Annexes to COM(2018)818 - Implementation of the third Programme of the Union's action in the field of health in 2015

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agreements, and disseminates the results of actions. It is also responsible for many procurement procedures.

The budget set out in the work plan for the 2015 AWP 6 was EUR 59 750 000, broken down as follows:

·operational expenditure: EUR 54 041 000, corresponding to the third programme for EU action in the field of health (2014-2020) budget line 17 03 01 (‘Encouraging innovation in health, increasing the sustainability of health systems and protecting Union citizens from serious cross-border health threats’);

·administrative expenditure: EUR 1 500 000, corresponding to the support expenditure for the third Programme for EU action in the field of health (2014-2020) budget line 17 01 04 02.

The total operational budget was EUR 55 629 805 and the total administrative budget was EUR 1 551 822, 66. This included EFTA/EEA credits and recovery credits from previous budget years.

In 2015, Chafea executed EUR 47 967 105.24 of the operational budget, while the European Commission’s Directorate-General for Health and Food Safety (DG SANTE) executed EUR 6 810 913.51, covering procurement, direct grants and other measures, amounting to a total of EUR 54 778 018.75.


2. Objectives, priorities and financing mechanisms in 2015

In 2015, the total operational budget was divided among the four specific programme objectives as follows.

1.Health promotion: EUR 15 669 170.92 (29 % of the operational budget in 2015) for promoting health, preventing diseases and fostering supportive environments for healthy lifestyles taking into account the ‘health in all policies’ principle.

2.Health threats: EUR 5 016 028.59 (9 % of the operational budget in 2015) for protecting EU citizens from serious cross-border health threats.

3.Health systems: EUR 25 106 924.35 (46 % of the operational budget in 2015) for contributing to innovative, efficient and sustainable health systems.

4.Better and safer healthcare: EUR 6 127 923.17 (11 % of the operational budget in 2015) for helping EU citizens access better and safer healthcare.

The specific call to ‘support Member States under particular migratory pressure in their response to health related challenges’ was a horizontal action related to Objectives 1 (health promotion) and 2 (health threats). The corresponding amount of EUR 7 234 199.58 (13 % of the operational budget in 2015) was divided evenly between Objective 1 and Objective 2 and resulted to the calculations above.

In addition, horizontal activities (IT, communication) amounted to EUR 2 857 971.72 (5 % of the operational budget in 2015).


Figure 1: Operational budget by third Health Programme objective in 2015


The figure below provides information on the Health Programme credits invested as EU contribution under the different thematic priorities in year 2015.

Figure 2: Operational budget by thematic priority in 2015


The Programme is implemented through a wide range of funding instruments. These are:

·actions co-financed with Member State authorities (joint actions);

·project grants;

·operating grants in support of non-governmental organisations;

·direct agreements with international organisations;

·public procurement;

·other actions, such as the scientific committees, administrative agreements with the Joint Research Centre and grants for Council presidency conferences.

Competitive selection and award procedures were used to select initiatives for funding. However, they are not used for joint actions, direct grant agreements and conferences organised by Council presidencies because in those cases competitive procedures are either not allowed under the specific rules or are not used in practice, for example, due to a monopoly situation.

Administrative credits covered expenditure for studies, meetings of experts, information and publication costs, and technical and administrative assistance for IT systems.

3. Implementation of the operational budget by financing mechanism

Type of financing mechanismImplementation (EUR)
Commitments
Share of mechanism in total implemented budget (commitments)
Calls for proposals:
Project grants14 944 000.0427.3 %
Operating grants5 005 520.009.1 %
Grants for joint actions17 791 725.6032.5 %
Conference grants to the Member States holding the presidency of the EU120 434.900.2 %
Direct grant agreements
Managed by CHAFEA

3 715 000.006.8 %
Managed by DG SANTE120 747.290.2 %
Procurement (service contracts)
Managed by CHAFEA5 890 424.7010.8 %
Managed by DG SANTE5 744 988.8210.5 %
Other actions
Managed by CHAFEA500 000.000.9 %
Managed by DG SANTE945 177.401.7 %
Budget implemented in 201554 778 018.75100 %
Total available budget55 629 805.00
Credits not used 7  
by CHAFEA218 478.65
by DG SANTE633 307.60


4. Beneficiaries

In 2015, more than 200 8  different grant agreements and service contracts were signed with various beneficiaries and service providers, ranging from governmental and non-governmental organisations to academic institutions and private companies. The category ‘other’ includes beneficiaries such as healthcare providers and international organisations. Figure 3 provides an overview of the different groups of beneficiaries.

Figure 3: Types of beneficiaries of the third Health Programme in 2015


OTHER MAIN FEATURES

2015 was the second year of the third Health Programme that was seriously affected by the pressure caused by the unprecedented influx of refugees entering Europe. This situation tested the Programme’s flexibility to quickly adapt to new policy needs, as well as Chafea’s ability to respond accordingly and implement decisions related to the AWP. Chafea launched the related direct grants and call for proposals for projects in record time and was able to sign the selected grant agreements within less than 3 months of the 2015 AWP amendment.

This was helped by simplified administrative procedures introduced in 2014 as well as the participant portal for online submissions and the online evaluation and electronic signature of the grant agreements. Despite the minor hurdles in the system, this reduced the time taken to sign the grants.

The number of participants involved in joint actions continued to be relatively high, as was the case for the second Health Programme and first year of the third Health Programme. In 2015, there were between 10 and 45 partners (beneficiaries) per joint action. This high number was a challenge for the Programme’s overall management and coordination, as all partners had to sign the grant agreement.

Following the recommendations of the ex post evaluation of the second Health Programme 2008-2014 9 and mid-term evaluation of the third Health Programme 10 , Chafea invested significant resources in information and dissemination activities, in close collaboration with DG SANTE and the Health Programme’s network of National Focal Points. It organised several workshops, helped organise major national and international conferences, and organised stand-alone events in collaboration with national authorities in Member States. A more detailed description of the dissemination activities in 2015 is provided in the Commission Staff Working Document accompanying this report.

Building on the processes and tools developed under the third Health Programme, electronic monitoring and reporting has been introduced to save time on both sides. As a result, both the beneficiary and Chafea have become paperless, especially in the case of grants. The CORDA 11 system, implemented by the common support centre of the EU research and innovation programme, centralises the data collected for all co-funded actions managed by Chafea and monitored using H2020 electronic tools. It is the key source of information, providing feedback on whether the Programme’s objectives and priorities have been met and on the types of actions and organisations that have been co-funded.

Further improvements are to be introduced in the coming years, including an improved electronic monitoring and reporting system and better and more targeted dissemination. In addition, efforts will continue to increase the participation of organisations and institutions from countries which, until now, have been under-represented among the beneficiaries.

The identification of key priority areas for each year of the Programme has shown the added value of ensuring continuity between the annual work programmes. It has improved the overall coherence and consistency of the third Health Programme and supported the use of the deliverables and results of previous funding rounds.

(1)

OJ L 86, 21.3.2014, p. 1.

(2)

OJ L 301, 20.11.2007, p. 3.

(3)

  https://ec.europa.eu/health/sites/health/files/programme/docs/wp2015_amendment_en.pdf

(4)

  The call for proposals was launched in October 2015.

(5)

Decision 2004/858/EC of 15 December 2004 (OJ L 369, 16.12.2005, p. 73) amended by Decision 2008/544/EC of 20 June 2008 (OJ L 173, 3.7.2008, p. 27). Since December 2014 Chafea has replaced the Executive Agency for Health and Consumers (EAHC) under Commission Implementing Decision 2014/927/EU

(6)

  Commission Decision C(2015) 3594 of 2 June 2015 (see at: https://ec.europa.eu/health/sites/health/files/programmes/docs/wp2015_en.pdf .

(7)

Pre-accession credits were not yet used, leading to differences between amounts in the award decision and the actual amounts.

(8)

This excludes contracts signed with individual experts e.g. those on the scientific committees.

(9)

COM(2016) 243 final of 10.5.2016.

(10)

COM(2017) 586 final of 11.10.2017.

(11)

CORDA is the Common Research Data Warehouse, i.e. the place of storage of all the information on EU-funded projects and their results. Started as the reference data base for EU funded research, stretching back to 1990, it now includes the actions co-funded by the 3rd health programme which are managed through the H2020 tools.