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ENSP - The Network - United for a Tobacco Free Europe [ENSP FY2020] [881565] - Operating Grant
Supporting, assessing and evaluating central EU policymaking and counterbalancing interference. by lead ENSP

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Task 1.1: Set up ENSP WatchDog actions: Vigilance for breaches of TPD implementation and monitoring of Tobacco Industry tactics in Europe. Within this activity, the broad ENSP network, which has been ...
Task 1.1: Set up ENSP WatchDog actions: Vigilance for breaches of TPD implementation and monitoring of Tobacco Industry tactics in Europe. Within this activity, the broad ENSP network, which has been developed by the previous OGs will be contacted so as to map and create a mechanism for the reporting of breaches of TPD and FCTC implementation in Europe. Within this process, ENSP will ask on a quarterly basis its members if they are aware of any breaches in implementation, with any identified breaches requiring accompanying provision of supporting evidence. Once verified, short policy briefs on identified breaches including the request for corrective actions to be taken, will be produced and provided to central and regional EU MS regulators. Furthermore, breaches will be made public through ENSP’s existing dissemination channels. (Milestone 1). Such examples may be published in a special section of Tobacco Prevention and Cessation and presented in a public report for a laymen audience and the media. (Deliverable D1.1)
Task 1.2: To provide scientific evidence for the upcoming assessment of the TPD. In 2021 the EC has to prepare a report to the European Parliament and the Council on the application of the TPD with a particular focus on the elements which need to be reviewed or adapted. As per TPD Art28, special attention is to be placed on the impact of package design; novel tobacco products, slim cigarettes, ingredient information, e-cigarettes and waterpipe tobacco. Within the context of this task, and utilising the list of experts identified in the 2018/2019 ENSP OG, this list of experts will be contacted by their area of expertise, and asked to provide concrete evidence and research that they would have with regards to the above priority areas (Milestone 2). This evidence will be consolidated in the form of a report that will include the information and summary of the evidence available for each domain and to be provided to EU MS regulators (Linked to Deliverable D1.2).
Task 1.3: To maintain and expand communication with key stakeholders and target groups. ENSP will maintain and strengthen advocacy actions with existing and new stakeholders, including but not limited to EU MS regulators and policymakers, members of the DG SANTE expert groups and subgroups, new MEPs and additional EU NGOs. Within this task, hard copies of the watchdog actions (Task 1.1), TPD assessment (Task 1.2), national toolkits (Task 2.1) and hot topics (Task 3.1) amongst others will be provided.
Task 1.4: To organise an event at the EU parliament on the assessment of the TPD. Within Q4 of 2020, ENSP will organise an event at the European Parliament to present the results of the ENSP expert assessment of the TPD and current WatchDog results (Milestone 3). The output will be linked to a press release of Deliverable 1.2 to the general public, media, stakeholders and to other target groups noted in the 2020 OG.
Tackling EU Hot topics on tobacco by lead ENSP

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Task 2.1: Creation of evidence-based “hot topic” fact sheets. ENSP will prepare two evidence-based fact sheets for policymakers and the public in 2020, one on the upcoming and challenging regulati...
Task 2.1: Creation of evidence-based “hot topic” fact sheets. ENSP will prepare two evidence-based fact sheets for policymakers and the public in 2020, one on the upcoming and challenging regulation of menthol products which will be implemented in May 2020 (Milestone 4) and one “hot topic” fact sheet on Juul, a novel tobacco product that has newly entered the EU market, , including information on its impact on youth initiation (Milestone 5). Since the launch of the JUUL in 2015, it has grown to compose more than 70 per cent of the U.S. e-cigarette market and has contributed to a rise in e-cigarette use by 78 per cent among U.S. high school students. In Europe, Juul is regulated as an E-cigarette and. Altria (Phillip Morris) recently invested 12.8 Billion USD in Juul. This activity is a continuation of the work done in 2019 where two fact sheets were created, one on “tobacco taxation” and one on “SHS exposure in Europe -including emissions from electronic cigarettes” for world lung day 2019. (Linked to Deliverable 2.1)
Task 2.2: Meetings with policymakers to discuss the regulation of these “hot topics”. Both Juul and the menthol ban, are both hot issues in the EU, and especially for policymakers. In 2020 regulators at the EU MS and central EU level will be faced with substantial questions primarily from the media and the public with regards to the impact of the regulation of these products. To support the menthol ban, and to answer questions regulators may have on Juul, we will organise meetings with policymakers and EU MS regulators (media are covered below) to provide them with the evidence needed so that they are well informed. (Linked to Deliverable 2.1)
Task 2.4: Development of short videos on key facts and topics for media on “hot topics”. The media plays an important role in framing public health debates and therefore can be instrumental in supporting tobacco control. In continuation of the infographics developed in 2019, in the 2020-OG ENSP will develop video loops on key issues and the above “hot topics” that can either be video infographics, key informant or stakeholder video briefs (Milestone 6). At least three will be developed with audio and subtitles for use within social media, and also prepared in a format for mass media (DNxHD) in conjunction with the dissemination activities of the 2020-OG. (Linked to Deliverable 2.1)
Task 2.5: To organise and promote World No Tobacco Day (31May) and World Lung Day (25 Sept) activities. WNTD and WLD are two important days in which the media are more sensitive to tobacco control and lung health, respectively. In 2020, ENSP will use these two timepoints (Milestone 7 and Milestone 8) as launching points for the dissemination of “hot topics” using the material produced during Task 2.1 and Task 2.3. These events may be co-organised with other NGOs, as in 2018-2019 (with WHO and SFP for 2019 WNTD and with ERS for 2019 WLD) so as promote collaboration amongst relevant NGOs and other organisations. (Linked to Deliverable 2.1)
Perform national actions to support ENSP members in supporting FCTC and TPD implementation by lead ENSP

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Task 3.1: Develop national evaluation and action toolkits on FCTC implementation. These comprehensive toolkits will contain the existing national evidence available on TPD and FCTC implementation as i...
Task 3.1: Develop national evaluation and action toolkits on FCTC implementation. These comprehensive toolkits will contain the existing national evidence available on TPD and FCTC implementation as identified through a review of the available evidence, findings from EU funded projects (Joint Action on Tobacco Control, EUREST-PLUS, TACK-SHS etc), European population level studies (i.e. Eurobarometer) and focus group interviews with key national informants and ENSP member experts. This will be synopsised to include concrete policy suggestions and plans for national specific action points that can be implemented at a national level to enhance WHO FCTC and TPD implementation, tailor fit to that national circumstance. In 2019 such national toolkits are being developed for Italy, Belgium and Romania and are produced in English and the respective national language (Milestone 9), for use by national stakeholders and the media. In 2020 we will produce three more national toolkits, for three ENSP Member organisations based on the 2019 member assessment request (Linked to Deliverable D3.1)
Task 2.2: To organise regional and national support missions and capacity building events. These are focused on national EU MS regulators and stakeholders and provide support to national or local tobacco control campaigns. These support missions aim to increase engagement and the adoption of tobacco control legislations covered under the TPD and the WHO FCTC. ENSP provides technical support to national or local tobacco control campaigns as requested by ENSP members. Such support could include policy papers, technical and scientific expertise feedback, advocacy feedback and other related activities that would be able to strengthen regional tobacco control initiatives. After each support mission, ENSP prepares a report describing the current situation as well as summaries the specific regional and National tobacco control needs as identified by mission participants. Additionally, ENSP reports contain recommendations and future actions needed for interested countries. The recommendations are delivered to key stakeholders, policymakers and other target groups.
In 2018/2019, the growing number of requests from members to support advocacy activities at the national level is a testament to the magnitude of this need, as well as ENSP’s important role in facilitating engagement with policy makers. Examples in 2018 include the support mission -combining many one-to-one meetings with high-level policy makers as well as stakeholders in tobacco control - to France (in policy implementation), to Georgia (on illicit trade control), to Denmark (on how to achieve a tobacco-free vision of Denmark by 2030 – with significant media coverage), a support mission to Bulgaria (on tobacco advertising, promotion and sponsorship -with extensive media coverage) and a support mission to Slovenia (to promote Article 14 implementation), based on which the Slovenian translation of the ENSP guidelines are being considered as the national guidelines. In 2018 a capacity building event was organised in Austria, with representation from central European countries to share best practices and exchange the latest developments on the WHO FCTC and TPD in Europe. In 2019 this continued with a support mission to support Art 14 implementation in Romania while additional support missions and a capacity building event is planned for Moldova, Croatia or Germany which will be based on the mid-2019 ENSP member assessment. Built on previous successful support missions, ENSP will perform in 2020 five support missions in EU MS, based on the request for assistance in late 2019. (Linked to Deliverable D3.2).
Smoking Cessation actions and capacity building to promote FCTC Article 14. by lead ENSP

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Task 4.1: To map FCTC Art 14 implementation and propose policy recommendations. Smoking cessation is an integral part of the FCTC and hence, it is essential to support its implementation in Europe. Wi...
Task 4.1: To map FCTC Art 14 implementation and propose policy recommendations. Smoking cessation is an integral part of the FCTC and hence, it is essential to support its implementation in Europe. Within the OG of 2020, we will map the level of implementation of Article 14 across Europe and assess barriers to its implementation through the distribution of a questionnaire to ENSP members, regulators and other stakeholders of each EU country (Milestone 11). The results of this process will be used to prepare a solid report on the level of Article 14 implementation in total and by country for stakeholders and also to propose specific policy recommendations per EU MS and to identify European countries in need of further support. (Linked to Deliverable 4.1)
Task 4.2: To update the ENSP e-learning platform with a new eLearning module on harm reduction, ENSP has developed an open access e-learning platform for tobacco control in Europe. This online e-learning platform was developed from the 2018 OG and further updated in the 2019 OG and provides policymakers, clinicians and researchers with accredited, translated and nationally adapted information on smoking cessation in 16 national languages and contexts beyond MSs (Albanian, English, French, Greek, Spanish, Romanian, Polish, Ukrainian, Russian, Armenian, Georgian, Serbian, Macedonian, Slovenian, Italian, Portuguese). In 2018/2019 more than 500 clinicians from 15 countries have completed the course and received European Continued Medical Education credits (EACCME) in smoking cessation. Building on this success, the e-learning platform will be updated with a new module on harm reduction (Milestone 12). This module will include information on harm reduction approaches aimed at healthcare professionals in order to be able to guide their patients to complete smoking cessation and also include information on novel products. Within 2020, the eLearning will be expanded to include this new module in at least 5 European languages. (Lined to Deliverable 4.2)
Task 4.3: To translate the cessation guidelines for high risk groups in 3 European languages During the 2018 and 2019 OGs ENSP developed, updated and translated the ENSP Guidelines for evidence-based smoking cessation (ISBN: 978-618-82526-6-0) in line with Article 14 of the WHO FCTC in 15 languages (Albanian, English, French, Greek, Spanish, Romanian, Polish, Ukrainian, Russian, Armenian, Georgian, Serbian, Macedonian, Slovenian, Italian). The ENSP Guidelines for evidence-based smoking cessation are the most recent and up to date systematic clinical guidelines for smoking cessation. Within the 2018 and 2019 OG, ENSP further included the results of the TOB-G project (funded by the 3rd Health Programme) and included guidelines for 5 high-risk groups (pregnant women, adolescents, adults with cardiovascular disease, diabetes, and chronic obstructive pulmonary disease) and translated them into 9 national languages (downloaded by 3,000 healthcare professionals). In 2020 ENSP building on this success will further translate and incorporate the TOB-G recommendations in 3 additional languages (Milestone 13). (Linked to Deliverable 4.2)
Task 4.4: To organize hands-on tobacco treatment training for healthcare professionals. ENSP through the 2018 and 2019 OG formed a group of experts in smoking cessation and along with regional partners of the Network and health associations in Europe has organised hands-on trainings for more than 250 healthcare professionals on integrating tobacco treatment delivery into daily clinical practise in 6 EU countries (Kosovo, Russia and Slovenia in 2018 and in 2019 in Romania, Albania and Moldova). The hands-on training provides information on the latest evidence and best practises on behavioural counselling and pharmacotherapy and are usually done after the completion of the online accreditation in Task 4.2. Within 2020 we will organize 2 hands-on training in European countries (Milestone 14), based on the mapping perfo
Supporting European Tobacco Control research and exchange of information and scientific evidence by lead ENSP

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Task 5.1: Organisation of the 5th ENSP Scientific Conference, including the youth workshop. Within the previous OG we initiated annual conferences with significant success and participation (Brussels ...
Task 5.1: Organisation of the 5th ENSP Scientific Conference, including the youth workshop. Within the previous OG we initiated annual conferences with significant success and participation (Brussels 2016, Athens 2017, Madrid 2018, Romania 2019). The 2019 conference had over 180 submitted abstracts, organised over 3 days across 5 parallel rooms, 3 plenaries, 150 presentations (64 oral and 86 in symposia) and 5 workshops with high-level presence from DG SANTE and the EU Commissioner for Health and Food Safety, Dr Vytenis Andriukaitis.
The ENSP2020 conference is planned to take place in Paris in June 2020. This conference will allow for a deeper and more lengthy interaction between researchers, stakeholders, policy makers and regulators and will facilitate the opportunity for EU tobacco control researchers and policymakers to share experience and challenges. All abstracts will be published in the ENSP journal, Tobacco Prevention and Cessation. Our 2020 ENSP conference will meet and support the exponential increase and interest by European stakeholders for an annual tobacco control conference, rotating across EU countries and integrated with national activities. This activity does not compete with the triannual ECTOH in 2020 (which is earlier in the year), but it complements the need for more frequent annual interactions between policymakers, researchers, advocates and healthcare professionals. Within the 2020 ENSP conference, a dedicated youth workshop will be included in the programme, on the topic of “how to write a tobacco control manuscript”. Within this hands-on session, young researchers will be mentored by experienced scientists in how to write a scientific manuscript. (Deliverable 5.1)
Task 5.2: Expansion of the ENSP Scientific Journal “Tobacco Prevention and Cessation”. Tobacco Prevention and Cessation is a double-blind peer-reviewed open access journal which adheres to best practices for editorial handling and publishing. In 2018 it was accepted as a journal member of COPE – the Committee for Publication Ethics- an indication of its standards, while in 2019 it was indexed in the Web of Science Emerging Citation Index (a precursor of the journal Impact Factor) and applied for indexing in PubMed. The existence of this journal provides European researchers, policymakers and advocates with evidence-based tobacco control knowledge that is open access and freely available. In 2018, there were over 73,000-page visits from 33,000 users, and just in the first 5 months of 2019, this increased to over 43,000 visits and 25,000 users. This expansion will be done without compromise to manuscript quality by maintaining the journal’s rejection rate of 57% (Linked to Deliverable 5.2)
Task 5.3: Production of the ENSP Newsletters (12). To release monthly newsletters, 12 in 2020, with relevant information on tobacco control developments in the EU and beyond, news on regional capacity events (input from Task 3.1), updates from ENSP members (input from Task 3.2), results of ENSP watchdog activities (input from Task 1.1), Hot topics (input from Task 2.1) as well as disseminating research results from EU collaborations and published papers from the ENSP journal. The newsletters are sent monthly to over 1500 relevant stakeholders, and the distribution list is growing with each new edition. On a monthly basis, a template for the inclusion of information is collected from ENSP members and circulated, and this is updated by the ENSP secretariat with additional EU Policy and EU MS information. (Linked to Deliverable 5.3)
Task 5.4: ENSP Website and Social Media. Social Media activities in 2020 will continue to be focused primarily on ENSP’s Facebook and Twitter accounts. While the Facebook page has been ENSP’s audience preferred social media platform, with 2400 followers in the last few years, Twitter has become a complementary tool to promote, update, and inform stakeholders on information and events, often in “real-time”. In 2
Supporting the next generation - ENSP Youth working group activities by lead ENSP

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Task 6.1: Recruitment of European Solidarity Corps youth. European Solidarity Corps is an EU initiative which creates opportunities for young people to volunteer or work on projects in their own count...
Task 6.1: Recruitment of European Solidarity Corps youth. European Solidarity Corps is an EU initiative which creates opportunities for young people to volunteer or work on projects in their own country or abroad that benefit communities and people around Europe. In 2020, ENSP will host one young person in Brussels within the ENSP secretariat as well as facilitate the hosting of two interns within ENSP member organisations. In 2019, the European Solidarity Corps participated in the creation of 2019 fact sheets, the 2019 conference and regional tobacco control capacity initiatives of ENSP members. (Linked to M16)
Task 6.2: To develop and further promote ENSP youth membership. The youth group, created in 2018 and further developed in 2019, will be further expanded in 2020 with the recruitment of additional members from European countries not currently represented in the group. The group will continue to meet regularly via teleconference and email communication, and face-to-face within the context of other ENSP meetings so as to and promote youth engagement in tobacco control activities – such as those noted in Task 6.3 below. (Linked to Deliverable 6.1)
Task 6.3: To support research and advocacy actions by the youth working group. The youth working group in 2018 and 2019 mapped priority areas in each youth member country, promoted WNTD events and created two youth newsletters and a fact sheet for school students. In 2020 the ENSP youth working group will focus on Smokefree campuses an important issue directly impacting young people. In 2020, the youth group will map Smokefree campuses in Europe, by i) reaching out to ENSP members and academic institutions in Europe with a questionnaire on the legislation vs implementation of Smokefree legislations in campuses and ii) by creating a toolkit for an action plan for practical implementation and iii) the creation of a Facebook live campaign for Smokefree campuses. (linked to M17, contributing to Deliverable 6.1)
ENSP Network growth, maintenance, capacity development and collaboration by lead ENSP

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Task 7.1: Coordination of ENSP network activities and network expansion. In 2020 ENSP will continue to organise frequent communication with its members, organise two general assemblies of Full and Ass...
Task 7.1: Coordination of ENSP network activities and network expansion. In 2020 ENSP will continue to organise frequent communication with its members, organise two general assemblies of Full and Associate members (Milestone 19) while maintaining close communication with the ENSP board. Effort will be made to further expand the ENSP network in EU, Acceding and Neighbouring countries (Linked to Deliverable 7.1)
Task 7.2: To facilitate training and augment capacity/idea exchange through mobility. In 2020 ENSP will place additional focus on providing opportunities to ENSP members to enhance their local capacity through vocational training and mobility of expertise. In 2020 the ENSP newsletters will also provide information on upcoming EU and non-EU webinar training opportunities (i.e. DG SANTE webinars to industry, WHO collaborating centre webinars, US FDA webinars, CHAFEA webinars), an activity that commenced during 2019. Furthermore, potential position vacancies in the area of tobacco control in ENSP member organisations or academia will also be broadcasted to ENSP’s network so as to facilitate a broader cross-pollination between members. Furthermore, ENSP will partner with other stakeholders to co-organise training workshops within the 2020 conference – as facilitated in the 2019 ENSP conference where workshops were co-organised with ASH US (on human rights) CTFK Europe (on media communication) and Tobacconomics (on tobacco taxation). (Linked to Deliverable 7.1)
Task 7.3: Participation in conferences and tobacco control activities of other stakeholders. In 2020 ENSP will participate in other tobacco control conferences (i.e. ECTOH, SRNT, TID) (Milestone 18) and participate in the tobacco control activities of other stakeholders (FCTC/COP), FCA, European Respiratory Society, Campaign for Tobacco-Free Kids (CTFK), Global Bridges, Action on Smoking or Health US (ASH-US) so as to promote collaboration and synchronisation with other tobacco control activities in Europe and globally. In 2018 and 2019, the participation of ENSP in other stakeholders’ events led not only to greater community awareness of ENSP activities but also set the ground for strong collaborations that led to important documents. Stellar examples of such collaborations that spawn from collaborations with other stakeholders are the Bucharest Declaration of Human Rights and a Tobacco-Free Europe (with ASH US) published in the Tobacco Prevention and Cessation and also as a document to the UN General Assembly Human Rights Council in 2019. (Linked to Deliverable 7.1)
Coordination, sustainability and evaluation of ENSP activities in 2020 by lead ENSP

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Task 8.1: Day to day management, including financial and human resources oversight. In 2020, proper financial management and HR capitalisation will continue to constitute fundamental principles to gov...
Task 8.1: Day to day management, including financial and human resources oversight. In 2020, proper financial management and HR capitalisation will continue to constitute fundamental principles to govern ENSP’s successful functioning. In accordance with the ENSP statutes, the ENSP Secretariat is mandated by the Executive Board to carry out the day-to-day operations of the ENSP network. The tasks of maintenance and efficient functioning come under three main headings:
i. Implementation of the annual work plan: ENSP will seek to implement the annual work plan on a daily basis, making sure that the work is completed, regardless of any unforeseen events (staff illnesses etc.). Regular meetings will also facilitate the day to day work plan implementation, since they will give staff members a chance to remain informed of any ENSP developments, to share ideas and successes, to face collectively any upcoming challenges and to take on organizational tasks. Another element of vital importance is to make sure that the public and the target populations are aware of ENSP’s work and activities. To this direction, staff will seek to maintain ENSP’s presence and communication with the target communities (Linked to the Final Report)
ii. HR management: Day to day personnel management will operate at three levels: a) actual management of both regular and unexpected personnel issues b) maintenance of an organizational climate conducive to staff job satisfaction and enthusiasm, and - as a result - organizational effectiveness c) investment in vocational employee training to achieve improved employee performance and morale, to address skill weaknesses, to increase adherence to quality standards. At the same time, strategic recruitment of new staff will take place on the basis of professional competencies and skills, compatibility with existing personnel (teamwork ability), commitment to ENSP’s mission and objectives and character values (e.g. integrity, honesty, etc.).
iii. Financial management-preparation of periodic reports and annual audit: as it is clearly stated in its internal rules, the Association’s resources include membership fees and contributions, donations, grants, subsidies, legacies, receipts from sales and fees for services. ENSP will invigilate the overall financial record that has to be updated and balanced regularly, while keeping regular track of the budget, through the drafting of periodic reports, in order to manage income, expenses and cashflow. ENSP will continue to conduct annual audits that provide firm assurance for its functioning and future strategic planning. (Linked to Final Report)
Task 8.2: To develop and implement a comprehensive fundraising strategic plan. In 2020, we will build on the strategic fundraising plan implemented in 2018 and 2019 and will focus on identifying sources for ENSP to be financially robust beyond the 2021 OG. It is important to state that the strategic fundraising plan must under no circumstance compromise ENSP’s independency from any industrial or political group. (Linked to the Final Report)
Task 8.3: External evaluation. At the end of 2020, an external evaluation will be implemented by a subcontractor. The evaluation strategy is extensively described in the FPA proposal. The primary purpose of the external evaluation is to provide input to programming for learning and improvement and for accountability to ENSP’s members and stakeholders and to inform the development and implementation of future plans. The evaluation will focus on: The effectiveness of ENSP’s work towards the operational objectives planned, and its impact on tobacco control progress in the EU; The relevance of ENSP’s work programme to ENSP Vision, Mission and Strategic Objectives and the operational management of ENSP based on human and financial resources available versus activities implemented and objectives achieved during 2020. (Linked to Deliverable D8.1)
Task 8.4: Internal evaluation. After each ENSP