Nordic cooperation 1

Nordic cooperation 1

Nordic cooperation Nordic co-operation is one of the oldest and most comprehensive regional partnerships in the world Based on common history and values. And the will to generate dynamic development The room for Nordic cooperation lies between the national and the global... 2

The Countries Denmark, Norway, Sweden, Finland, Iceland and the autonomous territories: the Faroe Islands, Greenland and Åland Approx. 26 million people 8 time zones 3

The government and the parliaments The Nordic Council the inter-parliamentary forum and cooperation The Nordic Council of Ministers the intergovernmental forum and cooperation 4

The Nordic Council of Ministers Established in 1971 as the organ of intergovernmental cooperation The prime ministers have overall responsibility for the cooperation We act as the Secretariat for this inter-governmental cooperation. Based in Copenhagen 5

The Nordic Council(s) of Ministers Nordic Council of Ministers for Labour (MR-A) Nordic Council of Ministers for Business, Energy & Regional Policy (MR-NER) Council of Ministers for Fisheries and Aquaculture, Agriculture, Food and Forestry (MR-FJLS) Council of Ministers for Gender Equality (MR-JÄM) The Nordic Council of Ministers for Culture (MR-K) Nordic Council of Ministers for Legislative Affairs (MR-LAG) Nordic Council of Ministers for the Environment (MR-M) Nordic Council of Ministers for Health and Social Affairs (MR-S) Nordic Council of Ministers for Education and Research (MR-U) Council of Ministers for Finance (MR-FINANS) 6

The Nordic Council(s) of Ministers Each Council is assisted by a Nordic Council of Ministers Committee for Labour (MR-A) of Senior Nordic Council of Ministers Officials. for Business, These are Energy national & Regional Policy (MR-NER) government officials who are Council of Ministers for charged Fisheries with and preparing Aquaculture, and Agriculture, Food and Forestry (MR-FJLS) following up on issues. Council of Ministers for Gender Equality (MR-JÄM) The Nordic Council of Ministers for Culture (MR-K) Nordic Council of Ministers for Legislative Affairs (MR-LAG) Nordic Council of Ministers for the Environment (MR-M) Nordic Council of Ministers for Health and Social Affairs (MR-S) Nordic Council of Ministers for Education and Research (MR-U) Council of Ministers for Finance (MR-FINANS) 7

The Secretariat Inter-governmental secretariat Liaise with the national senior officials in each ministry Convene, prepare and follow up on Council Meetings and meetings of the senior officials 8

The Secretariat Manage Nordic projects, programs and institutions A small setup, i.e. three full time staff for Health and Social Issues (MR-S). One for Research. Much is done in Nordic work groups, teams, institutions and in each country 9

Two key Institutions NordForsk: Nordic Cooperation on Research (Oslo) Nordic Centre for Welfare and Social Issues (Stockholm) 10

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 11

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 12

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 13

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 14

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 15

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 16

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 17

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 18

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 19

MR-S & MR-U: ongoing work Rare Diagnoses (Rarelink) Highly specialized treatments E-Health Co-operation in Health preparedness Co-operation on welfare technology Research: inequalities in access to health Nordic Trial Alliance Co-operation on register-based research AMR 20

Revitalise our Nordic Co-operation 21

Nordiska ministerrådet 14 konkreta förslag om det framtida hälsosamarbetet i Norden. Bo Könberg 22

1 Antimicrobial Resistance 2 Highly-specialised treatments 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology 9 e-health 10 Psychiatry 11 Health preparedness 12 Pharmaceutical cooperation 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 23

How do we do this? Secretariat and lead country prepare first debate at Ministry level, MR-S Upon Ministry decision, senior officials design further process: Working Groups / Expert Groups Lead Country Institution 24

How do we do this? I do not risk a no We wait until we get a yes This is a five to ten year horizon 25

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised treatments 3 Rare diagnoses 2014 4 Register-based research 5 Public health 6 Inequalities in access to health 7 Patient mobility 9 e-health 10 Psychiatry 11 Health preparedness MR-S decision 12 Pharmaceutical cooperation 2015 Structure and Mandat 13 Exchanges for officials 2016 in place 14 National experts in the EU Commission Structure Nordisk samarbejde 26

1 Antimicrobial Resistance 2 Highly-specialised 2014 treatments 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology MR-S decision 9 e-health 10 Psychiatry 2015 Structure and Mandat 11 Health preparedness 12 Pharmaceutical 2016 cooperation Structure in place 6 Inequalities in access to health 7 Patient mobility 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 27

1 Antimicrobial Resistance 2 Highly-specialised treatments 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology 9 e-health NVC work NHV closes down 10 Psychiatry MR-S 2015 debate 11 Health preparedness 2016 12 Pharmaceutical cooperation New role for NVC? 6 Inequalities in access to health 7 Patient mobility 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 28

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised treatments 2015 3 Rare diagnoses 4 Register-based research 5 Public health 6 Inequalities in access to health 7 Patient mobility 9 e-health NordForsk program 10 Psychiatry MR-S debate NVC? 11 Health preparedness New 2016 role for 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 29

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised 9 e-health treatments 3 Rare diagnoses 4 Register-based research 5 Public health 6 Inequalities in access to health 7 Patient mobility 10 Psychiatry 2013 EU Directive 11 Health MR-S 2017 preparedness debate? 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 30

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised treatments 3 Rare diagnoses 2013 NVC work 4 Register-based research 5 Public health 2016 6 Inequalities in access to health 7 Patient mobility 9 e-health 10 Psychiatry 11 Health preparedness MR-S debate? 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 31

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised 9 e-health treatments 10 Psychiatry 3 Rare diagnoses 11 Health preparedness EK-S work 4 Register-based xx research 5 Public health 2016 6 Inequalities in access to health 7 Patient mobility 12 Pharmaceutical cooperation MR-S debate? 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 32

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised 9 e-health treatments 10 Psychiatry 3 Rare diagnoses 11 Health preparedness 4 Register-based MR-S 2014 research decision 5 Public health 2015 6 Inequalities in access to health 7 Patient mobility 12 Pharmaceutical cooperation Structure and Mandat First Annual Summit 13 Exchanges for officials 2016 Ongoing 14 National experts in the EU Commission Nordisk samarbejde 33

1 Antimicrobial Resistance 8 Welfare technology 5 Public 2014 health MR-S decision 6 Inequalities in access to 15-16 health 7 Patient mobility 2 Highly-specialised 9 e-health treatments 10 Psychiatry 3 Rare diagnoses 11 Health preparedness 4 Register-based research 12 Pharmaceutical cooperation 13 Exchanges for officials Structure and Mandat Formal part of MR-S 14 National experts in the 2017 In place EU Commission Nordisk samarbejde 34

1 Antimicrobial Resistance 8 Welfare technology Iceland and 2015 Norway start 2 Highly-specialised 9 e-health treatments 3 Rare diagnoses 2016 Evaluate? 4 Register-based research 5 Public health 6 Inequalities in access to health 7 Patient mobility 10 Psychiatry 11 Health preparedness 2017 MR-S? 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 35

1 Antimicrobial Resistance 8 Welfare technology MR-S decision 2 Highly-specialised 2014 treatments 2015 3 Rare diagnoses 4 Register-based research 5 Public health 6 Inequalities in access to health 7 Patient mobility 9 e-health 10 Psychiatry Structure in place First exchanges 11 Health preparedness 2016 Evaluate 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 36

1 Antimicrobial Resistance 8 Welfare technology 2 Highly-specialised 9 e-health treatments 10 Psychiatry 2014 MR-S decision 3 Rare diagnoses 4 Register-based research 2015 5 Public health 6 Inequalities in access to health 7 Patient mobility 11 Health preparedness One Health focus Liaise with WHO, FAO etc 12 Pharmaceutical cooperation 2016 Remains 13 Exchanges a focus for officials 14 National experts in the EU Commission Nordisk samarbejde 37

1 Antimicrobial Resistance 2 Highly-specialised xx treatments 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology NordForsk work 9 Recommandations e-health 102016 Psychiatry 11 Health preparedness 2017 12 Pharmaceutical cooperation MR-S debate? Finnish presidency 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 38

A different view? Share information Do things together Pool ressources Act as one region for citizens Install an inter-nordic division of labor 39

1 Antimicrobial Resistance 2 Highly-specialised treatments 3 Rare diagnoses 4 Register-based research Share Information 5 Public health 8 Welfare technology 9 e-health 10 Psychiatry 11 Health preparedness 12 Pharmaceutical cooperation 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 40

1 Antimicrobial Resistance 2 Highly-specialised treatments Do things together 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology 9 e-health 10 Psychiatry 11 Health preparedness 12 Pharmaceutical cooperation 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 41

1 Antimicrobial Resistance 2 Highly-specialised Pool ressources treatments 3 Rare diagnoses 4 Register-based research 5 Public health 8 Welfare technology 9 e-health 10 Psychiatry 11 Health preparedness 12 Pharmaceutical cooperation 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 42

1 Antimicrobial Resistance 8 Welfare technology 5 Public health Act as one region for our citizens 6 Inequalities in access to health 7 Patient mobility 2 Highly-specialised 9 e-health treatments 10 Psychiatry 3 Rare diagnoses 11 Health preparedness 4 Register-based research 12 Pharmaceutical cooperation 13 Exchanges for officials 14 National experts in the EU Commission Nordisk samarbejde 43

1 Antimicrobial Resistance 2 Highly-specialised treatments 3 Rare diagnoses Install an inter-nordic division of labor 4 Register-based research 5 Public health 8 Welfare technology 9 e-health 10 Psychiatry 11 Health preparedness 12 Pharmaceutical cooperation 6 Inequalities in access to 13 Exchanges for officials health 14 National experts in the 7 Patient mobility EU Commission Nordisk samarbejde 44

How to be part of this? Follow the process through MR-S and EK-S Approach: * The Ministers (MR-S) * The Chair Country (2016: Finland) * The Senior Officials in each country (EK-S) * The Working Groups & Experts * The Institutions 45

Nordic cooperation on Health Thank you for your attention Anders Geertsen ange@norden.org 46