European Health Care News

No.52 - December 2019


      

1

 Public health  [...]

European Commission: the European Reference Networks (ERNs) are opening up to new members
European Commission: the mission letter from the President-Elect of the Commission to Stella Kyriakides, the Commissioner-designate for Health
European Parliament: hearing of the Commissioner-designate for Health
European Commission: changes to DG SANTE under the new Commission 
The European Commission and the World Health Organisation (WHO) join forces to promote the benefits of vaccines
European Commission: Ursula von der Leyen intends to create a European Child Guarantee
European Commission: investment in a 'world-class' health research centre on child health in Croatia
European Commission: data base containing information on EU-funded projects and their outputs
European Commission: new recommendations on breast cancer
Expert Panel on effective ways of investing in health (EXPH): end-of-mandate conference 
European Court of Auditors: recommendations to improve Commission action to tackle antimicrobial resistance 

 

2

 Medicines and medical devices  [...]

European Commission: report concerning the list of medicines for human use subject to additional monitoring
European Commission: guidelines on the benefit-risk assessment of the presence of phthalates in certain medical devices
European Commission: evaluation of the EU legislation on blood, tissues and cells
EMA: Enhancing consistency in the wording of therapeutic indications to support healthcare decision-making
Nine Member States cooperate to facilitate access to innovative medicines
European Commission: evaluation of the EMA's fee system
European Commission: market authorisation for a vaccine against Ebola
European Commission: guidelines on Good Clinical Practice specific to Advanced Therapy Medicinal Products (ATMP)
The AFMPS calls for an end to the dispensation, by online Netherlands pharmacies, of strong medication to Belgian patients (article)

 

3

 Health care services in the internal market  [...]

European Commission: responses to the shortcomings in cross-border healthcare identified by the European Court of Auditors
European Parliament: answer to a parliamentary question concerning training of nursing staff

 

4

 e-Health  [...]

European Commission: communication on the strategic priorities for European standardisation

 

5

 Social policy  [...]

European Commission: report on the implementation of national Roma integration strategies
Council: conclusions on the economy of well-being
European Parliament: hearing of the Commissioner-designate for 'Promoting the European way of life' - Margaritis Schinas
European Parliament: adoption of the resolution on employment and social policies of the euro area
European Social Policy Network (ESPN): Social protection expenditure and financing in Europe
Council: adoption of a recommendation on access to social protection
European Parliament: study on labour mobility and recognition in the regulated professions 

 

6

 Economic policy  [...]

European Parliament: hearing of the Commissioner-designate for Democracy and Demography, Dubravka Šuica
Ireland: post-programme surveillance report
Cyprus: post-programme surveillance mission
Portugal: post-programme surveillance report
Cyprus: ex-post evaluation of the economic adjustment programme (2013-2016)
Strategic Forum for Important Projects of Common European Interest: recommendations for the development of strategic economic sectors
Juncker Plan: the European Investment Bank (EIB) finances research and development by Prophesee
Juncker Plan: the EIB supports the Polish biotech sector 
European Commission: 600 requests for support from the Member States under the Structural Reform Support Programme
European Commission: assessment of 2020 draft budgetary plans

 

7

 Court of Justice of the European Union  [...]

Judgment: sanction imposed on a pharmacy for dispensing prescription medicines unlawfully
Judgment: provision of medical care in the exercise of the medical and paramedical professions exempted from VAT
Judgment: judicial proceedings authorising committal to a psychiatric hospital on therapeutic and safety grounds
Judgment: clarifications on the consent of a website user to the storage of and access to his/her personal data
Judgment: interpretation of the concept of 'appropriate compensation' defined in directive 2004/48/EC
Judgment: placing of plant protection products on the market

 

8

 Competition  [...]

Germany: the Federal Court of Justice annuls a judgment of the higher regional court of Düsseldorf imposing a fine on Rossmann pharmacy
Belgium: the Commission opens in-depth investigations into tax rulings granted to multinational companies
Germany: the Competition Authority gives the go-ahead to a hospital merger in the Allgäu region
Portugal: the Portuguese competition authority (AdC) authorises a hospital merger
Netherlands: the Netherlands competition authority (ACM) publishes a report on competition between TNF-alpha inhibitors 
Belgium: inspections in the pharmaceutical sector
Belgium: the National Council of the Order of Pharmacists responds to the list of points raised by the auditor of the Belgian competition authority
Slovakia: The Slovak competition authority (AMO SR) imposes a fine on a municipality for unlawful restriction of competition in the area of pharmaceutical care

 

9

 Infringement proceedings  [...]

Belgium: the Commission calls on Belgium to respect the European rules on recognition of professional qualifications 

 

10

 Publications  [...]

OBS: Strengthening health systems through nursing
Eurohealth: Digital health systems
Eurosurveillance: almost 500,000 men in the EU who have sex with men need PrEP but are unable to access it
OBS: Sustainable health financing with an ageing population
Article: Transposition of the patients' rights directive in Finland - difficulties 
OBS: Improving healthcare quality in Europe 
OBS: Everything you always wanted to know about European Union health policies but were afraid to ask'
Article: Roma populations and health inequalities: a new perspective 
OECD: Health for everyone? Social inequalities in health and health systems
Eurofound: Challenges and prospects in the EU: quality of life and public services
OSE: Cross-border telemedicine: practices and challenges
EuroHealthNet: Financing health promoting services
Article: Are novel, non-randomized analytic methods fit for decision making?
Article: An EU approach to health system performance assessment
OECD: Health at a Glance (2019)

 

11

 Miscellaneous  [...]

A group of health sector organisations react to a recent update of the self-regulatory code for the pharmaceutical industry 
United Nations: High-level meeting on Universal Health Coverage (UHC)
WHO: a major milestone towards polio eradication 

  

 

1

 Public health

European Commission: the European Reference Networks (ERNs) are opening up to new members
The aim is to enlarge the geographical coverage of the existing networks, particularly in those Member States which are currently less represented. New diseases will also be included, thus enlarging the range of possible conditions and patients covered by the current networks. 

DOC 1  EN  PDF  |  DOC 2  EN  HTML  

European Commission: the mission letter from the President-Elect of the Commission to Stella Kyriakides, the Commissioner-designate for Health
Ursula von der Leyen invited the Commissioner-designate for health, Stella Kyriakides, to find ways to improve information, expertise and the sharing of good practices, and to work: 
-   to ensure a supply of affordable medicines;
-   for effective implementation of the new regulatory framework on medical devices;
-   to make the most of the potential of e-health and to reduce inequalities;
-   on the creation of a European Health Data Space for the sharing of information and for research;
-   to implement the European One Health Action Plan against antimicrobial resistance;
-   to prioritise communication on vaccination and to combat 'fake news';
-   to implement Europe's Beating Cancer plan.

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European Parliament: hearing of the Commissioner-designate for Health
Among the priorities mentioned by the Commissioner were the fight against cancer, accessibility of medicines and tackling antimicrobial resistance.

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European Commission: changes to DG SANTE under the new Commission 
Some areas of competence are moving from DG GROW to DG SANTE:
The part of unit GROW.D.3, Biotechnology and food supply chain, which deals with pharmaceuticals;
The part of unit GROW.D.4, Health technology and cosmetics, which deals with medical devices.

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The European Commission and the World Health Organisation (WHO) join forces to promote the benefits of vaccines
The aim is to accelerate global action to stop the spread of vaccine-preventable diseases and to advocate against the spread of vaccine misinformation worldwide. 

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European Commission: Ursula von der Leyen intends to create a European Child Guarantee
The President of the European Commission wishes to create a European child guarantee, to ensure that 'every child in Europe at risk of poverty or social exclusion has access to the most basic of rights like healthcare and education'.

DOC  EN FR - NL  PDF   

European Commission: investment in a 'world-class' health research centre on child health in Croatia
The EU is investing more than 48 million euros to develop a hospital for children near Zagreb. The project involves the construction of a facility and the purchase of medical and research equipment.

 DOC  EN  HTML  

European Commission: data base containing information on EU-funded projects and their outputs
This data base contains information on projects financed by the EU with a view to improving public health, preventing diseases and eliminating threats to physical and mental health in the Member States.

 DOC  EN  HTML  

European Commission: new recommendations on breast cancer
The Joint Research Centre (JRC) has published new recommendations on breast cancer healthcare, which now cover the whole process of treating the disease. 

 DOC  EN  HTML  

Expert Panel on effective ways of investing in health (EXPH): end-of-mandate conference
The conference was an occasion to reflect on the Panel's work at the end of the mandate, and on the role of expert advice in the legislative process.

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European Court of Auditors: recommendations to improve Commission action to tackle antimicrobial resistance
he report analyses the way in which the Commission and the European agencies have supported the Member States and EU-funded research to tackle antimicrobial resistance. The Court concludes that there is little evidence to date that the 'health burden' of AMR has been reduced. 

DOC 1  EN FR - NL  PDF   |  DOC 2  EN FR - NL  PDF  

 

2

 Medicines and medical devices

European Commission: report concerning the list of medicines for human use subject to additional monitoring
This report looks at the experience of the Member States and the European Medicines Agency (EMA) concerning the list of medicines for human use subject to additional monitoring through the pharmacovigilance system. For some medicines, there are limitations on the clinical trials, because, for example, the number of patients is restricted or due to a shortage of available evidence.

DOC 1  EN FR - NL  PDF  

European Commission: guidelines on the benefit-risk assessment of the presence of phthalates in certain medical devices
The Scientific Committee on Health, Environmental and Emerging Risks (SCHEER) has published guidelines on assessing the risks and benefits of the presence, in some medical devices falling under its mandate, of phthalates which are carcinogenic, mutagenic, toxic to reproduction or have endocrine-disrupting properties.

DOC  EN  PDF  

European Commission: evaluation of the EU legislation on blood, tissues and cells
This evaluation shows that the European legislation has helped to increase the level of safety and quality of blood, tissues and cells treatment.

DOC 1  EN  HTML  |  DOC 2   EN FR  PDF  

EMA: Enhancing consistency in the wording of therapeutic indications to support healthcare decision-making
The EMA's human medicines committee has published a document aiming to strengthen consistency in the wording of the therapeutic indications in the product information on medicines. This document is intended to be a guide to assessors in the national authorities who are responsible for evaluating market authorisations and applications for extension of indications received by the EMA.

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Nine Member States cooperate to facilitate access to innovative medicines
The 'International Horizon Scanning Initiative (IHSI) consists of a central data base containing information on all new medicines, and medicines currently being developed. This data base is a tool to be used by politicians, enabling them to identify challenges and opportunities. Governments will also be able to negotiate with the pharmaceutical industry, in order to keep prices low. Belgium, the Netherlands, Luxembourg, Ireland, Portugal, Sweden, Denmark, Switzerland and Norway are taking part in this project.

DOC 1  FR NL  HTML  |  DOC 2    EN NL  HTML  

European Commission: evaluation of the EMA's fee system
The outcome of the evaluation indicates that the EMA's current fee system is generally efficient and effective.

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European Commission: market authorisation for a vaccine against Ebola
The 'Ervebo' vaccine has been in development since the 2014 Ebola epidemic in West Africa.

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European Commission: guidelines on Good Clinical Practice specific to Advanced Therapy Medicinal Products (ATMP)
The clinical trials carried out with ATMP in the EU must respect the European legislation (Regulation EU No. 536/2014) and meet the requirements listed in this document.

DOC  EN  PDF  

The AFMPS calls for an end to the dispensation, by online Netherlands pharmacies, of strong medication to Belgian patients (article)
The Federal Agency for Drugs and Health Products (AFMPS) sounded an alarm concerning the sale by Dutch pharmacists of strong medication to Belgian patients, on the basis of a prescription. According to Belgian Health minister De Block, the AFMPS has asked the Dutch Ministry of Health, Well-being and Sport to put a stop to these practices immediately.

DOC 1  NL  HTML  |  DOC 2    FR  HTML  

 

3

 Health care services in the internal market

European Commission: responses to the shortcomings in cross-border healthcare identified by the European Court of Auditors 
In response to a question from MEP Sophie in't Veld (Renew Europe group), the Commissioner for health, Vytenis Andriukaitis, stated that a Commission action plan will be put in place to implement the Court of Auditors' recommendations. 

DOC 1  EN  HTML  |  DOC 2  NL  HTML  

European Parliament: answer to a parliamentary question concerning training of nursing staff
Commissioner Bienkowska, responsible for the single market, states in her answer that is up to the Member States to define, in their territory, the content of vocational training, and how it is organised. They must set non-discriminatory access conditions for all European citizens. Therefore, if a foreign-trained nurse meets the criteria set by the host Member State, access to further training should not be denied.

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4

 e-Health

European Commission: communication on the strategic priorities for European standardisation
Following the adoption, in 2018, of a recommendation on a Community format for the exchange of electronic health records, the Commission is encouraging the standardisation organisations to support the implementation of this harmonised format.

DOC  EN FR - NL  PDF  

 

5

 Social policy

European Commission: report on the implementation of national Roma integration strategies
This report identifies the main trends, focusing on the four policy areas of the EU Framework for national Roma integration strategies: education, employment, health and housing.

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Council: conclusions on the economy of well-being
into their national and Community policies, and to invest in the improvement of health.

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European Parliament: hearing of the Commissioner-designate for 'Promoting the European way of life' - Margaritis Schinas
The Commissioner-designate confirmed his aim to create a European Child Guarantee targeted at families in precarious circumstances whose children find it difficult to access healthcare.

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European Parliament: adoption of the resolution on employment and social policies of the euro area
In its resolution adopted on 10th October 2019, the European Parliament emphasises the importance of health services in combating poverty and social exclusion, and calls upon the Member States to invest in prevention as a health policy priority.

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European Social Policy Network (ESPN): Social protection expenditure and financing in Europe
The report shows that, although the crisis resulted in a greater need for expenditure, cost-containment policies limited pension and health-related expenditure. It also underlines that while the systems dependent on social security contributions are not in danger, there is a need for more diverse financing, in order to maintain sufficient support-levels in the long term. This report is based on 35 national reports.

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Council: adoption of a recommendation on access to social protection
The aim of this text is to provide access to social security schemes for atypical or self-employed workers. These include health, unemployment, maternity and paternity benefits, accidents at work, occupational disease, disability and pension schemes.

DOC  EN FR - NL  PDF  

European Parliament: study on labour mobility and recognition in the regulated professions 
This study, financed by the European Parliament, analyses the obstacles encountered by health professionals when they wish to practise in another state of the European Economic Area (EEA). With a focus on the health sector, it examines the European system for recognition of professional qualifications and the effects of the revised directive on the recognition of professional qualifications.

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6

 Economic policy

European Parliament: hearing of the Commissioner-designate for Democracy and Demography, Dubravka Šuica
The Commissioner-designate expressed her intention to present, in the near future, a Green Paper on population ageing and its consequences for healthcare and pension expenditure.

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Ireland: post-programme surveillance report
The European Commission report expressed doubts as to the sustainability of the Irish health system.

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Cyprus: post-programme surveillance mission 
Following the post-programme surveillance mission to Cyprus, the European Commission team is of the view that implementation of the national health system still requires careful monitoring, given its fiscal consequences, in particular, during the first years of implementation.

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Portugal: post-programme surveillance report
According to the Commission report, the new programme designed to strengthen the overall sustainability of the health system must be now be implemented 'in a timely and forceful manner'.

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Cyprus: ex-post evaluation of the economic adjustment programme (2013-2016)
The economic adjustment programme included a broad range of measures to enhance the sustainability of the financing structure and effectiveness of public healthcare. 

DOC  EN  PDF  

Strategic Forum for Important Projects of Common European Interest: recommendations for the development of strategic economic sectors
The Forum set up by the Commission, made up of representatives from the Member States, from academia and from industry, identified 'Smart Health' as a strategic value chain. 'Smart health' is defined as the blending of health and digital technologies, digital media, mobile devices, and biomedical engineering. Development of this sector depends on the availability and quality of infrastructure, data analysis and ICT solutions to support health innovations.

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Juncker Plan: the European Investment Bank (EIB) finances research and development by Prophesee
The company Prophesee has developed a neuromorphic vision system. This technology may, in the future, be used, inter alia, for treating the visually impaired.

DOC  FR  HTML  

Juncker Plan: the EIB supports the Polish biotech sector
The EIB has agreed to lend €30 million to Mabion, a Polish biotech company, for research and manufacturing of innovative drugs to treat cancer and auto-immune diseases.

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European Commission: 600 requests for support from the Member States under the Structural Reform Support Programme
This programme offers expertise to all EU countries for the implementation of growth-enhancing reforms. These reforms may be in many areas, including health, education and social services. The Commission will select the successful projects in early 2020.

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European Commission: assessment of 2020 draft budgetary plans
Following the economic forecasts of autumn 2019, and the consultations with the Member States, the Commission adopted its opinions on the draft budgetary plans of all the countries in the Euro area. Public health expenditure was also analysed for each country.

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7

 Court of Justice of the European Union

Judgment: sanction imposed on a pharmacy for dispensing prescription medicines unlawfully
In case C-222/18, the Court found that directive 2011/24/EU does not preclude legislation in an EU Member State which prohibits a pharmacy in that Member State from dispensing prescription medicines on the basis of an order form when this order form was issued by a health professional authorised to prescribe medicines and to exercise his activity in a Member State other than that of the pharmacy, although the pharmacy is permitted to dispense medicines when the order form was issued by a health professional authorised to exercise his activity in that first Member State.

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Judgment: provision of medical care in the exercise of the medical and paramedical professions exempted from VAT
In case C-700/17, the Court found that the provision of care by a medical specialist in clinical chemistry and laboratory diagnostics could fall under the VAT exemption even if it fails to meet all the conditions for application of the exemption listed in Article 132(1)(b) of directive 2006/112/EC. Exemption from VAT is not subject to a condition that the medical care in question is supplied within the framework of a confidential relationship between the patient and the care provider.

 DOC  FR/EN/NL  HTML  

Judgment: judicial proceedings authorising committal to a psychiatric hospital on therapeutic and safety grounds
In case C-467/18, the Court found that Directive 2012/13/EU and Directive 2013/48/EU must be interpreted as applying to judicial proceedings, such as those provided for by the national legislation at issue in the main proceedings, which authorise, on therapeutic and safety grounds, the committal to a psychiatric hospital of persons who, in a state of insanity, have committed acts representing a danger to society.

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Judgment: clarifications on the consent of a website user to the storage of and access to his/her personal data
In case C-673/17, the Court found that the consent granted by a website user to the storage of and access to information already stored in his/her terminal equipment in the form of cookies (including data concerning his physical, genetic, psychological and mental identity) is not valid if this consent was obtained by a pre-ticked checkbox which he would have to deselect to refuse such consent.

 DOC  FR/EN/NL  HTML  

Judgment: interpretation of the concept of 'appropriate compensation' defined in directive 2004/48/EC
In August 2000, Bayer had submitted, to the Hungarian National Intellectual Property Office, a patent application for a pharmaceutical product containing a contraceptive ingredient. On 4 October 2010, the Office granted Bayer the patent. In the meantime, Richter and Exeltis began marketing contraceptive pharmaceutical products in Hungary. Hungarian case law prohibited Richter and Exeltis from placing these products on the market. In 2012, these latter companies claimed compensation from Bayer for the losses they claimed to have suffered as a result of the provisional measures. In case C 688/17, the Court ruled on the application of the notion of 'appropriate compensation' defined in directive 2004/48/EC, in relation to the respect of intellectual priority rights in this case.

 DOC  FR/EN/NL  HTML  

Judgment: placing of plant protection products on the market
In case C-616/17, the Court found that there are no grounds to question the validity of the regulation on the placing of plant protection products on the market. The procedural rules applicable to the authorisation of plant protection products, in particular products containing glyphosate, are therefore valid.

DOC 1  EN FR  PDF  |  DOC 2  FR/EN/NL  HTML  

 

8

 Competition

Germany: the Federal Court of Justice annuls a judgment of the higher regional court of Düsseldorf imposing a fine on Rossmann pharmacy
The higher regional court had increased by €5.25 million the fine imposed on Rossmann pharmacy for engaging in retail price maintenance, bringing the fine to €30 million. The Federal Court annulled this judgment, and ruled that the regional court had not submitted justification for its decision within the statutory period of eleven weeks from the judgment.

DOC 1  EN  HTML  |  DOC 2  DE  HTML  

Belgium: the Commission opens in-depth investigations into tax rulings granted to multinational companies
The investigations into anticipated decisions on 'excess profits' granted by Belgium to 39 multinationals, including companies in the pharmaceutical and health sectors, are intended to ascertain whether these rulings gave beneficiary companies an advantage over their competitors.

 DOC  EN/NL/FR  HTML  

Germany: the Competition Authority gives the go-ahead to a hospital merger in the Allgäu region
Despite the high market shares of the clinics concerned, the German competition authority cleared the merger in the first phase of examination, resulting in the creation of a new hospital group managed by Sana Kliniken

 DOC  EN  HTML  

Portugal: the Portuguese competition authority (AdC) authorises a hospital merger
In May 2019, the AdC opened an in-depth investigation into the proposed merger between Grupo HPA Saúde and Hospital São Gonçalo de Lagos (HSGL). The authority has finally determined that HSGL meets the requirements of the 'failing firm defence'. This means that the merger should be assessed by comparing the likely post-merger situation with a scenario in which HSGl and its assets would exit the market.

 DOC  EN  HTML  

Netherlands: the Netherlands competition authority (ACM) publishes a report on competition between TNF-alpha inhibitors
The ACM found no manifest infringement of competition law. It makes recommendations to hospitals, insurers and political decision-makers, warning that it will apply the competition rules if specific discounts applied by suppliers close off the market.

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Belgium: inspections in the pharmaceutical sector
The inspections are targeted at companies suspected of having tried to restrict, delay or prevent the entry into the market or the expansion of biosimilar medicines competing with existing medicines.

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Belgium: the National Council of the Order of Pharmacists responds to the list of points raised by the auditor of the Belgian competition authority
The National Council of the Order of Pharmacists made a number of commitments concerning advertising and discounts. These include approval in principle of advertising and commercial practices, and the adoption of an explanatory code on advertising and commercial practices supplementing the provisions of the deontological code and facilitating interpretation of the rules by pharmacists and disciplinary councils.

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Slovakia: The Slovak competition authority (AMO SR) imposes a fine on a municipality for unlawful restriction of competition in the area of pharmaceutical care
The municipality was accused of favouring certain undertakings and thus restricting competition in the supply of pharmaceutical care in state pharmacies. The municipality has appealed against the decision.

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9

 Infringement proceedings 

Belgium: the Commission calls on Belgium to respect the European rules on recognition of professional qualifications
The Commission has sent a letter of formal notice to Belgium concerning non-compliance of training programmes for general care nurses with the European rules on recognition of professional qualifications.

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10

 Publications

OBS: Strengthening health systems through nursing
This report, entitled 'Strengthening health systems through nursing: Evidence from 14 European countries (2019)', analyses and compares the various types of structures and ways of organising nursing care in 14 European countries. As health systems adapt to growing demand, this care is becoming ever more important.

DOC  EN  PDF  

Eurohealth: Digital health systems
This edition of Eurohealth provides an oversight of the key issues surrounding the digitalisation of health systems, and suggests ideas as to how we can together leverage the benefits of digital health.

DOC  EN  HTML  

Eurosurveillance: almost 500,000 men in the EU who have sex with men need PrEP but are unable to access it
Almost 500,000 men in the EU who have sex with men have no access to pre-exposure prophylaxis (PrEP) for HIV, although they would like to have such access.

DOC  EN  HTML  

OBS: Sustainable health financing with an ageing population
The European Observatory on Health Systems and Policies (OBS) has published a report entitled 'Sustainable health financing with an ageing population: implications of different revenue raising mechanisms and policy options'. This document examines the financing of health systems and long-term care, as well as looking at the potential effects of population ageing on the sustainability of health systems.

DOC  EN  PDF  

Article: Transposition of the patients' rights directive in Finland - difficulties
This article analyses the implementation process of the directive on the application of patients' rights in cross-border healthcare (2011/24/EU).

DOC  EN  HTML  

OBS: Improving healthcare quality in Europe
This publication, entitled 'Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies', considers the concept of 'quality of care'. It highlights the difficulties in assessing the effectiveness of quality-improvement strategies, as well as the role played by these strategies in a healthcare system.

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OBS: Everything you always wanted to know about European Union health policies but were afraid to ask'
This document, entitled 'Everything you always wanted to know about European Union health policies but were afraid to ask', provides a review and analysis of European Union public health policies up to mid-2019. 

DOC  EN  HTML  

Article: Roma populations and health inequalities: a new perspective 
This article aims to explore the emergence of Roma health and well-being as a focus of attention in European research and in policy, and the possible detrimental consequences of action founded on a generic representation of 'Roma health'.

DOC  EN  HTML  

OECD: Health for everyone? Social inequalities in health and health systems
This publication analyses health inequalities and suggests ideas as to how to make society more inclusive.

DOC  EN  HTML  

Eurofound: Challenges and prospects in the EU: quality of life and public services
This report analyses the progress made and future challenges regarding access to and quality of long-term care, healthcare systems, early years care services, and the impact of digitalisation on healthcare.

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OSE: Cross-border telemedicine: practices and challenges
This report finds that in Belgium, as well as in other EU countries, cross-border telemedicine practices are rare, and almost exclusively take the form of tele-expertise and diagnostic teleconsultation. However, cross-border telemedicine can provide added value in some specific circumstances.

DOC 1  EN  PDF  |  DOC 2  FR NL  PDF  

EuroHealthNet: Financing health promoting services
This information guide suggests ways of making transitions from spending on cures and treatments to investment in prevention. It explores how resources and capacities can be mobilised to help finance these transitions and contribute to an 'economy of well-being'. 

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Article: Are novel, non-randomized analytic methods fit for decision making?
This article concerns the methods used to assess pharmaceutical products. The authors claim that appropriate methodological validation can demonstrate the soundness of data sources and enable the authorities to make use of these sources to draw reliable scientific conclusions. The article is co-signed by several EMA members, academics and experts from the national regulatory authorities.

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Article: An EU approach to health system performance assessment
The article entitled 'An EU approach to health system performance assessment: Building trust and learning from each other' identifies three strong points of the EU Expert group on health system performance assessment (HSPA).

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OECD: Health at a Glance (2019)
The report 'Health at a Glance 2019' provides an overview of health in OECD members, candidate and partner countries. It compares key indicators for population health and health system performance.

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11

 Miscellaneous

A group of health sector organisations react to a recent update of the self-regulatory code for the pharmaceutical industry
According to these associations, the new code of practice of the European Federation of Pharmaceutical Industries and Associations (EFPIA) would allow industry to interfere with the content of medical education and to conceal promotional and informational activities under the guise of education.

DOC  EN  PDF  

United Nations: High-level meeting on Universal Health Coverage (UHC)
The purpose of the meeting was to encourage political decision-makers to package the whole health agenda under the umbrella of UHC, and to provide joint support to investment in health. 

DOC 1  EN  HTML  |  DOC 2  EN  HTML  

WHO: a major milestone towards polio eradication
The European Regional Commission for the Certification of Poliomyelitis Eradication declared that the European Region was polio-free, but encouraged certain countries to do more regarding immunisation coverage and/or disease surveillance.

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The period for receipt of information for this newsletter concluded on 22 November 2019.