Health: Interreg NEXT & IPA CBC in Action 15/10/20 at 09:30

Health: Interreg NEXT & IPA CBC in action 15/10/20 at 09:30 (CET) Basic instructions for Zoom

SILENCE YOUR MIC when you are not talking

START VIDEO when you are talking In case of any technical questions, you can also contact: [email protected] RAISE HAND in the Q&A session

This workshop is recorded 2014-2020 The main questions today

What are the specific needs of the cross-border areas in healthcare? What are the good health cooperation stories from the external EU borders?

What is coming next? Workshop Agenda Panel I: Health Cross-border cooperation in action • Cross-border health cooperation in the IPA CBC programme Bulgaria-Serbia • Cross-border health cooperation in the ENI CBC programme Poland-Belarus-Ukraine • Examples, good practice, lessons learned from Hungary and its neighbours • Cross-border health cooperation in the Internal CBC programme Belgium-France Panel II: Policy input • EU support for healthcare sector (covid-19 response) in IPA/ENI countries - DG NEAR perspective • Cooperation between regions & Cross-border Healthcare Directive – DG SANTE perspective • Programming 2021-2027, PO4, importance of ISO1 – DG REGIO perspective Welcome and Introduction

Jean Pierre Halkin. Head of Unit of D1. DG REGIO. European Commission.

Panel I Health Cross-border cooperation in action

• Cross-border health cooperation in the IPA CBC programme Bulgaria-Serbia

• Cross-border health cooperation in the ENI CBC programme Poland-Belarus-Ukraine

• Examples, good practice, lessons learned from Hungary and its neighbours

• Cross-border health cooperation in the Internal CBC programme Belgium-France Speakers

• Ms. Aneliya ALEKSANDROVA Communication Officer at the Joint Secretariat of IPA CBC Bulgaria-Serbia

• Mr. Andzej SLODKI Head of Joint Secretariat of ENI CBC Poland-Belarus-Ukraine

• Mr. Ocskay GYULA Secretary General of CESCI-Central European Service for Cross-Border Initiatives

• Mr. Henri LEWALLE Representative of CBC BE-FR (was closely implicated in ZOAST) Health Cross-border cooperation in action

Speaker

• Ms. Aneliya Aleksandrova Communication Officer at the Joint Secretariat of IPA CBC Bulgaria- Serbia Cross-border health cooperation in the IPA CBC programme Bulgaria-Serbia Our achievements:

• Delivered diagnostics and modern medical equipment and furniture; • Reconstructed and renovated sports and medical buildings; • Improved skills of young doctors; • Conducted trainings about health care job opportunities and carriers in medicine; • Established and furnished Diagnostics center for medical prevention; • Conducted sports activities for improving youth’s health. Health Cross-border cooperation in action

Speaker

• Mr. Andzej Slodki Head of Joint Secretariat of ENI CBC Poland-Belarus-Ukraine

Cross-border health cooperation in the ENI CBC programme Poland-Belarus- Ukraine 13 HEALTHCARE PROJECTS 24.3 mln EUR grant value

 46 % of the population shall get better access to healthcare  20 healthcare facilities to modernize  14 ambulances  26 medical research or treatment programmes  800 items of specialized equipment Health Cross-border cooperation in action

Speaker

• Mr. Ocskay Gyula Secretary General of CESCI-Central European Service for Cross-Border Initiatives Examples, good practice, lessons learned from Hungary and its neighbours [email protected] www.cesci-net.eu Health Cross-border cooperation in action

Speaker

• Mr. Henri Lewalle Representative of CBC BE-FR (was closely implicated in ZOAST) Cross-border health cooperation in the Internal CBC programme Belgium-France Outline your achievements • Improving the health condition of border population • Access to cross-border health care without obstacles linked to the border effect • Mobility of patients and healthcare professionals • Pooling of the healthcare offer and the healthcare service • Exchange of good practices eHEALTH • Responses to the shortage of health professionals and the lack of equipment (insufficient medical demographics) • Increase in the attractiveness of border areas • Visibility of EU integration Questions & Answers

RAISE HAND Panel II Policy input

• EU support for healthcare sector (covid-19 response) in IPA/ENI countries, DG NEAR perspective • Cooperation between regions & Cross-border Healthcare Directive, DG SANTE perspective • Programming 2021-2027, PO4, importance of ISO1, DG REGIO perspective Speakers

• Mr. Georg ZIEGLER Team Leader, COVID-19 Project Team DG NEAR, European Commission

• Ms. Caroline HAGER Team leader, DG Health and Food Safety, European Commission

• Mr. Gilles KITTEL Team Leader IPA team DG REGIO, European Commission

• Ms. Simona POHLOVA Team Leader IPA team DG REGIO, European Commission Policy input

Speaker

• Mr. Georg ZIEGLER Team Leader, COVID-19 Project Team DG NEAR, European Commission

EU support for healthcare sector (covid-19 response) in IPA/ENI countries, DG NEAR perspective EU support for health sector during COVID-19 in Enlargement and Neighbourhood countries

DG NEAR perspective

Georg Ziegler 15 October 2020 Team Leader, DG NEAR’s COVID-19 Project Team Team Europe priorities and approach

 Adjusting ongoing assistance programmes  Reorienting programming for 2020  Front loading support to mobilise support for health

Cluster 2 Cluster 1 Cluster 3 emergency response to health, research and water address the social and the immediate health economic consequences crisis and the resulting humanitarian needs Enlargement and Neighbourhood area

• Enlargement: covered by the IPA programme (Pre-accession Instrument) • Albania, Bosnia and Herzegovina, Kosovo*, Montenegro, North Macedonia, Serbia, Turkey

• Neighbourhood covered by the ENI programme (European Neighbourhood instrument) • East: Armenia, Azerbaijan, Belarus, Georgia, Moldova, Ukraine • South: Algeria, Egypt, Jordan, Lebanon, Libya, Morocco, Palestine**, Syria, Tunisia

* This designation is without prejudice to positions on status, and is in line with UNSCR 1244/1999 and the ICJ Opinion on the Kosovo declaration of independence. ** This designation shall not be construed as recognition of a State of Palestine and is without prejudice to the individual positions of the Member States on this issue. Overall EU support in DG NEAR countries (IPA and ENI grants)

In millions EUR, rounded Western Balkans + Turkey Neighbourhood East Neighbourhood South Cluster 1 113 89 1027 Cluster 2 Cluster 3 839 942 1357 Totals 952 1031 2384

Total DG NEAR assistance – 4367 million EU assistance across all regions

• Equipment: medical equipment (also for intensive care), hospital beds, fully equipped ambulance cars, respirators, digital mobile x-rays, testing kits personal protecting equipment

• New EU Initiative on Health Security for the EU neighbours with the European Centre for Disease Prevention and Control

• On 4 May, EU co-organised an international pledging conference to accelerate development and deployment of vaccines for COVID-19. In the meantime almost EUR 16 billion raised worldwide.

• Commitment to COVAX (vaccines pillar of the Access to COVID-19 Tools Accelerator); Encouraging all the partner countries to express interest and join COVAX (Many signed already agreements). Western Balkans,Turkey

• Assistance in Clusters 1 & 2 - EUR 61 million • Regional Support to vulnerable groups of immigrants worth EUR 8 million and support to ECDC and WHO activities worth EUR 5 million

• EU Health Security Committee (HSC) opened to all Western Balkan countries as observers. WB also part of EU’s Joint Procurement Mechanism since April

• Turkey: Redirection of EU funding not requested, but implementation period for some IPA projects extended • Under Facility for Refugees, Turkey agreed to mobilisation of savings and contingencies to support COVID-19 response. • Some EUR 57 million being redirected under the Facility to the prevention and treatment of COVID-19 cases, including EUR 52 million for clusters 1&2 Eastern Partnership

• Assistance in Clusters 1 & 2 - EUR 89 million • Regional programmes: (inter alia) • A EUR 30 million project with WHO - delivering medical devices and personal equipment, such as ventilators, laboratory kits, masks, goggles, gowns, and safety suits

Selected examples of assistance: • Ukraine: Support in Clusters 1 & 2 over EUR 26 million–delivery i.a. through CSOs • Georgia: EUR 2,2 million Resilience Facility for equitable access to healthcare • Belarus: Personal protective equipment worth EUR 2,8 million delivered in June • Azerbaijan: 129 oxygen concentrators and 60 pulse oximeters, 10,000 face shields, 10,000 protective goggles, 8,000 isolation gowns and 140,000 respirators • Armenia: EUR 4,46 million E-health component under Public Administration Reform budget support programme • Moldova: EUR 5 million facility to support the health response to the COVID-crisis Neighbourhood South • Just over EUR 1 billion for instruments and programmes under cluster 1 and 2

Selected examples:

• Tunisia: Saha Aziza programme worth EUR 70 million expanded to cover all public hospitals - purchase of medical supplies, training and technical assistance

• Egypt: EUR 89 million to support the Egyptian public health system

• Libya: Programmes addressing resilience&health challenges, adding EUR 45,2 mln fresh funding to the EUTF Africa portfolio for Libya (now amounting to €455 mln)

• Lebanon: Ongoing projects worth EUR 86 mln reoriented to ensure continuity of critical health care reorienting up to EUR 80 mln from EUTF Syria committed for health programmes incl. additional assistance for Palestine refugees

• Jordan: re-oriented ENI and the MADAD funding, topped-up MADAD (EU regional trust fund in response to the Syrian crisis) contracts; assistance includes health interventions in Azraq and Zaatari camps worth EUR 0.5 mln for health education, capacity building

• Palestine**: Health response in Gaza, West Bank and East Jerusalem worth more than EUR 2 mln; EUR 15 mln. support to UNRWA (UN Relief and Works Agency for Palestine) activities for immediate priorities and needs for health and other services related to the pandemic in the West Bank and Gaza

• Morocco: Support health access by migrants (EUTF North Africa window) – EUR 7 mln and EUR 77 mln in budget support to government for strengthening the health system Thank you

Unless otherwise noted the reuse of this presentation is authorised under the CC BY 4.0 license. For any use or reproduction of elements that are not owned by the EU, permission may need to be sought directly from the respective right holders.

Slide xx: element concerned, source: e.g. Fotolia.com; Slide xx: element concerned, source: e.g. iStock.com Policy input

Speaker

• Ms. Caroline HAGER Team leader, DG Health and Food Safety, European Commission

Cooperation between regions & Cross-border Healthcare Directive, DG SANTE perspective Interreg NEXT & IPA Cross-Border Cooperation in action

Cross-border healthcare cooperation 15 October 2020

Caroline Hager Team leader DG Health and Food Safety European Commission EU actions cross-border healthcare cooperation

 EU Law  Directive on patients’ rights in cross-border healthcare  EU Funding (2011/24/EU)  Coordination of social security systems  Advice & Expertise (Regulation (EC) 883/2004);

European Structural & Investment Funds:

 Interreg - European territorial  Commission Studies cooperation;

 Conferences  Horizon 2020 - research programme

 Health Policy Platform  Connecting European Facility - eHealth  Border Focal Point Rules for Cross-Border Treatment & Reimbursement depends on health insurer where patient affiliated/insured

Rules for payment same fees as for domestic patients!

Information for Patients - National Contact Points & Manual for Patients

European Cooperation in recognition of prescriptions, rare diseases, e-health and …. encourage cooperation between neighbouring countries and regions Any Questions? Manual for Patients in all EU languages Cross-border health cooperation – many actions in the EU

• EU Map of health-related cross-border cooperation projects

• What are the potential future challenges & opportunities for cross- border cooperation in healthcare?

• Toolbox & support for stakeholders and authorities interested in cross-border cooperation

• Overview of fraud and fraud mitigation in cross-border healthcare; EU map cross-border health care projects

Identified CBHC projects COVID-19 EU Emergency Assistance on Cross-Border Cooperation in Healthcare 3 April 2020 More information: DG SANTE website https://ec.europa.eu/health/cross_border_care/overview_en Monitoring the Directive https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=COM:2018:651:FIN Cross-border Healthcare Expert Group https://ec.europa.eu/health/cross_border_care/events_en#anchor0 National Contact Point – Toolbox https://ec.europa.eu/health/cross_border_care/publications_en Study on Cross-border cooperation https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/2018_ crossbordercooperation_frep_en.pdf Cross-border Care Manual & Tools https://goeg.at/study_on_cross-border_cooperation Health Policy Platform https://webgate.ec.europa.eu/hpf/ Thank you

Slide xx: element concerned, source: e.g. Fotolia.com; Slide xx: element concerned, source: e.g. iStock.com Policy input

Speakers • Mr. Gilles KITTEL Team Leader IPA team DG REGIO, European Commission

• Ms. Simona POHLOVA Team Leader IPA team DG REGIO, European Commission

Cooperation in the area of health and Programming 2021-2027 DG REGIO perspective State of play: Cooperation in the area of health Interreg NEXT & IPA CBC in action

Mr. Gilles KITTEL Team Leader IPA team DG REGIO, European Commission

Ms. Simona POHLOVA Team Leader IPA team DG REGIO, European Commission

15 October 2020 Warning

• This presentation uses information available prior to the COVID-19 pandemic in Europe.

• The Cohesion and Interreg agenda might still shift considerably, as a reaction to the crisis.

• Mechanics not 100% stable yet. In this presentation…

1 Setting the scene

2 The good practices

3 Programming 2021 -2027

4 Provisional timeline until 2022 1 Setting the scene IPA CBC programmes 2014- 2020

Partnership map

Projects in the area of health and social services Source: https://keep.eu/projects/

52 projects, 115 partners, 125 partnerships and 9 programmes ENI CBC programmes 2014- 2020

Partnership map

Projects in the area of health and social services Source: https://keep.eu/projects/

44 projects, 141 partners, 146 partnerships and 10 programmes 2 The good practices The Franco-Belgian experience as the benchmark in cross-border health cooperation European cross-border cooperation on health: Overview of good practices https://ec.europa.eu/health/sites/health/files/cross_border _care/docs/2018_crossbordercooperation_frep_en.pdf

https://ec.europa.eu/regional_policy/sources/coo perate/crossborder/cbc_health/cbc_health_en.pdf 3 Programming 2021 -2027 A Strong Heath Dimension in Cohesion Policy 2021-2027: • With more than 7,000 health-related projects financed through the European Structural and Investment Funds (ESIF) in the programming period 2014-2020, cohesion policy demonstrated its crucial contribution to supporting social and economic convergence around Europe and ensuring the health of EU citizens.

• When defining health policies at the EU, national and regional levels, there should be the willingness to overcome the silos approach and ensure the development of more integrated solutions. Policy Objective (PO)4 - Healthcare and long- term care / ESF+ & ERDF : • Healthcare systems face increasing needs due to ageing populations and other non-demographic factors, such as:

• the increased use of more costly technological and pharmaceutical innovations

• and increased expectations from citizens and patients.

• The COVID-19 pandemic has also highlighted the need to build more resilient healthcare systems that are better equipped to respond to crises. PO4 - ERDF Specific Objective 4.4 Ensuring equal access to health care and fostering resilience of health systems: • Health infrastructure and equipment, moving away from a hospital-centred model to more person-centred approaches,

• Primary healthcare (e.g. facilities for general practitioners, nurses), secondary healthcare (e.g. facilities for specialists, outpatient clinic), tertiary healthcare (e.g. acute and long-term care hospitals, emergencies services), including measures to foster resilience of healthcare.

• Integration of care between the above three and between health care, social care and long term care, including through integrated IT systems;

• In the scope of digitalisation of health services: e-health, m-health, telehealth, public information systems and telemedicine Policy Objective (PO)1 – Innovative and Smart Industrial Transformation: • The eHealth and ageing initiatives - Three priorities:

• Citizens' secure access to their health data, also across borders.

• Personalised medicine through shared European data infrastructure - allowing researchers and other professionals to pool resources (data, expertise, computing processing and storage capacities).

• Citizen empowerment with digital tools for user feedback and person-centred care. Integrated approach and synergies with other policy objectives:

• Interreg specific objective (ISO)1 ‘A better Interreg Governance’

• Joint actions (ERDF/ESF+ types of measures)

• Other EU programmes will also make important contributions to health and healthcare of citizens, in particular:

• the Health programme, Horizon Europe, the Digital Europe Programme and InvestEU. 4 Provisional timeline until 2022

Conclusion “We need to make our new EU4Health programme future proof. This is why I had proposed to increase funding and I am grateful that this Parliament is ready to fight for more funding and remedy the cuts made by the European Council. (…) And because this was a global crisis we need to learn the global lessons. This is why, along with Prime Minister Conte and the Italian G20 Presidency, I will convene a Global Health Summit next year in Italy.”

State of the Union Address by President von der Leyen at the European Parliament Plenary, Brussels, 16 September 2020. #ThisistheEU Keep in touch

ec.europa.eu/ europeancommission

europa.eu/ @EuropeanCommission

@EU_Commission EUTube

@EuropeanCommission EU Spotify

European Commission Thank you

Slides, source: Unsplash Questions & Answers

RAISE HAND Thank you for your attention! • The health cooperation mat t ers!

• Together we stand strong!