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This priority does not provide for complementary actions in this support area to measures within the Programme “Sustainable Development of Fishing Industry and Inshore Fishing Areas for 2007–2013”.

6. Categorisation of Funds assistance for 2007-2013

The following categories are applicable within the “Education” priority: 75, 77, 13, 79.

7. Cross-financing

The priority “Education” provides for applying the cross-financing instrument – within projects regarding purchasing modern equipment (e.g. computer equipment, for vocational purposes). A financial support is possible for a development of teaching programmes based on a given equipment and such equipment’s service courses for teachers.

8. International and interregional cooperation

Projects regarding the international and interregional cooperation can be implemented within this Priority in order to ensure the exchange of good practices and experience. In case of the projects regarding the interregional cooperation, the allocated amount shall not exceed 0.5% of the ERDF allocation for this Priority.

9. Indicators

Indicator Indicator name

Unit of measure ment Value of indicator in the base year Assumed value of indicator in the target year (2013) Assumed value of indicator in the target year (2015)

Number of projects project 0 62 78

Including:

Number of projects concerning the infrastructure of higher education institutions

project 0 10 12

Output indicators

Number of projects concerning the infrastructure of lifelong and vocational learning

project 0 4 6

Number of students benefiting from the effects of projects (excluding e-learning)

thousand

of people 0 11 14.5

Number of pupils benefiting from the effects of projects (excluding e-learning) thousand of people 0 25 32 Result indicators Number of places in kindergartens in rural areas supported within the priority

person 0 240 300

For all indicators:

Source of obtaining/ verifying data: MA Frequency measurement: annually

Priority 8:

Modernisation of health infrastructure in Lower Silesia (“Health”) 1. Objective of the priority

The main objective of the priority is the enhancement of quality of healthcare through increasing the standards of medical services and improving the accessibility of services provided by healthcare institutions. Undertaken actions will lead to rationalisation of the network of healthcare institutions. This priority will not provide financing for on-going activities of the sector.

2. Justification of the priority and its description

The Lower Silesian Voivodship is characterised by a relatively well-developed network of healthcare institutions. The indicator of number of hospital beds per 10 thousand inhabitants (equal to 49) exceeds the indicators of some better developed EU countries (e.g. Denmark, Ireland). According to the socio-economic analysis, the most important problem is an inadequate structure of this network. The data reveals that there are too few beds for patients requiring long-term care and too many beds for patients requiring short-term care, which results in the occurrence of regional asymmetry in the accessibility of services of some specialities and the uneconomical use of available medical resources. In addition, there are considerable quality differences at the level of development of health infrastructure. Allocation of resources is not appropriate to demographic and epidemic determinants and the existing infrastructure does not fulfil the quality standards of modern medicine. Other problems concern the fact that professional and sanitary requirements in the scope of facilities and equipment are not fulfilled. The healthcare facilities operating in Lower Silesia are often located in old and depreciated buildings that are not adapted to mandatory requirements and considerably differ from the European standards. The research commissioned by the Ministry of Health and conducted in 2006, which concerned the independent public healthcare institutions controlled by the regional self-government, revealed that the necessary renovations and modernisation in the years 2006–2010 require about PLN 518 million. Additionally, an attention was drawn to the fact that some of the buildings under care of the monument conservation officer cannot be used as healthcare facilities (over 100 of them were built before 1939). All healthcare institutions, which run their activity and do not comply with legal requirements are obliged to adapt their facilities and equipment to those requirements within a specified period of time. In case of hospitals and other institutions serving people who require round-the-clock care, the deadline is set on 31.12.2012 and in case of the remaining healthcare institutions – on 31.12.20085. Such situation necessitates the increase of expenditure on healthcare. Therefore, support within this priority will be given to undertakings providing modernisation of existing facilities (as well through thermomoderisation and solar energy use) to enable the process of their adaptation to valid legal regulations, including to the needs of the disabled. Cofinancing the construction of new facilities will be possible exclusively in the situation where the modernisation of existing infrastructure is unjustified from the economic point of view. All subsidised actions must lead to rationalisation of the network of healthcare facilities in the region.

The implementation of the development strategy for the Lower Silesian Voivodship in the scope of better access to specialist health services depends on the amount of medical equipment in healthcare institutions. The situation in Lower Silesia in this respect is similar to

5

Journal of Laws, No. 213, item 1568, Order of the Minister of Health dated 10 Nov. 2006 on the requirements that should be fulfilled by the premises and equipment of healthcare management units in the scope of professionalism and sanitation.

the conditions prevailing in the whole country. The depreciated equipment employing obsolete technologies often operates on the edge of legally permitted standards. For example, the most urgent needs for modernisation or replacement of equipment for diagnostic imaging and invasive radiology only for the independent public healthcare institutions established by the regional self-government amount to over PLN 100 million.6 Therefore, support will be offered to projects providing healthcare facilities with medical apparatus and equipment. Investments in a modern diagnostic equipment will allow an early disease detection and treatment, what shall result in maintaining a high number of professionally active persons in the job market.

Cofinancing the purchase of new equipment will be possible first of all in the situation where the existing equipment does not fulfil the valid standards or its replacement will lead to the rationalisation of treatment process or its lack prevents any treatment. The investment here will be based on detailed demand analysis and the optimum level of service provision. Because of the unfavourable ratio of the number of beds for long-time care to the short-time one, the priority shall support the development of healthcare facilities and the long-time care based on resources possessed by healthcare institutions. Such development should result from the process of rationalisation of the healthcare facilities’ network.

To improve the quality of healthcare it is crucial to carry out the actions aimed at rationalisation of functioning of healthcare facilities through implementing IT systems of information management and its accessibility to citizens. Such actions performed within this priority will lead to minimising the risks resulting from the lack of adequate quality of services in the scope of healthcare and their accessibility.

If the health of society does not improve, social and labour costs will increase and thus the competitiveness of the regional economy will decrease.

Projects implemented within the ROP will provide for accomplishment of the objective of the 2007-2013 Development Strategy for Healthcare in Poland.

3. Compliance of the priority with strategic documents

− Community Strategic Guidelines on Cohesion (CSG). The priority complies with

the CSG in the scope of the guideline 3 “More and better jobs”. This guideline provides for, among other things, helping to maintain a healthy labour force. The guideline should result in actions aimed at preventing health risks and filling the existing gaps in health infrastructure.

− National Strategic Reference Framework (NSRF). The priority conforms to the

NSRF – it is inherent in the 3rd horizontal objective “Constructing and modernising the technical and social infrastructure crucial for better competitiveness of Poland”. This objective assumes the implementation of actions aimed at improving the healthcare, decreasing the disparity of the access to medical infrastructure and increasing the effectiveness in healthcare systems through investments in ICT, knowledge and innovations.

− 2007-2013 Development Strategy for Healthcare in Poland (DSHP). The Priority is

cohesive with the DSHP within the strategic goal as well as main objectives. The most important Strategy issue is the health improvement of the Polish society by

implementation of the objectives regarding i.e. the improvement of the efficiency of healthcare system operation and the adjustment of healthcare to the dynamics of the long-time demographic trends.

− The 2020 Development Strategy for the Lower Silesian Voivodship (DSLSV).

The priority also includes undertakings cohesive with the actions planned for implementation within the DSLSV. It concerns mainly the priority 3.4 “Continuous improvement of the safety and health of the voivodship inhabitants”, which includes actions aimed at, among other things, ensuring the access to specialist services in the scope of healthcare provided in the most optimal and efficient manner possible; increasing the effectiveness of a disease prevention, early detection and treatment as well as addiction prevention and treatment; developing the system providing care for pregnant women and newborn babies and others.

4. List of potential beneficiaries

− healthcare institutions operating within the public healthcare system

The potential list of beneficiaries that qualify for support within the priority shall be specified in detail in the Detailed Description of Priority Axes of the ROP for Lower Silesian Voivodship 2007-2013 and advertised in calls for project proposals within the Programme.

5. Complementarity and demarcation

5.1 Complementarity and demarcation of the Priority: “Health” with projects cofinanced