Policy Platform : Overview

Policy Platform : overview

What we do

The policy platform aims to ensure that policy initiatives at European and (sub) national levels are joined-up, and reflect real needs on the ground. It forms a vital link, translating European policies and initiatives for national audiences, and ensuring national and regional bodies have a strong representation in Brussels. The policy platform monitors and influences changing policy landscapes in health and related fields, advocating for a health in all policies approach.

Our Impact

Informing the policy process, and advocating for health

jj Translating European policy and initiatives for member and wider national and regional health audiences with policy précis and factsheets. Making the connections European semester and strengthening links jj Monitoring the (economic and fiscal policy coordination) and assessing its impacts on health. jj Engaging with European policymakers and participating in key events jj Supporting the development of the European Pillar of Social Rights and jj Forming alliances with other helping members to explore its potential organisations to widen impact, collaborate, and influence jj Providing expert opinions to public consultations that feed into policy and action jj Joining forces for a stronger collective voice to develop shared positions and statements

22 EuroHealthNet Annual Report new measuresandtheirrelevanceforhealth. labour markets andwelfaresystems. EuroHealthNet publishedafactsheetexplainingthe principles, initiatives, recommendations, and monitoring measures that will affect European In 2017,theEuropean Commission developed a‘European Pillar, asetof ofSocialRights’ health inequalities. on health,andusinghealthsocialdatato monitor growth ofmHealth,theimpactgender(in)equality précis addressedthe national levels. policy Thisyear’s research, and action on specific issues at European and Policy Précisgive aclearandconcise overview ofpolicy, to monitor healthinequalities. and usinghealthsocialdata ofSocialRights, European Pillar mHealth, genderequality, the Policy Précis andfactsheets: Informing process, andadvocating thepolicy for health acloserPolicy: look $ $ External External evaluation agencies are changing.Itprovides animportant provides expertiseandatatimewhensomany promotion, diseaseprevention and andequity knowledge baseto keep ontrack aboutnew developments inEurope interms ofhealth “EuroHealthNet isreally to adoor-opener European Commission activities andalso health. Thisisreally important.”

The Situation

mHealth is referred to as “medical and public health practices supported by mobile devices” This issue of Policy Précis takes stock of relevant EU policies and programmes relating to mobile health (mHealth) a nw e sd o monitor, record,to analyse, alerts used be nowcan andcommunicate health information reachto people andprofessionals remotely. mayIt deliver behavioural interventions supportto individuals start,to reinforce or reduceor specific health behaviours. potential to increase accessibility and to contribute to a more person-focused healthcare system, support shifts towardsprevention, and improve system efficiency. could also contribute to making access to healthcare more equitable.

However technical and literacy skills differ greatly differ skills literacy and technicalHowever between social groups which, as well as issues related toprivacy andsecurity data,of could influence health equity adversely. Generational or socio-economic or Generational adversely. equity dividescouldconstitute health inequalities: for risk a some older people may lack technical skills; affordability of appropriate mobile devices could also be an issue.

and the significance for health inequalities. It also looks at best practice and how progress can be made.

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EUROPEAN PARTNERSHIP FOR IMPROVING HEALTH, EQUITY & WELLBEING & EQUITY HEALTH, IMPROVING FOR PARTNERSHIP EUROPEAN

EuroHealthNet the the 2017-2018

Policy Platform Annual Growth Survey (end of the year)

National Action Country Reports (rest of the year) (February)

Country Specific National Reform recommendations Programmes (June) (April)

Monitoring the EU’s broad economic policies and making the links to health

The European Semester is the European Union’s economic policy coordination mecha- nism. It is used to analyse EU Member States’ economic situation, monitor progress, and provide country specific recommendations towards the EU2020 strategic objectives. As it provides recommendations for progress in national economic and social policy, it can have an impact on health and health equity. The EuroHealthNet partnership believes more could be done to improve health sustainability through the semester process.

In November 2017, EuroHealthNet published an analysis of how three key social determinants of health are addressed in the EU semester process: (i) Access to health care, for all population groups; (ii) Early childhood education and care; and (iii) Poverty and income inequalities. It also looks at how these factors are addressed in reports and guidance related to a selection of countries: Austria, Slovakia and Ireland.

The analysis highlights possible entry points and opportunities for tackling health and social inequalities, and how integrating the principles of the European Pillar of Social Rights (see below) could increase the impact of the EU Semester as a coordination tool for social, health and well-being policies.

Supporting the development of the EU Social Pillar

EuroHealthNet contributed to the process of shaping the EU’s new Pillar of Social Rights in the preparatory phases. The aim of the pillar is to stimulate upward convergence towards better living and working conditions. By addressing these conditions, it will influence health outcomes. The 20 principles cover health care; access to social protection, work/life balance; childcare and support for children; and education, training and life-long learning.

The agreement to enact it, which came in November 2017, was a public health milestone.

Since the enactment of the pillar, EuroHealthNet has worked with members, associates, and partners to establish how the pillar can be used as a tool to strengthen health and reduce health inequalities in their countries, and to ensure that policies are aligned.

24 EuroHealthNet Annual Report healthier and moreenvironmentally sustainable lifestyles.Theseapproaches need in engage to people enable to developed be to need areas policy different bining Concerning airquality,EuroHealthNet considers thatintegrated approachescom- ANDURBANAND REFUGEES, POVERTY ON THEEUURBAN AGENDA: AIRQUALITY, INCLUSION OFMIGRANTS inequalities andaccessforall’ action ontrust, consultation: ‘EuroHealthNet gave positive feedback ontheRoadmapwithcaveats callingformore EuroHealthNet’s responsewassummarised intheEuropean Commission’s synopsisreportofthe ON HEALTH INTHEDIGITAL ANDCARE SINGLEMARKET information to thepublic intargeted andtailoredways. and education programmes, and fight vaccine hesitancy by providing transparent and evidence-based or socially -disadvantaged children and families. It is important tomigrant, invest in health promotion commitment, investment andoutreachprogrammesto tackletheunder-coverage ofmarginalised, stressed thatpriorityshouldbegiven to Thisrequiresbetter addressingtheneedsofunderserved. andEU vaccinepolicy, This responseaddressedvaccinehesitancy, coordination. EuroHealthNet ON VACCINATIONS amongst others,arealignedandbroadlyreinforceoneanother. cies ondigitalsinglemarkets agriculturalprioritiesandcohesion forhealth,foodchainpolicy, policy, penditure programmesshouldadhereto suchastrategic visionandensurethatupcoming EU poli- of theEuropean PillarofSocialRights,andtheSustainableDevelopment Goals.AllfutureEU ex- tegic vision based on EU Treaty objectives the principles on wellbeing and cohesion, taking forward should be further developed to support a stronger, fairer Europe. There is a needfor a common stra- EuroHealthNet theEU’s stressedthatinthenextmultiannualbudget, roleforhealthandsocialequity to cohesion, stability,andeconomic growth. ted threeresponsesto thisconsultation, whichstated thatgoodhealthandwellbeingisaprecursor cohesion programmescould bemerged,reducedinscaleandscope, orended.EuroHealthNet submit political priorities,andcommitments. Thereisseriousconcern thatsomepublichealth,socialand This consultation waspartofareviewallcurrentEU spendingprogrammes,revenue measures, ON THEPOST 2020MULTI-ANNUAL (MFF) FINANCIALFRAMEWORK website. responses andtheircontent canbefoundontheEuroHealthNet following highlightssomeofthemainpointsraised.Afulllist EuroHealthNet has respondedto anumberof consultations. The environment. Inthelastyear,their positioninthepolicy-making and issues, specific compiling theminto collective responses.Thisalsostrengthens on opinions collecting by them supports ity to respondto allrelevantconsultations, soEuroHealthNet and action.Many member organisationsdonothave thecapac ganise consultations, theresultsofwhichfeedinto futurepolicy The European Commission andotherorganisationsregularlyor public consultations Providing expertopinionsto - - $ $ External External evaluation EuroHealthNet isseenas an organisation thatnot only listens to theviews of itspartners,butalso facilitates thesharing for actiononissuesin the context ofhealth of ideasto develop a position to advocate promotion.

2017-2018 -

Policy Platform to consider health, environmental, social and economic impacts simultaneously to create healthier cities. EU funds should be used in a complementary way to support action from all relevant sectors and concentrate action at community level.

Concerning the inclusion of migrants and refugees, EuroHealthNet noted that actions that support and facilitate social and labour market integration of migrants are important ways of addressing health inequalities while supporting diversity and participation in local communities. It is important that action recognises the need to endorse the rights of migrant children and include access to health care and social protection.

Concerning urban poverty, EuroHealthNet noted that it is crucial to link strategies that tackle health inequality and poverty as both are intrinsically linked. Health problems accumulate and enhance social problems and vice versa.

ON THE LONG-TERM UNEMPLOYED RECOMMENDATION

The link between unemployment and ill-health is well established. Unemployment has a higher negative impact on the physical and mental health of people from low socio- economic groups. These effects are compounded by long-term unemployment. Health services can play a useful role for integrated and personalised approaches that support the long-term unemployed, but more emphasis is needed on the importance of the right balance between flexibility and security in employment.

Making the connections and strengthening links

Engaging with European policymakers and participating in key events

Throughout the year, EuroHealthNet meets European policy makers to exchange information on changes, progress, and to stress the need for effective action on health equity and health promotion. Between mid 2017 and mid 2018 EuroHealthNet staff met with a number of officials, and spoke at and moderated several important events.

vv The Ministerial Health and conference in Tallinn (active engagement) Environment conference October 2017. in Ostrava (speaking) June vv The Estonian Presidency Cross Border 2017. Alcohol conference in Tallinn (moderation) vv Our Health futures, high level foresight October 2017. workshop in Leuven (active engagement) vv The European Conference on Biodiversity July 2017. and Health in the Face of Climate Change vv 14th International Conference on Urban (speaking) October 2017. Health in Coimbra (speaking) September vv Federal Policy Dialogue on Anti-Microbial 2017. Resistance in Belgium (moderation) vv The FRESHER workshop on future scenarios November 2017. for health in Brussels (speaking) September vv Workshop on the future of EU health policy 2017. in Stockholm (speaking) November 2017. vv Transforming Food Chains for better health vv Macro-economic Policies and Health in and nutrition in Gastein (moderation) Brussels (speaking) December 2017. October 2017. vv A seminar on Gender and Women’s Health in vv The Estonian Presidency Digital Health Brussels (speaking) December 2017.

26 EuroHealthNet Annual Report Health Network (SEEHN). and HealthAdministration (EU-OSHA) healthy workplaces campaign,andthe South-Eastern Europe EuroHealthNet is also a partner in the Covenant on Demographic Change, the EU Occupational Safety OTHER ALLIANCES mental health, andspeakingatvariousevents. on focus a with Recommendations Specific Country the of analysis an Work, at Health and mission ofamendmentsto thework-life balancedirective, astatement fortheWorld Day forSafety at work’. In 2018, EuroHealthNet took over the chair of the alliance. Activities in 2018 include the sub- sion on ‘Why international action is needed: Addressing the socio-economic factors of mental health ses- first the chaired and event the opened President, EuroHealthNet’sTamsma, Nicoline dialogue’. on HealthandWellbeing, thesuccessfulevent ‘Mentalhealthintheworkplace –Amultistakeholder Alliance organised,incollaboration with theEuropean Committee oftheRegionsInterregional Group people experiencingmentalill-health,andto stimulate action.In2017theEUMH appropriate policy mental healthintheworkplace, to advocate forequalaccessto employment for EuroHealthNet ispartofthisinformalcoalition oforganisationsworking to promote AND WORK THE EUROPEAN ALLIANCEFOR MENTAL HEALTH: EMPLOYMENT State representationsto theEU. ConventionAnnual forInclusive Growth, andplansto organiseameetingwith healthattachésfromMember the at side-event a organised Alliance the 2018, early In implementation. its around action of theEC Recommendation oninvesting inchildren,andto encourage andfacilitate morecoordinated EuroHealthNet hosted a meeting with EU officials from five DGs to discuss the importance and status statements on,forexample,theSocialPillarandMultiannualFinancialFramework. pointsforcollective thebestentry action.Theyhaveidentify developed andissuedjoint funding programmes.Alliancemembersmeetregularlyto exchange intelligence to ing by feedinginto thedevelopment ofrelevantEuropean andnationalpolicies wellbe- child promote to policies comprehensive and effective promotes Alliance The and promote childwellbeing,takingachild-rightsbasedapproach. tion oforganisationsworking together attheEuropean Level to tacklechildpoverty EuroHealthNet isakey memberoftheAllianceforInvesting inChildren,abroadcoali- THE ALLIANCEFOR INVESTING INCHILDREN andreviewingthefinalanalysisannualmonitoringassessment, reportsprepared by ICF. qualitative individual case-by-case framework, monitoring the reviewing to specifically relates input Platform commitments for the European Commission’s DG for Health and Food Safety. EuroHealthNet’s until 2020,EuroHealthNet supportstheICFteam intheirannualmonitoring andevaluationoftheEU forum of European organisations including NGOs, and the food and advertising of 2018, industries. As EuroHealthNet isamemberoftheEU physical platformforactionondiet, activity,andhealthwhichisa THE EUPLATFORM ONDIET, ACTIVITY, PHYSICAL ANDHEALTH Europe onarangeofpublichealthinitiatives. EuroHealthNet participates inanumberofplatformsandalliances, collaborates withWHO Forming alliances

2017-2018

Policy Platform WHO EUROPE EuroHealthNet has a long history of engagement and collaboration with WHO-Europe. Over the past 10 years, the EuroHealthNet EuroHealthNet provides office in Brussels has been involved in various activities with col- a gateway to connect leagues from the WHO-Europe Copenhagen, Bonn, and Venice of- with institutions and fices. These activities included a general exchange of information agencies in other and experiences on various topics like health inequalities, social Members States. determinants of health, working across sectors, environmental health, health economics, and health promotion advocacy and

Health in All Policies. $$External evaluation WHO Regional Committee The EuroHealthNet Director presented two oral statements to the 67th session of the WHO Regional Committee for Europe. The Statements addressed the ‘Roadmap to implement the 2030 Agenda for Sustainable Development, building on Health 2020 – ‘the European policy for health and wellbeing’ and the ‘outcomes of the Sixth Ministerial Conference on Environment and Health’.

The statements stressed that a ‘determinants approach’ to health is the best way to link public health and the sustainability agenda. This approach involves active mobilisation of other sectors, achieving a participatory society, guidance on the commercial determinants of health, and strengthening public health and health promotion institutions.

WHO Environment and Health Economics [The member EuroHealthNet also participated in the WHO-Europe Environment representative’s] and Health Economics Network meeting. The WHO EHEN network association with the facilitates implementation of WHO Europe’s strategic framework partnership since 2004 has on environmental health and economics. The meeting focused enabled her to actively on the circular economy, and the impacts of proposed and partly participate in the national implemented circular economy models on health. policy changes that benefitted her nation

$$External evaluation

28 EuroHealthNet Annual Report Systems Respondto intheEuropean NCDs:Experience RegioninSitges, April2018 tributed healthpromotionanddeterminates perspectives to theHigh-level regionalmeeting-Health on healthpromotionintheSustainable Development Goals(December 2017). EuroHealthNet con- refugees (March 2018) and to the ad hoc Advisory Group on the taking Shanghai forward Declaration EuroHealthNet contributed to Grouponhealthpromotionformigrantsand theWHOadhocExpert Other WHOInitiatives participated twiceinmeetingscontributing relevance. adviceonimplementationandpolicy and indicators anddatarelated to wellbeing.BossePetterson, advisorto EuroHealthNet, honorary assist Member States striving to develop and improve their public health related statistics systems, rating onmodernhealthdataandindicators. Theyarebuildingmechanismsto supportand Region. TheWHO, incooperation withtheEuropean Commission andtheOECD, iscollabo- Europe aimsto improve theinformationthatunderpinshealthpoliciesinEuropean for Office Regional WHO the (EHII), Initiative Information Health European the Through WHO HealthInformation Initiative to develop anonlineguidethatsupportsstates to setupadequate healthpromotionservices. International UnionforhealthpromotionandEdcation (IUHPE)andtheAustrian HealthFoundation, expertise andotherresources.EuroHealthNet isleadingasmallgroupofpartners,includingthe actions aredelivered throughcollaborations between members ofthecoalition, pooling together of theSustainableDevelopment Goals(SDGs), theWHOsetupaCoalition ofPartners in2017. Agreed In order to strengthen comprehensive that can contribute public health services to the achievement WHO Coalition ofPartners to strengthenPublicHealthServices j j j j j These were: collaboration withtheEU HealthPolicy Platform,anEC-led knowledge exchange platform. EuroHealthNet hasreleasedanumberofjointstatements throughoutthelastyear, many in Joining forces for astronger collective voice j j j j j the #EU4Health campaignbuthasnotco-signed any statements. EU: DoMorefor Health(multipleorganisations)EuroHealthNet supports (EuroHealthNet, andEPHA) EUPHA, The Continued Needfor PublicHealthResearchinEurope Child Poverty (EU alliancefor investing inchildren) The Post-2020 MFFMustInvest inChildrenandAimto End with ChronicDiseasesinEurope (Policy Platform) Joint Statement onImproving theEmployment ofPeople Callto actiononMigrationandHealth(Policy Platform) 2017-2018

Policy Platform