Annexes to COM(2020)691 - Implementation of the third programme of Union action in the field of health (2018) - Main contents
Please note
This page contains a limited version of this dossier in the EU Monitor.
| dossier | COM(2020)691 - Implementation of the third programme of Union action in the field of health (2018). |
|---|---|
| document | COM(2020)691  |
| date | November 6, 2020 |
The budget set out in the work plan for 2018 was EUR 68 325 543.65, broken down as follows:
·operational expenditure EUR 60 467 000, corresponding to budget line 17 03 01 (‘Encouraging innovation in health, increasing the sustainability of health systems and protecting Union citizens from serious cross-border health threats’);
·additional contributions of EUR 1 952 043.65 from EFTA/EEA 15 and other non-EU countries 16 participating in the programme;
·administrative expenditure EUR 1 500 000, corresponding to budget line 17 01 04 02;
·budget for Chafea’s operating costs EUR 4 406 500, corresponding to budget line 17 01 06 02.
The operational budget totalled EUR 62 419 043.
EUR 61 322 254.98 (98.24%) were committed under the 2018 AWP. Chafea committed EUR 45 976 468.52 and DG SANTE EUR 15 345 786.46, covering part of procurement and other actions. Of the overall commitment, unused appropriations amounted to EUR 1 096 788.67, corresponding to 1.76% of the total.
1. Priorities
In 2018, the total operational budget implemented (EUR 61 322 254.98) was assigned to the four specific programme objectives as follows:
1.Health promotion - EUR 15 796 420.66 (26% of the operational budget) for promoting health, preventing diseases and fostering supportive environments for healthy lifestyles, taking into account the ‘health in all policies’ principle;
2.Health threats – EUR 7 900 000 (13% of the operational budget) for protecting Union citizens from serious cross-border health threats;
3.Health systems – EUR 8 422 838.09 (14% of the operational budget) for contributing to innovative, efficient and sustainable health systems;
4.Better and safer healthcare – EUR 25 455 254.83 (42% of the operational budget) for facilitating access to better and safer healthcare for Union citizens.
In addition, cross-cutting activities (IT activities, communication, reimbursement of expert evaluators) accounted for EUR 3 747 741.40 (6% of the operational budget).
Chart 1: Operational budget by third health programme objectives in 2018
In the 2018 budget allocation to the programme’s various thematic priorities, Chart 2 below shows that the ERNs rank highest, followed by capacity building to cope with health threats, with chronic diseases in third place.
Chart 2: Operational budget by thematic priority in 2018
To reach its objectives, the programme was implemented through a wide range of funding instruments. These are:
·project grants, including the specific mono-beneficiary grant agreement for the ERNs for rare, low-prevalence and complex diseases;
·operating grants to support non-governmental organisations (NGOs);
·actions co-financed with Member State authorities (joint actions, JAs);
·direct grant agreements (DGAs) with international organisations;
·public procurement; and
·other actions, such as support to the scientific committees, administrative agreements with the Joint Research Centre and EUROSTAT, and grants for Presidency conferences.
Competitive calls were used to select actions for funding, e.g. for projects and procurement. JAs, grants to international organisations and conferences organised by European Council presidencies are DGAs because of their monopoly situations (de facto or de jure). External reviewers (JAs), DG SANTE and Chafea officials evaluate the proposals to ensure that these co-funded actions meet certain quality standards.
The administrative budget covered expenditure on matters such as study meetings of experts, communication, and technical and administrative assistance for IT systems.
2. Execution of the operational budget by financing mechanism
| Type of financing mechanism | Implementation (EUR) | Share of mechanism in total implemented budget (%) |
| Grants under call for proposals or invitation | 30 674 796.67 | 50.02 |
| Project grants, including other DGA projects | 11 095 795.01 | 18.09 |
| ERN actions 3-year specific grant agreements (SGAs) under Framework Partnership Agreement | 13 691 043.13 | 22.33 |
| Operating grants for NGOs | 5 887 958.53 | 9.60 |
| JA grant | 7 900 000.00 | 12.88 |
| Conference grants to the Member States holding the EU Presidency | 166 000.00 | 0.27 |
| DGAs with international organisations | 4 020 000.00 | 6.56 |
| Procurement (service contracts), prizes and cross-cutting actions | 8 924 955.22 | 14.55 |
| Managed by CHAFEA | 2 618 012.85 | 4.27 |
| Managed by DG SANTE | 6 306 942.37 | 10.28 |
| Other actions | 9 636 503.09 | 15.71 |
| Managed by CHAFEA | 597 659.00 | 0.97 |
| Managed by DG SANTE | 9 038 844.09 | 14.74 |
| Budget implemented of 2018 AWP | 61 322 254.98 | 98.24 |
| Managed by CHAFEA | 45 976 468.52 | 73.66 |
| Managed by DG SANTE | 15 345 786.46 | 24.59 |
| Total available budget of 2018 AWP | 62 419 043.65 | |
| Not used | 1 096 788.67 | 1.76 |
| by CHAFEA | 1 096 788.67 | |
| by DG SANTE | 0.00 |
3. Beneficiaries
In 2018, Chafea and DG SANTE signed more than 262 17 grants and contracts with a range of beneficiaries and service providers: governmental organisations, academic institutions, NGOs, private companies, and individual experts 18 . Other beneficiaries included international organisations and EU departments. There were 423 beneficiaries in total, the two main categories being private companies (for procurement and other actions) and governmental organisations (for JAs and projects).
Chart 3 shows the various groups of beneficiaries.
Chart 3: Third health programme beneficiaries in 2018 – main categories
MAIN COMMUNICATION ACTIONS
On programme implementation monitoring, Chafea contributed to the preparatory work for the MFF 2021-2027 by gathering information on the health programme (2014-2017) results. Following the adoption of Chafea’s strategy for the dissemination of the programme (June 2017), the annual dissemination plan for 2018 focused on the Commission’s key priorities for health, namely the European ERNs and crisis preparedness and response.
For ERNs:
·production of the e-booklet ‘Rare diseases 2008-2016: EU-funded actions paving the way to the European Reference Networks’ 19 ;
·production of the info sheet ‘EU health programme support to ERNs: helping people suffering from rare and low-prevalence complex diseases’ 20 , presented at the fourth conference of the ERNs, held on 21-22 November 2018 in Bru ssels.
For crisis preparedness:
·production and publication of the e-booklet ‘Health threats 2009-2018: EU-funded actions for better preparedness and coordination in health crisis’ 21 ;
·production and publication of the info sheet ‘Medical countermeasures: vaccines and vaccination’ 22 ;
·conference, ‘Best practices in implementing the international health regulations’, held on 7-8 June 2018 in Athens, Greece, in cooperation with the Greek Ministry of Health 23 .
Chafea participated in five major EU-wide public health conferences where scientists and health professionals were the target audience.
·18th International Conference on Integrated Care, 23-25 May 2018, Utrecht, the Netherlands 24 . Workshops and stand on the health programme.
·21st European Health Forum Gastein, 3-5 October 2018 25 . Stand organised.
·11th European Public Health Conference 2018, 28 November-1 December 2018, ‘Winds of change: towards new ways of improving public health in Europe’, Ljubljana, Slovenia 26 . Two pre-conferences were held that focused on EU actions on antimicrobial resistance and healthcare-associated infection s. Lunch symposium: The EU health programme successes - contributing to better health for all in the EU 27 .
·49th Union World Conference on Lung Health, 24-27 October 2018 28 . Stand exhibition and ‘meet and greet the health programme experts’ sessions were organised. The Hague, the Netherlands.
·AIDS 2018, health programme workshops, 23-27 July 2018 29 . EU stand and ‘meet and greet the health programme experts’ sessions were organised, in Amsterdam, the Netherlands. The e-booklet on the conference was produced and disseminated.
(1)
Regulation (EU) No 282/2014 of the European Parliament and of the Council of 11 March 2014 on the establishment of a third programme for the Union’s action in the field of health (2014-2020) and repealing Decision No 1350/2007/EC (OJ L 86, 21.3.2014, p. 1).
(2)
https://ec.europa.eu/health/non_communicable_diseases/steeringgroup_promotionprevention_en
(3)
https://www.who.int/ihr/about/en/
(4)
Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices, amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 and repealing Council Directives 90/385/EEC and 93/42/EEC (OJ L 117, 5.5.2017, p. 1).
(5)
The NFPs are designated by the Member States and other countries participating in the programme. Their function is to help the Commission promote the programme and disseminate its results and the information available on its impact.
(6)
COM(2020) 405 final.
(7)
https://ec.europa.eu/health/systems_performance_assessment/policy/expert_group_en
(8)
https://webgate.ec.europa.eu/chafea_pdb/health/projects/826640/partners ; and https://www.vigour-integratedcare.eu/
(9)
Personalised Knowledge Transfer and Access to Tailored Evidence-Based Assets on Integrated Care: SCIROCCO Exchange [SCIROCCO Exchange] [826676] – Project, https://webgate.ec.europa.eu/chafea_pdb/health/projects/826676/summary and https://www.sciroccoexchange.com/
(10)
https://ec.europa.eu/jrc/en/health-knowledge-gateway/promotion-prevention/nutrition/whole-grain
(11)
SHARP Joint Action - Strengthened International HeAlth Regulations and Preparedness in the EU, http://www.sharpja.eu
(12)
Decision No 1082/2013/EU of the European Parliament and of the Council of 22 October 2013 on serious cross-border threats to health and repealing Decision No 2119/98/EC (OJ L 293, 5.11.2013, p. 1).
(13)
https://ec.europa.eu/health/md_eudamed/overview_en
(14)
Commission Decision 2004/858/EC of 15 December 2004 setting up an executive agency, the ‘Executive Agency for the Public Health Programme’, for the management of Community action in the field of public health – pursuant to Council Regulation (EC) No 58/2003 (OJ L 369, 16.12.2005, p. 73) amended by Commission Decision 2008/544/EC of 20 June 2008 amending Decision 2004/858/EC in order to transform the ‘Executive Agency for the Public Health Programme’ into the ‘Executive Agency for Health and Consumers’ (OJ L 173, 3.7.2008, p. 27); from December 2014 the Executive Agency for Health and Consumers (EAHC) was replaced by the Consumers, Health, Agriculture and Food Executive Agency (Chafea) by Commission Implementing Decision 2014/927/EU of 17 December 2014 amending Implementing Decision 2013/770/EU in order to transform the ‘Consumers, Health and Food Executive Agency’ into the ‘Consumers, Health, Agriculture and Food Executive Agency’ (OJ L 363, 18.12.2014, p. 183).
(15)
Norway and Iceland.
(16)
Serbia, Bosnia and Herzegovina, and Moldova.
(17)
JA (1), PJ (9), operating grants SGA (16), ERN (23), direct grant agreement with international organisations (5), prizes (2), conferences (2), tenders and cross-cutting actions (181), other actions (23).
(18)
These 262 grants and contracts do not include those signed with individual experts participating in scientific committees, evaluators of calls for proposals, etc.
(19)
https://op.europa.eu/en/publication-detail/-/publication/fd1f05fc-6def-11e8-9483-01aa75ed71a1/language-en?WT.mc_id=Selectedpublications&WT.ria_c=19980&WT.ria_f=3170&WT.ria_ev=search
(20)
https://op.europa.eu/en/publication-detail/-/publication/d4deee56-e952-11e8-b690-01aa75ed71a1/language-en?WT.mc_id=Selectedpublications&WT.ria_c=19980&WT.ria_f=3171&WT.ria_ev=search
(21)
https://op.europa.eu/en/publication-detail/-/publication/13b6f22d-75e4-11e8-ac6a-01aa75ed71a1/language-en?WT.mc_id=Selectedpublications&WT.ria_c=19980&WT.ria_f=3170&WT.ria_ev=search
(22)
https://publications.europa.eu/en/publication-detail/-/publication/9807f2a3-d7ff-11e8-90c0-01aa75ed71a1/language-en?WT.mc_id=Selectedpublications&WT.ria_c=19980&WT.ria_f=3171&WT.ria_ev=search
(23)
https://eody.gov.gr/en/event/best-practices-in-implementing-the-international-health-regulations/
(24)
https://integratedcarefoundation.org/events/icic18-18th-international-conference-on-integrated-care-utrecht
(25)
https://www.ehfg.org/archive/2018/conference
(26)
https://ephconference.eu/conference-2018-Ljubljana-184
(27)
https://ephconference.eu/2018-pre-conference-programme-158
(28)
https://thehague.worldlunghealth.org/
(29)
https://www.aids2018.org/