The EU4Health programme aims to strengthen Europe’s health systems to better respond to future major international crises, such as the Covid-19 pandemic.
The Covid-19 outbreak has shown the need for EU countries to better cooperate and coordinate in times of crisis and to strengthen the EU’s capacity to respond effectively to new cross-border health threats.
To help EU health systems better cope with potential future crises, MEPs adopted the new EU4Health programme for 2021-2027 on 9 March.
The programme’s €5.1 billion budget will enable the EU to better prepare for major international health threats, while making affordable medicines and medical devices more readily available.
A fifth of the total budget will be dedicated to health promotion and disease prevention by addressing health risks such as the harmful use of alcohol and tobacco.
While national governments are primarily competent for health policy, the EU can complement and support national measures and adopt legislation in specific sectors.
The EU4Health programme not only aims to offer better protection against and management of crises by strengthening member states’ health systems and delivering better care, but also to improve health, foster innovation and investment and accelerate the fight against cancer, among others.
- Protect people from serious international health threats
- Improve the availability of medicines
- Strengthen health systems
EU4Health is part of the Next Generation EU recovery plan.
On 13 November 2020, the Parliament adopted its position on the new EU health programme. MEPs called for a European Health Response Mechanism to boost cooperation at EU level in times of crisis, a European monitoring system for shortages of medicines and medical devices, greater focus on disease prevention and digitalisation through a European eHealth Record.
In the provisional agreement on the EU’s budget for 2021-2027 reached on 10 November, Parliament’s team negotiated an increase in the budget for this programme from €1.7 billion proposed by the member states to €5.1 billion.
The programme will cover the 2021-2027 period, but all measures relating to the post crisis recovery are set to be applied in the first years.
What does EU4Health cover?
Tackling cross-border health threats
The programme aims to strengthen prevention, preparedness, surveillance and response in crisis times and improve the coordination of emergency capacity. It aims to build reserves of medicines and medical supplies, healthcare staff and experts and provide technical assistance.
RescEU, which is part of the EU Civil Protection Mechanism, will continue to provide rapid reaction and focus on direct crisis response capacities, while EU4Health would include strategic medical stockpiles for longer-term use and a reserve of medical staff who could be employed in case of a crisis. The programme will also support efforts to digitalise healthcare, action linked to e-health and the creation of a European health data space to promote the exchange and access to different types of health data.
Making medicines and medical supplies available and affordable
The EU wants to support efforts to monitor shortages of medicines, medical devices and other healthcare products relevant in a crisis and limit the dependency on imports of medicines and active pharmaceutical ingredients from non-EU countries. It also aims to boost innovation and more environmentally friendly production.
Strengthen health systems and healthcare workforce
National health systems should become more efficient and resilient by: boosting investment in disease prevention programmes; supporting the exchange of best practices; global cooperation; and improving access to health care.
Tackling long-term challenges
EU4Health aims to address issues such as:
- Providing affordable good quality healthcare to all, by removing health inequalities
- Scaling up the use of digital innovations
- Tackling non-communicable diseases by improving diagnosis, prevention and care, in particular cancer (through the Beating Cancer Plan), cardiovascular diseases, diabetes, mental health (the goal is to reduce premature mortality by one third by 2030)
- Advocating the prudent use of antibiotics and fighting antimicrobial resistance
- Improving vaccination coverage rates in EU countries
- Expanding successful initiatives, such as the European Reference Networks connecting healthcare professionals to support patients affected by rare diseases
- Tackling the impact of environmental pollution and demographic changes, including an ageing population, on public health
- Tailor made support and advice to countries
- Training for healthcare professionals for deployment across the EU
- Audits of member states’ preparedness and response arrangements
- Clinical trials to speed up the development of medicines and vaccines
- Cross-border collaboration and partnerships
- Conducting studies, data collection and benchmarking
Parliament is asking for a European Health Union
In a resolution adopted on 10 July 2020, Parliament set out its principles for a post Covid EU health strategy. MEPs again stressed the need to draw the right lessons from the coronavirus pandemic, calling for a European Health Union with stronger tools to deal with future health emergencies.
On 11 November, the Commission presented a set of proposals for creating a European Health Union, These include strengthening the EU’s crisis management to cope with serious cross-border health threats and stronger mandates for the European Centre for Disease Control and Prevention and the European Medicines Agency.
Parliament had consistently promoted the establishment of a coherent EU public health policy. In a resolution adopted on 17 April 2020, Parliament also called for a dedicated budget to support national healthcare sectors during the crisis, as well as for investment post-crisis to make health-care systems more resilient and focused on those most in need.