1. Health ClusterNET: a flexible approach to policy development Professor Jonathan Watson HCN Executive Director Special Professor of Health & Public Policy, University of Nottingham Medical School Board member - European Masters Degree in Sustainable Regional Health Systems, Bilbao Consortium EUROPE'S HEALTH ECONOMIES EXCHANGE

3. HCN action areas LOCAL PROCUREMENT INCLUSIVE EMPLOYMENT AFFORDABLE CAPITAL INVESTMENT INNOVATION MARKETS REGIONAL ECONOMIC STRATEGY PRODUCTIVITY ENTREPRENEURSHIP SKILLED WORKFORCE KNOWLEDGE ECONOMY INFRASTRUCTURE COMMUNITY REGENERATION THE LISBON AGENDA GROWTH COMPETITIVENESS EMPLOYMENT HEALTH DETERMINANTS EDUCATION, JOBS, FRIENDS, FINANCIAL SECURITY, SAFETY, HOUSING GREENSPACE, TRANSPORT, MENTAL HEALTH, DIET, SMOKING, EXERCISE

4. development of new policies 4 Workshops 50 case studies 4 Policy forums 2 Conferences Website 87 pages, 348 documents Bilateral visits Network-wideRegional level Partnerships 4 Policy agendas 119 policy recommendations Regional Policy 4 new polices, 8 reviews Practical action 72 actions and pilot projects MCO ED, NC, IO MCO visits

5. flexible policy agendas Bilbao Agenda: Health sector procurement contributing to regional development Graz Agenda: Health sector capital investment contributing to regional development Pecs Agenda: Health sector employment contributing to regional development Liverpool Agenda: Social and technological health innovations contributing to regional development Common foundations and regional cluster menus new economics foundation, Slovenia, Pais Vasco European Health Property Network, Malapolska, Steiermark OECD LEED Programme Etela Suomi, South Transdanubia CELS/TrusTech/ZAB Berlin-Brrandenburg, North West (CHAMPS)

6. 20/20 vision? STRATEGIC VISION O P E R A T I O N A L P R I O R I T I E S REGIONAL ECONOMIC STRATEGY 5 YRS STRATEGIC PLANNING PARTNERSHIP 10 YRS POLITICAL CYCLE 4-5 YRS HEALTH SECTOR REFORM 18 MTHS SOCIAL ENTERPRISE 12 MTHS SME 48 HRS VALUES ATTITUDES BEHAVIOUR

7. the value of transnational working Strengths Policy area Knowledge themes Range of partners Regional participants Shared leadership Nature of exchange Connections Information Weaknesses Types of partner Regional participants Bureaucracy Relationships Nature of exchange Regional capacity Language

8. bilateral visits and learning outcomes: Basilicata and North East Understanding (before and during the visit): Describe the policy focus (integrating health into the regional sustainability framework) Outline the main processes in developing and using this policy Analysis (during and after visit): Identify all the stakeholders needed to develop the regional sustainability framework Review strengths and weaknesses of management, timetabling, resourcing in implementing this framework Make a case for using/not using this policy Attitude change (before and after the visit): Map the values and priorities of all stakeholders taking part in the visit Negotiate and review agreements between the main stakeholders Performance outcomes (before and after the visit): Capacity to deliver Skills and learning needs of key stakeholders to maximise use of new knowledge Partnership to strengthen intersectoral action

9. outcomes & next steps ERASMUS MUNDAS successful bid from bilbao consortium sept 2008 launch: EUROPEAN MASTERS DEGREE IN SUSTAINABLE REGIONAL HEALTH SYSTEMS VILNIUS, DEUSTO, CORVINUS, VERONA, TAMPERE, UC DUBLIN, GLASGOW CALEDONIAN, (EMK, LUXEMBOURG, KIEV) interreg ivc bids October 2008 cels: healthclusterecodev groundwork: sustainprocure FP7 REGIONS OF KNOWLEDGE BIDS 2008 HTS: HEALTHINNOVATORS.NET PROVIDER REGIONS BENEFICIARY REGIONS BUILDING CAPACITY IN EU12 REGIONS healthclusternet KNOWLEDGE PROGRAMMES KNOWLEDGE LABORATORY LEARNING & DEVELOPMENT KNOWLEDGE HUB FULL MEMBERS (EU15, EU12) ASSOCIATE MEMBERS EUROPEAN NGO MEMBERS SPONSORS Health Investment Maximiser Programme Regional Ministers Policy Roundtable PARTNERSHIP WORK WITH OTHER KEY STAKEHOLDERS DG SANCO funded Co-operation Mechanism