Local Action Plan –Baia Sprie, Romania

Delivering integrated services in Public Health -Social - Education

Final Version, April 2015

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Baia Sprie

General description

Baia Sprie is a small city situated in Maramures county, Transylvania, northern Romania. It has a population of 15.476 inhabitants. It was one of the major mining centres in Romania. A mining activity is already dated back from the bronze époque. Gold and silver extracting were mentioned early in 1141 when the Germans (sasi) were brought here. In 1329

the name Mons Mediuswas mentioned as the name of the city. In 1774 there was a a first scientific publication of mining exploitations.

Baia Sprie city has a long historic past. Remainings of ancient human settlements are back from centuries I and II after Christ. The city will be documentary atested later, in a 1329 diploma, in the times of hungarian king Carol Robert who gives the inhabitants the first privileges.

The latin name was Mons Medius, wich means The Middle Mountain. From these times, the city history is bounded with mining activities. Along centuries the city will appear in the documents together with Rivulus Dominarum, today city of Baia Mare, as free regalist cities.

If in romanian language, Baia means mine, Spria comes from the latin word asper – wich means rough, in other words saying that in Baia Sprie there were mines with very hard, rough exploatation conditions. The old people from the city are saying that the name Spria is coming from a goddess with the same name. A proof of this fact might be that a statue of this goddess is even together up in the centre of the town. There is also a saying that this goddess can be seen on the surface on the Blue Lake in the evening, before sunset.

A german traveler – Jeorg Vagner, in 1540 is making research about the mines in the region and is writing down the following:,, A mile away from Baia Mare there is another small city, in latin Mons Medius, who’s inhabitans submitted oath of allegiance to the royal majesty. They are all miners, the origin is much older, and they are better miners in practice and habit. By Baia Mare there are 14 villages, two hungarians, the rest romanians and the founders of these villages were germans.’’

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Mining history in Baia Sprie

Mining activities represent the main historical activity for the inhabitants of Baia Sprie. During the 13th and 14th centuries, miners were already descending underground, sliding, using leather clothing for protection and a rapeseed oil lamp. From the XII-th century, carb underground lighting lamps started being used, and in the 19th century electric lamps were brought in. The ore was carried in wood covets and brought up in bags made out of buffalo skin, by the help of pulleys or horses.

The first wagons were used in the 16th century. The first social movement (strike) of the working miners, in 1435 resulted in several benefits for the miners, including the nomination of a miner-mayor.

Miners were exempt from the military service, and in 1461 the calling to arms of a young miner lead to serious demonstrations.In 1523, the city was exempt from paying taxes.

In 1575, a document established working day length to 10 hours for the miners.In 1627, explosives (gunpowder) were used for the first time in Baia Sprie mines. Dynamite was introduced in the 19th century.

In the 18th century, the first technological tools were brought to place, and came with an increased working efficiency. Those measures were misinterpreted by the miners and conducted to a riot whose effects were the destruction of the tools.

Following the technological advances, new mines were opened throughout the centuries.

In the 1800’s there were more than 46 mining companies and over 300 private mines. Also, mineral processing plants were created.In 1896the total length of rails in the Baia Sprie galleries was 10 km. The same year, two water-pumps were installed and lifting 250 liters of water/minute up to 160 meters.

In 1948, the mines were nationalized, entering the state’s property.

After 1989, the miners in Baia Sprie earned several rights, including working time reductions, free days, and financial compensations.

Several waves of collective dismissals affected the working population. Finally, all mines were closed and the historic activity of mining is now discontinued.

Still, miners remember, pray and salute : ”GOOD LUCK”

Context. Defining problem and challenge

In 2011, the Romanian Minister of Health closed the local Chronic Disease Hospital Baia Sprie, as a result, the entire Baia Sprie area(consisting of 22.500 people) was left with no option for local medical services.

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This action has to be linked together with the fact that the region was always a mining region, that more than 70% of active population was involved in mining industry, and that once with the closing of the mines Baia Sprie was left with a huge economic problem, doubled by the medical problem, due to the chronic diseases of the miners.

In august 2011, at the initiative of Baia Sprie mayor and after a public subscription, Medspria is borne as a private medical company. The initial Medspria shareholders structure consisted of 77 individuals, 9 companies, Baia Sprie city hall and a nurse union. The objective of Medspria was to re-open the hospital at its full capabilities. It was the only hospital closed by the Government that was re-opened. Even more, a new concept was raised – placing the people in the centre of the health care system, being co-producers and co-owners of their own health and health system generator. Although the great idea behind the project, its objective is not yet met, the hospital running currently only 5 medical units and facing huge underfinancing problems.

The challenge is to be able to provide again trustable and qualitymedicalservices to the whole population from Baia Sprie area.

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Local Action Plan – Baia SprieThe Local Action Plan (LAP) for MEDICAL area is defined as a Concept Paper that describes how The City of BAIA SPRIE (UAT Baia Sprie) plans to DEVELOP and IMPLEMENT the concept of INTEGRATED PUBLIC HEALTHY SERVICES in the city area of Baia Sprie.

Focus. ObjectivesStarting with summer 2011, after the closing of Cronic Desease Hospital Baia Sprie, the city of Baia Sprie, through its mayor and local council were convinced that if they could reopen the hospital, all the medical problems of the people from in Baia Sprie area would be solved.

Working within URBACT II Programme, by being a partner of the 4D Cities project, gave the opportunity to the City of Baia Sprie to meet other cities, to face others problems, to see others best case scenarios, to ask its citizens, to create and generate meetings of the ULSG, in just a few words - to broader the view. So, this document changed before even started to exist from a LAP on opening the hospital to its initial state to a LAP for Integrated Public Healthy Services in Baia Sprie.

As a result of the participative process of co-creating the LAP with all stakeholders, at the end of the first year participating in 4D Health Urbact project, the focus of the LAP is set to be as follows: a Local Action Plan for Integrated Public Healthy Services on 4 major priorities of the city:

Public Health

Social field

Economic field

Education

In simple terms, The Objectives of the LAP are to:

1. Offer quality affordable medical services for all people leaving in Baia Sprie

2. Raise standards, life quality and social cohesion in the region

3. Educate people for the new challenges in the medical field (aging, food safety, sport, discrimination...)

4. Active implication of the people in co-generation of their own health

Running more than 15 meetings with all the members of the ULSG on one hand, and 3 big meetings with more than 50 persons from all types of stakeholders around the city on the other hand, when writing down the projects to be eligible in the final form of the LAP, the conclusion was surprising. All of the projects had some interconnections between them, and most important, all of the projects had touched points in 3 major fields: Health, Social, Education.

The conclusion is that we narrow the approach and eliminated the segregation between projects – having 2 projects on Social field, and 3 on Health … and in the end we developed all the projects in order to have good roots in a new centralising field: PublicHealth – Social – Education Field.

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Work Plan for the Development and Implementation of LAP

Public Health, Social, Education Field

1. Integrated Centerfor Socio – Economical – Medical - Educational Analysis InitiativeBrief description of InitiativeThe initiative is linked to all focus targets of the LAP in an innovative way. The project aims to gather the real data behind the people that are going to visit the family doctors. The data to be gather tends to be a social-economical-medical-educational investigation.Objectives of the initiativeTo set up a set of indicators to be collected from all people frequenting the family doctors. To find out the real problems that the people have, not only in medical field. To assist people in need with an advice, with counselling. To gather the data needed in order to find out the real state of the people and families from Baia Sprie in all 4 dimensions: medical, economic, social, educational. Key steps and activitiesSeven family doctors are located in the same physical place – at MedSpria unit, on the same floor.Visit to the family doctor is needed to be done prior to any other visit to a specialist doctor. All population are likely to pay at least one visit to the family doctor per yearStep 1Modify the current waiting room in order to be more appropriate for the new activities that will take place in the waiting room, before entering the doctor for a consultation.Actors: city hall of Baia Sprie and MedSpria boardTiming: January 2014 – December 2014Budget: 15.000 Euro, local city hall moneyRisks – none, at the time this material is being written, the activity is finalised

Step 2Develop a set of indicators related to medical – socio – economical – educational fields that will be applied by dedicated personnel to every people waiting to see a family doctor. The personnel taking the survey are employed by the city hall, working previously in the field of social care and vocational education.Actors: ULSG members Timing: January 2014 – December 2014Budget: -noneRisks – none, at the time this material is being written, the activity is finalised

Step 3Develop an IT application for managing the data collected. Firstly, there will be a collecting phase (12 months), followed by reports, predictions, analysing trends and predispositions. The application will run and will be used on mobile devices in order to provide a fast and non-repetitive way of working. Actors:Fida Solutions - IT company Timing:

Phase1 –Develop the application, test, deploy - January 2014 – December 2014Phase2 –Running the application, collecting the data – February 2015 – January

2016

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Phase3–Develop reports, statistics, predictions – February 2016 – June 2016Phase4–Tuning, Refining and Running the application – June 2016

Budget: pro bono

Step 4Running the survey and collecting the data by applying the questionnaire and saving the data into the application databases every day. The city hall employees that will run the survey will talk to each person visiting the family doctors and waiting in the waiting room. The waiting persons will provide data and those data will be recorded in a direct way, in a interview – discussion.Actors:city hall employees, mainly involved in social care departmentTiming:February 2015 – January 2016Budget:city hall budget for paying the people that will run the surveyRisks – the people willhave reticence in providing detailed data about their families. The risk will be reduced by involving people already working in social care department for the city hall, known by the people visiting the hospital and with good communication skills and empathy.

Results and impactsA set of indicators revealing the real state of the population regarding medical, social, educational, economic condition.A mass interaction with the population from Baia Sprie. Everyonewill be asked about his opinion, his beliefs, about what (and how) need to be improved in medical care, in social approach, in education, in business.More than 75% of the population from Baia Sprie area will be touched by this initiative in 2 years.

Impactmap: stakeholder input activities output outcome indicators

1 Baia Sprie city

Time

Money – paying for the

Renovate thewaiting room of the family doctors MedSpria

Modern waiting room in place

2 social

This approach will be an image of the increase level of implication

Will be able to provide complex

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rehabilitation of the waiting room and social workers salaries

Running the survey – talking to people, interviewing and registering the data into the software application

workers assisting population

by the city hall in public health care sector

reports after 2 years running the survey

2 People Time They will be the subjects of the survey and in the end, the beneficiaries

Data given to the social workers

Increase relation with city hall and increase the trust level in public health system

Better occupation of time when waiting to enter the doctor

> 90% of the people in the waiting room will provide data

> 75% of the people will appreciate the new waiting room and survey

3 Fida Solutions - IT company

Time

Money – developing, running, hosting the application

Developing the software application for running and storing the survey

Developing the reports after 1 year running the survey

Hosting the application and the data

1 running application

1 set of indicators built

1 database built

1 reports schema developed

Social implication of the private sector

1 full set of services developed for the social – medical – educational surveys

6 MedSpria Waiting room from family doctors space

Rehabilitate the waiting room

Waiting room rehabilitated

Better services for clients

> 75% of the people will appreciate the new waiting room and survey

2. Re-opening Baia Sprie hospital as a center for terminal-phase patience palliative careInitiative

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Description of InitiativePhysical rehabilitation of the old hospital building is needed in order to be able to function as a hospital in modern conditions. Contracting good doctors and hiring personnel is a must after the rehabilitation. Opening the hospital as a center for terminal-phase patience palliative care.

Yearly, aprox. 1400 new cases of cancer are identified in Maramureș county(0.28% of the county population). Out of this number, more than 50% (700-800) people are dying the same year. There are not enough beds in hospitals and not enough specialised personnel to take care of people in terminal phases of their lives (data collected from interviewing Dr. Dumitru Filip – chief oncologist at public county hospital Baia Mare and Dr. Calin Pop – former General Manager at public county hospital Baia Mare).We want to be able to take care of these people in terminal phase of their lives, offering them professional medical services and assistance, psychologicaland/or religious counselling, decency and dignity by not being thrown out of the hospitals and sent home to die alone.

A hospital that can offer medical services with permanent care with 20 beds can adress 5-7% of the total number of 700 people annually(if referring only to the Baia Sprie area population related to the total number of population in Maramureș county) and 35-45% of the total number of 700 people(if referring to Baia Sprie area population together with Baia Mare area population – Baia Mare is the capital of the county located only at 15 km distance from Baia Sprie). The people involved are those being ill and also their families.

The public health system is rather cynical – the system doesn’t offer hospitalization and treatment for the person considered to be in terminal phase, because the result will be the same. The system says there is no urgency in this matter – they die anyway – what’s the problem or the hurry? If we act or not, the conclusion is the same.We think it is not the same. These people only have few more months to live. Their lives and their families lives can be a disaster on these months or these months can be as decency and as dignity as a human being can offer to his beloved. Their families itself cannot provide this. We need to help.

It is not only a wish, but it is a need, expressed by the sick people. We had several meetings with managers from county hospital Maramures that knows the numbers and the fact that they have to throw people out of the hospital. All these people need and want to go to another hospital.

We will be able to take care of 20 people that nobody else wanted to take care of. More, we will offer not only medical services and a bed to stay in, but also present other people that cured from the same ‘’final’’condition with good care, keeping the loves one close, treating not only the body but also the soul. We will have doctors and nurses that will talk to people, treating them as people, and not only as sick dying people. We will also have priests that will offer their time and attention to people who will ask for them. We will offer psychological consulting for the family.

Objectives of the initiativeRe-opening the Public Hospital from Baia Sprie as a center for terminal-phase patience palliative care with 20 beds.

Key steps and activities

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Step 1A feasibility and technical studyfor the rehabilitation will be runby an external partner(architects house, consultants company) that will be contracted in order to deliver the technical parts and annexes.Actors: board of MedSpria, technical external partnerTiming:July 2015 – December 2015Budget:50.000 Euro, local council budget / Medspria budgetRisks : Medspria board will not be able to provide finance for the study; To allocate public council money for a study whose beneficiary will be a private entity; The people are very reticent to feasibility studies and technical projects that will not be put in action; Step 2Identifying possible existing funding schemas. It is a sure fact that the local council of Baia Sprie and MedSpria as a private company will not be able to sustain by themselves the costs implied by the rehabilitation.There are some options:Scenario 1 – the needed money can come by a financing schema of the UE, in the grant schema of the 2014 - 2020 period. In this scenario, there will be the need to develop a project for a granting schema and writing the request of financing.

Actors:internal experts from the city hall, external consultant companyTiming:January 2016 – June 2016Budget:pro bonoRisks for Scenario 1 – Being a private entity,MedSpria will have limited access to finding schemas for a hospital unit rehabilitation. The approach should be than innovative, selling the specific niche that the hospital will be in the medical field and develop the hospital as a regional centre specialised in palliative care for terminal-phase patients (see for example Jena case)

Scenario 2 – the neededmoney can come by a bank loan. In this scenario, the feasibility study has to find real sources of incomes for the newly renovated and fully operation hospital in order to convince the creditors that the business will be operable.

Actors:internal experts from the city hall, MedSpria board membersTiming:January 2016 – June 2016Budget: local city hall Risks for Scenario 2 – the very idea of being a hospital of the people for the people might be corrupted by a model in which there will be creditors pushing for profit margins ; creditors will be very reticent in financing a hospital for terminal-phase patients

Scenario 3 – involvinga largenumber of citizens from Baia Sprieas co-owners and co-generators on their own health and hospital(huge public subscription). For this scenario, there will be the need of a public figure, assuming the role of coagulating all the population, local companies and investors in a great vision.

Actors:mayor (as coagulator), local populationTiming:June 2015 – December 2016Budget:none directly for this activity. This huge marketing activity will be run in every meeting and every public appearance of any official from Baia Sprie city hall(mayor, vice-mayor, ULSG coordinator, ULSG members…)Risks for scenario 3 – People being tired to get personal involve in something they cannot control. The area is poor comparing to other areas, so the population will not have the money to participate. The lack of experience of doing things together, at a city scale

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The 3 scenarios are not excluding themselves, in fact the best solution might be a combination of 2 of the 3 scenarios, maybe even all 3 scenarios implemented in the same time.

Step 3Physical rehabilitation of the building.Endowing the new units with specialised equipment, drugs and supplies.Actors: external construction company, external consultant for project managementTiming:January 2017 – December 2017Budget:2.000.000 Euro

Step4Contracting good doctors and specialized personnel.Opening and running the new hospital and medical units. Actors:Medspria boardTiming:January 2017 – December 2017Budget: the budget will be generated from the contract with the House of Health Maramures and also from the service beneficiaries(belonging families).

Results and impactsA 20 beds hospital for palliative care for terminal-phase patients.

Impactmap: stakeholder input activities output outcome indicators

1 Medspria board

Time

Money – they are the investors

Renovate 1 floor of the hospital building creating facilities for 20 bedsHire doctors, nurses, set the partnership with churches and psychologists

20 beds operational

Full staff in place

MedSpria will become the standard in treating people in last phase of their lives

> 80% occupation degree yearly after year 1

10% of the people will be from outside Baia Sprie area

Extend the number of beds with 50% in next 3 years

2 Terminal phase sick people

Time They will be the beneficiaries of the new hospital facility

Meetings and discussions with sick people currently or that are cured from the same illness

Psychological and/or religious counselling

Extension of life with loved one close, with hope and peace in mind

Double the life expectancy for more than 20% of hospitalised people

5% of the hospitalised people will not die(unless much later and/or by another cause)

3 National Time Validate the Approval The case will 1 new kind of

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House of Health – Maramures county

Money – in operational phase of the hospital

hospital

Co-participate to the costs of the hospitalisation

Paying the services regularly

for the new hospital facility

sign the contracts for services payment

become a best practice that will be extended to other services also

service will be ‘’externalised’’ from the public county hospital to private ones

4 Families of the sick people

Time

Money

Spend time with their sick member of the family

Support a part of the costs

Psychological and/or religious counselling

Daily meetings with the belonging

Increase awareness about cancer

Create a support group for cancer in Baia Sprie

2 events yearly for disseminating the importance of prevention of cancer by screening

Oncologist training programs for every family doctors in Maramures

5 Public county hospital

Time

Doctors

Procedures

Send people to our hospital

Advice people

More beds available for people not in terminal phases

More hope for the sick people with good chances to cure

5-10 more free beds available monthly

10% more time for the doctors to talk with pacients

20% better level of stress for sick people not in terminal phases

6 New shareholders in MedSpria

Money Will become shareholders and co-producers of their own health

Dissemination events heldThe mayor will act as a coagulator for door-to-door campaigns

The hospital will be rehabilitated

200 new shareholders in 2 yearsThe whole hospital building will be reabilitatated

3. Units and projects for services outside the hospital Initiative

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Brief description of InitiativeDeveloping a network of projects outside the hospital Initiative, for offering the services that people need exactly in the place they are and in which they feel familiar and comfortable.

Romania is amongst the last places in UE regarding the percentage from the total PIB allocated to the Health system – 4% in 2015 when the UE average is 6.5%; when taking the medication costs, per capita consume in PPP(Parity Purchase Price) is 216 Euro in Romania, reported to 350 EURO PPP in UE average, not talking about limitations in accessing the new medication. In the same time, avoidable mortality is 36% bigger in Romania than average UE while the infantile mortality is more than double than UE average.

These facts allow us to conclude that we have to increase non-standard health system in dealing with people health.That has to do with increasing access to education, access to social services conducted by private NGO’s, access to private infrastructure that SME’s has built for business, translated into resources(human, technology, IT, innovations) put in the help of people in health sector.

Objectives of the initiativeCoordinate a series of projects and initiatives for offering health services outside the hospital. With this, the costs of the official and standard medical system will decrease, while people who need medical assistance will be much happier to receive it at their homes, or specialised private non-hospitals units.

Main FocusesStep 1. EducationTraining people to offer services at the patient home – nurses for elders, baby sitter for children, personal assistant for disabled people, social assistant, nurses, social worker …Obtaining the authorisations needed in order to deliver the services by MedSpria or other private medical companies.Training people to become small entrepreneurs, opening small business or NGO’s related to health(psychological counselling offices, massage).Example: ADAPTOR project (POSDRU), GAL Mara Natur(associative structure) partnership for rural developing

Step 2 – NGO’s, civil societyNGO’sinvolvment in health related services can be done in multiple areas: closing old fashion children care institutes and replacing them with real homes, where children will be raised in real families; prevention for kids to be separated by their families, by diversification of the social services offered to the families (counselling, material help); re-integration of the children into their natural or extended families; social integration for children and young to become adults; day care centers for disabled people or old people, social cafeteria, vocational counselling and orientation, logopedy therapy, after school services…Example: HHC partnership with Baia Sprie city in offering basic hygiene services for roma people

Step 3 – research institutes, private SME’s infrastructure, universities Private SME’s, universities and research institutes needs to be attracted into a process for delivering products/services/facilities related to the health field that would eventually

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bring closer patients to their families, IT products and gadgets into serving real people needs, private resources involved in serving the community where the business and profits are done.Example: iLocate project–i-Locate "Indoor/outdoor LOCation and Asset management Through open gEodata” (www.i-locate.eu) is project funded by the European Commission through the ICT PSP programBeneficiary(Pilot): Baia Sprie city and Elder Nursing Home from Baia SprieThrough the i-Locate project, the project partners search to pilot an integrated platform for management and tracking of mobile assets and people within institutions(for Baia Sprie – elder people with cognitive problems inside their ‘’home’’) , in order to streamline various processes and improve citizens' experience within public buildings.

Example: UNCAP project - Ubiquitous iNteroperable Care for Ageing People –H2020 financing projectBeneficiary(Pilot): Baia Sprie city and Elder Nursing Home from Baia SprieUNCAP stands for "Ubiquitous Interoperable Care for Ageing People" and is a project funded by the European Union under the European Union's Horizon 2020 program for research and innovation. It has a duration of 36 months (the first 18 - for the development of technology, the next 12 - for field-testing and the remaining six - for validation) and involves 23 organizations- private companies, health care facilities and centres of excellence of nine EU countries, and has a budget of over 3.6 million euro.Results and impact:

- better life conditions for old people with health problems- continuing to have a autonomous life style for old people- reducing the number of visits to classical medical system units- a warranty for the families of the old people of their safety and life quality- reducing the psychological effects of age people care- distance monitoring for old people daily activities

4. Baia Sprie population as co-owners and co-generators of their own health InitiativeDeveloping a long-term campaign in order to convince a large number of Baia Sprie population to become shareholders in MedSpria project, co-owners of their own medical service provider. Objectives of the initiative

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More than 7500 people will be shareholders in MedSpria (over 50% of the population). Key steps and activitiesStep 1There will be Open Days, Seminars, meetings of the mayor with the population, meetings of the ULSG, projects presentations, in a word a massive, sustained Marketing Action to sell the concept of people becoming co-producers of their own health, by involving in planning, financing, controlling the medical services and medical units running in Baia Sprie .Step 2Starting to deliver quality services, starting to accomplish the projects and initiatives presented in all meetings and gathered in Local Action PlansResults and impactsA more involved population, increasing the cohesion of the social layers, a more optimistic approach of the population towards the medical act and its creators

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5. Center for Smart Development Initiative

Objectives of the initiativeThe center will serve as the physical representation for the units and projects detailed in point 3 - Units and projects for services outside the hospital Initiative

The center will be created in order to offer full facilities in 3 major directions, mapping all types of interaction already identified and described in point 3:

1. Education - Vocational and talent training – there will be several trainings facilities

2. NGO’s involvement - Volunteeringcenter - Promoting volunteer activities results in attracting larger numbers of volunteers. Getting them involved in public activities leads to giving them a sense of self-respect and self-importance, and helps make them aware of their importance and role in the community. Accepting volunteer help in public activities gives them an opportunity to improve a CV and develop skills for future jobs. It also helps public authorities identify and train potential job candidates. A center for volunteering provides the opportunity to develop specialized skills, especially in fields where hands-on experience and training is required (medical services, first aid, firefighting, reporting, and project-based working).There are several long-term benefits such as increasing the attractiveness of the city, creating jobs, providing experts in several fields of expertise and, most important, expanding the pool of qualified candidates for the jobs offered in Baia Sprie area

3. SME’s involvement – the center will act as a hub for young businesses, as an incubator for entrepreneurs

Key steps and activitiesStep 1A technical studywill be runby an external partner(architects house) that will be contracted in order to deliver the technical parts and annexes.Actors:Baia Sprie city council, technical external partnerTiming: May 2014 – December 2014Budget:30.000 Euro, local council budget Risks : none, at the time this material is being written, the activity is finalisedStep 2Obtaining the financing for the project – identifying the financing schema, writing the request for financing, signing the financing contract, organising the tendersActors:Baia Sprie city hall employers, external consultant partnerTiming: January 201 – December 2015Budget:30.000 Euro, local council budget Risks : possible delays from approval of the new financing programs by the UE Commission together with Romanian government; possible delays in evaluating the projects; not getting the financing having more projects and money claims than money; delays in the process of organising the tender for worksStep 3Physical works over the buildings - rehabilitation of the buildings. Endowing the new units with specialised equipment.

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Actors: external construction company, external consultant for project managementTiming: January 2016 – December 2016Budget:1.100.000 EuroRisks: problems in assuring the right cash-flow for the project; making a good project managementStep 4Running the facility . Actors:universities, private training companies, NGO’s, new and old SME’sTiming: January 2017 – Risks: not being able to attract the right number of partners

Results and impactsAn innovative space built, equipped and run.

Economic field

We strongly believe that a good state of health of the population, a good education, appropriate budget for the health sector can be achieved only in a direct relation with economic field, with investments in developing business, infrastructure, industry, tourism, services.So, in order to have a comprehensive LAP on Health, a city should develop in the same time, also a comprehensive Local Action Plan on Economic. The content of Economic LAP is not a subject of the current LAP, so we will only enumerate the points and projects that will be detailed in the other LAP:- Infrastructure Investment for Baia Sprie Initiative –Europa 2020 mobility

Infrastructure investments for Baia Sprie area, in order to increase mobility within the city area and within Metropolitan Area of Baia Mare, that will gather the major economical investments for the 2014-2020 period.

- Industrial/Technological Park Initiative

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Creating an Industrial/Techonological park in Baia Sprie of 100.000 square meters in order to attract private investments in the city.

- Tourism InitiativeDeveloping the rural tourism,religious tourism, winter tourism in Baia Sprie area by real projects(ex. Bicycle paths, Religious tourism, Still alive traditions)

- Sustainable Rural Development Initiative

It consists out of a series of measures regarding rural sustainable development, measures written in the document of GAL Mara Natur, the association focused in activities and objectives on rural area.

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URBACT is a European exchange and learning

programme promoting sustainable urban

development.

It enables cities to work together to develop

solutions to major urban challenges, reaffirming the

key role they play in facing increasingly complex

societal challenges. It helps them to develop

pragmatic solutions that are new and sustainable,

and that integrate economic, social and

environmental dimensions. It enables cities to share

good practices and lessons learned with all

professionals involved in urban policy throughout

Europe. URBACT is 300 cities, 29 countries, and

5,000 active participants