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.

Documents for applicants – available on the EAHC

web-site when the call is published

Topic specific brochures

http://ec.europa.eu/eahc/

http://ec.europa.eu/eahc/

Project Database

National Info Days

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

33

34

Participation in CFP 2008-2013, as Main Partner.

All instruments.

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/

41

Thanks

for

your

attention …