Networks implementation

The Directive on the application of patients' rights in cross-border healthcare requires the European Commission to support Member States in the development of European Reference Networks (ERN), and the Commission Implementing Decision 2014/287/EU establishes the process and criteria for setting the complete lifecycle of the Networks: from the call for proposals to the assessment, approval, establishment and evaluation of ERNs.

Call for ERN

The first public call for the Networks proposals launched by DG Health and Food Safety is now closed.

Establishing an ERN

According to the Implementing Decisionpdf(352 KB) Choose translations of the previous link български (bg) čeština (cs) dansk (da) Deutsch (de) eesti keel (et) ελληνικά (el) español (es) français (fr) hrvatski (hr) italiano (it) latviešu valoda (lv) lietuvių kalba (lt) magyar (hu) Malti (mt) Nederlands (nl) polski (pl) português (pt) română (ro) slovenčina (sk) slovenščina (sl) suomi (fi) svenska (sv) , to be recognised by the Commission, an ERN must fulfil the following requirements:


  • Healthcare providers who want to join an established ERN will have the opportunity to apply to become a member;
  • All ERNs and their members will be evaluated a minimum of every 5 years.


For more information about the procedural aspects on establishing ERNs, please read the Frequently Asked Questions (FAQs).

Assessment Manual and Toolbox for ERNs

An important element in this process is the Assessment Manual and Toolbox. This is the common assessment tool for all the Network proposals, based on the criteria established in the Commission Delegated Decision on ERN.

Independent Assessment Bodies (IAB)

The technical assessment of ERN proposals will be carried out by contracted institutions or entities with a solid background and experience in the field of accreditation/certification.