32 Amendments of Deirdre CLUNE related to 2023/2075(INI)
Amendment 11 #
Motion for a resolution
Citation 6 a (new)
Citation 6 a (new)
Amendment 92 #
Motion for a resolution
Recital D
Recital D
D. whereas the increasing burden of NCDs on individuals and societies and the health needs of ageing populations represent challenges to the health systems of the Member States;
Amendment 98 #
Motion for a resolution
Recital D a (new)
Recital D a (new)
Da. whereas, according to Article 168 TFEU, the European Union can play a cooperative and complimentary role with regard to healthcare, while health at its core constitutes a national competence;
Amendment 112 #
Motion for a resolution
Recital E
Recital E
E. whereas most NCDs are impacted by four preventable risk factors: tobacco use, unhealthy diet, lack of physical activity and harmful use of alcohol; whereas behavioural risk factors lead to biological risk factors, the most common being overweight and obesity, high blood pressure, high blood glucose and, high blood cholesterol and dental caries6 ; _________________ 6 World Health Organization, ‘Monitoring noncommunicable disease commitments in Europe 2021’, p. 13, 8 December 2021.
Amendment 119 #
Motion for a resolution
Recital E a (new)
Recital E a (new)
Ea. whereas the development of NCDs and resulting health outcomes are linked to commercial and social determinants of health, which correspond to substantial health inequities within and across EU countries;
Amendment 225 #
Motion for a resolution
Paragraph 2
Paragraph 2
2. Welcomes the Healthier together – EU non-communicable diseases (NCD) initiative, Europe’s Beating Cancer Plan, EU4Health work programme and the Commission Communication entitled ‘A comprehensive approach to mental health’; calls on the Commission to strengthen the ‘Healthier together – EU NCD’ initiative by introducing a holistic EU strategy on NCDs complemented by action plans for specific NCDs; welcomes national plans and actions already taken against NCDs by Member States; believes however that a special cardiovascular strategy is needed in the light of cardiovascular disease being the number one cause of death in the Union;
Amendment 237 #
Motion for a resolution
Paragraph 2 a (new)
Paragraph 2 a (new)
2a. Highlights that the COVID-19 pandemic had serious consequences for the health of patients with NCDs owing to delays and disruptions in diagnostics and treatments; stresses the decreased survival chances, complications and further deterioration of quality of life for patients resulting from delayed access to care;
Amendment 285 #
Motion for a resolution
Paragraph 5 – introductory part
Paragraph 5 – introductory part
5. Supports the Commission’s proposalsEurope’s Beating Cancer Plan to achieve a Tobacco-Free Generation and reduce tobacco consumption to 5% by 2040 and urges the Commission to review the Tobacco Products Directive11 and, the Tobacco Taxation Directive12 and the proposal to update the Council recommendation of 30 November 2009 on smoke-free environments13 ; calls for a full implementation of the WHO Framework Convention on Tobacco Control; calls on the Commission and the Member States to: _________________ 11 Directive 2014/40/EU of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products, OJ L 127, 29.4.2014, p. 1. 12 Council Directive 2011/64/EU of 21 June 2011 on the structure and rates of excise duty applied to manufactured tobacco, OJ L 176, 5.7.2011, p. 24. 13 OJ C 296, 5.12.2009, p. 4.
Amendment 344 #
Motion for a resolution
Paragraph 6
Paragraph 6
6. Acknowledges that the harmful use of alcohol is a risk factor for multiple NCDs and underlines that the lower the amount of alcohol consumed, the lower the risk is of developing NCDs14 ; highlights that an estimated 1 million deaths annually are attributable to alcohol consumption in the WHO European Region1a; _________________ 14 Global burden of disease 2016 Alcohol Collaborators, ‘Alcohol use and burden for 195 countries and territories,1990–2016: a systematic analysis for the Global Burden of Disease Study 2016’, 23 August 2018. 1a World Health Organization. (2022). European framework for action on alcohol, 2022–2025. Available at: european-framework-for-action-on- alcohol-2022-2025-cheat-sheet-en.pdf (who.int)
Amendment 533 #
Motion for a resolution
Paragraph 14
Paragraph 14
14. Encourages the Commission and the Member States to achieve the UN Sustainable Development Goals that target communicable diseases in order to promote the prevention of NCDs such as cancer related to infectious diseases; welcomes vaccination programmes in this regard such as in the fight against human papillomavirus transmission; calls on Member States to consider the uptake of gender-neutral HPV vaccination in adolescents in the fight against HPV transmission;
Amendment 551 #
Motion for a resolution
Paragraph 14 a (new)
Paragraph 14 a (new)
14a. Acknowledges that many NCDs have their origins in early childhood and stresses the importance of investing in strategies and programmes that promote children’s healthy growth and development, from infancy and early years;
Amendment 556 #
Motion for a resolution
Paragraph 15
Paragraph 15
15. Highlights the importance of identifying people with a high risk of developing NCDs and diagnosing people as early as possible to improve disease management, prevent complications and save downstream costs for healthcare systems; calls for the systematic exchange at the European level of best practice regarding screening for and early detection of NCDs, such as prostate and cervical cancer; welcomes the updated Council recommendation on cancer screening and calls on Member States to implement it diligently;
Amendment 560 #
Motion for a resolution
Paragraph 15
Paragraph 15
15. Highlights the importance of identifying people with a high risk of developing NCDs and diagnosing people as early as possible to improve disease management, prevent complications and save downstream costs for healthcare systems; calls for the implementation of accessible self-management tools, including peer support networks, collaborative care platforms, and mental health services, considering factors like technology access;
Amendment 570 #
Motion for a resolution
Paragraph 15 a (new)
Paragraph 15 a (new)
15a. Welcomes the approval of the 2022 Council Recommendations on Cancer Screening Recommendations in Europe, which include comprehensive strategies for earlier detection of breast, cervical, colorectal cancer and extend recommended screenings in Europe for lung, prostate and gastric cancers;
Amendment 603 #
Motion for a resolution
Paragraph 17 a (new)
Paragraph 17 a (new)
17a. Highlights the link between oral health, including pariodental disease and caries, and some NCDs, such as diabetes and cardiovascular diseases, and the potential positive effects on NCDs of improved oral health;
Amendment 619 #
Motion for a resolution
Paragraph 18
Paragraph 18
18. Stresses that nurses, doctors, general practitioners, dental practitioners and other primary care professionals have a significant role in referring patients for diagnostic tests and treating NCDs; encourages the Member States to offer inter-professional training to healthcare professionals to better identify high-risk individuals and, treat NCDs and support patients in engaging actively in their treatment;
Amendment 658 #
Motion for a resolution
Paragraph 19
Paragraph 19
19. Believes that every patient is different and no NCD is the same; calls for NCDs to be prevented and treated as effectively as possible, with a personalised and integrated approach tailored to the patient and the disease;
Amendment 663 #
Motion for a resolution
Paragraph 19 a (new)
Paragraph 19 a (new)
19a. Acknowledges the urgency of ensuring a sufficient number of specialised health professionals in NCD care; recommends urgent actions, including a Commission level study on the current status and impacts of the EU’s health workforce shortages and increased investment in its availability measures and mapping exercises at EU level;
Amendment 686 #
Motion for a resolution
Paragraph 19 c (new)
Paragraph 19 c (new)
19c. Urges Member States to provide training to healthcare professionals on the social and environmental determinants of health and on patient therapeutic education, and ensure they have the necessary resources to provide appropriate guidance to their patients; underlines the importance of constant training for health professionals to keep them updated on new treatment options;
Amendment 700 #
Motion for a resolution
Paragraph 19 e (new)
Paragraph 19 e (new)
19e. Stresses the urgent need to tackle regional disparities in healthcare access, striving for equitable availability of quality NCD management across diverse geographical areas within Member States;
Amendment 704 #
Motion for a resolution
Paragraph 20
Paragraph 20
20. Recalls that patient empowerment and, health literacy, and treatment adherence are crucial for an EU NCD strategy and that treatment and care should be patient- centred; encourages the promotion of well- informed patients who are actively involved in their own treatment and calls for the therapeutic training of caregivers and patients and their empowerment in the care programmes; underlines the importance of therapeutic adherence, in order to lower hospitalisation and mortality rates as well as optimise the impact of medical investments; encourages Member States to provide healthcare professionals with training regarding patient therapeutic education;
Amendment 708 #
Motion for a resolution
Paragraph 20
Paragraph 20
20. Recalls that patient empowerment and health literacy are crucial for an EU NCD strategy and that treatment, treatment adherence and care should be patient- centred; encourages the promotion of well- informed patients who are actively involved in their own treatment and calls for the therapeutic training of caregivers and patients and their empowerment in the care programmes;
Amendment 713 #
Motion for a resolution
Paragraph 21
Paragraph 21
21. Notes the need to focus on the quality of life of NCD patients whose illnesses cannot be cured but may be stabilised for a number of years; emphasises the importance of specific EU recommendations to improve the quality of life of patients including by integrating comprehensive supportive care into care, starting with the diagnosis and continuing over the course of the disease and by granting access to specialised support centres and tools to encourage persistence with treatments;
Amendment 720 #
Motion for a resolution
Paragraph 21 a (new)
Paragraph 21 a (new)
21a. Highlights that patient- centredness and participatory decision- making must be at the heart of treatment and care development processes; encourages the promotion of well- informed patients who are actively involved in their own treatment and calls for the therapeutic education of caregivers and patients and their empowerment in the care programmes;
Amendment 765 #
Motion for a resolution
Paragraph 24
Paragraph 24
24. Calls on the Commission to strengthen support and investment in the development of new innovative medical devices; believes that new technologies can lead to new and better treatments for NCDs; notes the slow uptake of medical devices under the current Medical Devices Regulation and In Vitro Diagnostic Devices Regulation, and welcomes the postponement of application of certain provisions; calls on the Commission to evaluate the specific needs for the pediatric and orphan medical devices sectors, and propose any legislative amendments necessary to ensure the continuous supply for these patient groups;
Amendment 774 #
Motion for a resolution
Paragraph 24
Paragraph 24
24. Calls on the Commission to strengthen support and investment in the development of new innovative medical devices, diagnostics and treatment solutions; believes that new technologies can lead to new and better treatments for NCDs;
Amendment 776 #
Motion for a resolution
Paragraph 24 a (new)
Paragraph 24 a (new)
24a. Considers the significant potential of the use of artificial intelligence, ‘big data’ algorithmic analysis and other modern technologies in diagnosis and decision-making for NCDs in the coming years; underlines that the combination of real-world data, mathematical modelling, artificial intelligence and digital tools will significantly help to develop innovative treatments in a more cost-efficient way; urges all implementation partners to be ever mindful of the principles of data privacy and security, trust, transparency, patient centricity and patient involvement at all times;
Amendment 789 #
Motion for a resolution
Paragraph 25
Paragraph 25
25. Believes that improving knowledge and sharing ofthe sharing of expertise, data, training programmes, communication tools and evidence-based best practices among Member States is needed to accelerate effective prevention measures and innovative practices, and improve the knowledge of NCDs among health professionals, researchers and patients;
Amendment 794 #
Motion for a resolution
Paragraph 25 a (new)
Paragraph 25 a (new)
25a. Believes that good quality data and evidence are crucial and that correlating health data with social, economic, and environmental data, and strengthening the equity elements of existing health monitoring systems, such as European Health Data Space, will support the development of evidence-based and targeted policies and interventions for improved health equity;
Amendment 800 #
Motion for a resolution
Paragraph 25 c (new)
Paragraph 25 c (new)
25c. Calls on the Member States to implement or improve e-health technologies, telemedicine and telecare services to ensure the continuity of inpatient and outpatient cancer care as well as community care; urges the Commission to deploy Horizon Europe research funding to support the use of telemedicine and to assist with the establishment of evidence-based guidelines; calls for actions to ensure equal access to telemedicine services across the Member States, and for EU4Health and Digital Europe funding to support an increase in digital literacy for patients and healthcare professionals;
Amendment 806 #
Motion for a resolution
Paragraph 26
Paragraph 26
26. Calls on the Commission to establish fivprepare EU NCD partnerships: ‘beating NCDs – children’, ‘beating NCDs – young, based on diseases or people, ‘beating NCDs – adults’, ‘beating NCDs – elderly people’ and ‘beating NCDs – vulnerable groups’ulation groups, as appropriate; believes that such partnerships shcould bring together Member States and national authorities to draft roadmaps and innovative proposals to ensure effective and targeted actions against NCDs;
Amendment 817 #
Motion for a resolution
Paragraph 27
Paragraph 27
27. Calls on the Commission to create a European NCD Health Knowledge Centre to improve data collection and research on NCDs; encourages Member States to exchange best practices on prevention, management and care of NCDs in relevant forums; stresses the need for further research in NCD co-morbidities and management;