Health systems and EU law and policy
The state of the art and direction of travel

Conference - 28 January 2016 - NIHDI, Brussels










Dr Natasha AZZOPARDI-MUSCAT -MD, MSc (Public Health), MSc(Health Services Management), FFPH (UK), DLSHTM (Lond.)- qualified as a medical doctor in 1995. She studied public health in Malta and in London. Between 2001 and 2013 she held various senior positions in the Ministry of Health in Malta including that of Chief Medical Officer. 
She presently works as a consultant in public health medicine at the Directorate for Health Information and Research in Malta and is a member of the health team coordinating the Maltese Presidency of the Council of the European Union in 2017. 
Dr Azzopardi-Muscat is a lecturer on health systems and health policy at the University of Malta. Her main research interest is Europeanisation of health systems with a particular focus on small Member States. She has been involved in public health advocacy for many years. She is President-Elect of the European Public Health Association (EUPHA) and a Past President of the Malta Association of Public Health Medicine. 


Rita BAETEN, master of social sciences, is a senior policy analyst at the OSE. Her research activities focus on the impact of European integration on national healthcare systems and on their social character. Her research topics include themes such as EU economic governance and health systems; patient mobility in the EU; healthcare services in the internal market; and EU-level co-operation in the field of healthcare. She is work leader for the OSE contribution to EU research projects such as ECAB (2010-2013) and “Europe for patients" (2004-2007). Both projects address cross border care and are financed by the European Commission under its Framework Programmes for Research.
Rita Baeten advises the Belgian federal authorities on EU policy developments with a potential impact on healthcare in Belgium. She also coordinated the scientific preparation and follow-up of several international and ministerial conferences on these topics.

Pedro Pita BARROS is Professor of Economics at Universidade Nova de Lisboa where he teaches health economics and industrial organization. He is also a research fellow at the Centre for Economic Policy Research (London). Currently, he is Vice-Rector of Universidade Nova de Lisboa, member of the European Commission’s “Expert panel on effective ways of investing in health” and President of the European Association of Health Economics (EuHEA).
He has served as Member of the Board of the Portuguese Energy Regulator (2005/2006) and on the Governmental Commission for the Financial Sustainability of the National Health Service (2006/2007). Pedro Pita Barros was also President of the Portuguese Association for Health Economics, and serves on editorial boards of several academic journals in the field of Health Economics. He consults for private and public entities, in Portugal and internationally, in the areas of health economics, competition policy and economic regulation.

Sarada DAS is the Senior EU Policy Advisor to the Standing Committee of European Doctors (CPME) which represents national medical associations across Europe. CPME is committed to contributing the medical profession’s point of view to EU and European policy-making through pro-active cooperation on a wide range of health and healthcare related issues.
Ms Das has been working for CPME since 2009 and assists the CPME membership in its policy and project activities relating to professional practice and public health. CPME’s activities on professional practice include policies on the Professional Qualifications Directive, the medical workforce, as well as patients’ equitable access to the healthcare system. 
Ms Das holds a B.A. in European Studies and an LL.M. in European Law from the University of Maastricht. 
Johan DE COCK has obtained a master of law and a master of criminology from the Catholic University of Louvain, where he started his professional experience as a research assistant on the Institute of Social Security of the Faculty of Law (1977-1983). He continued his career by joining the Center for political, economical and social studies where he was researcher and political advisor. From the mid eighties until the beginning of the nineties he worked as a deputy director and counselor of social affairs in the office of the Belgian Prime Minister (1985-1993). Later on he filled the position of deputy general administrator of the National Social Security Office (1993-1995). 

Since 1995, he is General Administrator of the Belgian National Institute for Health and Disability Insurance.


Boriana GORANOVA is working as a Policy officer at the European Commission, DG EMPL, unit Modernisation of Social Protection Systems. Previously she has been involved in work on Health information at DG SANCO. She has an educational background in Business Administration and Health Economics and professional experience in the private sector.


         Professional background
2007- General Secretary of the National Alliance of Christian Mutualities (ANMC) 
1995-2006 National Secretary of the National Alliance of Christian Mutualities 
1988-1994 Director of the Research and Development Department of ANMC 
1988-1995 Consultant of the Minister of Health of the Brussels’Region 
1981-1988 Consultant and thereafter deputy principal private secretary of the Minister of Social Affairs. Member of various consulting commissions of the NIHDI and of the Ministery of Health. 
1989-2008 Professor in Health Economics at the Public Health School, UCL 
1986-1992 Assistant lecturer at the “Centrum voor Ziekenhuiswetenschappen, KUL
         Education background
1977-1979 Post-Master in Public Policy Studies, University of Michigan, Ann Arbor 
1973-1977 Master in Economic Sciences, Université Catholique de Louvain


Tamara K HERVEY, LLB, PhD, FAcSS, is Jean Monnet ad personam Professor of European Union Law at the University of Sheffield, UK. She researches, teaches, and writes in European Union social and constitutional law, in particular its application in health fields; on equality law; on interfaces between biosciences and (European) law; on social rights; on legal pedagogy; and on global health law. With Prof Jean McHale, she is author of European Union Health Law: Themes and Implications (CUP 2015), and Health Law and the European Union (CUP 2004).


Dr Hans KLUGE is a Belgian trained medical doctor holding a Diploma degree in public health. Previously based in the WHO Country Office in Myanmar and the WHO Director-General’s Special Representative Office in Russia, he has a wealth of country and management experience spanning several WHO Regions with a background in health systems, public health and infectious diseases, including in Somalia, Liberia, Myanmar, Russia, Siberia (prisons), Central Asia and Caucasus. Dr Kluge moved to the WHO Regional Office in Copenhagen in 2009 when he was recruited to the position of Unit Head, Country Policies and Systems and has since worked as the Regional Director’s Special Representative to Combat M/XDR-TB in the European Region. In 2010, he became the Director, Division of Health Systems and Public Health. He received the Award from the Russian government for his efforts in combating TB and TB/HIV in the Russian penitentiary system. He is Associate Editor, International Journal of Integrated Care and published in the field of TB and MDR-TB, health systems and public health (including on the impact of the economic crisis on health and health system performance in Europe).


Meri KOIVUSALO is senior researcher in National Institute for Health and Welfare. Her original background is in medicine and public health. She has published books and articles in the field of international health policy, European health policy, and trade and health. She has worked as expert for Finnish government, European Commission, WHO, United Nations and a number of nongovernmental organisations.


Réka KOVÁCS graduated at the Budapest University of Economics as an economist and master of international relations and also at the Pázmány Péter Catholic University as a jurist. She has been working since her first graduation as a civil servant – currently for the Deputy State Secretariat of International and EU Affairs in the Ministry of Human Capacities of Hungary, as a senior advisor. She has extensive experience with different aspects of EU health and social policy, with special focus on EU legal framework relating to the free movement of persons. She has been actively participating in different working parties and committees of the European Commission and the Council, including also chairing responsibilities of the Working Party on Social Questions during the Hungarian Presidency in 2011. She has also considerable experience in EU health workforce policies, including the preparation of the Hungarian Presidency’s agenda in this matter. She has been taking part – in the team of the Semmelweis University – in the work of the Joint Action on European Health Workforce Planning and Forecasting since 2013.


Balázs LENGYEL has a doctor’s degree in jurisprudence and works as a Legal officer at the European Commission, DG SANTE, unit Healthcare Systems. His task is to contribute to the health aims of DG SANTE through contributing to policy development on health, in particular in relation to the implementation of the Directive on patients' rights in cross-border healthcare. Earlier, he worked as a seconded national expert for the Commission on European health workforce issues including migration of health professionals and recognition of their qualification. Before the Commission he worked as a civil servant at a compulsory health insurer for 20 years including 10 years as a head of unit and he was responsible for the EU legislation on free movement of persons in particular with the implementation of the regulation on coordination of social security schemes.


Kate LING works for the NHS Confederation, the body which represents Health Service organisations in England, at their European Office in Brussels. She engages with the European institutions on legislation and policy which affects the health sector, in particular workforce issues. Current hot topics include working time and work/life balance, recognition of professional qualifications, health and safety, workforce supply, and impact of trade agreements. Kate is active in European social partner organisations representing public sector and health sector employers at European level, negotiating with European associations of trade unions. Kate formerly worked in England for the Department of Health on transposition and implemention of European legislation on professional mobility. She has worked across a wide spectrum of policy areas including regulation of health professions, implementation of the Working Time Directive in the health service, pay and conditions of service for doctors, occupational health and equalities.

Dorte Sindbjerg MARTINSEN is Professor (MSO) at University of Copenhagen, Department of Political Science. Her research focuses on EU welfare policies, investigating integration, national implementation of and compliance with EU social policies, including health care. It looks into the inter-institutional dynamics of European integration with a particular focus on the dynamics between the Court of Justice of the European Union and EU legislative politics. Her work has appeared in journals such as Comparative Political Studies, Public Administration, American Review of Public Administration, Journal of European Public Policy, Journal of Common Market Studies, West European Politics and European Union Politics. In October 2015, Martinsen published her book An Ever More Powerful Court? The Political Constraints of Legal Integration in the European Union with Oxford University Press (the series Oxford Studies in European Law). The book compares political responses to the legal integration of the Court of Justice of the European Union (CJEU) within the social policy area - theoretically and empirically. Web site

Tom MONKS Department of Health, Ireland
I am an official in the Irish Department (Ministry) of Health with responsibility for policy relating to general eligibility for health services, EU Regulation 883/2004 and the EU Patients’ Rights (Cross-Border Healthcare) Directive. As part of my duties I dealt with the transposition of the Patients’ Rights Directive and currently deal with policy matters relating to its ongoing implementation. Before my appointment to this area I had responsibility for the drafting of new legislation for the pharmacy profession and the supervision of the Irish pharmacy regulator. I was also a board member of the Irish Centre for Continuous Pharmacy Education. Before the Department of Health I spent 18 years in the Irish Department of Finance, mainly on the economic analysis and modelling side of this Ministry. I have a post graduate qualification in Policy Analysis from the Institute of Public Administration/National University of Ireland.


Martin MYANT is a senior researcher and head of the research unit on European Economic, Employment and Social Policy at the European Trade Union Institute in Brussels. He was until 2013 Professor of Economics at the University of the West of Scotland (UK). He researched economic and political development and recent history of east-central Europe over many years with a primary focus on the Czech Republic. His more recent publications include The Rise and Fall of Czech Capitalism: Economic Development in the Czech Republic Since 1989, Cheltenham: Edward Elgar, 2003 and Transition Economies: Political Economy in Russia, Eastern Europe, and Central Asia (with Jan Drahokoupil), Wiley-Blackwell, 2011. More recently his research and publications have focused on EU economic policies in general with an emphasis on policies towards labour markets, plans for boosting investment and international trade negotiations.


Willy PALM is the Dissemination Development Officer of the European Observatory on Health Systems and Policies. He is responsible for coordinating the Observatory’s various knowledge sharing mechanisms, including the organisation and facilitation of policy dialogues, engaging with policy-makers in European countries on various health systems related issues.
As a lawyer specialized in European social security law, he has been working mainly in the field of statutory health insurance and has been more specifically looking at the impact of EU integration on health systems. Before joining the Observatory in April 2006, he was the Managing Director of the International Association of Mutual benefit societies (AIM).


Fernando PERREAU de PINNINCK, Head of Unit, Directorate General for Trade, European Commission.
Born in Barcelona in1962, he graduated in Law in Spain and in European Law at the Institute for European Studies in Brussels. Since he joined the Commission in 1987, he has had the following positions:
1987-1992, International Affairs Unit of the Directorate General for Financial Institutions and Company Law.
1993-94: Internal Coordination Unit of the Secretariat General.
1995-96: member of the Cabinet of Vice-President Sir Leon Brittan.
1997-1998: Head of the Services Unit, DG Trade.
1998-2005: Head of the Textiles Negotiations Unit, DG Trade
2004-2006: Head of the Export Policies Unit, DG Trade.
2007-2011: Head of the "Industrial Tariff and Non-Tariff Negotiations”; and 2012-2015: Head of the “Tariff and Non-Tariff Negotiations, Rules of Origin" Unit, DG Trade. In the TTIP negotiations, he has been the coordinator of the negotiations on regulatory issues, area in which he will still work until February 2016.
2014-15: Acting Director for WTO, Legal Affairs and Trade in Goods.
From January 2016: Head of the Unit responsible for Intellectual Property and Public Procurement in DG Trade


Christoph SCHWIERZ, Dr. rer. pol. (PhD Economics), is a policy analyst at the Directorate General for Economic and Financial Affairs in the European Commission. He studied economics in Berlin, Lausanne and Oslo and earned a health economics at University of Bochum. Schwierz is specializing in the financial sustainability of public finances and health systems. He has published in Health Economics and other peer-reviewed journals.


Laurčne SOUCHET is currently Policy Adviser at the European Patients’ forum (EPF), which she joined in January 2011. EPF is a not-for-profit, independent umbrella organisation of patients’ organisations in the EU, with 64 member organisations. Its mission is to to ensure that the patients’ community drives policies and programmes that affect patients’ lives, to bring changes empowering them to be equal citizens in the EU. Laurčne Souchet, holds a Master’s Degree in European Affairs from the Institute of Political Studies of Lille. Her current areas of work include equity of access to healthcare and policies to tackle discrimination encountered by patients in healthcare, education, and employment.


Franz TERWEY, a German national and a doctor of law (social law), born in 1951, is living and working in Brussels since 1993. He is the director of the European Representation of the German National Federations of statutory Social Insurance (health, accidents at work and occupational diseases, long-term care and pensions).
In addition he is the president of the transnational association EUROPEAN SOCIAL INSURANCE PLATFORM (ESIP) in Brussels which represents over 40 national social security organisations in many EU Member States and Switzerland with responsibilities for health, pensions, unemployment benefits, accidents at work and occupational diseases and family benefits that cover the vast majority of citizens in the respective countries.


Bart VANHERCKE is Director at the OSE and therefore in charge of the broad research strategy, the internal organization of the team, managing the budget, and overseeing the OSE communication strategy. He was appointed as Policy Fellow at the Institute for the Study of Labour (IZA Berlin) in November 2015. Bart Vanhercke was appointed, for the academic year 2013-2014, Associate Professor at the Institute for European Studies of the Saint-Louis University (FUSL, Brussels). He finalized a PhD at the University of Amsterdam, which he will be defending in 2016. His current research focuses on the social dimension of the new European economic governance, a topic on which he also works as associate academic staff at the Centre for Sociological Research (CESO), the University of Leuven. Earlier research dealt with the Europeanization of domestic social policies through different EU policy instruments and the social challenges of EMU and EU enlargement.


Matthias WISMAR
I am the Senior Health Policy Analyst of the European Observatory on Health Systems and Policies. In this capacity I work as a knowledge broker supporting evidence informed policy making for health and health systems.
As a knowledge broker I help to build bridges between science and policy making. To this end I work closely with leading scientists and policy makers developing relevant studies and dissemination formats such a policy dialogues, policy seminars and evidence briefings. 
By education I am a political scientist. I studied in Germany (Goethe-University Frankfurt) and the United Kingdom (Southampton University, Oxford Nuffield College).
I have a particular interest in health workforce issues including, health professional mobility, workforce planning and human resources for health observatories at the moment we are preparing a study entitled ‘patients, peers professionals: skill-mix innovation in primary and chronic care settings’.