF, ESF - workplace health, inclusive employment, health & safety Investment with potential health gain ERDF, ESF, Cohesion Fund - urban rehabilitation, social cohesion, R&D, transport, environment, etc. By Jonathan Watson (Health and Structural Funds in 2007-2013: Country and regional assessment) 6
How to get funding from the EU Structural Funds? Identify your project idea Identify the relevant Operational Programme in your Country/regions Check the Operational programme website and the published and fort coming calls for proposals 7
How to get funding from the EU Structural Funds? Learn about the priorities and the eligible areas for funding in the Operational Programme Check if your project fits in the overall strategy in the region/country in your sector (health sector reforms/strategies) 8
How to get funding from the EU Structural Funds? Innovative and forward looking investment Relevance to EU policy objectives: Cohesion policy, Lisbon Agenda Compliance with the ERDF and ESF regulations Relevance to OPs priorities and criteria Economic and Social value, and Sustainability Full respect of financial and management rules 9
What is sustainable investment in health care? Strategic fit : Must be sound within the healthcare context in which they function [be that national, regional or local], fit appropriately into the overall model of care, and address sector wide issues, such as inequalities of access human resource availability clinical viability and safety 10
What is sustainable investment in health care? Beneficial economic return on investment: Efficient healthcare delivery The range and level of services and facilities to be provided, reflects the needs and the demands of the population to be served; Service delivery models and supporting infrastructure solutions, reflect modern clinical practice and generate efficiency gains Human resources are adequately available and will be used to best effect to ensure a high quality, safe service; Investment costs are reasonable and operating costs reflect an efficient operation post project implementation Environmental impact of the investment is well managed to minimise any potential adverse effects (e.g. clinical waste disposal) and to maximise environmental benefits (e.g. 11 efficient energy);
What is sustainable investment in health care? Effective implementation Effective project planning and management, fair and competitive procurement, and careful implementation that is appropriately resourced Financial sustainability and Affordability A health service that is not affordable is not sustainable 12
What is sustainable investment in health care? Health improvement through our activities in other sectors - such as in water, waste, energy, transport Positive impact on the welfare of the local communities affected by them Contribute to harmonious regional development and cohesion 13
DG SANCO activities to support SF health investments Awareness raising Workshops with stakeholders and member states Website as an on line source of information Identify and promote good practices from last and current programming period case studies EUREGIO III Capacity Building EUREGIO III master classes and workshops New SANCO/ COR structured cooperation mechanism with regions on health 14
DG SANCO activities to support SF health investments Provide expertise and monitor implementation of the current programming period investments identify challenges and find solutions Country visits Cooperation with stakeholders Preparation for the next Cohesion policy Working on set of indicators to introduce health in the next Cohesion policy guidelines and regulations Provide information, tools and technical assistance of regional authorities to take into account health considerations in the regional plans and investment strategies for the next programming period. 15
DG SANCO activities to support SF health investments Promote JJJJ instruments of DG REGIO and EIB for Health JASPERS (technical assistance for preparing and implementing investment projects above 50 Million EUR) JEREMIE (support for SMEs) JESSICA (Investment in infrastructure according the Urban Development Plans) JASMINE (micro crediting, providing by non financing institutions) 16
DG REGIO 1/Coordination Unit : J. Walsh/ A. Urmos 2/ Geographical desks DG EMPL 1/ Coordination Unit : D. Iliev 2/ Geographical desks DG SANCO C 1/ Coordination Unit C5: J. Boehm/ R. Dimitrova 2. WG on SF 17