SPAINFRANCEANDORRA TERRITORIAL COOPERATION PROGRAMME 2007 2013 A CROSS

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SPAIN-FRANCE-ANDORRA TERRITORIAL COOPERATION PROGRAMME 2007 -2013 A CROSS BORDER MANAGING AUTHORITY The Pyrenees Working

SPAIN-FRANCE-ANDORRA TERRITORIAL COOPERATION PROGRAMME 2007 -2013 A CROSS BORDER MANAGING AUTHORITY The Pyrenees Working Community Planning together in cross border territorie Meeting of the EGTC Approval Authorities Budapest, 22 nd of february 2013

Introduction

Introduction

SPAIN-FRANCE-ANDORRA TERRITORIAL COOPERATION PROGRAMME 2007 -2013 THE CROSS BORDER HOSPITAL OF CERDANYA The EGTC

SPAIN-FRANCE-ANDORRA TERRITORIAL COOPERATION PROGRAMME 2007 -2013 THE CROSS BORDER HOSPITAL OF CERDANYA The EGTC of the Hospital of Cerdanya Planning together in cross border territorie Meeting of the EGTC Approval Authorities Budapest, 22 nd of february 2013

CERDANYA /CERDAGNE PARIS MONTPELLIER MADRID BARCELONA

CERDANYA /CERDAGNE PARIS MONTPELLIER MADRID BARCELONA

BASIC DATA ABOUT THE TERRITORY OF CERDANYA Territory with common history and culture (Language)

BASIC DATA ABOUT THE TERRITORY OF CERDANYA Territory with common history and culture (Language) 30. 000 inhabitants. Touristic peaks of 150. 000 2 EU members 2 Health Administrations, with different health Systems and health care organizations. Asymmetric competences (Central Government – Regional Government) Asymmetric health care offer : • South: Local Hospital of Puigcerdà: • North: Long care, rehabilitation • Different PHC approach Same health needs for population : • • • Improve access to health care Assure permanent and continuous care Quality and security assurance.

Distance and time to get to the current Hospitals from Puigcerda to Prades ©

Distance and time to get to the current Hospitals from Puigcerda to Prades © 2009 Google Maps. © 2009 Terra. Metrics. © 2009 Tele Atlas. 60 Km. 1 h 15’ Perpignan 105 Km. 2 h 05’ Montpellier 257 Km. 3 h 35’ Toulouse 171 Km. 2 h 15’ Berga 60 Km. 55’ Manresa 99 Km. 1 h 25’ Sabadell 135 Km. 1 h 55’ Barcelona 150 Km. 2 h 15’

1997. Professional Cooperation. 2002. Services of the Puigcerdà hospital for the Cerdanya (Emergencies and

1997. Professional Cooperation. 2002. Services of the Puigcerdà hospital for the Cerdanya (Emergencies and delivery). 2003. Feasibility of Crossborder Common Hospital Cerdanya 2006. Hospital in both health network INSTITUTIONAL CONCEPTION Consortium Bayonne treaty ? 2008 EGTC Works Bid Comanagement and executive board

PROJECT OBJECTIVES 1. To create a common hospital which should be the main axis

PROJECT OBJECTIVES 1. To create a common hospital which should be the main axis of a network of cross border health services regarding the rights and duties of the citizens in the two states 2. To create a cross border organization for the construction and management of a hospital for acute patients which should attend to the needs/services of all the population in Cerdanya and Capcir. 3. To set up an organization based on a sole culture which should integrate the advantages of the two health systems. 4. To guarantee a single and participative Governance. A single management approach too and a single health service’s provision model. 5. A hospital established in a single territory where both health planning systems have been taken into account.

MAIN ISSUES A. Differences regarding tools, rhythms and different administrations policies (local, regional, national,

MAIN ISSUES A. Differences regarding tools, rhythms and different administrations policies (local, regional, national, European). Various administrations different degrees of political decentralization. B. Difficulties to identify the corresponding counterparts. Communication problems between administrations. Coordination difficulties. C. Project with a strong ideological component (European construction) tied to political events. (local, regional, national and European constitutional elections) D. Difficulties in recruiting professionals and in addressing general public directly. Difficulties in responding to expectancy in real time. E. Difficulties to coordinate the actors (local, regional, national) F. Difficulties in solving certain issues: free movement for patients, expenditure reimbursement, quality guarantee, workers professional certification

Legal steps

Legal steps

The EGTC HC organization

The EGTC HC organization

The EGTC HC organization Executive Board (14 members) 6 members from the French part

The EGTC HC organization Executive Board (14 members) 6 members from the French part 4 representatives of the French Republic Government 1 representative of the Regional Health Agency of the Languedoc. Roussillon region 1 representative from the French Social Security Advisory Committee (14 members)

Action Plan

Action Plan

The hospital construction

The hospital construction

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

The cross border hospital implementation plan

THANK YOU VERY MUCH

THANK YOU VERY MUCH