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DAY 1 – ‘Trust’ Timing Session 08:00-09:00 Registration OPENING 09:00-10:15  Welcomes on behalf of Estonia, WHO/Europe and high-level partners and outline of the conference 10:15-10:45 Health break PLENARY I – Trust for transformation: a virtuous cycle 10:45-12:15  Keynote followed by moderated panel LUNCH 12:15-14:00 (i) Closed ministerial lunch (session on ‘Emergency services under pressure’) (ii) Lunch for delegates Case-study sessions ‘Co-creating for change’ CS1: Transforming CS2: ‘One of us’- combatting CS3: Reducing cervical 14:00-15:15 diabetes care (Kyrgyzstan) stigma around mental cancer incidence (Slovenia) health (Denmark) 15:15-15:45 Health break PLENARY II – Patients and professionals as agents of transformation 15:45-17:00  Keynote followed by moderated panel 17:00-17:20 ADOPTION OF THE CONFERENCE STATEMENT (and ‘canvas’ signing) DAY 2 – ‘Transformation’ Timing Session PLENARY III – Navigating transformation 08:30-10:00  Keynote followed by moderated panel 10:00-10:30 Health break Parallel Sessions 1 PS1: Launch of the PS2: Civil society PS3: Public health PS4: Does Estonian Health and youth leadership – driving antimicrobial Systems in participation for trust and resistance 10:30-11:30 Transition (2023) trust and health transformation undermine trust in review: a journey of systems the health system? trust and transformation transformation 11:30-11:45 Transfer to plenary room PLENARY IV – Investing more and investing better 11:45-13:00  Keynote followed by moderated panel 13:00-14:00 LUNCH (for all participants) Parallel Sessions 2 PS5: Climate- PS6: Can people PS7: Precision PS8: resilient and afford to pay for medicine for Delivering service 14:00-15:00 environmentally health care? person-centred care transformation in sustainable health an emergency systems (Ukraine) 15:00-15:30 Health break PLENARY V – Making transformation a reality 15:30-16:30  Keynote followed by moderated panel 16:30-17:00 CLOSING  5 October 2023 ORIGINAL: ENGLISH Tallinn Charter 15th Anniversary High-level Conference “Trust and transformation: resilient and sustainable health systems for the future” INFORMATION CIRCULAR Tallinn, Estonia 12–13 December 2023 GENERAL INFORMATION Date and location When 12 December 2023 Start: 09:00 (registration from 08:00) Finish: 17.00 and 13 December 2023 Start: 08:30 Finish: 17.00 Venue Name of venue: Kultuurikatel Street address: Kursi 3, 10415, Estonia City: Tallinn Country: Estonia Venue website: Kultuurikatel Registration Online registration: Upon confirming their participation, participants are required to register themselves in our event platform using the link: https://cvent.me/Xv5g2Z?RefId=homepage Please be as accurate as possible in filling in your name/institution/position as this information will be used to create badges, place cards and the list of participants. Please be advised that online registration ahead of the Conference is a mandatory requirement for all participants, failing which you may be denied access to the Conference premises on arrival. Registration is already open and participants are kindly encouraged to register as soon as possible. Once registered, a confirmation email will be sent to your email address – please check your spam folder or contact the WHO Secretariat if you do not receive it. On-site: Upon arrival in Tallinn, registration and advance check-in for the Conference will be open at the main lobby of the Nordic Hotel Forum and Tallink Spa & Conference Hotel on the day prior to the start of the event, 11 December 2023 between 18:00 and 20:00. 2  On the first day of the Conference (12 December 2023) registration will be open at the venue (Kultuurikatel) from 08:00. Meals The following meals will be provided on both days: • morning coffee break • lunch • afternoon coffee break Official reception We are pleased to invite you to an official reception in the evening of 12 December 2023. More details will be provided closer to the event. Arrival at the airport Upon arrival at Tallinn International Airport, participants are requested to go to the Conference information desk, which will be located outside the arrival hall. Staff at the information desk will assist participants and help to arrange transfers to your hotels. Organized transport will be provided between the airport and recommended hotels (Tallink Spa & Conference Hotel, Tallink Express Hotel, Nordic Hotel Forum – please see Accommodation section below). To facilitate the organization of transfers, participants are requested to indicate their flight and hotel details in advance when registering online. Transport The venue is located a short walk from the recommended hotels. (see Annex 1: Suggested walking routes from recommended hotels to conference venue) Transport will be provided in the following instances: • from the airport to the recommended hotels; • on 12 December, from the recommended hotels to the dinner venue and back to the recommended hotels; • on 13 December, after close of the event, from the conference venue to the airport. Participants who indicate in the registration form that they have mobility-related difficulties will be contacted separately to agree on their transportation needs. Participants who prefer to stay at hotels other than those recommended are responsible for their own transport to and from their hotel and the conference and dinner venues (Forus taxis and Bolt ride are available in Tallinn and cost no more than 15 euros). 3  Please find more information here on leaving the airport and getting to the airport. Visa Participants are kindly requested to check whether they require a visa to enter Estonia and to apply for it in a timely manner. Upon request, a personal invitation letter can be issued to support visa applications. Please contact the WHO Secretariat via email to [email protected], using the subject line “VISA SUPPORT REQUEST” and including your full name and a copy of your passport. Accommodation Participants are advised to book a room in one of the recommended hotels with negotiated rates before 1 November 2023. Please note the following: • The special room rates only apply for 10–14 December 2023. • Room availability and applicable rates cannot be guaranteed after 1 November 2023. • Participants should pay their hotel directly unless a special arrangement has been confirmed by the organizers. List of recommended The organizers of the Conference have made block bookings at: hotels for accommodation - Tallink Spa and Conference Hotel (105 EUR single occupancy, incl. breakfast) - Tallink Express Hotel (70 EUR single occupancy, incl. breakfast) - Nordic Hotel Forum (124 EUR single occupancy, incl. breakfast) All hotels are located within walking distance of the Conference venue, with Nordic Hotel Forum being slightly further away (please see the maps in Annex 1). Please ensure your choice of accommodation as soon as possible but no later than 1 November 2023. After this date, it will not be possible to guarantee the availability of rooms at the prices indicated. Direct links for booking: Tallink Spa & Conference Hotel - WHO 23 Tallink Express Hotel - WHO 23 Please mention promocode: WHO23 You can also make your reservation for the Tallink hotels by email: [email protected] or phone: +372 630 0808. Nordic Hotel Forum – code “Tallinn Charter Special” 4  You can also book the Nordic Hotel Forum by phone: +372 6222 999 or email: [email protected]. Please mention code “Tallinn Charter Special”. Photography consent By attending this Conference, you give your consent to the following statement regarding the WHO policy on photography for Conference participants. “I acknowledge that WHO and/or its representatives may take photographs and/or video footage of all or part of the event in which participants may be depicted. I agree that WHO may reproduce any of these photographs and/or video footage on any of its websites and/or other materials, including publications it produces, or authorize third parties to do the same.” If you prefer that your image is not used, please indicate your preference in the registration form. PROGRAMME Information and More information about the Conference and the pre-Conference provisional programme online platform will be available on the event website: https://bit.ly/TallinnHealth2023 Language The Conference will be held in English, with simultaneous translation into Russian of all the plenaries and some of the parallel sessions. Queries For queries, please contact the WHO Secretariat at: [email protected] LOCAL INFORMATION Currency and payment The national currency of Estonia is the Euro. Payments can be made transactions in cash and by credit/debit card (Visa and Mastercard). Foreign currency can be exchanged in banks and exchange offices, which are widely available in the city centre. Weather conditions The weather in December is usually cold and windy, with possible frost and snow. The weather can change from day to day, and warm clothes and boots are recommended for outside. Dress code Business casual. Language The country’s language is Estonian. 5 Time zone Local standard time in Tallinn is Eastern European Time (EET), which is one hour ahead of Central European Time (CET) (Copenhagen, Berlin, Rome). Electricity supply The main electricity voltage is 220 V and 50 Hz. The Central European-type wall socket (two-pin plug) is standard in Estonia. City information For further information on Tallinn, see https://www.visittallinn.ee. 6  Annex 1: Suggested walking routes from recommended hotels to Conference venue Below are suggested walking routes from Tallink Spa & Conference Hotel and Tallink Express Hotel to the venue (Kultuurikatel), 5-minute walk From Nordic Hotel Forum to the venue (Kultuurikatel), 11-minute walk 7  WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ REGIONAL OFFICE FOR EUROPE BUREAU RÉGIONAL DE L'EUROPE WELTGESUNDHEITSORGANISATION ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ REGIONALBÜRO FÜR EUROPA ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО Tallinn Charter 15th Anniversary High-level /2 Conference “Trust and transformation: resilient and [30 June 2023] sustainable health systems for the future” Tallinn, Estonia Original: English 12-13 December, 2023 Scope and purpose The Ministry of Social Affairs of the Republic of Estonia and the WHO Regional Office for Europe (WHO/Europe) will co-host a high-level health systems conference to commemorate 15 years of The Tallinn Charter: Health Systems for Health and Wealth. The conference, with the theme “trust and transformation: resilient and sustainable health systems for the future”, will take place on 12–13 December 2023 in Tallinn, Estonia. Background There have been three WHO/Europe health systems conferences held in Tallinn. The first, a ministerial conference in 2008, delivered The Tallinn Charter. The second, held in 2013 to mark five years of the Charter, looked at health systems in the context of the all-of-government and whole-of-society approaches. The third conference in 2018, commemorating 10 years of the Charter under the banner of “leaving no one behind”, made the case for better investment in health systems and stronger health financing policies to deliver better and more equitable health for all in support of the Sustainable Development Goals. In the four years since the 2018 conference, the geopolitical, demographic, socioeconomic and climate landscapes have changed immeasurably. While many of the health system challenges identified at the 2018 conference remain, health systems across the WHO European Region are now struggling to respond to a series of additional crises while maintaining essential health services. Some systems are moving away from, rather than towards, universal health coverage. The scale of these challenges necessitates changes to how our systems work and deliver care, as well as a reinforced call to commit to equitably funded health systems that serve everyone. As perhaps the most significant shock across the Region, the COVID-19 pandemic has not simply unearthed weak points in our health systems, but exploited existing weak points and revealed just how fragile our systems are. Health system resilience and emergency preparedness can no longer be plans for the future; they must form part of stronger health systems now. Trust and transformation In the wake of the COVID-19 pandemic and the current political, social and economic challenges in Europe, various studies and surveys have pointed to a growing lack of trust in institutions and politicians, with a consequent impact on health systems: individuals, not just Scope and purpose page 2 patients, do not trust that health services will deliver for them when they are needed; the health and care workforce are losing trust that the system values them; and politicians do not trust the ability of the health system to reform in the face of new challenges (for example, digital innovations) or to address growing issues of concern (for example, demographic ageing and rising comorbidities). The result is that public confidence in science and health leaders has been shaken, many health professionals are leaving their professions, and decision-makers are concerned about system performance and are unsure about where and how best to invest. At the same time, and again precipitated by the COVID-19 pandemic, there have been considerable innovations in health service delivery, with changes in primary health care models and digital solutions capturing much of the attention. Efforts have also been made to address specific issues through a health system lens, including strengthening health promotion and public health, especially around mental health; the challenges posed by climate change; and the health sector’s role in promoting a societal “economy of well-being” approach. Scaling up and integrating such important directions in health systems thinking requires behaviour change, breaking with traditional structures and approaches, and overcoming dependencies on existing paths. Achieving that, however, will require a high degree of trust among all involved. Consequently, the topic of reinstating and strengthening trust within health service delivery and system transformation to future-proof our health systems will be the central theme of the 2023 Tallinn Conference. Objectives and scope of the 2023 Tallinn Charter 15th Anniversary High-level Conference The Conference will take as its starting point the challenge facing health decision-makers across the Region of ensuring that the right people, with the right skills, are brought together in the right place, at the right time, to deliver care that is most appropriate and convenient for the patient. Such an objective will require examining and updating existing modes of service delivery and the factors that enable them as well as identifying specific actions to improve them. This is in line with the vision set out in the European Programme of Work, 2020–2025, endorsed by all 53 WHO European Member States, for a “profound transformation of health systems and social care in the Region, with the perspective of a digital, innovative, outcomes-directed and people- centred future”. Across two days, the Conference will first cover issues around trust in health systems, and then focus on the transformation agenda and how to deliver it. On the first day, the conference plenary sessions will eschew the traditional approach of political and/or expert panels presenting to the audience. Instead, these sessions will be driven by specific questions and examples of both problems and transformations within health systems from the perspective of patients and health professionals. A series of videos showing case studies from different countries will provide the catalyst for discussions, with politicians responding to what they have seen and heard in those case studies rather than patients and health professionals reacting to a panel of speakers. The importance of trust and co-creation in policy design and implementation will be a common theme.  Scope and purpose page 3 The focus of the second day will be on the tools and approaches needed to measure and manage transformation, including policy-relevant indicators and examples of where, what and how to invest to support sustainable change. Various parallel sessions will look at specific topics in detail. Across both days of the Conference, a number of high-level and inspirational speakers will address delegates. The main aim of the Conference is to launch a vision for new and integrated health systems that recognize the key roles of patients and health workers and capture their voices and needs. The supporting objectives of the Conference are: • to demonstrate why reinstating and strengthening trust in our health systems (among the public, health professionals and policy-makers) is a prerequisite to transformation; • to understand the importance of co-creation in policy design in order to recognize the key roles of patients and health workers and to ensure that transformation initiatives capture their voices and needs; • to present an updated health system performance assessment framework that will make reference to important new elements including digitalization and climate change, and taking onboard lessons from the COVID-19 pandemic; and • to facilitate in-depth discussions on specific policy areas that are central to transformation, including: dual-track health systems; delivering in emergency contexts; digital initiatives; financial protection; engaging youth and civil society; sustainable greening of health systems; tackling workforce challenges; and precision medicine. Conference sessions will focus on specific examples of good practice, presenting participants with, and enabling them to discuss, successful ways of transforming health systems to meet challenges such as demographic ageing, health workforce scarcity, and limited fiscal space for sustained investment and support for health systems in Europe. Participants The Conference will be held in person and nominations from Member States are requested (please see accompanying letter). In addition to senior government representatives, participants will include invited or nominated representatives of non-State actors, international organizations, representatives of patient and health professional groups and select experts and academics. Expected outcomes The Conference will have a number of expected outcomes designed to help Member State policy-makers to pursue the trust and transformation agenda and adapt it to their own contexts. These include: • an updated WHO global health system performance assessment framework that will make reference to important new elements, including digitalization and climate change, and take on board lessons from the COVID-19 pandemic; • a dashboard of policy-relevant indicators, developed jointly with the Organisation for Economic Co-operation and Development, that will help decision-makers to measure and track their own transformation policies; Scope and purpose page 4 • a series of policy briefs to accompany the plenary sessions, developed jointly with the European Observatory on Health Systems and Policies; • video case studies of successful transformation initiatives that explore the themes of trust and co-creation and their centrality to sustainable change; and • a conference outcome statement on behalf of participants, which WHO/Europe will be able to take to the WHO Regional Committee for Europe at its 74th session in 2024 in order to establish a workstream under the European Programme of Work, 2020–2025. Ultimately, the Tallinn Charter 15th Anniversary High-level Conference is expected to regalvanize regional support for the values espoused in the Charter – solidarity, equity and participation – in order to strengthen and safeguard European health systems today and in the future.  Eesti Haiglate Liit [email protected] Meie 26.10.2023 nr 1.4-2/3855-1 Kutse Tallinna Harta 15 konverentsile Kutsume Teie esindajad Tallinna Harta 15. aastapäeva kõrgetasemelisele konverentsile, mis toimub 12. ja 13. detsembril 2023 Tallinnas, Kultuurikatlas. Konverentsi korraldavad Maailma Terviseorganisatsiooni (WHO) Euroopa Regionaalkontor ja Sotsiaalministeerium. Konverentsile oodatakse enam kui 300 osalejat ning delegatsioone kõigist WHO Euroopa regiooni liikmesriikidest, sealhulgas ministreid, tervisevaldkonna juhte ja eksperte, patsientide ja tervishoiutöötajate esindajaid ning teadlasi. 2008. aastal WHO Euroopa regiooni liikmesriikide poolt heaks kiidetud „Tallinna harta – tervisesüsteemid tervise ja jõukuse heaks“ kutsus suurendama investeeringuid tervisesüsteemidesse, et võimaldada kõigile inimestele vajalikud terviseteenused. Kolmandat korda Tallinnas toimuv kõrgetasemeline konverents kannab pealkirja „Usaldus ja uued suunad: vastupidavad ja jätkusuutlikud tervisesüsteemid tulevikuks“. Viimastel aastatel oleme seisnud silmitsi mitmete kriisidega - Covid-19 pandeemia, sõda Ukrainas, kliimamuutused. See kõik on vähendanud avalikkuse, poliitikute ja ka tervishoiutöötajate usaldust tervisesüsteemide vastu. Usalduse taastamine loob tingimused vajalike muutuste elluviimiseks, et edaspidi suudaksime kiirelt muutuvates poliitilistes, sotsiaalsetes ja majanduslikes tingimustes paremini toime tulla. Tallinna Harta juubelikonverentsi eesmärk on kujundada visioon tervishoiusüsteemist, mida kriiside aegsel ja järgsel ajal vajame. Konverentsil arutletakse muutuste vajaduste ja võimaluste üle, samuti esitletakse hindamisraamistikku tervisesüsteemi tõhususe mõõtmiseks, mis sisaldab olulisi uuenduslikke aspekte, sealhulgas digitaliseerimine ja kliimamuutused. Palume nimetada Teie organisatsiooni kaks esindajat konverentsile hiljemalt 3. novembriks e-kirja teel aadressil [email protected] ning registreerida oma esindajad järgmisel lingil: https://cvent.me/Xv5g2Z?RefId=homepage. Kirjale on lisatud konverentsi programm ja täpsem info ürituse kohta. Lugupidamisega (allkirjastatud digitaalselt) Riina Sikkut terviseminister Suur-Ameerika 1 / 10122 Tallinn / 626 9301 / [email protected] / www.sm.ee / registrikood 70001952  2 Lisad: ScopeAndPurpose_Tallinn_E.pdf Information circular Tallinn Charter Conference.pdf TALLINN2023_programme.pdf