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8 th Meeting

13, 14, 15 June 2005Oulu – Finland

Marinus Verweij, MDChairman EuHPN

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1. Brussels - October 2000

2. Florence - June 2001

3. Dublin - March 2002

4. The Hague - October 2002

5. Oslo - June 2003

6. Lisbon - March 2004

7. Edinburgh – November 2004

8. Oulu – June 2005

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Participants - 27 countries

England, Scotland, Wales, Northern Ireland, Ireland, Netherlands, Italy, Portugal, Austria, Germany, Finland, Sweden, Denmark, Norway, Belgium, France, Luxembourg, European Investment Bank, Greece, Malta, Czech Republic, Slovakia, Switzerland, Slovenia, Hungary, Latvia and Australia.

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12 Paying Members

• Paying members: England, Scotland, Wales, Northern Ireland, Ireland, Netherlands, Italy, Finland, Sweden, Norway, EIB, Malta.

• Membership needs to increase: challenge- new EU member countries - countries with federalised structure – new model

in Italy: rotational membership by region

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Position of the EuHPN

• Related to European Governments• Public Arena• Health property is the central issue- health property is the outcome of strategy and

models of care- new health property is often catalyst for change- once built health property has a tremendous

impact on delivery of health care

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European government policy

• The EU - Brussels does not deal with the organisation of healthcare: subsidiarity principle

• All EU governments have strong influence on the provision of hospital/health care

• Governments responsibility sometimes laid down in the constitution (Netherlands)

• Increasing macro-economic constraints: costs of healthcare limited by national and EU budget constraints

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Market-reform & competition• Many EU counties: market-reform and

competition in healthcare• Many governments prefer to opt out of health• Health & education will never be true markets• For-profit hospitals in Europe function within a

government policy framework• Governments remain responsible for the structure

of hospital provision, especially acute & emergency care

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EuHPN vision in progress

• Tremendous potential for exchange of ideas and experience within Europe

• Joint learning through research projects• Open method of coordination (EU) – success of

the peer review methodology• Setting the health property agenda in our countries

and wider within Europe through strategic knowledge base

• Exploring frontier issues

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4 Focus Points

• Models of care, care pathways, strategic asset planning, conceptual innovation

• Design excellence and best practice• Financing health investment in Europe –

PPP/PFI, procurement, life cycle models • Building cost analysis and comparison

Conference themes: IT and innovative technology, ageing, chronic disease, healing environment

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Working Groups

• 4 Focus points correspond with the 4 on-going working groups within the Network

• Working groups have been linked to research projects 2004/2005:

- PPP/PFI → Life cycle costing/life cycle economy – Finance group

- Care pathways – SAP group- Design excellence – Design group- Single rooms & building cost in Europe

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2005 Programme

• Business plan for 2005: membership support and membership development priority

• Strengthening of office capacity• Analysis of current priorities within membership• Collaborative working• Expansion of scope towards new EU membership

countries• Ongoing research projects

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Network structure

• Core paying membership• Participating countries – potential members• Wider network with universities and knowledge

centres:- Durham, UK – Pieter Degeling: SAP - Eindhoven, Netherlands – Bas Molenaar: design - CSTB, France: construction & building technique- Technomedicum, Finland: service delivery &

assets

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The Oulu Agenda

• After the ‘what’ comes the ‘how’• Oulu as the silicon valley of the North: strong

focus on technology• Technology focus: not only for curative

medicine, but also for long term care• Life cycle costing and life cycle economy in

answer to market oriented reform• Translating frontier knowledge into excellence

of design