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The Health Programme
2014-2020 Europe's Funding Opportunities
in the Health Sector
Rome, 3 December 2013
Giovanni Nicoletti
Ministero della salute
Italian NFP EU Health Programme
Health in the MFF 2014-2020
THE CHALLENGES
• - increasingly challenging demographic context threating the sustainability of health systems
• - fragile economic recovery limiting the resources available for investment in healthcare
• - increase of health inequalities between/within Member States
• - increase in chronic diseases prevalence
• - pandemics and emerging cross-border health threats
• - rapid development of health technologies
Commission proposal for the Health Programme
- Adopted Nov 2011
- 7 years, proposed budget of € 446 million Health also in Structural Funds, Research, Youth programmes….
Drug prevention
AIDS Prevention & communicable diseases
Injury prevention
Health monitoring Cancer
Rare diseases
Pollution related diseases
Health
Promotion, Information, Education & training
• Community action programme in the field of health 2003-2007 EUR 312 million
• 2nd Community action programme in the field of health 2008-2013 EUR 321,5 million
• 3rd Union action programme in the field of health 2014-2020 EUR 446 million
EU Health Programmes 1
99
8 -
20
02
The future Health Programme is linked to
• The Europe 2020 Strategy for an intelligent, sustainable and inclusive growth
• The EU Health Strategy " Together for Health" and its shared principles and objectives
• Taking forward work already started in the current Health Programme 2008-2013,
• Supporting EU health legislation including legislation on medicinal products and medical devices and policy
The future Programme: a tool for investing in health(*)
for spending smarter but not necessarily more in sustainable
health systems
for investing in people’s health,
particularly through health-promotion
programmes
for investing in health coverage as a way of reducing inequalities and tackling social
exclusion
(*) Investing in health – Commission staff working document – published in February 2013 as part of the Social Investment Package for growth and cohesion.
The scope of the Programme
Complement, support and add
value to the policies of MS to
improve the health of EU citizens and
reduce health inequalities
Promoting health
Increasing the sustainability of health systems
Protecting citizens from serious cross-border health
threats
Encouraging innovation in
health
The objectives
1) Promote health, prevent disease and foster supportive environments for healthy lifestyles
2) Protect citizens from serious cross-border health threats
3) Contribute to innovative, efficient and sustainable health systems
4) Facilitate access to better and safer healthcare for Union citizens
The design of the Programme as compared to the previous and current Programmes
•
Objectives are more focused and tangible (SMART)
Limited number of actions prioritised on EU added value criteria
Progress indicators to monitor the objectives and the impact
Annual Work Plans based on long-term policy planning
Simplification of administrative and financial procedures
Better dissemination and communication of results
e 1) Promoting health, preventing diseases and fostering
supportive environments for healthy lifestyles
• Cost-effective promotion and prevention measures for addressing tobacco, alcohol, unhealthy dietary habits, physical inactivity
• Chronic diseases including cancer; good practices for prevention,
early detection and management, including self-management
• HIV/AIDS, TB and hepatitis; up-take of good practices for
cost- effective prevention, diagnosis, treatment and care
• Legislation on tobacco products advertisement and marketing
• Health information and knowledge system
Ooperation w
2) Protecting citizens from serious cross-border health threats
• Legislation in the fields of communicable diseases and other
health threats (Health Security Initiative)
• Improve risk assessment by providing additional capacities for
scientific expertise and map existing assessments
• Support capacity building, cooperation with neighbouring countries, preparedness planning, non-binding approaches on vaccination, joint procurement
pertise
3) Contributing to innovative, efficient and sustainable health systems
• Health Technology Assessment
• Up-take of health innovation and e-health solutions
• Health workforce forecasting and planning (number, scope of practice,
skills), mobility/migration of health professionals
• Mechanism for pooled expertise and good practices assisting Member States in their health systems reforms
• Health in an ageing society, including European Innovation Partnership on Active and Healthy Ageing
• Legislation in the field of medical devices, medicinal products and cross-border healthcare
• Health information and knowledge system including Scientific Committees
Medical device 4) Facilitating access to better and safer healthcare
for EU citizens
• European Reference Networks (on the basis of criteria to be set under
Directive 2011/24/EU)
• Rare diseases (networks, databases and registries)
• Patient safety and quality of healthcare including the prevention and control of healthcare-associated infections
• Antimicrobial resistance
• Legislation in the field of tissues and cells, blood, organs, medical devises, medicinal products, and patients’ rights in cross-border healthcare
• Health information and knowledge system
Financial provisions • Interventions:
• Grants for "joint actions",
• Grants for projects,
• Operating grants
• Direct grants to International Organisations
• Public procurement (tenders, framework contracts)
• Beneficiaries (recipients of funding)
• Legally established organisations,
• Public authorities, public sector bodies (research and health
institutions, universities and higher education establishments)
• Non-governmental bodies
• International organisations
EAHC: what is it ?
• The EAHC is one of six executive agencies set up by the European Commission to execute complex Community programmes and enable the Commission to focus on policy making.
• The EAHC was formerly the Public Health Executive (PHEA). In 2008, the Agency's name was changed, the mandate was prolonged and expanded to include actions in consumer protection and training for safer food.
EAHC: Facts and figures
• Based in Luxembourg
• Staff: 50 (for the 3 Programmes)
• Manages nearly 500 public health actions: projects, operating grants, conferences, joint actions, international agreements and service contracts under the Health Programme 2008-2013
• Administers relationships with diverse types of beneficiaries: non-governmental organisations, public sector bodies, public administrations, universities, higher education establishments, and commercial firms from all EU member states, with different capacities, experience and working cultures
To implement the Health Programme EAHC:
• Manages calls for proposals
• Manages calls for tender
• provides information about the actions co-funded e.g. via a public database
• disseminates the results achieved by the actions co-funded, including new know-how and best practices,
• feeds back the project results into DG SANCO policymaking processes,
• organises dissemination and information exchange meetings.
EAHC DG SANCO
Policy Priorities
External Evaluation (Projects, JA, etc.)
Yearly Workplan
Publication of Calls
Evaluation
Negotiation/
Contracting
Monitoring/
Payments
Dissemination
Archiving
Policy Development
MS Contacts
EC internal evaluation (Tenders)
External Evaluation
Audits
Publications, webpages, etc.
Summary reports, meetings
Information Days, Guidelines, etc.
18
EAHC National Focal Points
Information to the public (National Infodays)
(Informal) Contribution to Work Plan definition
Partnership search and Candidate support (not in the mandate)
Instruments in use under the
EU Health Programme 2008-2013
Call for proposals Call for tenders
Project Grant Service Contract
Joint Action Framework Contract
Conference Grant Specific Contract under a Framework
Contract
Operating Grant Expert for Evaluations
Direct Grant
Procurement vs. Grant
To acquire a product or a service. Purpose To encourage actions indicated in the Work
Plan, which fall primarily within the scope of
the beneficiary’s activities
Call for tender Procedure Call for proposals
Service Contract Legal outcome Grant Agreement
The EU pays 100 % of the contract
price
EU financial
contribution
EU-contribution to the overall costs (Co-
funding)
Since the service or product has been
purchased and paid for by the EU, in
general it belongs to the EU in its
entirety
Ownership The ownership as a rule is vested in the
beneficiary of the grant.
The operator’s remuneration should
include an element of profit.
Profit The grant must not have the purpose or the
effect of producing a profit for the
beneficiary.
What's planned for 2014?
• Calls for proposals
• On-line submission
• On-line evaluation
• On-line management of the grant agreements
• Calls for tender
• Improvements of the tender submission form
• New EAHC web-site
New challenges for III EU HP
• New priorities and new targets
• Balance between excellence and mean quality of the proposals
•Better matching EU/national/regional funds
•Role of the Regions
Evaluation of proposals
1. Screening check
compliance with
the exclusion
criteria
3. Evaluation of compliance
with quality criteria External Experts
+
Briefing by of policy officer from DG SANCO
4.Consensus
meeting Chaired by a
project officer.
Outcome:
consensus
evaluation report
5.Evaluation committee Based on ranking:
a) Ensure compliance with criteria
b) Exclude potential duplication
c) Decide on funding based on proposed
co-funding and available budget
6.Programme
committee
Endorse propsal
of evaluation
committee
7.Adaptation
and grant agreement
2. Financial &
organisational
analysis check
compliance with
the
selection criteria
Executive
Agency for
Health and
Consumers
Recommendation for funding per country (of the main and associated beneficiary)
17
14 14
13
12 12
9
8
6 6 6 6
5 5 5 5 5 5 5
4 4 4 4 4 4
3 3 3
2
1
0 0
2
4
6
8
10
12
14
16
18
NL ES IT FR DE UK EU BE BG GR HR NO CZ FI IE PT RO SE SI AT DK EE LT MT PL HU IS LV SK CY LU
Total Participation (%) in CFP per Member State
(MP & AP), 2008 - 2013
,0
2,0
4,0
6,0
8,0
10,0
12,0
14,0
16,0
Participation by country (percentage) from 2008 to 2013
38
Success rate (%) of Italy in the submission of
proposals for Projects under the Second Health
Programme
(2008-2013)
Portare la sanità delle Regioni in Europa e nel Mondo, altresì l’Europa e il Mondo nei Sistemi Sanitari delle Regioni italiane, nel quadro di una collaborazione
sinergica con il Sistema Paese
Obiettivo generale MI
http://www.progettomattoneinternazionale.it/
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