I'm not sure how this relates to the subsequent structure since there does not seem to be any list of Drivers or challenges in the way the Barriers are enumerated. I think there is something missing here - don't we need to list "Enablers" - we know the drivers in terms of costs, sustainability and quality of life (maybe those should be listed here?) but EIPonAHA is developing enablers (e.g. the good practice database) and there should be some assessment of those, ideas about new one and possible enablers to overcome the barriers listed?

I think there are other Barriers: - inadequate characterisations of the ecosystems in different regions so it is hard to see key differences between regions. - training of professionals tends to reinforce traditional approaches. - practices are transferred by picking elements from several practices and recombining - not enough examples of successful transfer.

The methodology for processing the survey did not take into account relation of the answers and various countries in EU. Similarly, relation of healthcare and social systems and national AHA policies is not visible in the survey results. There is known issue of lower active participation of a number of EU countries (and regions) in EIP on AHA and RS and they also may have different response to incentives that may function in other regions that are more progressive in AHA. Other barriers may also exist and they were not revealed by the surey. We have dicsussed this in afternoon sesssion in BRU.

Maybe at least remark in the survey related to the fact that different EU countries / different healthcare (social care) systems may need specific incentives to overcome their barriers could be useful.

Dear Stuart thanks very much for your comment. You are right. You do not see the complete picture here. This is only an abstract of the document. The drivers/enablers are not discussed online. I would like to invite you to read the full report. Actually two: one that analysed the online survey on the drivers, barriers and challenges and the second one on the expert workshop that we organised in Brussels on 7th September. If you communicate your email address to me, I would be happy to forward those to you. Thanks very much for your comments!