CIRCE-JA

CIRCE-JA looks forward to effectively transfer (implement, validate and sustain) the 6 BPs from 4 Member States (Belgium, Portugal, Slovenia and Spain) in to 45 implementation sites from 12 Member States with relevant structural, organizational and institutional differences in their health care systems. The common transversal interest is to strength health care systems through reinforcing primary health care.

• The selected best practices are:
• Integrated Health Association -Region of Wallonia, Belgium
• TELEA: Home telemonitoring in Primary Care for chronic disease and Covid-19 - Galicia, Spain
• Integrated care for complex chronic patients in Andalusia (Spain): Personalised care action plans (PAPs) - Andalusia, Spain
• Essencial Project: Adding value to clinical primary care practice - Catalonia, Spain
• 'Health Action for Children and Youth at Risk' & 'Health Action for Gender, Violence and Lifecycle' - Portugal
• Health Promotion Centres (HPCs) - Slovenia

• CIRCE-JA is structured around a coordinated set of seven work packages, three of which are dedicated to the technical task of implementing and transferring the selected good practices, and four of which are dedicated to the management and support needs of the project.

• WP1 - Coordination and Management

• Work package 1 of the CIRCE-JA focuses on project coordination and overall management. Its main goal is to ensure the smooth and effective implementation of the project by overseeing administrative, financial, and legal aspects, facilitating communication among partners, and ensuring compliance with EU regulations and timelines.

• WP2 - Dissemination

• Work package 2 is dedicated to managing the communication and dissemination activities of CIRCE-JA. Its primary objectives include raising awareness about the project's goals and outcomes, ensuring transparency, and promoting the adoption of best practices across Member States. This involves developing communication strategies, creating dissemination materials, and facilitating engagement with stakeholders and the general public.

• WP3 - Evaluation

• Work package 3 focuses on assessing the implementation and impact of the CIRCE-JA. It employs both formative and summative evaluation methods to monitor progress, evaluate outcomes, and determine the success of the project's implementation. This includes defining procedures and indicators for assessment, conducting qualitative and quantitative analyses, and exploring the project's impact on the European healthcare systems.

• WP4 - Sustainability

• Work package 4 aims to ensure the long-term sustainability of the best practices transferred through the CIRCE-JA. It identifies contextual factors influencing the transfer of practices, explores necessary adaptations for sustaining outcomes, and supports implementers in maintaining the practices post-implementation. Additionally, work package 4 works towards developing a European Primary Health Care Observatory to support ongoing knowledge sharing and policy development.

• WP5 - Methodology for transferring process and needs assessment

• Work package 5 is responsible for developing the methodological framework for effectively transferring best practices. It assesses the needs of participating settings, defines standards and mechanisms for transfer, and supports the adaptation of practices to local contexts. The work package utilizes structured approaches and tools to facilitate collaborative learning and capacity building among implementation sites.

• WP6 - Transferring process and Pilot implementation

• Work package 6 manages the practical aspects of transferring and implementing best practices in pilot sites. It involves developing initial implementation plans, supporting the transfer process through activities like study visits and mentoring, and overseeing the execution and validation of interventions. Work package 6 ensures that the practices are effectively adapted to local contexts and that their implementation is monitored and evaluated for success.

• WP7 - Capacity building

• Work package 7 focuses on enhancing the skills and competencies of professionals involved in implementing best practices. It develops training programs tailored to the needs of each implementation site, conducts training sessions for trainers and end-users, and supports the integration of these programs into local training infrastructures. The goal is to ensure that the workforce is well-equipped to sustain the practices and contribute to improved primary healthcare services.

Fisabio along with the Public Health Directorate (DGSP) participates as an affiliated entity in Work Package Work Package 6 -Transferring process and Pilot implementation. The objective is to learn from the portuguese best practices 'Health Action for Children and Youth at Risk' & 'Health Action for Gender, Violence and Lifecycle' (BP5) and the slovenian best practice Health Promotion Centers (BP6) and implement pilots for its adaptation to the valencian healthcare system, with the support of the Primary Care Directorate (DGAP).

'Health Action for Children and Youth at Risk' is a Portuguese national program launched in 2008 to prevent abuse and promote children's rights within the National Health Service. It operates through a network of 295 multidisciplinary support teams in both primary care and hospitals, ensuring early detection, intervention, and collaboration with social and legal services. The program has supported over 80,000 children, mostly without judicial involvement, and highlights the importance of integrated care, early risk detection, and intersectoral coordination.

Slovenia's Health Promotion Centers, integrated within every primary health care centre since 2002, offer free lifestyle interventions focused on nutrition, physical activity, mental health, and addiction prevention. Upgraded in 2013 to better reach vulnerable groups, these centres now involve multidisciplinary teams including nurses, dieticians, and kinesiologists. Led by the National Institute of Public Health, the centers connect local stakeholders and health services, offering personalized support to prevent and manage noncommunicable diseases (NCDs). Over 15 years, they've screened over half the adult population and contributed to a significant reduction in cardiovascular mortality.