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European Health Policy Forum. Recommendations on Health and EU Social Policy Origins Issues identified in public health and healthcare Recommendations. The genesis of a health and social policy paper. Convention and EU Treaty reform Launch of EU Public Health Programme
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European Health Policy Forum Recommendations on Health and EU Social Policy • Origins • Issues identified in public health and healthcare • Recommendations European Health Policy Forum, June 2003
The genesis of a health and social policy paper • Convention and EU Treaty reform • Launch of EU Public Health Programme • Focus on inequalities in health • Social Scoreboard, OMC and NAPs • Sustainable Development indicators at Spring Summits • Debate on healthcare for the elderly European Health Policy Forum, June 2003
A definition of health A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity World Health Organisation European Health Policy Forum, June 2003
Established health rights and texts • WHO founding document, 1946 • UN Convention on Economic, Social and Cultural rights, 1966 • Art 129, Maastricht Treaty, 1992 • Art 152, Amsterdam Treaty 1997 • EU Charter of fundamental rights, 2000 • 2003 Framework Convention on Tobacco Control, new EU Treaty European Health Policy Forum, June 2003
A recipe for good health • Be rich • Pick your parents well • Get educated • Live in supportive, safe communities • Live in quality housing • Avoid stressful low-paid manual work • Don’t lose your job Roy Romanow, Commissioner, Commission on the Future of Health Care European Health Policy Forum, June 2003
The social gradient and health • Health includes quality of social and emotional experiences not just experience of disease and disability • Poverty, limited education and poor health interact and reinforce each other. Greatest impact on children who take these physical, psychological and social issues into adulthood and across generations • Raise overall prosperity with a focus on marginalised and disadvantaged groups European Health Policy Forum, June 2003
Social policy and Healthcare • Healthcare defined by the ECJ as a ‘service’ and subject to internal market rules on free movement. Implications on organisation and structuring of national healthcare systems and patient mobility. • Criteria need to be adopted to evaluate fulfilment of the right to healthcare. These include ‘availability’, ‘accessibility’, ‘acceptability’ and ‘quality’ European Health Policy Forum, June 2003
EHPF Recommendations • Convention and treaty reform: critical political opportunity to prioritise health • Organisation of health at EU level: fragmented, lacks coherence and consistency • Inadequate resources: € and human • European policies: balancing economic priorities with social, environment and health aspects in internal and external policies European Health Policy Forum, June 2003
European Public Health Alliance 33 Rue de Pascale B-1040 Brussels Belgium Tel : +32-2 230 30 56 Fax : +32-2 233 38 80 epha@epha.org www.epha.org European Health Policy Forum, June 2003