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The Role of Patients in EU Policy Development
European Health Forum GasteinOctober 2003 – Bad Gastein
Presented by Erick SavoyeDirector of the European Men’s Health Forum
European Health Forum Gastein, Oct 2003 - Page 2
European Patient Advocacy
Background People increasingly demanding and using information
Consumers of health care more empowered and proactive
Rapidly developing EU level coordination Patient advocacy, ‘flavour of the year’
Umbrella groups mostly organised by medical condition/therapeutic areas
General campaigning topics: Increased EU recognition of patient needs
e.g. improved health information to patient, access to innovations in medicines
Strengthening the role of patients in the decision-making process
European Health Forum Gastein, Oct 2003 - Page 3
An Active Movement
Consulting with the Commission: 2001 – EU Health Forum G10 High Level Group (Patient Mobility, Innovation and
Provision of medicines)
Lobbying in Parliament Lobbying activities of larger Cancer, AIDS/HIV groups Economic burden: a key message for other groups Ageing, the next big issue
Growing importance of the role of patient groups Community expands with enlargement Moving boundary for areas of national competence Launch of the EPF
European Health Forum Gastein, Oct 2003 - Page 4
The European Patients Forum
From July 2001… Limited patient representation within the G10
Revision of EU legislation affecting Direct To Consumer Information
The absence of a patient umbrella organisation
Encouragement and support from the Commission
… to creation in Jan 2003 The feat of patient groups
One body to address and be consulted on issues regarding the interest of patients
A strong voice for patients, independent of that of consumers
European Health Forum Gastein, Oct 2003 - Page 5
The European Patients Forum
Objectives To facilitate a forum for all pan-European patient
organisations
To share information in order to strengthen the role of European patients
To offer the views of patients by means of a representative and independent resource
To provide a forum for patient groups to develop common positions on EU health policy issues and lobby on their behalf
To become a point of reference for European Institutions on patient-related issues
To co-operate on projects aimed at improving the health outcomes and quality of life of European patients
European Health Forum Gastein, Oct 2003 - Page 6
The European Patients Forum
Criteria for membership Legitimacy
Representation
Democracy
Accountability and consultation
Transparency
Full and associate members
Council of members
Executive Committee Elected members
European Health Forum Gastein, Oct 2003 - Page 7
The European Men’s Health Forum
A member of the European Patients Forum Witnessed the birth of the EU Health Forum
and the European Patients Forum
Pan-European advocacy organisation that spans many therapeutic areas
Works to improve health outcomesfor men in Europe
Promotes collaboration with EU level stakeholders to include men’s health issues in the EU health policy and research agenda.
Recently published report
More information: www.emhf.org
European Health Forum Gastein, Oct 2003 - Page 8
The European Patients Forum
How are decisions taken and priorities set? Council
Approval budget and accounts Policy positions Membership approval/dismissal Election Executive Committee
Executive Committee Agenda/priorities Administration
No funding
More information: www.europeanpatientsforum.org
European Health Forum Gastein, Oct 2003 - Page 9
The Paradox of the Funding Issue
Some MEPs concerned about industry’s financial support for patient advocates
Pan-European patient groups have clearly demonstrated the value of their contribution…
… they are denied public health support Limited ability for small NGOs to auto finance
Unlike their national counterparts or Pan-European consumer groups, they cannot receive core funding from public health sources
Recommendations of the G10 Medicines Report
European Health Forum Gastein, Oct 2003 - Page 10
The G10 Report
7 May 2002
Funding of Patient Groups
‘Patient groups have an important contribution to make to the development of health and medicines policy by articulating the needs and views of patients, scrutinizing new policy proposals and calling policy makers to account. Concern has been expressed, however about the reliance of small NGOs on external funding, and their, need from time to time, to have recourse to industry funding’
Recommendation 13:
’that the Commission consider providing core funding for European patient groups to enable them to participate independently in the debate and decision-making on health matters in the EU’
European Health Forum Gastein, Oct 2003 - Page 11
Commission Communication
‘A stronger European-based pharmaceutical industry for the benefit of the patient’
1 July 2003
‘To make available, under the new Public Health programme, funding for the patient and other public health organisations for networking activities at an EU level and projects on patient information …’
EPF views
‘The European Patients Forum welcomes the clear focus of the Commission…’ and ’… urges European Institutions to ensure core funding for representative pan-European patient organisations…’
EPF press release Aug 2003
European Health Forum Gastein, Oct 2003 - Page 12
G10: a real opportunity for patients?
The Commission’s support for EPF has now stopped
Uncertainty of the Parliament’s vote over budget line proposal for 2004
EP decision likely to affect the future of the EPF
What about other Pan-European patient groups?
______________
In the meantime, no support and a lot of effort from pan-European patient groups has gone into a long battle, the outcome of which still remains uncertain.