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Call for proposals implementation of the agenda for medical ionising radiation applications (Samira action plan) (CR-g-23-44-01)
EU4Health programme 2021-2027
Estimated EU contribution per project
Link to the call
Link to the submission
This action is part of the Cancer Strand. It aims to support the implementation of the strategic agenda for medical ionising radiation applications (SAMIRA18) – organisation of clinical audit campaigns as a tool to improve quality and safety of medical applications of ionising radiation.
This action will contribute to the implementation of the Europe’s Beating Cancer Plan and supports the policy objective of ensuring access to high standards in cancer diagnosis and treatment, and implements the EU4Health Programme’s general objective of improving and fostering health in the Union (Article 3, point (a) of Regulation (EU) 2021/522) through the specific objectives defined in Article 4, points (a) and (g), of Regulation (EU) 2021/522.
The objective of this action is to pilot clinical audit campaigns in Member States in diagnostic and interventional radiology, radiotherapy and nuclear medicine by identifying and bringing together relevant actors and resources. It should take into account the specificities of the national health systems.
Up to four proposals of different sizes will be accepted, ranging from organising pilot audits in a single (large) department or hospital, a hospital trust, a region or a single Member State to coordinated audits in several Member States and should be implemented in coordination with the appropriate health authorities. A priority will be given to proposals covering several types of medical practice in several Member States and also to different practices within different regions of a Member State. Proposals should include considerations and activities to scale up pilot outcomes into the broader health system practice of Member State(s).
It should build on the results of the QuADRANT and the EU-JUST-CT project. In particular, the clinical audit action should seek to improve justification of radiological imaging, in line with the 2015 Council conclusions on this topic, and the implementation of the optimisation principle.
The action will be implemented in close cooperation with other SAMIRA activities on quality and safety of medical applications of ionising radiation and include a reporting on the pilots carried out in Member States to the Steering Group for Quality and Safety (SGQS).
A priority will be given to proposals covering several types of medical practice in several Member States or different practices within different regions of a Member State. Proposals should include considerations and activities to scale up pilot outcomes into the broader health system practice of Member State(s).
Expected effects and impacts
The action will contribute to a better implementation of the BSS Directive’s requirement with regard to clinical audit taking into account the differing challenges across Member States. It can serve as a reference action to establish a permanent clinical audit mechanism in some Member States.
It will improve the overall quality and safety of radiological medical procedures in order to bring their full benefits to patients. It will contribute to the development of the professional skills of the auditors and of the audited professionals and foster inter-disciplinary and multi-professional relationships. It should contribute to the development of leadership in this area.
This action could also strengthen structures involved in hospital accreditation or individuals involved in professional healthcare certification schemes.
The pilot outcomes should be relevant to health systems as a whole and be designed in a way that their outcomes can be scaled up into the broader health system practice of the Member State(s).
This activity targets actors and activities related to quality and safety of medical applications of ionising radiation, based on the relevant requirements of Directive 2013/59/Euratom of 5 December 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation.
Regions / countries for funding
Moldova (Moldova), Island (Ísland), Norway (Norge), Ukraine (Україна)
Education and training institution, International organization, Non-Profit Organisation (NPO) / Non-Governmental Organisation (NGO), Other, Public Body (national, regional and local; incl. EGTCs), Research Institution incl. University
Applications may be submitted either by a single applicant or a consortium. In both cases (single applicants or consortium) the proposal must include one eligible applicant with expertise in at least one of the following medical specialties: radiology, radiotherapy, nuclear medicine, other medical specialties using ionising radiation. This needs to be clearly highlighted in the proposal.
In order to be eligible, the applicants (beneficiaries and affiliated entities) must:
- be legal entities (public or private bodies)
- be established in one of the eligible countries, i.e.:
- EU Member States (including overseas countries and territories (OCTs
- eligible non-EU countries: listed EEA countries and countries associated to the EU4Health Programme or countries which are in ongoing negotiations for an association agreement and where the agreement enters into force before grant signature (list of participating countries)
Other entities may participate in other consortium roles, such as associated partners, subcontractors, third parties giving in-kind contributions, etc.
Natural persons — Natural persons are NOT eligible (with the exception of self-employed persons, i.e. sole traders, where the company does not have legal personality separate from that of the natural person).
International organisations — International organisations are eligible. The rules on eligible countries do not apply to them.
Entities without legal personality — Entities which do not have legal personality under their national law may exceptionally participate, provided that their representatives have the capacity to undertake legal obligations on their behalf, and offer guarantees for the protection of the EU financial interests equivalent to that offered by legal persons.
EU bodies — EU bodies (with the exception of the European Commission Joint Research Centre) can NOT be part of the consortium.
Associations and interest groupings — Entities composed of members may participate as ‘sole beneficiaries’ or ‘beneficiaries without legal personality’. Please note that if the action will be implemented by the members, they should also participate (either as beneficiaries or as affiliated entities, otherwise their costs will NOT be eligible).
European Reference Networks (ERNs) — These cover networks between healthcare providers and centres of expertise in the Member States to reinforce healthcare cooperation, in particular in the area of rare diseases, in line with the objectives set out in Article 12 of Directive 2011/24.
other eligibility criteria
Specific mandatory deliverables and/or milestones
The activities that can be funded under this project include networking, communication, coordination, planning, recruiting, training, auditing, reporting and dissemination activities.
This also includes the identification of the documentation needed to implement clinical audits in the different medical specialties using ionising radiation, such as clinical audit guidelines, audit templates and agreed standards for good medical practice. The elaboration of new guidance, templates or standards could also be covered, especially in areas of underdeveloped clinical audit practice, such as nuclear medicine. Document, resources, and best practices identified and / or developed in the QuADRANT study and the EU-JUST-CT study should serve as a basis for this part of the project activities.
It finally includes the development and / or use of appropriate web-based tools to share clinical audit guidance, manuals, templates and agreed clinical standards, as well as best practices and audit results. In particular, the use of the EU Health Policy Platform should be considered to share resources, knowledge and best practices and to boost discussions about clinical audit.
- Provide updated plannings of the clinical audit campaigns (min. every six months) including:
- participating hospitals/departments
- audited medical procedures
- agreed standards to be used as the basis for clinical audit
- auditors (name, organisation)
- Share the auditors training materials
- Develop guidance and standards within the project
- Develop general reports of the campaigns including recommendations on how to better embed clinical audit practice in the broad health system of the participating Member States
- Develop web-based tool(s) to share relevant resources and results
Relevance for EU Macro-Region
EUSAIR - EU Strategy for the Adriatic and Ionian Region, EUSALP - EU Strategy for the Alpine Space, EUSBSR - EU Strategy for the Baltic Sea Region, EUSDR - EU Strategy for the Danube Region
UN Sustainable Development Goals (UN-SDGs)
The costs will be reimbursed at the funding rate fixed in the Grant Agreement (60%). You can apply for a higher project funding rate (80%) if your project is of ‘exceptional utility’, i.e. concerns:
- actions where at least 30 % of the budget is allocated to Member States whose GNI per inhabitant is less than 90% of the EU average or
- actions with bodies from at least 14 Member States and where at least four are from Member States whose GNI per inhabitant is less than 90% of the EU average.
Proposals must be submitted electronically via the Funding & Tenders Portal Electronic Submission System (accessible via the Topic page in the Search Funding & Tenders section). Paper submissions are NOT possible. Proposals (including annexes and supporting documents) must be submitted using the forms provided inside the Submission System.
Proposals must be complete and contain all the requested information and all required annexes and supporting documents:
- Application Form Part A — contains administrative information about the participants (future coordinator, beneficiaries and affiliated entities) and the summarised budget for the project (to be filled in directly online)
- Application Form Part B — contains the technical description of the project (to be downloaded from the Portal Submission System, completed and then assembled and re-uploaded)
- mandatory annexes and supporting documents (templates available to be downloaded from the Portal Submission System, completed, assembled and re-uploaded):
- detailed budget table/calculator
- CVs (standard) of core project team
- list of previous projects (key projects for the last 4 years) (template available in Part B)