Transcript Venice Stakeholder Event 25-26 February 2010

EU Cohesion Policy supporting
health for regional development
Andor Urmos
Policy Analyst,
Thematic Coordination, Innovation
DG Regio
Venice Stakeholder Event
EUREGIO III
25th of February, 2010
European Commission, Regional Policy Directorate General
http://ec.europa.eu./comm/regional_policy
OUTLINE
Regions, health policy and
Cohesion policy
Cohesion policy investments in
health
Health inequalities
PART I - Health and regions
Regional / territorial dimension of
health policy
Relevance of health in Cohesion
Policy
Health as a prerequisite for socio- economic
development
Health care “industry” R&D, SMEs
Public health care initiatives
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 Strategic
Guidelines 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 EU
budget or EUR 347 billion over the 2007-2013 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.
Regional Disparities in EU27
GDP per head in % in Purchase Power Standard PPS
(2004)
<50
50 - 75
75 - 90
90 - 100
100 - 125
 125
Index, EUR-27 = 100
EU Cohesion Policy 2007-2013
Eligible Regions
Total Budget:
EUR 347.4 Mrd.
(35,6% of the EU-Budget)
Of which 82% for
Convergence Regions,
15% for the other.
PART II - Cohesion Policy 2007-2013
STRUCTURAL
FUNDS
ERDF
ESF
OBJECTIVES
HEALTH INVESTMENTS
‘Convergence’
Investment in health
infrastructure to contribute to
regional development and
quality of life
‘European territorial
cooperation’
Development of collaboration
and capacity
‘Convergence’
And
‘Regional
competitiveness and
employment’
Training of health professionals
Safety at work to promote more
productive forms of work
organisation
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
0
%
<1
%
12%
23%
•€5 billion have been
earmarked for e-services
(including e-health)
•€1 billion has been
earmarked for active
ageing, etc.
34%
45%
>5
%
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.
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
Cohesion Policy: instruments and
objectives 2007-2013
3 Objectives
Structural Funds and Cohesion Fund
Convergence
ERDF
ESF
Regional Competitiveness
and Employment
ERDF
ESF
European territorial
Cooperation
ERDF
Infrastructure,
Innovation
Training
Measures
Occupational
health
All Member States and regions
Cohesion
Fund
Environment,
Transport
infrastructure
Member States with a
GDP/head below 90%
Cohesion Policy: instruments and
objectives 2007-2013

Direct investments


Indirect investments


ERDF, ESF – infrastructure, e-health, health promotion,
access to services, edication/training, etc.
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)
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, SK
7
Screenings: HU, LT, SK
3
Health promotion, safety at work:
BE, CZ, DE, DK, EL, ES, FI, HU, LX, RO, SK
eHealth: CY, DK, EL, LT, NL, RO
Health infrastructure: BG, CZ, DE, EL, FR, HU, LT, LV, PL, RO, SK
11
6
11
Education of health care professionals: CY, CZ, EL, ES, HU, LT, LV, SK
8
Quality (management): CZ, EL, HU, LT, PL, SK
6
Environmental health: CZ, FI, HU, LT, MT, RO
6
Demographic change: AT, FI, FR, RO, SK
5
Access to health care: BE, CZ, EL, ES, FI, FR, HU, LT, LV, SK
Emergency care: HU, LT, LV, PL, SK
10
5
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 years
Life expectancy at birth (years) for females ranges from 76 (Bulgaria, Latvia, Romania) to 84
(France, Italy, Spain), a gap of 8 years
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October
Background
 5-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.
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October



Need for further actions – negative consequence for
health, social cohesion, economic development
An equitable distribution of health as part of overall
social and economic development
Lisbon agenda objectives



Economic growth
Greater social cohesion
Healthy life years indicator (to monitor progress)
Need for reducing health inequalities
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October
Actions
 Improving 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
Research
 Common set of indicators – monitoring health inequalities
(Member States, Commission)
 Building commitment across society
 Improving the exchange of information, knowledge, across
sectors (social care, employment, education, regional
development, etc.)
 Promotion of good practices at EU level
 Training to address health inequalities
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October

Meeting the needs of vulnerable groups





Special attention to be given to needs of people in poverty, migrants, ethnic
minority groups, people with disabilities, elderly, child poverty
Raise awareness, promotion of actions to improve access to health services,
health promotion, preventive care
Report 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 policies




Half 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 inequalities
Further use of rural development policy, market policy (school milk, school
fruit scheme) – rural poverty
Provide funding under PROGRESS, peer reviews, developing relevant
strategies
From health infrastructure to health promotion
The 'Saude' programme,
Portugal
Example of a comprehensive
health programme, funded by
ERDF and ESF since 1986. 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 sector
Budget 2000-06: EUR 698 million,
of which 476 million from
Structural Funds
Health, research, innovation and ICT
Kuopio Science Park, East of
Finland
Regional 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
park
Funding: ERDF
Interregional networking
The “Regions for Economic
Change“ initiative
Between 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 communities
Meeting the demographic
challenge
Promoting a healthy
workforce in healthy
workplaces
Thank you for your attention!
Andor Urmos
DG Regio
Tel: +32-2-229-50679
Email: [email protected]