Social Europe Recent health policy developments Kasia Jurczak and Boriana Goranova Social Protection Unit DG Employment, Social Affairs and Inclusion 1 Eurostat Public Health Taskforce 16 December 2014

Social Europe Presentation outline 1)Health in the European Semester 2)Work of the Social Protection Committee (SPC) and its Indicators Sub-Group (ISG) 3)Policy priorities for data development 2

Social Europe Health in the European Semester 3

Social Europe Specificities  Coordination of macroeconomic governance  Health care systems in the context of fiscal sustainability and structural reforms  Shared excercise with DG ECFIN and DG SANCO  Complex area: how to compare countries and measure cost-effectiveness of their health systems?  Data limitations

Social Europe Staff Working Documents (2014)  Health outcomes in the SWDs for BG, HR, HU, LT, LV, RO and SK  Public health spending in the SWDs for DE, HR, IE, LV  Accessibility of health care in the SWDs for BG, ES, HU, LV, PL, SK  Healthy life styles in SWDs for MT and SK  Health promotion and disease prevention in the SWD for LV  Cancer screening the SWD for MT. 5

Social Europe 2014 CSRs  In 2014 number of health-related CSRs increased from 11 to 16  All health CSRs issues in 2013 were continued: AT, BG, CZ, DE, ES, FI, FR, MT, PL, RO, SK  New CSRs were issued for 5 countries: HR, IE, LV, PT, SI.  Focus on fiscal sustainability and request to increase cost-effectiveness of their systems. 6

Social Europe Annual Growth Survey 2015  Structural reforms at the MS level:  Modernising social protection systems. Social protection mechanisms should be efficient and adequate at all stages of a person's life. There is a need for simplified and better targeted social policies complemented by affordable quality childcare and education, prevention of early school leaving, training and job assistance, housing support and accessible health care. Healthcare systems need to be reformed to provide quality health care through efficient structures, including eHealth.  Skilled health care workforce 7

Social Europe Annual Growth Survey 2015  Fiscal responsibility Each Member State is assessed individually, taking into account their particular economic situation and national challenges posed by ageing, including in the areas of pension and health care policies, and the public debt level. 8

Social Europe Social Protection Committee 9

Social Europe Social Protection Committee's work on health  Open Method of Co-ordination (OMC)  Peer Review on Health Systems Performance assessment -> call for comparative data collection  Development of JAF Health  Analytical framework for thematic reviews and useful in the context of the European Semester  Expert meeting  Further review of the framework  SPC/ISG Letter in support of health data collection  EU SILC Health module  GALI  Mortality data by SES 10

JAF Health Conceptual Framework

Social Europe Data development needs 12

Social Europe Data development needs  Out of pocket payments  Access – financial burden of healthcare costs  Health and social components of LTC expenditure  Child mortality 1-14 (total)  Potential years of life lost (total, by SES)  Amenable and preventable mortality  Avoidable admissions for asthma, COPD and uncontrolled diabetes  Life expectancy at 65 (educational gap) 13

Social Europe Thank you for your attention