Mid-term conference of the INTESI Interreg Alpine Space Project - 23rd of February 2017, Delémont (CH)
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Mid-term conference of the INTESI Interreg Alpine Space Project 23rd of February 2017, Delémont (CH)
INTESI mid-term conference 23rd of February 2017 Date and time: 23rd of February 2017, 09.30 am to 15.45pm Languages: German, French, English (simultaneous translation provided) Location: Strate J, Route de Moutier 14, 2800 Delémont Background and aim of the mid-term conference INTESI is an ongoing Interreg Alpine Space Project (2016-2018) – involving 10 partners in 5 countries - with the main aim to assure the delivery of services of general interest (SGI) in the long run via integrated, territorial strategies and policies. The INTESI project builds on the following successive steps: 1) Collection and analysis of all SGI strategies in the entire alpine space relevant for SGI delivery – Work Package T1 (WPT1) 2) Regional profiles of 10 test areas (TAs) will be established in order to assess the status quo of SGI delivery and to detect challenges, needs and potentials in relation to SGI – Work Package T2 (WPT2) 3) A selection of new pilot activities (PA) will be implemented or existing ones supported in order to test strategies in place, and to improve the offer of SGI delivery according to stakeholder needs – Work Package T2 (WPT2) 4) On the basis of the preceding steps, recommendations will be elaborated on how to combine existing sectoral strategies with the integrated territorial SGI strategies – Work Package T3 (WPT3) 5) Via the INTESI think tank, the SGI service providers, authorities and other relevant stakeholders will come together and exchange information on SGI issues. This way, the project results are fed into the implementation level and the political, strategical level – Work Package T4 (WPT4) The mid-term conference on the 23rd of february 2017 aims to present the already achieved results, to give an insight into selected test areas and to launch the INTESI Think Tank. European Regional Development Fund 2
Agenda Time Topic Speaker/responsible 09:30 Registration and welcome coffee STRATE J, Werth SA 10:00 -10:30 Opening and official welcome DR. Maria Lezzi, Director of the federal Office for Spatial Development ARE, Switzerland. Christian Schaller, Director spatial Development Service (SDT), Delémont, Switzerland. 10.30-10.55 Overview on Workpackages, aims of Peter Niederer, Center for mountain INTESI and structure of the conference regions (SAB), Switzerland. 10.55-11.30 Integrated strategies of the SGI Špela Kolarič, University of Ljubliana, provision in the Alpine Space: A trend or Slovenia. a must? 11.30-12.00 Presentation of the regional analysis DR. Christian Hofmann, EURAC Research, and profiles of INTESI test areas Bolzano, Italy. 12:00 – 13.30 Lunch in cafeteria of StrateJ 13.30-14.00 Integration model 1 for SGI : The new Anthony Morin / Arnaud Macquat, cantonal structure plan of the canton Spatial Development Service (SDT), du Jura – an integrative SGI planning Delémont, Switzerland. tool ? 14.00-14.30 Integration model 2 for SGI : Manfred Riedl, Province of the Tyrol, Focus on Tyrolean participation, Department of Statistics and GIS, regional profile of Test area Ausserfern Innsbruck, Austria (main topics), view on pilot action ICT in Barbara Frick, Cemit - Center of mobile care Excellence in Medicine and IT, Innsbruck, Austria. 14.30-15.00 Integration model 3 for SGI : SGI Julie Raux, territorial development scheme for the pilot area Syndicat du CDDRA-CTS, Syndicat du Pays de Pays de Maurienne. Maurienne, France. 15.00-15.30 Think tank on SGI : Feedback on the Thomas Egger, Director of the center for kick-off of the INTESI Think tank to the mountain regions (SAB), Switzerland. plenary. 15.30-15.45 Closure Thomas Egger, Director of the center for mountain regions (SAB), Switzerland. European Regional Development Fund 3
Mid-term Conference INTESI - Strate J - Delémont Dr. Maria Lezzi, Director of the federal Office for Spatial Development ARE, Switzerland Dr. Maria Lezzi welcomes the participants of the INTESI Mid-term Conference in the name of the Federal Office for Spatial Development (ARE) and expresses her thanks to the Canton of Jura for the interest in the transnational project INTESI as well as the SAB and Thomas Egger for being lead partner of the project and the active engagement in the macro regional strategy for the alpine region. The combination of the project INTESI with the political platform of the macro regional strategy is for Switzerland of great value. The big interest in the project shows that the discussion on services of general interest (SGI) is a common concern, even though there are different requirements and regulations in the alpine region. Transnational collaboration is a very important issue today, it enables an international exchange of experiences and best-practice examples. The responsibility in SGI delivery is mostly divided upon different authorities and policy fields. The Swiss spatial development offers different basic principles and instruments to the cantons to strengthen a trans-sectoral coordination and to ensure SGI delivery. The cantonal structure plan for example offers a coordination instrument to identify and to harmonise different special challenges such as mobility, inward urban development or topics like supply and waste removal. The challenges concerning sustainable SGI delivery are big, especially in sparsely populated areas. In this areas a functional SGI delivery is crucial for the potential of an economic development. Because of that, it will be more and more a major request to take SIG delivery up as a long-term political topic and to develop long-term concepts to strengthen SGI delivery. Dr. Maria Lezzi is pleased to open the mid-term conference and is looking forward to exciting presentations of the different alpine regions. She feels confident that we get some new ideas and learn some new tools today to improve our SGI.
Conférence INTESI - Strate J - Delémont - Jeudi 23 Février Mesdames et Messieurs, Au nom du Département de l’environnement et du Service du développement territorial, j’ai le plaisir de vous souhaiter la bienvenue à Delémont, dans ce nouveau campus dédié à la formation tertiaire, pour cette conférence de mi-parcours du projet INTESI. Le Canton du Jura s’est engagé en 2015 dans le projet Interreg au côté du Groupement suisse pour les régions de montagne (SAB) et de huit autres partenaires issus de cinq pays de l’espace alpin. Bien que le canton ne soit pas caractérisé par de hauts sommets et des vallées profondes, ses régions les plus périphériques, à l’instar de nombreuses régions alpines, sont aussi soumises à la diminution de l’offre en services à la population. Pas plus tard que le mois dernier, la presse régionale jurassienne faisait écho d’une étude d’un syndicat relative à la restructuration des offices postaux dans le canton du Jura à l’horizon 2020. Conclusion de cette étude : seulement quatre offices postaux seraient hors de danger de fermeture (deux à Delémont, la capitale cantonale et un dans chacun des deux autres chefs-lieux de district : Porrentruy et Saignelégier). Si La Poste a tenu à considérer ces conclusions comme non fondées, une part d’inquiétude anime toutefois les autorités cantonales et communales face à cette question. La fermeture des offices postaux n’est pas la seule difficulté à laquelle les villages doivent faire face. Depuis plusieurs années, ces derniers ont vécu la fermeture d’une épicerie, d’un cabinet médical ou encore d’une classe d’école. En parallèle ou peut- être en conséquence, ces villages connaissent une déprise démographique. Dans ce contexte, se pose la question suivante : est-ce la perte de population qui entraine la fermeture des commerces locaux et des services à la population ou est-ce le processus inverse ? Il n’existe pas de réponse définitive à cette interrogation. Il s’agit d’un processus complexe trouvant des causes et conséquences différentes selon les régions. Quoi qu’il en soit, il est nécessaire de mettre en place des politiques publiques, des mesures incitatives ou encore des projets concrets afin d’inverser cette tendance. En effet, comme cela a déjà été dit, la majorité des villages jurassiens subit depuis plusieurs années une déprise démographique, conjuguée, pour certains d’entre eux, à un fort vieillissement de la population. En 2014, le Canton du Jura s’est lancé dans la révision de son plan directeur. Il s’agit d’un instrument de planification et de coordination central en matière de développement territorial. Un des principaux objectifs de la révision du plan directeur cantonal, objectif pour le moins ambitieux, est de renforcer la vie sociale et économique des villages pour y maintenir la population. Arnaud Macquat et Anthony
Morin, respectivement Chef de section et urbaniste-aménagiste à la section de l’aménagement du territoire, s’exprimeront tout à l’heure à ce sujet. Pour toutes les raisons évoquées auparavant, le Canton du Jura se réjouit de l’avancée du projet INTESI. Nous attendons avec impatience ses conclusions afin de mettre à disposition des communes jurassiennes des expériences et des outils susceptibles d’améliorer la qualité de l’offre en services à la population. Nous allons maintenant entrer dans le vif du sujet et je laisse ainsi le soin à Peter Niederer, responsable du développement régional au sein du SAB, de vous présenter plus en détail la portée de ce projet. Il me reste à vous souhaiter une excellente journée de conférences et plein de succès dans vos différents projets. Christian Schaller
28.02.2017 INTESI INTEGRATED TERRITORIAL STRATEGIES FOR SERVICES OF GENERAL INTEREST 23 February 2017 • Peter Niederer, SAB, Lead-Partner European Regional Development Fund Intesi – an ambitious project based on previous work PUSEMOR 2005 – 2007 ACCESS 2009 – 2011 Main challenges • SGI need an orientation on clients and their future needs • Proactive approaches and strategies instead of case by case management • SGI need to be adressed in an integrated approach and synergies must be used (multisectoral/multilevel) • Integration needs a territorial approach 1
28.02.2017 European Regional Development Fund The Aims of Intesi The main objective of INTESI is to assure the delivery of SGI in the long run via integrated, territorial strategies and policies. The INTESI project builds on the following successive steps: 1. Collection and analysis of all SGI strategies in the entire alpine space relevant for SGI delivery – Work Package T1 (WPT1) 2. Assess the status quo of SGI delivery and to detect challenges, needs and potentials in relation to SGI – Work Package T2 (WPT2) 3. Implement new pilot activities (PA) – Work Package T2 (WPT2) 4. Elaborate recommendations for integrated territorial SGI strategies – Work Package T3 (WPT3) 5. Establish a permanent think tank on SGI – Work Package T4 (WPT4) European Regional Development Fund The partnership • Schweizerische Arbeitsgemeinschaft für die Berggebiete • Land Tirol – Amt der Tiroler Landesregierung, Sachgebiet Landesstatistik und TIRIS • Land Kärntner – Amt der Kärntner Landesregierung Abteilung 7 Wirtschaft, Tourism, Infrastruktur und Mobilität • Verkehrsverbund Kärntner GmbH • Accademia Europea per la ricerca applicata ed il perfezionamento professionale • Regione Lombardia – Direzione Generale Università, Ricerca e Open Innovation • Auvergne Rhône Alpes – Direction du Tourisme, de la Montagne et des Parcs • ADRETS - Association pour le Développement en Reseau des Territoires et des Services • Univerza v Ljubljani – Biotehniška fakulteta - Oddelek za krajinsko arhitekturo • République et Canton du Jura – Département de l’environnement , Section de l’aménagement du territoire 2
28.02.2017 Thank you for your attention! More information on http://www.alpine- space.eu/projects/INTESI/en/home 3
28.2.2017 Integrated strategies of the SGI provision in the Alpine Space: A trend or a must February 23rd 2017 • Š. Kolarič, N. Marot, B. Černič Mali, N. Florjanc and B. Kostanjšek European Regional Development Fund INTESI/ Integrated strategies/Background Background Services of general interest (SGI) are crucial for the accessibility and connectivity of Alpine areas. • The documents amending the SGI delivery are mainly sectoral, leading to: • isolated solutions, • suboptimal public money spending, • failure to benefit from potential synergies. • The integration of the SGI strategies is therefore necessary, to assure an efficient SGI delivery in Alpine regions. 1
28.2.2017 European Regional Development Fund INTESI/ Integrated strategies/ Definition Definition: Integrated SGI strategy Integrated territorial strategy for SGI = A strategy for the SGI provision based on the 4 main principles: • quality, • availability, • affordability, and • accessibility, which takes into account: • peoples’ actual and future needs in a given territory, • territorial dimension, • and the benefits of the synergies between the different SGI sectors. Most common words used in the definitions at the transnational workshop European Regional Development Fund INTESI/ Integrated strategies/Objectives Objectives • To collect and analyse all the strategies in the entire Alpine Space relevant for the SGI delivery. • To find out if and to what extent is the integration included in the existing documents for the SGI provision in the Alpine Space. • To identify the SGIs’ models of integration (actors, administrative levels, finances, policies) occurring in the existing SGI documents • To reveal the “good practises” of the SGI integration in the participating regions • To identify the problems, gaps, and needs for the SGI integration as the basis for the following WPs (new/renewed strategies, better solutions for the SGI delivery within the AS). 2
28.2.2017 European Regional Development Fund INTESI/ Integrated strategies/ Work methodology Work methodology European Regional Development Fund INTESI/ Output 2.1 Output 2.1: Database of the existing strategies Objectives: • Assemble and present the general and sector specific SGI strategies (macro-regional, national, regional, and intercommunal levels) • Provide the basic data on the strategies • Create the basis for the further work (WPT2, WPT3) A public on-line database on strategies: • created on the projects’ website • 257 SGI documents (Tyrol (AT), Carinthia (AT), South Tyrol (IT), Lombardy (IT), France, Switzerland, and Slovenia) • Important input for the think tank platform • Provides the benchmarking baseline for the stakeholders, relevant for the SGI provision in the Alpine Space: • local / regional / national public authorities, • sectoral agencies, • Infrastructure and (public) services providers 3
28.2.2017 European Regional Development Fund INTESI/ Output 2.1 On-line database On-line database Three levels of view: • Basic list with the files for download • Basic information on the strategies (form A + files) • Detailed information on strategies (form B + files) Search options: • Country • Sector • Type of the document • Integration as a concept • Legally binding 7 European Regional Development Fund INTESI/ Output 2.1 On-line database On-line database Basic profile Detailed profile: • Governance models: • Centralised/decentralised • Public services / Concession / Public-private partnership / Co-operative / Others / Com • Measures • Type of finances: • EU / Federal/national / State/cantonal/provincial / Regional / Local / No sources available. • Source of finance: • private/public • Stakeholders' list: • Federal / national / State/provincial/departmental / Regional / Inter-communal / Local • Stakeholders' comments 8 4
28.2.2017 European Regional Development Fund Output 2.2: Comparison analysis SGI documents in numbers by sectors European Regional Development Fund Comparison analysis SGI documents in numbers by type 5
28.2.2017 European Regional Development Fund Comparison analysis Integration models in numbers by sectors source: database European Regional Development Fund Comparison analysis Integration examples source: regional reports, transnational workshop 6
28.2.2017 European Regional Development Fund Comparison analysis Identified problems source: regional reports, transnational workshop European Regional Development Fund Comparison analysis Identified gaps source: regional reports, transnational workshop 7
28.2.2017 European Regional Development Fund Comparison analysis Need for integration source: regional reports European Regional Development Fund INTESI/ Integrated strategies/ Conclusion Integrated strategies for the SGI provision: A trend or a must? • There are successful examples of the SGI integration models in all the analysed regions. • The “integration concept” is included in the existing strategies. • In the documents a “declarative” integration among the actors, and administrative levels prevails. • The workshop results, interviewees, and regional reports show a lack of cooperation among all the integration models (actors, administrative levels, finances, policies, and other). • There is significantly less integration among sectoral policies, and various services (within or among different sectors). • There is a need for the SGI integration in all of the participating regions. • For the better SGI delivery in the Alpine Space, there are most obvious needs to integrate transport and telecommunication services with all the other sectors, and to better connect the heath and social care sectors. Figure from: http://www.solutionanalytics.com 8
28.2.2017 European Regional Development Fund INTESI/ Integrated strategies/ Conclusion Thank you for your attention! Any questions? Naja Marot Špela Kolarič project lead researcher naja.marot@bf.uni-lj.si, +386 1 320 30 75 spela.kolaric@bf.uni-lj.si, +386 1 320 20 78 Barbara Černič Mali, senior research fellow barbara.cernic@uirs.si, +386 1 420 13 15 Nejc Florjanc Jasna Lukan design and technical assistance finances nejc.florjanc@bf.uni-lj.si, +386 1 320 30 68 jasna.lukan@bf.uni-lj.si, +386 1 320 30 33 9
28.02.2017 Conférence de mi-parcours LE NOUVEAU PLAN DIRECTEUR DU CANTON DU JURA : NOUVEL INSTRUMENT INTEGRATIF POUR LA PLANIFICATION DES SERVICES PUBLICS ? 23 février 2017 • Arnaud Macquat et Anthony Morin European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont Sommaire 1. Le plan directeur cantonal : éléments introductifs 2. L’échelon régional : approche verticale et horizontale 3. Un exemple concret : planification des centres commerciaux 4. Les attentes face au projet INTESI : panel d’expériences et d’outils 1
28.02.2017 European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 1. Le plan directeur cantonal : éléments introductifs • Obligation légale pour chaque canton • Plan directeur du canton du Jura actuellement en révision • Réponse aux nouvelles exigences de la loi sur l’aménagement du territoire (LAT) Source : ASPAN, 2013 European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 1. Le plan directeur cantonal : éléments introductifs • Instrument central en matière de planification et de coordination pour les activités relatives à l’organisation et au développement du territoire • Cadre de référence pour les trois niveaux étatiques • Définition du développement souhaité du territoire cantonal à moyen et à long terme 2
28.02.2017 European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 1. Le plan directeur cantonal : éléments introductifs • Principaux défis de la révision du plan directeur cantonal : • Renforcer la position du canton du Jura • Affirmer l’attractivité des pôles régionaux • Maintenir et accroître la vitalité des villages • Planifier à l’échelle régionale Image directrice, Conception directrice du développement territorial du canton du Jura, 2015 (version pour la consultation publique) European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 2. L’échelon régional : approche verticale et horizontale • Collaboration intercommunale et régionale soutenue et encouragée par le Canton du Jura • Coordination du développement territorial par-delà les frontières communales Plan directeur régional de la Microrégion Haute-Sorne, Schéma directeur, 2014 • Vision transversale au sein d’espaces fonctionnels • Collaboration à géométrie variable selon les thématiques, notamment pour les villages • Deux plans directeurs régionaux dans le canton : Microrégion Haute-Sorne et Agglomération de Delémont Vision du Projet d’agglomération de Delémont (3e génération), 2016 3
28.02.2017 European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 3. Un exemple concret : planification des centres commerciaux • «…cela créé de l’emploi, donc c’est positif…» • Risque d’exode ou de disparition des commerces des villages ou du centre-ville • Rationalisation des déplacements • Recherche d’effets de synergie avec les transports publics et les petits commerçants / commerces spécialisés Zone commerciale de Pontarlier (France) (source : ASPAN, 2016) • Vision stratégique, volonté partagée et attitude solidaire permettant de négocier avec les distributeurs European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 3. Un exemple concret : planification des centres commerciaux • Réflexion depuis plusieurs années à l’échelle régionale au niveau de l’agglomération de Delémont • Orientation des installations commerciales importantes dans la commune centre (Delémont) • Volonté de maintenir une offre de proximité dans le centre des autres localités • Reprise dans une fiche du plan directeur cantonal en visant Migros à Delémont (source : Arches 2000) une localisation dans les pôles urbains et particulièrement dans les périmètres de centre 4
28.02.2017 European Regional Development Fund INTESI / Conférence de mi-parcours / 23 février 2017 - Delémont 4. Les attentes face au projet INTESI : panel d’expériences et d’outils • Objectif du Canton : maintien des commerces et services de proximité dans les régions périphériques • Partage d’un « guide des bonnes pratiques » concernant les expériences de collaborations intercommunales • Mise à disposition d’une « boîte à outils » pour aider les communes et les régions à développer des politiques, notamment en matière de services à la population Merci pour votre attention 5
28.02.2017 Focus on Midterm-Results of Tyrolean Participation Impressions about Regional SGI Strategies Regional Profile of Test Area Außerfern Care of Elderly People in the Tyrol and Test Area View on pilot action: ICT meets Mobile Care Manfred Riedl and Barbara Frick • 23 FEB 2017 • INTESI Midterm-Conference • Delemont CH Regional Strategies of the Tyrol and Regional Profile of Test Area Ausserfern Manfred Riedl, Office of the Tyrolean State Government 1
28.02.2017 1. Administration System of Austria Organizational Variety and Multi-Level Administration The organisational variety of the Austrian administration is derived from two principles: - from the constitutional basic principle of the Federation - and from the principle of local self-administration of Austrian municipalities These two principles result to an administrative structure consisting of three levels of subdivisions each with corresponding administrative organisations: - at central government level the Federal Government - at federal level, the federal state administrations of the nine States of Burgenland, Carinthia, Lower Austria, Upper Austria, Salzburg, Styria, Tyrol, Vorarlberg and Vienna and - at local self-administration the municipal administrations of 2.100 Austrian municipalities All over Austria there is also a network of 95 administrative districts, which are not independent territorial authorities but are rather organizationally integrated in the federal state administration (as district authorities) or within the greater city. As such, Austria can be said to have a four-tiered administrative structure throughout: Federal Government – Federal States – Districts – Municipalities 1. Basic Impressions about SGI in Austria Social Welfare but Divided Regional Development In principle, Austria can be described as a social welfare state that is characterized by a high degree of public intervention and social protection mechanisms according to the principle "safety is more important than dynamics". Therefore, the Austrian welfare system shows a high degree of market independence in the supply of citizens due to a large contribution of government services. SGI are organised not only vertically but also among sectors, and also among different carriers within complex areas of expertise. In Austria, the organisation of a specific SGI is a sectoral task concerning legislation, finance and delivery. Spatial planning has taken on a consultative role, because its coordinative and cooperative planning approaches - e.g. for multifunctional locations - are of little importance in matters of sectoral competencies. The different points of view and sectoral approaches of national, provincial and local policies prevent joint planning policies concerning the integration of SGI. However, it is more difficult to enforce this flexible approach in the case of highly normalized supply strategies and particularly in the case of laws, since such implementations are determined by a normative principle of equality. The regional level seems to be the most successful one when it concerns uniting the practical cooperation of adjacent SGI sectors and their participants. Many rural and peripheral regions must face a controlled dismantling due to the population decline, though they have to maintain regional labour markets and endogenous development opportunities. It is not likely that limited public budgets and decreased national scope of action will be able to ensure the maintaining of common SGI facilities all over the country. 2
28.02.2017 2. Impressions about SGI Strategies Telecommunications - Broadband Expansion Fibre optic networks are particularly important for remote areas, because they work very well over long distances without the application of active components or power supply. Distances can perfectly be bridged by means of information transfer and based on internet protocols in the communication network, important services can be provided everywhere and at equal quality levels. Concerning broadband expansion, rural areas are disadvantaged and fibre optic networks that are implemented outside of densely populated areas result in funding gaps between 50% and 80% of the construction costs. The interaction between federal and state subsidies allows nowadays a funding rate of up to 75%. This rate largely corresponds to the needs of the rural communities. The regional broadband campaign in the Tyrol is an initiative to implement sustainable broadband infrastructure and is not just limited to the (gradual) technological adaptation (e.g. from DSL to vectoring of copper networks). The Tyrolean model of municipal broadband expansion in rural areas is the most beneficial one regarding autonomy, location safeguarding and social participation (there is an EU study on this issue). 2. Impressions about SGI Strategies Broadband Atlas Austria – Fixed Network 3
28.02.2017 2. Impressions about SGI Strategies Municipial Broadband Expansion District Reutte 2. Impressions about SGI Strategies Structure Healthcare Plan 2012-2022 This strategy describes the socio-political objectives for the coverage, expansion and development of nursing services for persons who need healthcare and who should obtain needs-oriented and affordable nursing services, which is also intended by the Nursing Fund Law. The objectives are based on detailed demographic trends and forecasts, as well as on the resulting requirements for planning, action and steering, which partly leads to a realignment of supply and service offers. An important finding of this structure plan was the fact that all areas of the care sector have experienced a significant expansion process due to the demographic change in Tyrol. In view of the population development and assuming that the existing resources are used consistently, the number of places in retirement and nursing homes will have to rise by approximately 43% in the years from 2012 to 2022. This means that the legal entities of the retirement and nursing homes, the municipalities and the municipal associations as well as the Province Government of Tyrol would have to face significant financing challenges. Therefore the targeted subsidies granted to the regions and communities by Fund Law must be primarily used for those measures that are not connected with the inpatient sector, whereby priority shall be given to the development in the field of mobile nursing and healthcare services and to alternative healthcare forms (short-time care, day care, assisted living, etc.) 4
28.02.2017 2. Impressions about SGI Strategies Social Concept Außerfern 2004/05 The Social Concept Außerfern was established by committed residents of the Außerfern region in order to meet the future challenges of such a small region like the Außerfern and to provide solution approaches. It consists of five protocols, which contain clear statements of objectives and operational principles to achieve the corresponding targets: II Protocol "Alcohol, drugs, mentally ill people" III Protocol "Elderly people" IV Protocol "Integration of foreign residents" V Protocol "Children, young people, families" VI Protocol "People with disabilities" The preamble specifies the reasons for the need to implement this social concept and the focal point of "cooperation", which dominates the entire concept. Since the socio-economic environment is subject to constant change, in particular the objective statements have to be reflected critically at regular intervals. In framework conditions are changing, the democratic process has to be adjusted correspondingly. As a framework concept, it is integrated into overall regional development plans. The social concept of the Außerfern region is supported by the three pillars of voluntary participation, partnership and self-commitment. 3. Regional Profile of Test Area Topography The district of Reutte is located in northwest Tyrol and is isolated from the Tyrolean central space by some mountain ranges. Populated valleys in this region amount to only 9 % of the total area. 5
28.02.2017 3. Regional Profile of Test Area Less Regional Centres but wide Rural Areas Seen from the state-level, the number of communities offering facilities of central importance in TA is relatively small, whereas 31 municipalities in the district offer just few and local private and public services. 3. Regional Profile of Test Area Different Demographical Development 3.000 EW 18.000 EW 6.000 EW 5.000 EW 6
28.02.2017 Tyrolean Test Area Ausserfern: Mobile Care and ICT pilot action Dr. Barbara Frick, Cemit GmbH 1. Introduction: How is Care of Elderly People Organized? Inpatient care: nursing homes Outpatient care: homecare Elderly persons are mainly cared by relatives, often supported by a network of care services providers: Professional mobile care services: support in nursing care, housekeeping, „meals on wheels“ and assistance services 24-hour care (often in 3 weeks turnus) Voluntary associations Day-care services in public areas Senior citizens´ homes with services for asstited living Case- and Caremanagement 7
28.02.2017 1. Introduction: How is Care of Elderly People Organized? 4,2% of the Tyrolean population receiving national care money, care of those people is organized as followed: mobile care providers 28% inpatient care 47% 24h care nursing relatives only 19% 6% Source: Statistik Austria 2. Actual Situation in the Test Area Health and social care services Compared to Tyrol the test area Ausserfern differs in various aspects: Availability and use of services are lower Mobile care providers need more travel time to visit clients at home Weather and street conditions sometimes don‘t allow to visit remote regions Services Test Area Ausserfern Tyrol inpatient care places /1000 inhabitants 4,64 7,97 medical doctors/1000 inhabitants 1,34 2,15 clients mobile care/1000 inhabitants 12 15,9 h mobile care/client 2015 80,8 92,4 h traveltime/client 2015 16,9 13,9 8
28.02.2017 2. Actual Situation in the Test Area Geografical allocation of care service providers Nursing home „Haus zum guten Senior Hirten“ residence Day-care in Assisted Living community Clinical palliative center care Providers within the main Nursing home Case- and „Ehrenberg“ municipality area Caremanager „Meals on Hospiz- shortterm Mobile CareService Mobile Care Service Wheels“ team care service „Sozial- und „Pflegeinsel“ „Sozial- und Gesundheitssprengel“ Gesundheitssprengel“ Providers outside of the main municipality area 2. Actual Situation in the Test Area Organization of the society Traditionally organized, actual household size: 2,68 Persons (vs. Tyrol 2,56) But prognosed development has an impact on homecare sector Development of the household size in Test Area 13.6 14 12.7 11.5 11.2 11.6 11.7 10.7 0 2009 -1.6 2020 2030 2040 2050 -3.4 -4.5 -5.2 1 Person 2 Persons 3+ Persons Source: ÖROK Regionalprognose 2010 bis 2030 9
28.02.2017 3. Future Requirements for Homecare in the Test Area Need for professional support will increase significantly due to demografic changes and changes in the society Mobile care services have further to be extended in terms of time (during the night and on weekends) Efforts to support and relieve nursing relatives have to be made Interface management and integrated care concepts are needed (health care system, inpatient care and outpatient care models, case- and caremanagement) 4. Strategies to support homecare system Digital Data Management Data transfer, interface To prevent social Telemonitoring management isolation and decreased Clients/patients monitor psychsocial health: their own health status (patient empowerment) Enhanced social Less social initiatives also in contacts? remote regions - Day care Telemedicine/Telecare - Green care projects Guided therapie measures, - Timebanks memory functions - Voluntary assistance Smart Homes More safety for elderly people within their homes 10
28.02.2017 5. Outline INTESI pilot action Set-up In 2017 about 10 clients living in remote areas are provided with a set of health Client n monitoring devices and a tablet to submit Client 4 vital sign data to the mobile care provider, e.g. Local Mobile Care Provider SGS Heart rate/blood pressure Weight Blood glucose level Clients also get reminders, e.g. to take in drugs Client 3 to drink water Client 1 Client 2 5. Outlook INTESI pilot action Objectives in the project: Data collection: Clients monitor their health status and send data to health care provider Patient empowerment: Information, what do these data mean? Emergency measures needed? Communication: regularly support and feedback from nurses, emergency hotline Evaluation: quality of the care service and effectiveness for care providers Aim of the project: Increase safety feeling of the clients Improve quality of the care service also for clients in remote areas Impact Strengthen homceare: elderly people can live at their homes as long as possible Care service providers have access to reliable data and increase effectiveness of mobile care visits. Hospital admissions of chronically ill patients can be reduced 11
28.02.2017 Thank you for your attention! 12
28.02.2017 Alpine Think Tank on SGI Kick-off meeting in Delémont (CH) 23 February 2017 • Thomas Egger, Chair of the Think Tank European Regional Development Fund Overview The Context: - The starting point: the project Intesi - The integration into AG5 of EUSALP Aims and working methods of the think tank Composition of the think tank Provisional working program for the think tank 1
28.02.2017 European Regional Development Fund WP T1 Analysis and collection of SGI strategies 12/2015-01/2017 WP T2 Regional profiles Report on Intesi project structure challenges and WP T2 PA Implementation future needs in SGI (till 05/2017 WP T3 Improvement of SGI strategies Handbook with Recommendations of strategies for integrated, multigovernance SGI (till 09/2017) Input into the political, strategical level, WP T4 Think tank project results become policies and strategies 2
28.02.2017 EUSALP PILLARS AND AGs Pillar 1: Economic growth and Pillar 2: Mobility and connectivity Pillar 3: Environment and energy innovation Objective: Sustainable internal and Objective: A more inclusive Objective: Fair access to job external acessibility to all environmental framework for all and opportunities, building on the high renewable and reliable energy competitiveness of the Region solutions for the future AG1: To develop an effective AG4: To promote inter-modality and AG6: To preserve and valorise natural research and innovation ecosystem interoperability in passenger and resources, including water and freight transport cultural resources AG2: To increase the economic potential of strategic sectors AG5: To connect people AG7: To develop ecological electronically and promote connectivity in the whole EUSALP AG3: To improve the adequacy of accessibility to public services territory labour market, education and training in strategic sectors AG8: To improve risk management and to better manage climate change, including major natural risks CROSS-CUTTING POLICY AREA: GOVERNANCE, INCLUDING INSTITUTIONAL prevention CAPACITY Objective: A sound macro-regional governance model for the Region (to AG9: To make the territory a model improve cooperation and the coordination of action) region for energy efficiency and renewable energy Composition of AG5(1/2) Leaders RAVDA SAB Giorgio CONSOL - DMC Thomas EGGER - DMC AG5-meeting in Garmisch Partenkirchen 3
28.02.2017 Actual state of play in AG5 • 18/03/2016: Preliminary AG5 Meeting in Aosta • 21/11/2016: AG5 Kick off Meeting in Aosta • 14-15/02/2017: AG5 Meeting in Garmisch- Partenkirchen • 31/03/2017: Delivery of Workplan for AG • June/July 2017: Meeting AG5 with Intesi Work plan state of play • First discussion in Aosta on 21 November 2016 • Draft submitted to AlpGov Lead-Partner on January 9, 2017 • Fine tuning during Conference in Garmisch, 14 February 2017 • Delivery of final version by 31 march 2017 at latest. Strategic initiatives: - Smart villages - Cross border accessibility Lighthouse project: - 3D landscape model (with AG1) Quick wins: - Access to open data on the PoK - Mapping of services of general interest - Database on existing strategies and policies for SGI - Alpine think tank on SGI - Wifi4EU - Broadband backbone for the Alps (feasibility study) 4
28.02.2017 European Regional Development Fund Aims of the Think Tank • Exchange of experiences on SGI-provision across the Alps • Identification of upcoming challenges for SGI in the Alps and search for (transnational) solutions • Discussion about policy recommendations • Reflection of the work of INTESI and AG 5 of EUSALP as well as of other initiatives in the field of SGI -> to give continuity to the topic and a strategic reflection -> the aims go far beyond Intesi and EUSALP European Regional Development Fund Working methods • The think tank is not a legal entity. It is an open space to discuss. • The Think tank itself will only communicate to the public if agreed by the members. Else, each member will communicate what is useful for him. • Meetings: ca. 2x per year in different places • Inputs by members and external experts • Language: English • Administration and chair: SAB • Website: www.servicepublic.ch (will be modified for the think tank in 2017) 5
28.02.2017 European Regional Development Fund Outputs of the Think Tank • Input papers / discussion papers • Speeches • Conference materials • Collection of good practises • Exchanges / Hearings with important stakeholders (e.g. Regulation authorities, Service Providers, Spatial Planning authorities etc.). Not public! • Make results available for the preparation and implementation of the next EU-programming period 2021 – 27. European Regional Development Fund Possible contents of the website • General presentation of the concept of SGI • Database on existing strategies and laws in the Alps (from Intesi) • Trends in SGI regulation • Trends in SGI-service provision • Presentation of interesting and innoative solutions for SGI-provision • Mapping of actual state of SGI • News-section • Interactive section as a collaborative platform for the Think tank • ... 6
28.02.2017 European Regional Development Fund Composition of the think tank 1) Thomas Egger, Director of the Swiss Centre for mountain regions (CH, chair) 2) Dr. Kurt Rakobitsch, responsible for local and regional planning of the Bundesland Kärnten (AT) 3) Prof. Dr. Gabi Troeger-Weiss, Prof. for regional development and regional planning at the Technical University of Kaiserslautern (DE) 4) Tbc. Representative from the Bundesland Bayern (DE) 5) Matthias Dietrich, responsible for public affairs of the Swiss Post (CH) 6) Ulrich Höllrigl, Vice-director of the Südtiroler Bauernbund (IT) 7) Dr. Thomas Streifeneder, Head of the Institute for Regional Development and Location Management of EURAC in Bolzano (IT) 8) Raffaele Raja, Director of the Lombardy Region Delegation to the EU in Brussels and member of the Executive Board of EUSALP (IT) 9) Alberto Ceriani, Senior researcher and executive at Éupolis Lombardia (IT) 10) Dr. Ferdinando Stanta, advisor on public transport regulation and economics (IT) 11) Gianni Nuti, Regione Autonoma Valle d’Aosta (IT) 12) Lenča Humerca Šolar, Head of Sector for strategic spatial development at the Ministry oft he Environment and Spatial Planning, Directorate for Spatial Planning, Constructing and Housing (SLO) 13) Bojan Sever, Mayor of the municipality of Idrija (SLO) 14) Ana Ogrič Lapajne, Medical director of health centre Idrija (SLO) 15) Adrien Devos, Adrets Association pour le Développement en Réseau des Territoires et des Services (F) 16) Benoit Lemozit, Commissariat général à l’égalité des territoires CGET (F) European Regional Development Fund Provisional working program • Actual state of SGI in the Alps (Input from Intesi) • Upcoming challenges (Input by Think Tank Members and / or external experts) • Actual strategies and legislation on SGI and tendencies • New technological and organisational solutions The Think Tank-meetings shall take two half days. Mainly combined with meetings of Intesi and / or EUSALP AG5 (for logistical reasons). The meetings could have a strategic part and a part with reflections on EUSALP and Intesi. 7
28.02.2017 European Regional Development Fund Provisional working program Timeframe: Strategic reflection: Reflection on EUSALP AG5: February 2017 (CH) Kick-off, structuration of work Get acquainted with Intesi and EUSALP June 2017 (F): Inputs on upcoming challenges Reflect on collection of strategies for SGI from Intesi and AG5-activities. January 2018 (IT): Solutions for upcoming challenges Reflection on integrated models (Policy-level + Good practices) developped in Intesi June 2018 (AT): New, innovative ways of service Reflection on policy provision and regulation recommendations from Intesi European Regional Development Fund Provisional working program Timeframe: Strategic reflection: Reflection on EUSALP AG5: January 2019 (..) SGI in the future cohesion policy Recommendations for AG5 after 2019 (end of AlpGov-project) June 2019 (..): How to involve the end-users Reflect on new strategic initiatives in the development of SGI for EUSALP AG5 January 2020 (..): New funding schemes for Context between macroregions SGI-provision and cohesion policy June 2020 (..): (...) (...) 8
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