Over the years, Active Citizenship Network has been increasing its commitment to promotion and protection of citizens' right in cross border healthcare through the following activities:
Look at some examples of hundred initiatives all around Europe. The European Patients’ Rights Day has become a fixed appointment in to improve patients’ rights in Europe and in each Member State!
On 20 June 2017 Active Citizenship Network (ACN) participated as speakers at the International Conference “Patients’ Rights in Europe and Cyprus” of the European Project Patients’ Voice. The project, implemented by the Universal Patient Rights Association (UPRA) and Active Citizenship Network, aims to promote and advocate patients’ rights in Northern Cyprus and has produced a framework and shared a Manifesto on Patients’ Rights to increase the quality in healthcare. Read more
In the context of the Societal Impact of Pain Symposium (SIP) 2017, held in Malta on the 7-8-9 of June 2017, ACN has been involved as cooperation partner.
The scientific framework of the SIP platform is under the responsibility of the European Pain Federation EFIC®. Co-operation partners for SIP 2017 are Pain Alliance Europe and Active Citizenship Network. The SIP 2017 symposium is co-hosted by the Malta Health Network, partner of ACN and the No Pain Foundation.
European & National Medicines Regulatory Systems:
challenges for an equitable, timely and suitable access to innovation
10th May 2017, 10:00 – 14:00
European Economic and Social Committee - Room VMA1
rue Van Maerlant 2, 1040 Brussels
09:30 Arrival and registration
Please allow time (up to ½ hour) for security check and registration before the meeting starts
The first civic Hub-incubator of best practices against pain across Europe
The challenge of chronic pain: from the European agenda into the European culture
Chronic pain was part of the list of priorities of the EU during the Italian Presidency, during the second part of 2014. Accordingly, and for the first time, the issue on pain was brought to the attention of all EU health ministers. For all those who have worked for this important result it was certainly gratifying, but there is not an insignificant challenge ahead: to reduce the impact of chronic pain in Europe by ensuring that the right to avoid unnecessary suffering and pain (11th Right in the EU Charter of Patient Rights) is guaranteed everywhere and to everyone.
At present, unfortunately, the situation is not as well as the survey carried out in 18 countries by Active Citizenship Network and Pain Alliance Europe has highlighted, with serious repercussions not only from the social point of view but also from the economic one. Therefore, it is time to join forces and work as a team.
On 23-24th May 2016 during the symposium meeting of the SIP-Societal Impact of Pain in Brussels, the constituency on pain took important steps concerning the impact of chronic pain on individuals’ life. A set of eight fundamental policy recommendations resulted from this collaboration among associations of chronic pain patients, healthcare practitioners, researchers, scientists and other stakeholders involved in pain care. Hereafter the key recommendations directed at the institutions of the European Union and national governments:
- Implementation of article 8.5 of the Cross-border Healthcare Directive
- Establish a EU platform on the societal impact of pain
- Integrate chronic pain within EU policies on chronic diseases
- Ensure that pain care is a part of policies and strategies on cancer
- Initiate policies addressing the impact of pain on employment
- Implement workplace adjustments for people with chronic pain
- Increase investment in pain research
- Prioritise pain within education for health care professionals, patients and the general public
These eight policy recommendations represented an important starting point in the development of a better European policy addressing chronic pain management, and we appreciate the decision to add pain to its agenda made by the Innovative Medicines Initiative (IMI) on December 2016.
However, it is still necessary to take concrete action against unnecessary pain. These eight policies cannot work only as recommendations, they need to be reinforced and implemented concretely among states.
We are aware that European Union works at different levels and we need not only to identify priorities and recommendations, or get the commitment of the Institutions, but we also need to promote concrete activities, involving all the stakeholders interested to play an active role.
For this reason, our commitment could be that of transferring what we have achieved from the European agenda into the European culture: that is, to raise awareness, fight stigma, improve quality of life for people suffering from acute and severe chronic pain, reduce the socio-economic impact of chronic pain in Europe by ensuring that the right to avoid unnecessary suffering is guaranteed everywhere and to everyone.
With the same aim, and - in general - to contribute to make the invisible visible on chronic pain, Sine Dolore and Active Citizenship Network have promoted the “Pain Euro-Mediterranean Coalition”. This idea was launched last June 2016 during the event realised at the EU Parliament “Pain therapy and the degree of patient’s pain in the age of cross-border healthcare”, and it received the support of the MEPs Interest Group “European Patients' Rights and Cross-border Healthcare”.
Geographical impact: focus on the EU-Mediterranean area
Some countries within the Mediterranean area are already significantly committed and involved in the fight against unnecessary suffering and pain.
The following facts in particular testify that the Mediterranean area is the place and is leading important change on chronic pain:
- During the informal meeting of European health ministries, held on 22-23 September 2014 in Milan, Ministries from 28 EU member states reached a common position on the need of building a European network ensuring training of health professionals and of exchanging information on the effectiveness of therapies for the weakest population group.
- In France and Italy, for example, citizens have access and specific rights related to pain on the basis of an existing national legislation, which was in place prior to the Cross-border Healthcare Directive (2011/24/EU) referring to pain (article 8.5).
- Other Mediterranean EU Countries, that is Italy – again – in 2014 and Malta in 2017, have decided to work to put in the EU political agenda the topic of pain during their semester of Presidency of the Council of the European Union.
- Portugal, with a National Pain Control Program in Public Health System since 2001, updated in 2008, and a National Day since 1999, has included in the national political agenda the topic of pain.
- A Mediterranean Multidisciplinary Pain Forum has been arranged for 12 years now in Spain, and it is led by professionals and patient organizations to join efforts on the topic.
- “Sine Dolore Word Park”, realised in Minorca, is the first and only worldwide event ready to involve all the society on the issue on pain.
In order to exploit this geographical impact on chronic pain management, the idea behind this coalition is to join the forces among the countries within the Mediterranean area.
In response to the slogan of SIP 2016 “Time for Action”, there is the willing from Active Citizenship Network and Sine Dolore to collaborate for the development of concrete efforts against unnecessary pain. This Coalition aims to be:
- An open multi-stakeholder platform mainly addressed to the constituency dealing with pain relief at local and national level across Europe rather than to EU umbrella organisations;
- The missing piece necessary to integrate the scientific research on pain with the “civic information” approach on the topic;
- The agora of operators of good practices on pain, encouraging the exchange of experiences among health professionals, healthcare providers, Institutions, civic associations and Patient Advocacy Groups (PAGs);
- A bridge on pain built in the Mediterranean area but intended to overcome EU borders and reach non-EU countries as well;
- The fusion of experiences coming from pain and patients’ rights constituencies;
- Facilitator for advocacy and policy actions on chronic pain at local, national and European level.
Thus, the diversity of members within the Coalition will strengthen collaborations among all the relevant stakeholders. At the same time, the different perspectives shared will enrich European and national experiences, expertise, data and benchmarking on chronic pain.
What the “Pain Euro-Mediterranean Coalition” is not
What the “Pain Euro-Mediterranean Coalition” is not: it is neither a new association nor an EU umbrella organisation.
The institutional support is provided by the MEPs Interest Group “European Patients’ Rights & Cross-border Healthcare”.
The scientific support is provided by the European Multidisciplinary Network in Pain, Research and Education (Efhre International University).
Constituency (ongoing activity)
The first enthusiastic actors who have decided to join the Coalition (but applications for membership are still open) are:
Spain, 4 May 2017, see the interview
About the promoters
Sine Pain Association is a non-profit organisation, whose main purpose is to inform and advise patients who suffer from chronic pain. Sine Dolore encourages and promotes research on pain syndromes and we help to improve the treatment of patients with acute and chronic pain, which brings together basic scientists, physicians and other health professionals from different disciplines and areas of common interest in pain research and the treatment.
For further information: http://sinedolore.org/
Asociación Sine Dolore
C/ Dr. Camps n.32,
07703 Mahón, Illes Baleares (Spain)
Gemma Fernández, Presidenta Asociación Sine Dolore
Active Citizenship Network (ACN) is one of the most widespread and flexible European networks, composed by more than 100 civic, patients and users organizations. Established in 2001, it is coordinated by Cittadinanzattiva, the Italian non-profit organization founded in 1978, independent from any political affiliation, trade unions, private companies and public institutions. The main objectives of ACN are the promotion of civic activism & participation in the political arena, as well as the protection of citizens’ rights, which are both the strength and the uniqueness of ACN.
For further information: http://www.activecitizenship.net/
To know more the engagement of Cittadinanzattiva in the fight against useless pain, at national and EU level: http://activecitizenship.net/patients-rights/projects/83-the-engagement-of-cittadinanzattiva-in-the-fight-against-useless-pain.html
Cittadinanzattiva Onlus/Active Citizenship Network
via Cereate, 6
Tel: (+39) 06.36.71.81
Fax: (+39) 06.36.71.83.33
Representative office to the EU:
Rue Philippe Le Bon, 46
1000 Brussels - Belgium
Tel. (+39) 3408465097
Mariano Votta, Director Active Citizenship Network
Active Citizenship Network celebrated the 11th European Patients’ Rights Day with a multi-stakeholder conference, held on the 10 May 2017 in Brussels.
The aim of the convention was to discuss, inform and suggest new approaches to the existing European and national medicines regulatory systems, for better management of access to innovation. Indeed, the access to innovative therapies strongly contributes to define the quality of life of patients and the quality of healthcare services provided, respecting the fundamental values recognised by the European Charter of Patients’ Rights. The event was an occasion to inform, discuss and take commitments to improve the respect of patients’ rights and their involvement in the policy-making and regulatory processes at national and European level.
1 March 2017, 10:30 - 12:30 AM
Room ASP 7H1 - European Parliament, Brussels
10:00 – 10:30 Registration & Accreditation
Meeting point: Altiero Spinelli (ASP) entrance from Place du Luxembourg
Chair: Lucie Robson – Senior Editor HealthManagement.org
10:30 – 10:50 Welcome address and keynote presentation
- MEP David Borrelli (Italy) EFDD Group – Co-founder of the MEPs Interest Group “European Patients' Rights and Cross-Border Healthcare”
- Mariano Votta – Director of Active Citizenship Network
10:50 – 11:20 Towards a collaborative approach amongst NCPs, ERNs and patient organizations: exploring benefits and challenges of a joint cooperation
- Enrique Terol – European Commission - Cross-Border Healthcare & eHealth Unit
- Catherine Donohoe – Irish National Contact Point
- Simona Coroi, Andreea Gărăiacu – Romanian National Contact Point
11:20 – 11:30 First assessment of the European communication campaign “Patients’ rights have no borders”
- Sonia Belfiore – Project Manager European Affairs, Active Citizenship Network
11:30 – 12:20 Experiences & perspective concerning collaborations in cross-border healthcare. Proposals on how to cooperate efficiently with the other relevant stakeholders
- Zsuzsa Almasi – Romanian National Alliance for Rare Diseases (RONARD)
- François Houÿez – Treatment Information and Access Director EURORDIS
- Ilaria Giannico – Secretary General UEHP (European Union of Private Hospitals)
- Magdalena Rutkowska – President of Medical Travel Partner
12:20 – 12:30 Debate & closing remarks
On 7-10 November 2016, a Cypriot delegation of 10 people was hosted in Rome by Active Citizenship Network for a study visit in the framework of the EU project “Patients’ Voice”. The trip was meant to give them a practical insight on protection of patients’ rights, advocacy techniques and strategies and policy building. The 4-day visit included classes and meetings with several representatives of Italian associations with an expertise in the health field. The tours in local hospitals and exchange of views with health professionals and medical directors were also of great interest and appreciated.
- TOWARDS HIGHER PATIENT SAFETY IN EUROPEAN HOSPITALS. Innovation in hygiene and sanification to reduce healthcare associated infections and antimicrobial resistance
- Polart Circle
- The Engagement of Cittadinanzattiva on Vaccination
- Improving patients’ rights in the age of the Cross Border Healthcare Directive
- Dialogue between Medicines for Europe and Active Citizenship Network
- Improving patients’ rights in the age of the Cross Border Healthcare Directive
- Value Added Medicine Dialogue
- From Citizen Involvement to Policy Impact (U-Impact)
- Active Citizens in Europe advocate for vaccination - Training Seminar
- Active for Young Professionals
- Active Citizens in Europe advocate for vaccination - Program
- Joint Citizen Action for a Stronger, Citizen-Friendly Union (JoiEU)
- Therapeutic adherence: value the impact for patients and healthcare system (PROGRAMME)
- European Charter of Active Citizenship
- Therapeutic adherence: value the impact for patients and healthcare system (BIO)
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