EFPC

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• EFPC
• October 2006

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• The first ideas.
• Dutch presidency of the EU in 2004
• The Hague conference Shaping the EU Health
  Community Balancing Health, Social Development
  and Internal Market
• Report Primary Care in Europe by the Dutch
  Health Council, chaired by Professor Andre
  Knottnerus

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• The start.
• Spring 2005 start of the Forum in Brussels by a
  kick-off meeting
• Chairman Prof. Jan de Maeseneer

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• The main objectives
• Bringing together different professional groups
  in PC within Europe and collecting best
  practices
• Lobby towards EU authorities and individual
  European states on behalf of the professional
  groups in order to influence policymaking
• Support for members and European countries in
  choices for implementation of Primary Care systems

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• Advisory Committee
• Started in spring 2005 with 11 members
• Originating from different European countries and
  professional groups
• Formalization of the Forum into an association
  scheduled for early 2007

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• Institutional members
• April 2006 less than 20 mainly originating from
  Belgium, The Netherlands and UK
• Now 70, originating from a large range of
  European countries
• Important institutional members EUPHA, WHO
  Europe, EUSP, Universities, National GP
  associations and nursing associations

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• Finances
• Membership fees
• NIZW (The Netherlands)
• NHS Alliance (UK)
• Dutch Min of Public Health, Welfare Sport
• RIZIV (Belgium)
• Other European Governments ??

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• Activities of the Forum The website
• Database with documents related to Primary Care
  and its sub themes
• Agenda and announcements of tenders
• Country information
• Discussion platform

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• Activities of the Forum The newsflash
• Started at the beginning of June
• Soon the seventh newsflash will be send around
• Articles do not have to be necessary highly
  scientific e.g. promising implementation
  projects are also worthwhile to present
• Articles and announcements (or suggestions for
  these) preferably presented by Forum members

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• Activities of the Forum Multi-country Study
  Visits
• A Study Visit to Primary Care services in the
  Netherlands, Belgium and the UK will be developed
  and offered at the EFPC web-site for members but
  also groups of non-members (e.g. governmental
  bodies)

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• Activities of the Forum Position Papers
• Started at the beginning of July
• Financed by the Dutch Min of Public Health,
  Welfare and Sport
• Three topics
• Diabetes, coordinated by the University of Ghent
• Self Care, coordinated by the NHS Alliance, UK
• Mental Health, coordinated by the NIZW, Utrecht

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• Activities of the Forum Position Papers,
  continued
• First drafts have been send around
• Feedback from whole Europe is needed
• Different sessions for discussion are planned
• Finalization in December

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• Position Paper on Mental Health, main chapters
• Introduction
• The issue
• Best and bad practices
• Remaining research questions
• Recommendations for policy development

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• Position Paper on Mental Health, some priority
  questions
• Question 1
• What is the demand for the health care system if
  mental problems should not only be tackled by
  care or medical treatment?

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• Position Paper on Mental Health
• Question 2
• How to improve detection of mental health
  problems in primary care
• the gatekeeper function of the PC should be
  defined and operationalized with important issues
  like screening and mark down for further care or
  treatment.
• Which professions should be involved within this
  gate keeping?

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• Position Paper on Mental Health
• Question 3
• How should a financial system within Primary
  Mental Health care be organised and how should it
  be adapted to future changes in demands for care?

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• Website www.euprimarycare.org
• Tel [phone]

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• Statement 1
• Collaborative groups for Mental Health problems
  are good examples of other approaches within
  Primary Care towards clients with Mental Health
  problems which do not lead towards further
  medicalization of the client

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• Statement 2
• The different professional groups working in PC
  have to be trained in multidisciplinary working
  principles, ideally in a cooperative initiative
  of teaching institutes

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• Statement 3
• The payment systems used within the different
  European countries are the main guiding principle
  for treatment / care pathways of clients with
  Mental Health problems