The aim of this project is to enhance the provision and accessibility of health services in the sparsely populated areas (SPAs) of Europe. We will map and identify European best practices and innovative eHealth solutions which can be transferred, further developed and integrated into a health care system elsewhere in the partner regions. There will be special focus on new eHealth service concepts and solutions for primary health care, chronic conditions and remote specialist services. We will pilot up to four new eHealth services in Finland, Sweden, Norway and Scotland using an implementation model which can replicated elsewhere in the Northern Periphery and other peripheral areas of Europe. Achievements: The project has published the mapping results from Work Package 2 as a report "Portfolio of eHealth applications". The report describes the context and development of e-Health innovations in the northern parts of Finland, Scotland, Sweden and Norway. The report aims at identifying some of the most important aspects of the health care sector infrastucture that influence the introduction of eHealth innovations. It also describes the most prominent eHealth services and initiatives which are currently being used in these countries. The project has published eNewsletters and brochures which describe project progress. These can be downloaded from the project website. The project was featured in the European Commission's book on regional policy entitled "Investing in our regions, investing in the future" and in the Europian Commission magazine "Panorama". The project has generated cosiderable public and media interest, for more please see the project website. Developing new eHealth services Based on our mapping exercise,we have selected the new eHealth services which will be piloted in Finland, Scotland, Sweden and Norway. In Finland, four services were piloted: a portable bag which allows remote monitoring of biosignals and personal health data, remote monitoring of cardiac patients, a remote wound clinic and remote speech therapy. Creation of sustainable remote consultation services is underway. Teledialysis and remote speech therapy were piloted in Scotland. Teledialysis is now becoming normalised and part of routine service delivery. In Sweden, a mobile eye screening unit was piloted in two phases. In Norway, a service offering remote monitoring of biosignals was piloted.Products and services:Title: Teledialysis The teledialysis service enables real time visual communication between two healthcare sites, one urban, one rural, using videoconference technology. It enables live consultations for haemodialysis patients in a rural satellite unit with specialists, both routine and urgent, regular update sessions between nurses, improving seamless care of patients transferred between sites, and participation in training for remote nurses managing haemodialysis patients.More information see: http://nppoutcomes.eu/Title: Remote speech therapy A remote speech and language therapy using video conferencing technology. The remote ‘Virtual therapy’ is intended to supplement, not replace, conventional face-to-face interaction.More information see: http://nppoutcomes.eu/Title: Remote Wound Clinic Real time dermatology or plastic surgery consultations from a University Hospital to a remote health care centre or directly to patient’s homes via video conference.More information see: http://nppoutcomes.eu/Title: Remote Speech Therapy A remote speech and language therapy using a video conferencing technology for pupils in remote schools.More information see: http://nppoutcomes.eu/Title: Remote monitoring of personal health data Remote monitoring of personal health data including wireless measurements of weight, body fat percentage, blood glucose, blood pressure, PEF (peak expiratory flow), FEV (forced expiratory flow) and VO2 max (maximal oxygen uptake) either at home or in the health care centre.More information see: http://nppoutcomes.eu/Title: Remote monitoring of cardiac patients Wireless devices for measuring ECG, blood pressure, blood glucose and cholesterol, all packed in one big suitcase which patients can also use at home, for remote monitoring of cardiac patients.More information see: http://nppoutcomes.eu/Title: EyeMo- Mobile eye unit for screening of diabetic retinopathy A mobile eye unit designed to function as an on the road office for ophthalmology staff. The trailer is fully equipped for screening of diabetic retinopathy.More information see: http://nppoutcomes.eu/Title: CheckUp Bag A check-up bag consisting of standard medical-technical equipment, supplied with Bluetooth technology, that can be stationed in a patient’s home or at a local health care centre and is used for monitoring of clinical parameters. The monitoring can be either done by the patient himself or assisted by home care nurses, depending on what measurements are required.More information see: http://nppoutcomes.eu/