March 2022  
We are being severely hit by a second crisis of major proportions that is shaking up the whole world and is taking place on Europe's doorstep. After a viral pandemic which is still active and for which European private hospitals are fulfilling their role at every stage of prevention, care and follow-up, particularly for " long " forms of COVID-19, the current war in Ukraine is challenging our existing balance.
Two key points deserve our attention. The first is the importance of our interdependencies. Globalisation, which is the result of the liberalisation of trade and initiatives, requires us to have mutual trust through a mechanism of shared balance. We see that we must strengthen our resilience through diversified partnerships. The second is, inversely, the immense effect of solidarity that emerges in response to the major challenge that is the human respect in the face of violent conflicts. Any unbalance, whatever its cause, has global consequences.
Our European society is reacting with dignity to protect the refugees who are fleeing the conflicts and their horror. We would like to bear witness to the involvement of our friends in private hospitals in Poland, Romania, and Moldavia in caring for these fragile populations, without any expectation of support. Out of simple humanity, out of simple generosity. We are only their voice as they are so discreet but so effective on the ground. The merit is theirs. As for UEHP, it has interceded with all the professionals concerned at the European Commission to offer its services in full cooperation with the Member States.
Our social Europe, a beacon of shared democracy, must enable us to explore all possible diplomatic avenues while seeking, to the best of our ability as actors of civil society, to welcome those we can protect.
Dr Paul Garassus
President of UEHP
E-conference “Europe and Health, the challenge of attractiveness”, 16 March 2022
"Europe and health, the challenge of attractiveness": this was the theme of a conference organised on March 16 by the French Federation of Private Hospitals (FHP) and the European Union of Private Hospitals (UEHP). This event, held under the banner of the French Presidency of the European Union (FPEU), brought together numerous health stakeholders, elected representatives, and experts, who shared their expertise and convictions on three key topics: Career attractiveness in the healthcare sector, the attractiveness of health care establishments, and the attractiveness of the Europe of health.
The French Minister for Health welcomed the initiative and the choice of the subject, which is perfectly in line with the priorities of the PFUE. For Olivier Véran, health requires "enhanced cooperation between Member States" and "a genuine inter-sectoral approach" to improve the health of the citizens of the European Union. It is also a question of tackling together the digital, climate and demographic challenges to increase the Union's growth and thus guarantee the preservation of our solidarity model.
The first topic highlighted the importance of training health professionals, in a context of shortage of these professionals, particularly paramedics, a problem that is widely felt across the different European countries. Paul de Raeve, Secretary General of the European Federation of Nurses (EFN), Hans Martens, expert in European policies, and Jean-Yves Blay, President of the Unicancer Federation, presented their visions, which often converged, to reinforce career attractiveness in the healthcare sector but also to better anticipate the professions and profiles of tomorrow.
Attractiveness also of the health establishments that employ these professionals. Three speakers described key aspects of this attractiveness: through a renewed and rethought management for Paolo Silvano, senior advisor at ELSAN; through a determined commitment to social, societal, and environmental responsibility for Olivier Toma, founder of the Primum Non Nocere agency. Cécile Lambert, Deputy Director General for Healthcare Services, Ministry of Health, presented the "European Hospital" label project, open to all, showing the importance of developing a Europe of Health based on better quality of care for all.
The third roundtable brought together Véronique Trillet-Lenoir MEP, Gabriele Pelissero, Professor of Public Health, Katharina Nebel, President of the German Federation of Private Hospitals, and Marc Bourquin, Strategic Adviser to the French Hospital Federation (FHF), to discuss a major question: how health can make people want to be part of Europe, through closer cooperation between European countries and between health actors on major public health issues. Just as Europe was able to respond to the health crisis through the pooled purchase of vaccines, issues such as cancer, rare diseases, mental health, prevention, and health sovereignty can give rise to a genuine European dynamic.
Stanislas Niox-Château, CEO of Doctolib, called for the Europe of health to become an operational reality, in order to be collectively stronger. In conclusion, Françoise Grossetête, former Member of the European Parliament and advisor to the Robert Schuman Foundation, emphasised the extent to which health had become essential in the European project, between industrial and digital sovereignty, public-private partnerships to accelerate innovation, and major health challenges. She called for a great ambition to make the Europe of health a reality and closer to both caregivers and patients.
For Lamine Gharbi, President of the FHP, "In these troubled times, European and healthcare values must be promoted more than ever. I am pleased that we have been able to contribute, alongside the UEHP, to the French Presidency of the European Union, and thus to bring out concrete paths to build all together - elected representatives, patients, administrations, public and private actors... - the Europe of Health”
"Recent events have reinforced our commitment to a more united and concrete Europe of health. Our common ambition is quality of care and innovation, within a social Europe which remains, in its diversity, a socioeconomic model of international reference. To achieve this goal, it is in our interest to share our experiences and resources, and to develop common solutions, when necessary," concluded Paul Garassus, President of the UEHP.
The European Union of Private Hospitals (UEHP) brings together the federations of the private hospital sector at the European level, representing over 4500 hospitals.
The French Federation of Private Hospitals (FHP) regroups 1030 private hospitals and clinics which care for 9 million patients every year.
Heath Policy Platform to regulate the flow of Ukrainian patients

A new video conference was held on Wednesday 23 March by the European Commission to outline its actions for Ukrainian refugees in need of care. The objective was to optimise the flow of patients (transfer flow) from the EU borders for countries bordering Ukraine, i.e. Poland, Slovakia, Hungary and Romania, to which Moldova must be added.
A shared evaluation must be carried out with the "National Evacuation Teams" which will manage the distribution of patients in the Member States. The known infectious risks, in particular contagiousness in the case of tuberculosis for example, must be determined from the outset. Chronic pathological situations, in particular psychiatric illnesses in children, must also be identified in order to ensure targeted care.
The Commission recalls that its role is to facilitate transfers, since it is the Member States that decide on the necessary medical coverage, in terms of means and costs. The costs of medical transfers are covered up to 75% by a specific envelope paid for by the Commission itself. This is true from the external border of Europe, internal transfers between Member States being at their own expense.
There is still a lack of a comprehensive information system that identifies the host hospitals and registers all transfers of persons. In contact with the Ukrainian Ministry of Health, the latter is waiting for a precise report on the places of care and the nature of the care provided. This transfer coordination list must therefore be set up. All these health efforts benefit from a "temporary protection directive" from the Commission.
Many practical questions have been asked, but the broad guidelines for coordinating the transfer and reception of Ukrainian patients in need of urgent care within the European Union are in place. These rapid decisions are to be commended as they allow for coordinated solutions between Member States to provide much needed emergency care in acute critical situations.
European Association of Hospital Pharmacists Congress 2022
Invited to Vienna by the European Association of Hospital Pharmacists (EAHP) for their 26th Annual Congress, I was particularly interested in the working session on “the waste reducing hospital pharmacy. Let’s get started!” I was pleased to find specialists as engaged as we are to develop a strategy dedicated to “green hospitals” based on concrete actions. The target is clearly within our own teams and activities, focused on reducing waste, toxic gas emissions, and unnecessary transfers. We will certainly keep in touch with EAHP and hopefully develop partnerships on our shared interests and common goals.
In this major event, EAHP demonstrated its global implication in the healthcare sector. I would like to quote Pr. Dr. Thomas De Rijdt, author of the EAHP publication, which really emphasizes the way pharmacists are embracing new challenges: “Sky-high prices for new therapies, the risk for counterfeit medication, the strive for the lowest acquisition cost and the pandemic of shortages are more than challenging our teams. The shortening length of stay, hospital at home projects and remote-pharmacy services enter new parameters into the equation. Last but not least, the requirement, from a patient safety perspective, to trace everything into the patient redraws the pharmaceutical process. Also here, automation, digitization and expertise are part of the solution.”
Within our shared professional perspectives and to reinforce collaborative processes, we must look at relevant analysis able to impulse more efficient solutions, protecting the patient, and the environment.
By Dr Paul Garassus, President of UEHP
Request for an opinion: Facing the Impact of Post-COVID-19 condition on Health Systems
The European Commission has just given the Expert panel on effective ways of investing in health the mandate to draw an opinion on the Impact of Post-COVID-19 condition on Health Systems.
The opinion from the Expert Panel should be based on a review of the latest available evidence, including relevant projects funded by the Horizon 2020 and Horizon Europe Framework programmes.
The recommendations should be operational, and provide a solid basis for the development of support actions to improve the quality and accessibility of care services for post-COVID-19 condition patients.
Questions for the Expert Panel
The Expert Panel is requested to provide a concise document with analysis and recommendations on the following points:
  1. Make an overview of current state-of-the art on what post-COVID-19 condition is, its probable causes and symptoms, using the available literature to date, including the work carried out by the ECDC in this area.
  2. Provide an analysis of the main knowledge, organizational and resource requirements for healthcare systems to design and develop appropriate health services for post COVID-19 condition.
  3. Provide guidance on how public health surveillance should be adapted to measure the impact of post-COVID-19 condition on the population.
  • Start of the work: February 2022
  • Finalization in October 2022
UEHP in the media
Private clinics provide emergency care for refugees
Ukraine's large neighbouring countries that are receiving the many arriving refugees are part of the European Union of Private Hospitals. Free treatment, emergency accommodation, logistical support. Private clinics are getting organised to provide concrete help to those fleeing Ukraine.
Interview with Dr. Paul Garassus, UEHP President
Neurologist and President of the European Union of Private Hospitals (UEHP)
Ukraine: European private hospitals mobilise
  • Private hospitals in Poland are providing rooms to refugees.
  • Private clinics are also giving support in Moldova, Romania, Slovakia and Hungary.
  • Logistics is still the biggest hurdle. Transport routes are not safe and aid deliveries cannot be optimally tracked.
Dr Garassus, how is the EUHP supporting the people of Ukraine?
Ukraine's large neighbouring countries that are receiving the many refugees are part of the EUHP. We are coordinating the efforts of private institutions in Poland, Romania and Moldova. More than two million people have fled to these three countries in a fortnight. Fortunately, there has been a huge wave of support, including from many private hospitals that are getting involved quite concretely.
The influx of refugees is massive in Poland. Emergency accommodation is the priority. Private clinics in Poland are providing their rooms, beds and blankets to set up and equip temporary reception centres. The Ukrainian and Polish people share a close bond, their languages are similar. They are united by a common painful past. Solidarity is therefore all the greater.
In Moldova, hospitals near the border have opened their doors to refugees. There, they receive free treatment around the clock. I know of similar initiatives in Romania, Slovakia and Hungary.
What challenges are you facing on the ground?
Logistics is the biggest problem in the field. The equipment intended for Ukraine, especially medical supplies, has to be stored and transported. In Poland, there are now warehouses. We have local contacts who send us a daily list of items in need, so we know where to send them.
The real difficulty comes then. How to get all the material to Ukrainian territory and especially to the frontline areas? As yet, there are hardly any channels and thus no convoys. Smaller packages are entrusted to people on their way into Ukraine, but it is hard to say what really arrives.
We use two ways to adapt our aid to the needs in the field. One is that we raise funds to finance the transport of aid. Paradoxically, the need for money for transport is now greater than the need for equipment itself. The Austrian Association of Private Hospitals, one of the twelve member associations of UEHP, set a good example and made an immediate donation of EUR 30,000. Others followed suit.
The second is that we are in touch with the main European institutions, be it the European Union or the International Committee of the Red Cross. These bodies are coordinating to take advantage of the humanitarian corridors that are finally opening up. UEHP is putting itself at their disposal.
Read the interview in English, French or German
The Medpark group in the front line
By Olga Schiopu, General Director of Medpark, Moldova
Moldova, a country of 4 million people bordering Ukraine, has seen a large influx of refugees since the conflict began. This is a difficult time for our small country and we have major security concerns.
The private clinic Medpark, which I run, launched a humanitarian initiative on 25 February offering free 24/7 medical services for all refugees, including acute and outpatient care. Doctors have volunteered to participate in this project and Medpark is covering all costs related to treatments. I am very proud of my teams and the excellent work they do on a voluntary basis.
We did not expect to have such a high number of admissions to the emergency room. Our average patient flow almost doubled with the refugees in early March. It is now tending to stabilise. We have had 300 admissions in the last month, 15 to 20 a day. We have delivered 3 babies and performed 5 emergency surgeries. We will of course continue to offer our services, but we hope that the flow will not increase even more because our own resources are not infinite.
Other private institutions have also joined the initiative, but the heaviest burden falls on Medpark, as we operate 24/7.
It's a real war. One night we admitted the first war wounded to the emergency room, two Euronews journalists who were injured in an explosion near Kiev on 25 February, both Danish citizens. The refugees who arrive are traumatised, the children seem to be very affected by the events, they have children's eyes with adult looks, it is very difficult to see, very emotional. We pray and hope that the war will end soon.
Nelly Visneac, patient: “I express my deepest gratitude to Medpark Hospital and to all medical staff, who helped me give birth safely, in extraordinary conditions. I did not expect such a warm welcome and attitude. I felt enormous support, everyone's support! Now, we just want peace the most! May we all stay healthy and safe.”
To follow our actions:

Urgent support needed
The Federation of Polish Private Hospitals (OSSP) coordinates the medical needs of hospitals in Ukraine. A call center has been opened to collect orders from Ukrainian hospitals. Purchase and transport are then organized.
OSSP urgently needs financial and material support to further provide help to hospitals in Ukraine.
Contact: Dr Anna Leszczyszyn | ljerzyna@gmail com
tel. +48 661 300 262 | http://www.szpitale.org/

5 private clinics send 3.5 tons of medical goods
5 private health establishments in Cambo-les-Bains in the south west of France (Basque Country) have sent more than 3.5 tons of medicines, emergency equipment and medical devices to Ukraine. In conjunction with the Ukrainian Embassy in France and its operational arm, the establishments first listed the immediate needs of the hospitals, clinics and emergency resources on site before gathering 3.5 tons of medicines (analgesics, anaesthetics, morphine, etc.) and equipment (defibrillators, electrocardiograms, oxygen masks, first aid kits, emergency kits, dressings, etc.). This chain of solidarity is the result of a collaboration and a sharing of experience between five establishments in the private sector of Cambo-les-Bains, the clinics Landouzy, Toki Eder, Annie-Enia, Korian Marienia and Les Terrasses. A second shipment is already scheduled in a fortnight.
Nicolas Bridoux (Director of the Landouzy Clinic, coordinator of the operation): "We are health professionals and we want to help our colleagues present in the field in Ukraine, as close as possible to the civilian population. We are in contact with the Ukrainian Embassy in France, which sent us a list of needs 10 days ago: we contacted our suppliers and the laboratories with which we work on a daily basis in our respective fields of activity, and very quickly, thanks to the mobilisation of our teams, our pharmacists and our technical staff, we were able to set up this operation. Four full pallets left thanks to a local carrier who, in the current context, enabled us to transport them immediately and at a lower cost. This material has been sent to Ukraine, as the needs there are urgent. A second shipment is already scheduled. The Basque Country is a land of welcome but also a land where solidarity, mutual aid and sharing are real values that we fully share on this occasion.
Dmytro Atamanyuk (Pharmacist and President of the France-Ukraine Medical Charity Association): "From a medical point of view, the emergency on site is absolute. Supplies have been disrupted and healthcare teams are short of everything. We are dealing with war medicine, and we need everything that can help us build first aid kits and evacuate the wounded. I would like to thank the establishments in Cambo-Les-Bains for having mobilised so quickly. The material has been sent immediately to the border between Ukraine and Poland, and then Ukrainian transporters, some of them risking their lives, supplied the health establishments.”
Article released by FHP (French Federation of Private Hospitals)

Ramsay Health supports Ukraine
Donations of medical devices from the Jouvenet Clinic (Paris) have arrived in Cherkassy (Ukraine)
For several weeks now, the war raging in Ukraine, on Europe's doorstep, has been hitting the population very hard. The Ramsay Health group and its employees are mobilising.
The Ramsay Health group and its employees are responding to the appeal of humanitarian associations to support the population.
Many of our establishments have spontaneously mobilised in several French regions but also in Sweden where we are present. The collections are multiplying (medicines, hygiene products, equipment, donations for associations...). Based on the needs communicated by the humanitarian associations, our Pharmacy and Purchasing departments, in direct contact with the establishments, have identified the necessary products and equipment. The products are delivered via the Regional Health Agencies of the regions in which our hospitals and clinics are located, so that they can meet a real need, be used quickly, and not be a burden on the recipient countries. At the same time, the Group's head office organises the shipment of 14 pallets of equipment (medical devices and protective equipment). They are made available to the Operational Centre for Regulation and Response to Health and Social Emergencies - CORRUSS (managed by the Ministry of Health).
Free health care
Ukrainian refugees and French nationals repatriated from Ukraine or Russia benefit from free health care in our establishments through the universal health protection scheme (PMU) and supplementary health insurance, which are granted to them immediately upon their arrival in France.
More and more associations working with the population remaining in Ukraine or with refugees are directing donations towards financial support. In addition to the material aid that we provide and to accompany this approach, our Capio subsidiary in Sweden is donating one million kronor (96.500 euros) to the Médecins Sans Frontières association, of which it has been a partner for many years.

AMEOS donates aid package worth 500.000 euros
To support the medical care of the population in Ukraine, the AMEOS Group is providing an aid package worth 500.000 euros.
The aid package contains, among other things, medical equipment, surgical instruments, medicines, bandages and a variety of medical supplies that will be delivered directly to Ukrainian hospitals to support the care of the people in the war zone.
"The war in Ukraine, the suffering of the people and the destruction of the country shake us deeply. As a large healthcare provider in the German-speaking region, it is natural for us to support the medical care of the people in the crisis area and to send a signal of solidarity. This includes not only the relief supplies, but also the availability of treatment capacities for the medical care of war victims in our hospitals," comments Dr Axel Paeger, CEO and Chairman of the Board of the AMEOS Group.
The urgently needed relief supplies were put together in cooperation with various aid organisations according to the needs reports from Ukrainian hospitals. The aid packages reached the border to Ukraine within 48 hours.
In addition, the AMEOS Group has reported available treatment capacities for war wounded in the regions to the responsible state ministries and is holding these capacities in readiness.
Article released by BDPK (German Federation of Private Hospitals)

Bavarian hospitals mobilise for Ukraine
The board of the Association of Private Hospitals in Bavaria e.V. (VPKA) has informed its approximately 170 acute and rehabilitation hospitals in Bavaria about the possibilities for providing rapid humanitarian aid to Ukraine. The association is helping to coordinate offers of help.
"Our member facilities, whether acute or rehabilitation clinics, can provide very effective help to the affected people through their expertise and by donating medical supplies," Stefan Scharl, 2nd Chairman of the VPKA Bavaria, is convinced. "Some of the hospitals have already initiated help, and there is definitely great interest among many others. For us as an association, it is important in this situation to inform our members specifically about their possibilities for quick, efficient support for those suffering in this war."
For this reason, the association has now sent its members a list of Ukraine-specific internet addresses of the German and Bavarian Hospital Associations and the Bavarian Ministry of the Interior. The respective websites provide information on concrete aid possibilities and contact points.
"Especially medical donations in kind such as medicines, bandage materials or medical and technical equipment for Ukrainian hospitals or for refugee facilities in the neighbouring states are now of central importance for the people in the affected areas," says Dr Ann-Kristin Stenger.
The VPKA e. V. itself is now accepting offers of assistance from its member institutions, such as the provision of living space for Ukrainian refugees or their medical care. The VPKA office collects and coordinates the offers and requests and establishes contact with the Bavarian State Ministry of Health and Care and/or, if necessary, the Bavarian Ministry of the Interior.
VPKA press release from 14 March 2022

Rudolfinerhaus, a sustainable and state-of-the art private hospital
Austria's most renowned private hospital combines the highest medical standards with the most modern architecture and building technology. Built between 1882 and 1905, the Rudolfinerhaus private hospital has been extended and converted several times in its long history.
In order to make the Rudolfinerhaus the most modern private hospital in Austria, the "Rudolfinerhaus 2020" project was launched: a green building behind a historic façade.
With an amount in the double-digit millions and without public funding, the project consisting of several extensive stages was completed in 2020. In 2016, the first stage of construction was the completion of an underground car park with over 200 spaces on three levels, 7 electric charging stations and barrier-free access to the main building.
As of November 2017, the general renovation of the buildings was carried out with a switch to exclusively renewable energy sources. This resulted in a state-of-the-art "Green Building" 100% independent from fossil fuels. The central element was the construction of five new care units by adding 2 storeys to the central building, the new construction of the Wilczek pavilion and the nursing campus as well as the construction of a spacious and barrier-free main entrance area. One of the decisive objectives was to carry out the extensive construction work between 2018 and 2020 without interrupting hospital operations. This goal was largely achieved.
A multi-stage project
  • 2017 - Static-constructive examination of the existing building, preliminary study of the electrical and cooling systems
  • 2018-2019 - Extension of the Billroth Pavilion using modular construction methods
  • 2018-2019 - Improvement of the forecourt and main entrance
  • 2019-2020 - Connection of the main plant room to the district cooling delivery station
  • 2019-2020 - Extension of the Wilczek pavilion using conventional construction methods
  • 2019-2020 - Construction of the new campus Rudolfinerhaus
  • 2020 - Modernisation of the hall/restaurant/cafeteria
  • 2020 - Improvement of the park
No interruption of hospital operations and full preservation of bed capacity
The ambitious timetable and the high complexity of the overall project required extensive coordination between the various interfaces of the sub-projects and the departments of the private hospital, in order to keep the impact on hospital operations as low as possible. For example, the structural reinforcement of the surgery unit was completed within an intense 14-day period. By increasing the number of patient beds in the Billroth pavilion during the Wilczek construction phase, we maintained maximum bed capacity for the entire duration of the project. Both the transport of patients and the prescribed passable escape routes could be secured by alternating operation of the lift systems. Additionally, a provisional escape stairway was erected as a stair tower in the park during some phases of construction.
After relocating all patients and reinforcing the structure of the existing building by means of jet grouting and injections in the masonry, two storeys were added to the Billroth ward, using the modular construction method. The modules with a high degree of prefabrication were assembled with the help of a mobile heavy-duty crane.
Sustainable energy supply
The cooling supply of the Rudolfinerhaus was converted from a system with decentralised chillers and heat exchangers to a modern, efficient and climate-friendly district cooling supply provided by the City of Vienna. The entire conversion of the area was carried out in such a way that the cooling of the most important medical facilities (MR unit, angiography, surgery units) could be maintained during the entire conversion phase. This required the adaptation of all provisional building services systems during the various construction phases. By these innovative and wide-ranging measures, Rudolfinerhaus today is independent from fossil fuels and received various sustainability awards.
New construction of the nursing faculty in the attic
The Wilczek pavilion was demolished up to the central wall on the park side and rebuilt in conventional construction with two additional floors. The new building of the Rudolfinerhaus campus is located in the attic of the Wilczek pavilion. The renowned educational institution for health and nursing training is equipped with modern study rooms, its own skills lab and a daylight-flooded library for nursing and care.
Modern, barrier-free, luxurious
The upgrading of the forecourt enabled the creation of a generous and barrier-free access to the private hospital. The access to the underground car park was equipped with a wide-span canopy and the entrance area and foyer were modernised.
In October 2020, following the expansion and modernization of the Billroth and Wilczek pavilions, five new wards with a total of 80 modern and well-designed single-bed rooms for patients with high standards were put into operation. The patient-friendly rooms have barrier-free bathrooms, individually adjustable air conditioning and enhanced sound insulation. Rooms facing south have park-side loggias or sunny terraces.
In the interior design, great importance was attached to building biology criteria: nutwood furniture, soothing colours and modern, functional design create a cosy atmosphere.
The redesign into one of the most modern and beautiful private clinics in Austria was carried out in the historic building while it was still in operation and required the highest standards of safety and functionality.

CSR as a lever for the attractiveness of private hospitals
UEHP-FHP e-conference 16 March 2022

Rethinking the hospital management
Paolo Silvano, Senior Advisor, ELSAN group
The workload of healthcare workers is extremely variable and uneven. On a daily basis, and this is even more true since the Covid crisis, they have to constantly adapt their working hours, or even work more. We need increasingly responsible and flexible staff, even though the rate of absenteeism in hospitals is increasing. To achieve this, it is essential that all staff, especially those who are closest to the patients, feel fully valued, motivated and enthusiastic about the work they do every day. This is the management challenge we face today.
Taking care of the people who take care
The best way to achieve this is to work on team leadership, in each department, each operating theatre, etc. Managers need to be attentive, empathetic and able to bring the teams they are responsible for on board. Elsan has set up a training programme for a thousand team managers, which consists of a precise analysis of their strong and weak points. Personalised work on soft skills is then carried out, so that these managers can motivate, guide a team, create cohesion and harmony, and interface with each other... This learning process is not part of the typical curriculum of a nurse. Elsan wants its local managers to be the human and empathetic face of the company with regard to caregivers and the people who ultimately make the hospital work.
The second issue is professional training because the care professions are changing: digitalisation, ambulatory care, etc. This implies different types of care and work organisation. And obviously, there is a need to teach our employees, our staff, not only new techniques, but also polyvalence, because each employee, especially the carers, must be able to deal with more and more different pathologies in the course of their day.
CSR, a formidable lever of attractiveness
Olivier Toma, advocacy Officer at C2DS (Committee for sustainable development in healthcare) and Founder of Primum Non Nocere
From the point of view of the attractiveness of health care institutions, under the perspective of CSR, what are the major challenges to be addressed at European level? And which stakeholders should be involved as a priority?
Three priority objectives affect all European institutions. The first is the decarbonisation of our health system. Today, we have a system that is 90% based on fossil fuel consumption, with very significant direct and indirect impacts. So, the first objective is to reduce the carbon footprint of our services. Many establishments are succeeding, those that started 10 years ago have already reached the 2030 objectives. Those who have not started will have to reduce their impact by 40% by 2030.
Second element: De-pollution of the health sector and the health system, particularly through our purchases. We produce a lot of environmental impacts that have consequences for human health, the environment and for biodiversity. Today, thanks to a responsible purchasing policy, we know how to reduce or even eliminate this pollution. We know how to reduce the exposure to endocrine disruptors, nanoparticles, electromagnetic fields and chemical risks. We need a national, or even European, campaign and major support from the ministries on these subjects, so that we can spread good practices and disseminate them widely.
The third objective is to reduce imported deforestation, because the result is the destruction of ecosystems of animals carrying more than 5,000 viruses, i.e. zoonoses and pandemics. Today we are talking about the One Health concept, which combines human and veterinary medicine.
Who should be targeted?
There are four priority targets, all of which are important: hospital managers, employees (including doctors and anaesthetists), patients, suppliers, subcontractors and manufacturers.
Many hospital managers have not taken the measure of these challenges and have not yet understood that CSR is a lever for profitability, sustainability, efficiency and attractiveness. Attractiveness in terms of recruiting staff, as the new generations will only want to work in committed establishments, and attractiveness for patients, particularly in maternity wards. Doctors and anaesthetists are committed to reducing waste and implementing decarbonisation strategies, particularly with regard to anaesthetic gases. Finally, committed suppliers who innovate and reduce their impact on the environment and biodiversity are the ones who will win market share.
A European hospital label
Cécile Lambert, assistant to the director of the Directorate-General for Healthcare (DGOS)
The health crisis and the discussions under the French Presidency of the European Union have given rise to the idea of a new cooperation instrument, which could take the form of a European hospital label.
The idea of this label was born out of the experience of the health crisis, a human context and an enormous challenge in terms of prevention and care, solidarity between European countries, sharing of knowledge of the emerging disease and feedback. The pooling of resources of health professionals and equipment was a factor of resistance and response to the crisis. We believe that this operation can and should be strengthened and that the creation of long-term partnerships between institutions involved in a European network will strengthen the response of EU countries in the event of a health crisis.
We are in discussion with all the ministries to define the contours of this label.

23 June, Lisbon
European Private Hospitals Awards

24 June, Lisbon
UEHP Council Meeting