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An Andalusian delegation visits the Basque Country to learn about the political framework and experiences regarding social and healthcare


In 2019, Andalusia and Basque Country regions were awarded Reference Sites with four stars and also granted with the “recognition of excellence” by the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). This partnership has contributed to transfer knowledge on innovative solutions for Active and Healthy Ageing between both regions.


The European Commission (EC) highlights the efforts of both regions to promote regional innovation for active and healthy ageing, improve the quality of life of the ageing population, enhance the provision of healthcare and social care services and the boost financial growth and competitiveness.

The EC, through EIP on AHA, also launched in 2019 a call to support Twinning initiatives between regions distinguished as Reference Sites. Both regions have been granted funds for celebrating the twinning in social and healthcare field. The Basque Country was responsible for sharing the innovative experiences and solutions that encourage the coordination of the healthcare system and social sector.

On 28th and 29th of November 2019, a delegation of the Department of Healthcare and Families and the Department of Equality, Social Policies and Work-Life Balance of the Andalusian Government visited Bilbao, Basque Country (Spain). The purpose of this visit was to learn about the social and health care coordination of the Basque Country and, specifically, the tools and activities that have been developed for tackling this challenge.  

The Basque Government, through the Strategic Priorities of Social care and Healthcare 2017-2020, showcases the importance of acting on medium and micro levels of the social and healthcare systems. It uses a comprehensive approach with a coordinated action that focuses on the social care and healthcare needs of people and their quality of life. The need to establish a common language between the health and social fields, and the possibility to develop a shared evaluation of these needs has resulted in the creation of InterRAI-CA tool, which is the acronym for Resident Assessment Instrument (in its Inter version), Contact Assessment, and other innovative solutions, such as Beti ON Telecare service or the access to the Electronic Health Record from Nursing Homes.  

As an example, during the twinning the Basque Country presented InterRAI CA, an instrument for the screening of adults with social and healthcare needs that, through this evaluation, can provide a diagnosis of the situation and the social and healthcare needs of an individual. Spearheaded by the social and healthcare coordination of the Basque Country, the deployment of the instrument began in 2016 with a multidisciplinary approach destined to primary care and social services professionals (physicians, nurses and social workers, mainly).

InterRAI CA and other innovative solutions presented to the Andalusian Delegation aim to gather all the work of the professionals that intervene in the scope of social and healthcare. They also facilitate a shared diagnosis of individuals and allow defining a shared attention plans. Likewise, these tools help to bring together and increase interoperability between the social and healthcare systems focusing on a shared social and health background.

Related action groups: 
A1 Adherence to prescription, A2 Falls prevention, A3 Lifespan Health Promotion & Prevention of Age Related Frailty and Disease, B3 Integrated care, C2 Independent living solutions, D4 Age friendly environments
Relevance to partnership: 
Active ageing and independent living, Care and cure, Horizontal issues and framework conditions