Health in the ESF

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Health in the ESF+ 2021-2027 Irene Athanassoudis, DG SANTE Louise Reid, DG EMPL #EUBudget

KEY PRINCIPLES Multiannual Financial Framework 2021-2027 'A modern budget for a Union that protects, empowers and defends' ALIGNED TO POLITICAL PRIORITIES prosperity solidarity sustainability security MORE FLEXIBLE REALISTIC & PRAGMATIC CLEAR & SIMPLE FAIR & BALANCED

NEXT STEPS Unanimous agreement needed at the Council with the consent of the European Parliament. The Commission to facilitate a swift agreement. An agreement should be reached before the European elections and Sibiu Summit of 9 May 2019.

A BUDGET FOR EUROPE'S PRIORITIES Simplification, transparency and flexibility Source: European Commission

Shaping health for the future

Health in all policies

The ESF+ in the MFF 2021-2027

The Health Strand

The ESF+ components Total Budget: 101 174 000 000 Investment for Jobs and Growth: 100 000 000 000 of which - Transnational cooperation 200 000 000 - Outermost regions: 400 000 000 Employment and social Innovation and Health strands: 1 174 000 000 - EaSI 761 000 000 - Health 413 000 000

Flexibility and policy alignment (1) ESF+ key instrument for the implementation of the European Pillar of Social Rights Reinforced link with the European Semester and the European pillar of social rights Focus kept on support to youth employment and social inclusion, which includes the integration of third country nationals and of those most in need (e.g, most deprived people)

Flexibility and policy alignment (2) Stronger emphasis on Health in the EU Social Agenda Better coordination with all healthrelated investments in shared management part of ESF+

Specific provisions for the Health strand Operational objectives Improving crisis preparedness and response against crossborder health threats Eligible actions policy analysis Strengthening health systems (digital transformation, EU health information, support to national reforms) Supporting EU health legislation (medicines, HTA, tobacco, cross-border care) Supporting integrated work (European Reference Networks, best practices for health promotion and disease prevention) policy implementation capacity building of networks and partners communication and dissemination

Health strand eligible actions Analytical activities: e.g. surveys, studies, statistics, monitoring/assessment of the transposition and application of Union law. Policy implementation: e.g. cross-border partnerships, transnational cooperation and partnerships, health crisis preparedness exercises. Capacity building: e.g. of EU-level networks, national contact points, stakeholders. Communication and dissemination: e.g. mutual learning, peer reviews, benchmarking, guides, reports, informative material and media coverage, information systems, Presidency events, conferences and seminars.

Health strand geographical scope EU Member States Associate countries or third countries (in accordance with specific agreements): EEA members Acceding countries, candidate countries and potential candidates Other third countries Neighborhood countries International organizations

Common provisions for the EaSI and Health strands - Art. 30-37 In addition to the rules specific for each programme, some common rules are also established concerning: Participation of associated third countries Forms of funding and methods of implementation: under the FR Work programme and coordination Monitoring and reporting, evaluation Protection of the financial interests of the Union Audit Information, communication and publicity

Implementation Implementation under responsibility of DG SANTE and under authority of Commissioner responsible for Health Direct management Rules of the Financial Regulation will apply [Common Provision Regulation not applicable]

The ESF+ The shared management strand 2021-2027 #EUBudget

A glance at the past (present)

What is the ESF? The EU s key instrument for investing in people (78.2 billion in 2007-2013 and over 86 billion in 2014-2020) Established under the Treaty in 1957, it is the oldest of the Structural Funds. Its mission is to improve employment opportunities for people in the Union (Article 162 TFEU). It also contributes to economic, social and territorial cohesion (Articles 174 and 175 TFEU)

The ESF: How does it work?

ESF objectives in 2014-2020 In line with Europe 2020 To improve employment opportunities To enhance social inclusion and combat poverty To promote education and life-long learning To improve efficiency of public administration Composed of 19 investment priorities

ESF support in Health Active and healthy ageing i.e ensuring people are healthy and can stay active Active inclusion i.e supporting vulnerable people, such as people with disabilities, victims of domestic violence, drug addicts to have access to the labour market Enhancing access to affordable, sustainable, and highquality services, including healthcare and social services of general interest i.e ensuring the most vulnerable/poorer have access to good-quality health services Improving efficiency of public administration and public services (including health)

ESF support in Health A few examples Bulgaria - Independent living for old people and people with disabilities (access to integrated social and healthcare services) Finland For your health increasing the participation of the most vulnerable in social and health care services Other common examples: Training of staff Support for the transition from institutional care to communitybased care services

Proposal for ESF+ post-2020

The ESF+ : 5 funds coming together

ESF+ SPECIFIC OBJECTIVES A more social Europe (European Pillar of Social Rights) EMPLOYMENT Access to employment Modernising labour market Women s labour market participation, work/life balance, childcare, working environment, adaptation of workers, active and healthy ageing EDUCATION TRAINING Quality of education and training systems Equal access to inclusive education and training Lifelong learning, notably upskilling and reskilling taking into account digital skills, better anticipating change and new skills requirements SOCIAL INCLUSION Active inclusion Integration of third country nationals and marginalised communities e.g. Roma Access to quality, sustainable and affordable services; modernising social protection systems, accessibility, effectiveness and resilience of healthcare systems and long term care Social integration of people at risk of poverty including most deprived and children; Addressing material deprivation Horizontal principles: Gender equal, Equal opps. Non-discrimination Health Contribution to Smarter Europe; Greener, low-carbon Europe

Consistency and thematic concentration Synergies and coherence with other funds Appropriate amount of ESF+ resources under shared management to support CSR and challenges under the EU Semester At least 25% dedicated to social inclusion, of which at least 2% to address material deprivation MS with high NEET rates, at least 10% to youth employment (outermost regions: 15% ) Programmed under dedicated priorities

Thank you for listening More information available under http://ec.europa.eu/esf And the Open Data Platform https://cohesiondata.ec.europa.eu/ And for the Health strand under https://ec.europa.eu/health/funding/future _health_budget_en