European Innovation Partnership on Active and Healthy Ageing –

1. European Innovation Partnership on Active and Healthy Ageing – Zdrowie w politykach Unii Europejskiej - Zdrowe starzenie się Wojciech Dziworski European Commission DG SANCO

2. Background

3. Ageing Society – demographic change Source: SANCO, based on Ageing Report 2009

4. Ageing Society- Budget constraints & unsustainable care systems (EU-27 average in 2008) • Total health spending - 9.6% of GDP • Total public health spending • => 7.4% of GDP • => 14.7% of total government expenditure • Total aged-related spending • (education, pensions, healthcare, LTT, unemployment benefits) • => 23,1 % p. of GDP in 2007 • => by 4.75% points of GDP by 2060 • Shrinking workforce in the care sector by 2020 • =>1 mio doctors and nurses less, and 2 mio incl. ancillary staff • =>15% of necessary care uncovered • Insufficient number of health specialists, unbalanced skill-mix and training, migration

5. Ageing Society- innovation potential in healthcare • Innovation in material sciences, genetics, bio-technology & -informatics & e-health - novel treatments, medicines & medical technologies, but also organisational, process and social innovation • Technological changeas a driver for improved productivity and economic growth • Substitution of old treatments with novel ones • => productivity gains, improved health outcomes (increased length and quality of life of people) • Expansion of innovative treatments(novel medical interventions) • => match of demand and supply, increased no of diagnosed and treated people, improved health outcomes • Business and growth opportunities for pharmaceutical, medical devices and products sectors • …but also leading to skyrocketed expenditure & higher regulatory health & safety standards

6. New paradigm of ageing – opportunity not a burden Focus on holistic and multidisciplinary approach Dynamic and sustainable care systems of tomorrow: => primary care, health promotion and prevention; deinstitutionalisation (older people and chronically ill) => economically more sustainable and efficient (business) models Social and community care => more collaborative and integrated care delivery, patient-focused and less provider-centred Consumers => supply demand match Evidence base => robustness and transparency, data protection and security Empowerment, education and awareness of end-users Innovation potential in healthcare => in service of the people; users’ involvement, interoperability and standards Common patterns of change

7. European Innovation Partnership on Active and Healthy Ageing • TARGET : to increase HLYs by 2 by 2020 and enable citizens to live longer independently in good health (QoL, Efficiency gains) • MAIN AREAS: • Addressing major age-prevalent chronic diseases • Innovation in integrated care delivery systems • Innovation in independent living and social inclusion http://ec.europa.eu/active-healthy-ageing

8. EIP to breakthrough the innovation paradox, moving beyond the ‘valley of death’ JOINING UP BETTER FRAMEWORK CONDITIONS BRIDGING GAPS FACILITATING SCALING UP EIP is: • Stakeholder process • Addressing barriers • Bottom up commitment • Supply and demand • Linking existing instruments EIP is not: • New funding instrument • New R&D programme • Heavy governance • More bureaucracy

9. Road to Strategic Implementation Plan

10. Steering Group

11. Workshop on indicators for the EIP Milestones April 2011 Autumn 2011 Publication of Consultation report 524 submissions Strategic Implementation Plan 2 May 2011 30 September 2011 COMPET Council – RTD paper on assessment of EIPs processes and governance 1st Steering Group meeting 3 thematic priorities 16 September 2011 2nd Steering Group meeting 5 priority action areas 13 May 2011 Guidance paper on AHA EIP 16 May 2011 2nd Sherpa meeting 3 + 1 WGs set up 8 September 2011 4th Sherpa meeting 1st draft SIP May - June 2011 3 dedicated workshops under WGs 7 July 2011 3rd Sherpa meeting Action areas matrix 26 May 2011

12. Developing EIP Strategic Implementation Plan Stakeholders Consultations, Stakeholder meeting Steering Group Workshops: Main areas of acion and horizontal issues Actions SG members and sherpas CommissionSupport Care & Cure Prevention, Screeing, Early diagnosis Active ageing, Indepentent living Horizontal issues 12

13. Criteria for ‘a priority action area’ (1) likely to make the greatest CONTRIBUTION TO THE OBJECTIVES of the Partnership ------------------------------------------------------------------ (2) benefiting particularly from the PARTNERSHIP APPROACH ------------------------------------------------------------------ (3) likely to significantly contribute to overcoming KEY BOTTLENECKS & BARRIERS ------------------------------------------------------------------ (4) FACILITATING INNOVATION in an area where European industry has or may develop a competitive advantage ------------------------------------------------------------------ (5) being the MOST READY TO LAUNCH

14. Horizontal issues General approach to evidence and data/ Monitoring Knowledge transfer and good practice sharing and exchange/ Marketplace for partnering and matching stakeholders Thematic marketplace: innovation in support of age friendly buildings, cities and environments Active ageing & independent living Prevention, screening & early diagnosis Care & Cure Assisted daily living for older people with cognitive impairment Flexible and interoperable ICT solutions for active and independent living Innovation improving social inclusion of older people Health literacy, patient empowerment, ethics and adherence Personal health management Prevention, early diagnosis of functional and cognitive decline Guidelines for care, workforce (multimorbidity, polypharmacy, frailty and collaborative care) Multimorbidity and R&D Capacity building and replicability of successful integrated care systems Vision / Foundation • Focus on holistic and multidisciplinary approach • Development of dynamic and sustainable care systems of tomorrow • New paradigm of ageing • Innovation in service of the elderly people

15. First priority actions Capacity building & replicability of successful integrated care systems based on innovative tools & services Health literacy, patient empowerment, ethics & adherence programmes, based on innovative tools & services Disease prevention, older people vaccination , early diagnosis of functional & cognitive decline& malnutrition Innovation enabled personal guidance systems Flexible & interoperable ICT solutions for active & independent living Prescription adherence action at regional level Early-diagnosis & intervention action on frailty & malnutrition to prevent functional decline among older people Programme for falls prevention Replicating and tutoring integrated care for chronic diseases, including remote monitoring, at regional level Global standards development, guidelines for business models and financing for independent living solutions Horizontal action areas General approach to evidence and data/ Monitoring Knowledge transfer and good practice sharing and exchange/ Marketplace for partnering & matching stakeholders Innovation in support of age-friendly cities and environments

16. Specific actions Prescription and adherence action at regional level Personal health management, starting with a falls prevention initiative WHO: pharmacists, health professionals, carers, patients HOW: advanced clinical analytical ICT‑enabled tools application of clinical protocols AIM: identification of non‑adherent patients & counselling them on the use of medication WHO: science/academia, regulatory authorities, industry, care providers, patients, carers HOW: innovative tools for screening (e.g. sarcopenia) AIM: fall prevention for older people - monitoring & keeping balance functionality/exercising Action for prevention of functional decline & frailty WHO: care providers, regulatory HOW: early diagnostic tool-set (e.g. Functional Capacity Evaluation tool), new medical devices AIM: identification of pre-frailty conditions

17. Specific actions Replicating and tutoring integrated care for chronic diseases, including remote monitoring, at regional level Development of interoperable independent living solutions, including guidelines for business models WHO: regulatory authorities, industry, venture capitalists, procurers, patients/older people & carers HOW: joined-up procurement of independent living solutions; open standards for multi vendor solutions AIM: guidelines and standards on a variety of solutions for safety, mobility & personal communications with family together; sustaining independence in daily life of older persons WHO: public & private, care providers, health professionals, patients, social carers HOW: network, standardised survey tool identifying health status of mulitmorbid patients AIM: communication & integration between different health & social care providers; avoidance of hospitalisation of older patients

18. Horizontal actions Framework conditions Funding Evidence Repository for age-friendly innovation WHO: EC, national authorities (MSs) HOW: legislation revision, standardisation for interoperability, data protection, EC funding alignment AIM: clarity, flexibility & robustness of legal framework; efficient use of resources; facilitation of innovation deployment WHO: EC, national authorities (MSs), stakeholders HOW: reference examples, common data base, platform of cities/regions for age friendly environment AIM: sound and robust data, reliable methodologies Marketplace to facilitate cooperation among various stakeholders WHO: stakeholders HOW: stakeholders’ networking, exchange of good practices AIM: facilitation of innovation, knowledge, good practice transfer/sharing

19. EIP AHA in relation to some funding instruments Joining up / Bridging gaps / Scaling up / Framework conditions · FP7 · Public Health Programme Food · FP7 Health JPIs · · eHealth action plan Natio Struct Policy Areas · · · FP7 nal ural CIP eHealth eHealth Funds EIB ESF funds Ageing well action plan · · · CIP ICT & FP7 ICT & AAL JP Ageing well Ageing well 19 Time to market

20. EIP Evaluation and Monitoring Headline Target 2 Healthy Life Years 1st Level Quality of Life Sustainability of Care Innovation-based Competitiveness 2nd Level Main determinants (Indicative measures / Outcomes Indicators) 3rd Level Specific Objectives (Output / Monitoring indicators) 4th Level EIP Specific Actions Prevention Care and Cure Independent Living Horizontal Actions

21. Towards Implementation and Involvement

22. PRINCIPLES FOR SUCCESSFUL IMPLEMENTATION OF ACTIONS ENGAGEMENT => underwriting the EIP and its criteria INCLUSIVENESS => open to all relevant actors & constituencies CRITICAL MASS => mobilising sufficient resources PARTNERSHIP => working together & collaborating DELIVERY => timely delivery of agreed outcomes ADVOCACY => inspiration & political support to all participants EIP - implementation

23. Calls for commitment – open to all interested stakeholders Actions Groups – management and implementation of actions Assembly of Partners – agreement and endorsement of amendments to the SIP, proposal of new actions Advocacy – high-level dialogues with MSs EIP – Towards Implementation

24. Governance for EIP SIP implementation

25. Adoption of plan by EIP steering group on 7 November Presentation of the SIP in the Council (COMPET/EPSCO) – Dec 2011 Communication early 2012 (Cion response to SIP) Mobilising stakeholders around action groups Launch conference Call for commitments Advocacy especially towards MS Letters of commitment of stakeholders Launch of actions from early 2012 onwards Council / EP endorsement 1st half 2012 EIP – Towards Implementation 25

26. EIP Active and Healthy Ageing a major contribution to EY2012 Large scale actions with high visibility across Europe Industry, Policy (EU, National, regional, local), Research, Users, … EY2012 a major outreach platform for EIP AHA Your contributions welcome Links between EIP AHA and EY2012 on Active Ageing