30 Amendments of Cristian-Silviu BUŞOI related to 2018/0206(COD)
Amendment 44 #
Proposal for a regulation
Recital 18
Recital 18
(18) The ESF+ should support Member States’ efforts to tackle poverty with a view to breaking the cycle of disadvantage across generations and promote social inclusion by ensuring equal opportunities for all, tackling discrimination and addressing health inequalities. This implies also, but not limited to mobilising a range of policies targeting the most disadvantaged people regardless of their age, including children, marginalised communities such as the Roma, and the working poor. The ESF+ should promote the active inclusion of people far from the labour market with a view to ensuring their socio-economic integration. The ESF+ should be also used to enhance timely and equal access to affordable, sustainable and high quality services such as healthperson- centred healthcare, related care and long- term care, in particular family and community-based care services. This includes health promotion and disease prevention services as part of primary healthcare services. The ESF+ should contribute to the modernisation of social protection systems with a view in particular to promoting their accessibility.
Amendment 55 #
Proposal for a regulation
Recital 35 a (new)
Recital 35 a (new)
(35a) European Commission should increase participation of Member States and underrepresented organisations by lowering as much as possible the barriers to participation, including the administrative burden of applying for and receiving funding.
Amendment 57 #
Proposal for a regulation
Recital 36
Recital 36
(36) Continued effort is required in order to meet the requirements set out in Article 168 TFEU. Keeping people healthy and active longer and empowering them to take an active role in managing their health will have positive effects on health, health inequalities, quality of life, productivity, competitiveness and inclusiveness, while reducing pressures on national budgets. Support for, and recognition of, innovation, including social innovation, which has an impact on health, helps in order to take up the challenge of sustainability in the health sector in the context of addressing the challenges of demographic change. Moreover, action to reduce inequalities in health is important for the purposes of achieving 'inclusive growth'. The Commission has been committed to help Member States to reach their sustainable development goals (SDG), in particular SDG 3 "Ensure healthy lives and promote well-being for all at all ages".17 _________________ 17 COM (2016) 739 final COM (2016) 739 final
Amendment 60 #
Proposal for a regulation
Recital 37
Recital 37
(37) Evidence and the common values and principles in European Union Health Systems as set out in the Council Conclusions of 2 June 2006 should support the decision-making processes for planning and managing innovative, efficient and resilient health systems, promoting tools for ensuring universal access to quality healthcare, and the voluntary wider scale implementation of best practices. This includes health promotion and disease prevention services as part of primary healthcare services.
Amendment 61 #
Proposal for a regulation
Recital 37
Recital 37
(37) Evidence and the common values and principles in European Union Health Systems as set out in the Council Conclusions of 2 June 2006 should support the decision-making processes for planning and managing innovative, efficient and resilient health systems, promoting tools for ensuring universal access to quality healthperson-centred healthcare and related care, and the voluntary wider scale implementation of best practices.
Amendment 63 #
Proposal for a regulation
Recital 37 a (new)
Recital 37 a (new)
(37a) The Health strand of the ESF+ should be a means of promoting actions in areas where there is Union added value that can be demonstrated on the basis of the following: exchanging good practices between Member States and between Regions; supporting networks for knowledge sharing or mutual learning; supporting qualification of health professionals; addressing cross-border threats to reduce their risks and mitigate their consequences; addressing certain issues relating to the internal market where the Union has substantial legitimacy to ensure high-quality solutions across Member States; unlocking the potential of innovation in health; actions that could lead to a system for benchmarking to allow informed decision-making at Union level; improving efficiency by avoiding a waste of resources due to duplication, and optimising the use of financial resources.
Amendment 64 #
Proposal for a regulation
Recital 38
Recital 38
(38) The Health strand of the ESF+ should contribute to disease prevention, early diagnosis throughout the lifetime of the Union's citizens and to health promotion by addressing health risk factors such as tobacco use, smoking and passive smoking, harmful use of alcohol, consumption of illicit drugs and reduction of drugs-related health damage, obesity and unhealthy dietary habits and physical inactivity and foster supportive environments for healthy lifestyles, well- designed public health interventions for reducing the burden and impact of infections and preventable infectious diseases in the overall health throughout life in order to complement Member States action in line with the relevant strategies. The Health strand of the ESF+ should mainstream effective prevention models, innovative technologies and new business models and solutions to contribute to innovative, efficient and sustainable health systems of the Member States and facilitate access to better and safer healthcare for European citizens in both, urban and rural areas. With a view to fully tapping into the potential of cross-sectorial cooperation and to improving synergies and coherence with other policy fields to achieve the general objectives of the ESF+, sport and physical activity should be used as a tool in ESF+ actions aimed, in particular, at health promotion, and disease prevention.
Amendment 72 #
Proposal for a regulation
Recital 38 a (new)
Recital 38 a (new)
(38a) In order to implement the actions under the Health Strand, the European Commission should support the creation of a Steering Board for Health. In addition, the Commission should propose ways and methodology for aligning the health-related activities with the European Semester process, now empowered to recommend health systems (and other social determinants of health in fact) reforms towards greater accessibility and sustainability of healthcare and social protection provisions in EU Member States.
Amendment 77 #
Proposal for a regulation
Recital 40
Recital 40
(40) Reducing the burden of resistant infections and healthcare associated infections and securing the availability of effective antimicrobials and promoting the responsible use of antimicrobials is essential for the efficiency of health systems and for the health of citizens.
Amendment 80 #
Proposal for a regulation
Recital 42 a (new)
Recital 42 a (new)
(42a) In order to increase the performance of programme monitoring inefficiencies and inadequacies, the Commission should implement and use programmatic and action specific monitoring indicators to ensure that programme objectives are achieved.
Amendment 81 #
Proposal for a regulation
Recital 42 b (new)
Recital 42 b (new)
(42b) The implementation of the Health strand of the ESF+ should be such that the responsibilities of the Member States, for the definition of their health policy and for the organisation and delivery of health services and medical care, are respected. Whilst respecting Treaty obligations and the role of Member States as the primary interlocutor in the EU decision-making process, competent authorities at sub-national level should be engaged in order to ensure and effective and lasting impact of EU health policy through their integration with social policies on the ground.
Amendment 83 #
Proposal for a regulation
Recital 44 a (new)
Recital 44 a (new)
(44a) Facing health challenges cannot be done by the health sector alone, as health is determined by multiple factors outside of it. Hence, as stated in the Maastricht and Amsterdam Treaties, Health in All Policies is important for the Union's ability to face future challenges. However, making other sectors aware of the health impacts of their decisions and to integrate health into their policies is one of the biggest challenge European health sector currently encounters. Important advances in health have been registered so far through policies in sectors such as education, traffic, nutrition, agriculture, labour, or planning. As an example, heart health has registered significant improvements through changes in policies and regulations regarding the quality of food, increasing physical activity and decreased smoking.
Amendment 106 #
(ix) enhancing the equal and timely access to quality, sustainable and affordable person-centred healthcare and related care services; modernising social protection systems, including promoting access to social protection; improving accessibility, effectiveness and resilience of healthcare systems and long-term care services;
Amendment 118 #
Proposal for a regulation
Article 4 – paragraph 3
Article 4 – paragraph 3
3. Under the Health strand, the ESF+ shall support health promotion and disease prevention, including through the promotion of physical activity, contribute to effectiveness, accessibility and resilience of health systems, make healthcare safer, reduce health inequalities, increase life expectancy at birth, protect citizens from cross-border health threats, and support EU health legislation and fostering Health in All Policies.
Amendment 139 #
Proposal for a regulation
Article 15 – paragraph 1
Article 15 – paragraph 1
1. Programmes benefitting from the general support of the ESF+ strand under shared management shall use common output and result indicators, as set out in Annex 1 to this Regulation to monitor progress in implementation. The programmes may also use programme- specific indicators and action-specific indicators.
Amendment 149 #
Proposal for a regulation
Article 26 – paragraph 2 – point a – point iv a (new)
Article 26 – paragraph 2 – point a – point iv a (new)
Amendment 156 #
Proposal for a regulation
Article 26 – paragraph 2 – point b – point i
Article 26 – paragraph 2 – point b – point i
(i) Invest in health promotion and disease prevention, including through the promotion of physical activity
Amendment 173 #
Proposal for a regulation
Article 26 – paragraph 2 – point b – point iv a (new)
Article 26 – paragraph 2 – point b – point iv a (new)
(iva) Support the transition towards person centred care, proximity health and social services, and community-based integrated care, in particular promoting organizational models based on interprofessional teamwork and multi- stakeholders networking.
Amendment 175 #
Proposal for a regulation
Article 26 – paragraph 2 – point b – point iv b (new)
Article 26 – paragraph 2 – point b – point iv b (new)
(ivb) Develop and implement tools and strategies to prevent and tackle health inequalities, promote social inclusion, citizen empowerment and community participation
Amendment 179 #
Proposal for a regulation
Article 26 – paragraph 2 – point c – point vi
Article 26 – paragraph 2 – point c – point vi
(vi) Support to the Commission' scientific committees on "Consumer Safety" and on "Health, Environmental and Emerging Risks"he development of Health in All Policies and establish processes by which health implications can be considered and taken into account in all policies.
Amendment 187 #
Proposal for a regulation
Article 27 – paragraph 1
Article 27 – paragraph 1
1. Only actions related to health pursuing the objectives referred to in Articles 3, Article 4, and 26 are eligible for funding.
Amendment 193 #
Proposal for a regulation
Article 27 – paragraph 2 – point c – point i
Article 27 – paragraph 2 – point c – point i
(i) through exchange, transfer, adaptation and roll-out of best practices with established Union level added value between Member States;
Amendment 195 #
Proposal for a regulation
Article 27 – paragraph 2 – point c – point iv
Article 27 – paragraph 2 – point c – point iv
(iv) of regional, subnational and national contact points providing guidance, information and assistance related the implementation of the programme;
Amendment 202 #
Proposal for a regulation
Article 29 – paragraph 1
Article 29 – paragraph 1
The Commission shall consult the health authorities of the Member States in the Steering Group on Health Promotion, Disease Prevention and Management of Non-Communicable Diseases or in other relevant Commission expert group or similar entities on the annual work plans established for the Health strand and its priorities and strategic orientations and its implementation, and also on the health policy perspective of other policies and support mechanisms, thus increasing their overall coordination and added value.
Amendment 203 #
Proposal for a regulation
Article 29 a (new)
Article 29 a (new)
Article 29a Steering Board for Health 1. The Commission shall establish a Steering Board for Health (‘the Steering Board’) for implementing the actions under the Health strand. 2. The Steering Board shall focus on creating synergies between the Health strand and other Programmes where a health dimension is integrated, through coordination and cooperation, promoting patients and society engagement, and providing scientific advice and recommendations. Those actions shall provide value oriented health actions, sustainability, better health solutions, foster access and reduce health inequalities. 3. The Steering Board shall provide a comprehensive strategy and steering in developing the work plans under the Health strand. 4. The Steering Board shall be an independent stakeholder group, composed of actors from relevant sectors in the field of public health, wellbeing and social protection, with participation of representatives of Regions and local health authorities, patient representatives and citizens. 5. The Steering Board shall be composed of 15 to 20 high level individuals drawn from across disciplines and activities referred to in paragraph 4. The members of the Steering Board shall be appointed by the Commission, following an open call for nominations or for expression of interests or both. 6. The Steering Board shall have a chair who shall be appointed by the Commission from among its members. 7. The Steering Board shall: i. provide input to annual work plans for the Health strand, following a proposal from the Commission; ii. elaborate a blueprint for steering coordination and cooperation between the Health strand and other Programmes where health dimension is integrated. The blueprint shall facilitate ensuring visibility and coordination of all the existing financial mechanisms relevant to health, and shall help steering coordination and cooperation.
Amendment 204 #
Proposal for a regulation
Article 33 – paragraph 1
Article 33 – paragraph 1
1. Indicators, including programmatic and action specific indicators to monitor implementation and progress of the strands towards the achievement of the specific objectives set out in Article 4 and the operational objectives set out in Articles 23 and 26 shall be set.
Amendment 207 #
Proposal for a regulation
Annex III – point 2
Annex III – point 2
2. Number of health technology joint clinical assessmentsbeneficiaries (professionals, citizens, patients) affected by the results of the programme
Amendment 208 #
Proposal for a regulation
Annex III – point 3
Annex III – point 3
3. Number of best practices transferredhealth technology joint clinical assessments
Amendment 209 #
Proposal for a regulation
Annex III – point 4
Annex III – point 4
4. Degree of use of the results of the programme in national health policy as measured by a "before and after" questionnaiNumber of best practices transferred
Amendment 210 #
Proposal for a regulation
Annex III – point 4 a (new)
Annex III – point 4 a (new)
4a. Degree of use of the results of the programme in regional and national health policies or tools as measured by validated methods.