ESI Funds for health investments Hungarian national workshop Budapest 30 th October 2014 Page 1
Workshop agenda I. Workshop opening (9:00 - 9:15) II. Introduction of the project and project output (9:15 – 9:50) III. Discussion about specific EC regulation (9:50 – 10:50) ► Performance reserve and monitoring ► State aid IV. New concepts in health (11:00 – 11:30) V. Introduction of the ESIF implementation structure in Hungary (11:30 – 11:40) VI. Health funding potential in 2014-2020 PP (11:40 – 12:00) VII. Group activity (13:00 – 14:15) VIII. ESIF investment critical success factors (14:15 – 15:30) IX. Discussion on effective follow up (15:30 – 16:00) Page 2
I. Introduction of workshop participants Page 3
II. Introduction of the project and outputs (i) Project and its context [Project introduction and disclaimer] Page 4
Project objectives ► The project is aimed at providing assistance in the area of healthcare to EU Member States in the programming and implementation of European Structural and Investment Funds (ESIF) in the new programming period 2014 - 2020, more concretely: ► To support the Member States and their efforts to tap into the potential of ESIF 2014 - 2020 for health investments and to manage ESIF support for health in a better and more effective way ► To promote effectively implemented actions in the health sector which will have a major positive impact on the wider population’s access to quality and sustainable healthcare in EU Member States ► To build knowledge of the implementation of ESIF for health in the new programming period 2014 - 2020 Page 5
Project background ► The project builds on two key documents: ► Toolbox for effective structural funds investments in health 2014-2020 as developed by Subgroup 2 of the Reflection Process on modern, responsive and sustainable health systems that was conducted in the Council of the EU under the auspices of the Working Party on Public Health at Senior Level [Ele ctronic version in various languages available at the website of the Council of the European Union ] ► Policy Guide for Health Investments by European Structural and Investment Funds 2014-2020 , developed by the European Commission (DGs SANCO, REGIO, EMPL) [ Electronic version in English available at the DG REGIO website] Page 6
Workshop objectives 1. Inform the workshop participants about the project and outputs developed Introduce the project and main outputs ► 2. Identify all possible health investments under Operational Programmes adopted in Hungary Link specific Thematic Objectives with possible health issues/investments ► Discuss specific possibilities to support health under specific Operational Programmes ► developed for 2014-2020 programming period 3. Share lessons learned from implementation of health projects under the Structural Funds from 2007 - 2013 Share examples of good practices and recommendations to various investment life- ► cycle stages Discuss good practice examples and participants’ experience with selected topics ► Page 7
Disclaimer ► Please be aware that the workshop (as well as the project itself) are NOT part of the negotiations between the Commission and the Member States EY has been contracted by DG SANCO, not DGs directly involved into negotiations ► EY provides consultations based on its professional judgment, analysis of documents ► and analysis of situation in all Member States Information provided in the project outputs and in this presentation should serve as ► supportive material for discussion and reflection Suggestions presented further do not reflect the Commission's position, but E Y’s ► professional opinion and good practice examples gathered during this project The presentation does not reflect the Commission's position and the way implementation of ESIF will be finally delivered is still being negotiated with the European Commission Page 8
II. Introduction: II. Introduction of the project and outputs (ii) Project outputs (ii) Project outputs [EY outputs introduction] [Project scope] Page 9
Project outputs WP 1: Mapping report WP 2: Guide WP 3: Toolkit Guidance on effective Set of technical and Implementation of SF in health investment from managerial tools to health in all EU Member ESIF accompany the Guide States ► Overview of 2007 - 2013 ► Recommendations for ► ESIF instruments and Ministries of Health and mechanisms in 2014-2020 period managing authorities on ► Calls for proposal ► Planned implementation practices that lead to management of ESIF for funding efficient health investment health priorities in 2014 - ► Set of indicators funded from ESIF 2020 based on ► Sustainable and efficient ► Roles of MoH and MA and Partnership Agreements models & concepts in HC ways of their cooperation and OPs ► Manual on capital to achieve effectiveness investment ► Lessons learned (Do’s and ► Investment appraisal Don’ts) methods WP 4: Roll out to Member States: Website, country visits, regional workshops Page 10
III. Discussion about specific EC regulation (i) Performance reserve and monitoring [Analysis of EU regulation] Page 11
Performance framework One of the pillars towards the result orientation of ESIF Three pillars of the result orientation of ESIF Time framework Areas for improvement 2014 2018 2019 2023 2025 Clear articulation of the objectives of OPs with a 1. strong intervention logic Milestones (intermediate targets) to be achieved by 31 ► Definition of ex-ante conditionalities to ensure that 2. December 2018 the necessary prerequisites are in place for the Performance review in 2019 ► effective implementation of ESIF Targets set to be achieved by 31 December 2023 ► Establishment of clear and measurable milestones 3. Final assessment and the closure of the programming ► and targets to ensure progress is made as planned period in 2025 (performance framework) Monitoring performance Building blocks of performance framework Regular monitoring by the EC and the monitoring ► Milestones and targets in form of: committee for each programme: Financial indicators ► MA provides information on progress in the ► One indicator per priority in form of the total amount ► Annual Implementation Report (AIR), beginning of eligible expenditure for the reports submitted in 2017 Output indicators ► Annual review meeting for all OPs convened ► Selected by Member States from among the ► every year from 2016 until 2023 indicators already chosen for the programme Monitoring committee reviews implementation of ► Result indicators ► the OP and progress towards achieving its Key implementation steps ► objectives Used to set a milestone when no measurable ► Two formal reviews scheduled for 2019 and the ► output is expected by the end of 2018 closure of the programming period Page 12
Performance reserve 6% of the allocation for successful priorities Steps towards successful achievement of Areas for improvement Performance reserve performance reserve The number of output indicators selected for a priority ► Total amount of the performance reserve allocated by ESI ► should be as low as possible – increases in their number Fund and category of region shall be 6% raises the risk of failing the milestone set Constitutes between 5 and 7% of the allocation to each ► priority within a programme Appropriate ex-ante assessment of each programme ► Corresponding amounts shall be set out in the OPs broken should address the suitability of milestones and targets ► down by priority and, where appropriate, by ESI Fund and selected. The assessment should analyze: by category of region Relevance of the milestones ► Will be allocated to OPs and priorities which have ► Whether the milestones are realistically achievable ► achieved their milestones Ensure that are not unrealistically low or high ► The key question is: “What should be achieved by the end Performance review ► of 2018?” Carried out in 2019 on the basis of the information and the ► assessment presented in the annual implementation report Monitoring committee may also make observations to ► (AIR) the MAs regarding implementation and should then EC adopts a decision to determine for each MS and ESI monitor actions taken as a result of its observations to ► Fund, the OPs and priorities which have attained their ensure achievement of the milestones milestones and will get the performance reserve MS should not fail to submit information on progress ► Where priorities have not achieved their milestones, ► against the milestones in the AIR as the reserve will not be the MS shall propose the reallocation of the allocated for the priorities or programmes not supported by corresponding amount to “successful” priorities progress report Useful sources: Guidance fiche: Performance Framework Review and Reserve in 2014-2020; Version 3 – 19 July 2013 available at http://ec.europa.eu/fisheries/reform/emff/guidance- performance-framework-review_en.pdf Page 13
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