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The '''FederalNational Plans''' were a series of policy papers, published by [[Marissa Santini]] as [[President of the Government of Nouvelle Alexandrie|President of the Government]] and her [[Council of State of Nouvelle Alexandrie|Council of State]], in [[Nouvelle Alexandrie]], between II.{{AN year|1730}} and IV.{{AN year|1730}}. They were the result of the budgetary decisions of the [[General Appropriations and Taxation Act, 1730]], and the policy priorities as stipulated by the [[Government Delivery Plan]]. They included the:
The '''Federal National Plans''' were a series of policy papers, published by [[Marissa Santini]] as [[President of the Government of Nouvelle Alexandrie|President of the Government]] and her [[Council of State of Nouvelle Alexandrie|Council of State]], in [[Nouvelle Alexandrie]], between II.{{AN year|1730}} and IV.{{AN year|1730}}. They were the result of the budgetary decisions of the [[General Appropriations and Taxation Act, 1730]], and the policy priorities as stipulated by the [[Government Delivery Plan]]. They included the:


* National Infrastructure Plan
* National Infrastructure Plan
* National Health Plan
* National Health Plan
* National Plan for the Police
* National Plan for the Police
* National Armed Forces Plan
* National Plan for the Armed Forces
* International Cooperation Plan


== History ==
== History ==
The results of the [[New Alexandrian general election, 1729|New Alexandrian general election of 1729]] led to the [[Federal Consensus Party of Nouvelle Alexandrie|Federal Consensus Party]] gaining a plurality of the vote. Together with [[United for Alvelo]] and the [[Democratic Socialist Party of Nouvelle Alexandrie|Democratic Socialist Party]], they formed a minority government with the other parties giving [[Wikipedia:Confidence and supply|confidence and supply]]. [[Marissa Santini]] announced three of the plans (Health, Police, and Rail) during the [[Throne Speech|Throne Speech Debate]]. Much of the plans evolved from the [[New Consensus]] book published in {{AN year|1714}}, and from the [[Federal Consensus Party 1729 General Election Campaign (Nouvelle Alexandrie)|1729 Election Campaign]].
The results of the [[New Alexandrian general election, 1729|New Alexandrian general election of 1729]] led to the [[Federal Consensus Party of Nouvelle Alexandrie|Federal Consensus Party]] gaining a plurality of the vote. Together with [[United for Alvelo]] and the [[Democratic Socialist Party of Nouvelle Alexandrie|Democratic Socialist Party]], they formed a minority government with the other parties giving [[Wikipedia:Confidence and supply|confidence and supply]]. [[Marissa Santini]] announced three of the plans (Health, Police, and Rail) during the [[Throne Speech|Throne Speech Debate]]. Much of the plans evolved from the [[New Consensus]] book published in {{AN year|1714}}, and from the [[Federal Consensus Party 1729 General Election Campaign (Nouvelle Alexandrie)|1729 Election Campaign]].


The plans were devised by the respective Departments, with input from the [[President of the Government of Nouvelle Alexandrie|Office of the President]]'s Department of National Affairs. The DNA for this purpose designated specific ''Implementation Coordinators'' for the largest plans - ''Infrastructure, Healthcare, Police -'' to oversee the management and implementation of each plan through the Coordination Unit. The Department of Political Affairs also collaborated for purposes of macroeconomic analysis and management.
The plans were devised by the respective Departments, with input from the [[President of the Government of Nouvelle Alexandrie|Office of the President]]'s Department of National Affairs. The DNA for this purpose designated specific ''Implementation Coordinators'' for the plans to oversee the management and implementation of each plan through the Coordination Unit. The Department of Political Affairs also collaborated for purposes of macroeconomic analysis and management.


The National Rail Plan, finished as first, was eventually subsumed into the larger Infrastructure Plan, which also included policies on roads, airports, and waterways. The International Cooperation Plan was added to create a coordinated document for [[Raspur Pact]] and [[Micras Treaty Organization]] Expansion.
The National Rail Plan, finished as first, was eventually subsumed into the larger Infrastructure Plan, which also included policies on roads, airports, and waterways. The plans for Police and the Armed Forces, which were first combined, were later separated.


== National Infrastructure Plan ==
== National Infrastructure Plan ==
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The Road and Highways Strategy build upon the successes of the [[Pan-Keltian Highway]] and [[Pan-Euran Highway]], as well as the ongoing efforts of the [[Lyrica|Pan-Lyrican]] Highway. In total, it represents over €171 billion, across a total of seven other programs that were created, or expanded:
The Road and Highways Strategy build upon the successes of the [[Pan-Keltian Highway]] and [[Pan-Euran Highway]], as well as the ongoing efforts of the [[Lyrica|Pan-Lyrican]] Highway. In total, it represents over €171 billion, across a total of seven other programs that were created, or expanded:


* the '''National Highways Program,''' is the federal funding program that supports and invests in highway construction, maintenance of highways, and improving safety and reliability of highway operations.
* the €86 nillion '''National Highways Program,''' is the federal funding program that supports and invests in highway construction, maintenance of highways, and improving safety and reliability of highway operations.
** It included three '''major extension''' '''projects''' for the [[Pan-Keltian Highway]] ([[Boriquén]] and [[New Caputia]]) and [[Pan-Euran Highway]].
** It included three '''major extension''' '''projects''' for the [[Pan-Keltian Highway]] ([[Boriquén]] and [[New Caputia]]) and [[Pan-Euran Highway]], worth €27.7 billion.
** It included the '''National Highway Network Upgrade Plan''', to upgrade highways across the nation, improving safety and reliability, reducing congestion and emissions, and creating new highway facilities; divided across three sub-programs:
** It included the €18.1 billion '''National Highway Network Upgrade Plan''', to upgrade highways across the nation, improving safety and reliability, reducing congestion and emissions, and creating new highway facilities; divided across three sub-programs:
*** The '''Highway Charging Infrastructure Program''';
*** The €8.7 billion '''Highway Charging Infrastructure Program''';
*** The '''Highway Noise & Emission Reduction Program'''; and
*** The €6.2 billion '''Highway Noise & Emission Reduction Program'''; and
*** The '''Highway Wildlife Crossing Program'''.
*** The €3.2 billion '''Highway Wildlife Crossing Program'''.
** It included the '''National Highway Network Freight Highways Projects''',  funding Regions and local governments with competitive grants for multimodal freight and highway projects of national or regional significance to improve the safety, efficiency and reliability of the movement of freight and human capital in and across rural and urban areas.
** It included the €12 billion '''National Highway Network Freight Highways Projects''',  funding Regions and local governments with competitive grants for multimodal freight and highway projects of national or regional significance to improve the safety, efficiency and reliability of the movement of freight and human capital in and across rural and urban areas.
** It included the '''Regional Highway Construction and Rehabilitation Program''', supporting Regions and local authorities with non-Federal highway construction, maintenance, and rehabilitation; including the construction of secondary and tertiary roads.
** It included the €15.4 billion '''Regional Highway Construction and Rehabilitation Program''', supporting Regions and local authorities with non-Federal highway construction, maintenance, and rehabilitation; including the construction of secondary and tertiary roads.
** It included the '''National Highway Corridor Planning and Development Program''',  funding Regions and city planning organizations for coordinated planning, design, and construction of corridors of national significance, economic growth, and international or interregional trade; including highway facilities, interchanges, and bypasses.
** It included the €2.5 billion '''National Highway Corridor Planning and Development Program''',  funding Regions and city planning organizations for coordinated planning, design, and construction of corridors of national significance, economic growth, and international or interregional trade; including highway facilities, interchanges, and bypasses.
** It included the '''Intelligent Transportation Systems Deployment and Integration Program,''' funding ITS integration and interoperability in cities and rural areas; including real-time management systems and monitoring.
** It included the €10.2 billion '''Intelligent Transportation Systems Deployment and Integration Program,''' funding ITS integration and interoperability in cities and rural areas; including real-time management systems and monitoring.
** It included the '''National Highway Network MegaProjects''', providing funding for large, complex highway projects that are difficult to fund by other means and likely to generate national or regional economic, mobility, or safety benefits; including rail-highway grade separation projects and intercity high-capacity highway projects.
** It included the €8 billion '''National Highway Network MegaProjects''', providing funding for large, complex highway projects that are difficult to fund by other means and likely to generate national or regional economic, mobility, or safety benefits; including rail-highway grade separation projects and intercity high-capacity highway projects. Major projects included:
*** The €2.6 billion [[Islas de la Libertad]] Belt Bridge, connecting Isla Corcovado and Isla Dorado; including a €600 million railway bridge.
*** The €1.2 billion Badregas Orbital Highway, extending the Bagalipe and Jario Bypasses of the [[Cárdenas Ring Road]] eastward and constructing the Olos Bypass; creating a far-out east orbital for [[Cárdenas]].
*** The €1.4 billion [[Isles of Caputia]] Belt Bridge, connecting Gotfriedland and Karsten.


* The '''Surface Transportation Grant Program''', funds projects that promote flexibility in Regional and local transportation networks, including flexible funding for Regional and local transportation decisions based on regional and local needs.
* The €54.2 billion '''Surface Transportation Grant Program''', funds projects that promote flexibility in Regional and local transportation networks, including flexible funding for Regional and local transportation decisions based on regional and local needs.
** It included the '''Roads, Bridges and Tunnels Program''', providing funding to Regions and local authorities to invest in their regional non-Federal highways and roads, bridges, and tunnels infrastructure.
** It included the €28.5 billion '''Roads, Bridges and Tunnels Program''', providing funding to Regions and local authorities to invest in their regional non-Federal highways and roads, bridges, and tunnels infrastructure.
** It included the '''Road Safety and Accidents Program''', providing funding to Regions and local authorities to invest in road safety measures; including data collection and road maintenance.
** It included the €6.5 billion '''Road Safety and Accidents Program''', providing funding to Regions and local authorities to invest in road safety measures; including data collection and road maintenance.
** It included the '''Urban Charging Infrastructure Program''', providing funding to Regions and local authorities to establish EV charging infrastructure.
** It included the €10.9 billion '''Urban Charging Infrastructure Program''', providing funding to Regions and local authorities to establish EV charging infrastructure; including preferential parking for carpools associated with an non-Federal facility.
** It included the '''Bicycle Transportation and Pedestrian Walkways Program''', providing funding for projects for the construction, expansion, and maintenance of pedestrian walkways and bicycle transportation facilities and for carrying out non-construction projects related to safe bicycle use.
** It included the €8.3 billion '''Bicycle Transportation and Pedestrian Walkways Program''', providing funding for projects for the construction, expansion, and maintenance of pedestrian walkways and bicycle transportation facilities and for carrying out non-construction projects related to safe bicycle use.
* The '''Bridge Formula Program''', is the federal funding program to support bridge replacement, rehabilitation, preservation, protection or construction projects on public roads.  
* The €19.55 billion '''Bridge Formula Program''', is the federal funding program to support bridge replacement, rehabilitation, preservation, protection or construction projects on public roads.  
** It included the '''Highway Bridge Program''', to  replace, rehabilitate, upgrade,and repair highway bridges, including funding for maintenance, anti-icing, and painting expenses.
** It included the €11.6 billion '''Highway Bridge Program''', to  replace, rehabilitate, upgrade,and repair highway bridges, including funding for maintenance, anti-icing, and painting expenses.
** It included the '''Off-System Bridge Program,'''  to replace, rehabilitate, upgrade, and repair off-system bridges, including funding for maintenance, anti-icing, and painting expenses; meaning bridges  by cities, counties, townships, or privately - those ineligible for Federal highway funding.
** It included the €5.4 billion '''Off-System Bridge Program,'''  to replace, rehabilitate, upgrade, and repair off-system bridges, including funding for maintenance, anti-icing, and painting expenses; meaning bridges  by cities, counties, townships, or privately - those ineligible for Federal highway funding.
** It included the '''Innovative Bridge Research and Development Program,''' providing grants, cooperative agreements, and contracts for Regions, local authorities, universities and colleges, private sector entities, and non-profit organizations for federal funding for bridge repair, rehabilitation, replacement, and new construction demonstrating the application of innovative design, materials, and construction methods.
** It included the €2.55 billion '''Innovative Bridge Research and Development Program,''' providing grants, cooperative agreements, and contracts for Regions, local authorities, universities and colleges, private sector entities, and non-profit organizations for federal funding for bridge repair, rehabilitation, replacement, and new construction demonstrating the application of innovative design, materials, and construction methods.
* The '''Congestion and Air Quality Improvement Program''', provides flexible funding for Regional and local governments for transportation projects and programs to reduce congestion and improve air quality, focusing on ozone, carbon monoxide, and particulate matter.
* The €9.7 billion '''Congestion and Air Quality Improvement Program''', provides flexible funding for Regional and local governments for transportation projects and programs to reduce congestion and improve air quality, focusing on ozone, carbon monoxide, and particulate matter.
** It included the '''Diesel and Alternative Fuel Program,''' providing funds to Regions and local authorities to reduce emissions by fossil fuel phaseout.
** It included the '''Diesel and Alternative Fuel Program,''' providing funds to Regions and local authorities to reduce emissions by fossil fuel phaseout.
** It included the '''Traffic Flow Improvement Program''', provides funds to Regions and local authorities to improve traffic flow and shift travel demand.
** It included the '''Traffic Flow Improvement Program''', provides funds to Regions and local authorities to improve traffic flow and shift travel demand.
* The '''National Culvert Program''', provides funding for Regions and local governments to replace, remove, and repair culverts or weirs.
* The €1.3 billion '''National Culvert Program''', provides funding for Regions and local governments to replace, remove, and repair culverts or weirs.
* The '''Transportation Technologies and Innovation Program''', provides grants to researchers to develop advanced transport technologies, as well as the deployment and operation of these systems.
* The €800 million '''Transportation Technologies and Innovation Program''', provides grants to researchers to develop advanced transport technologies, as well as the deployment and operation of these systems.
* The '''Businesses and Enterprises Road Program,''' assists small and medium businesses (SMEs) with capacity building and improving competitiveness for highway facilities and contracting.
* The €250 million '''Businesses and Enterprises Road Program,''' assists small and medium businesses (SMEs) with capacity building and improving competitiveness for highway facilities and contracting.
* The '''Road Tax Evasion Program,''' provides funding to Regions and local governments to support enforcement efforts and training, to reduce evasion on fuel duty and road tax.
* The €88 million '''Road Tax Evasion Program,''' provides funding to Regions and local governments to support enforcement efforts and training, to reduce evasion on fuel duty and road tax.


==== Highway Construction Projects ====
==== Highway Construction Projects ====
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The Railways Strategy, made in collaboration with [[Nouvelle Alexandrie Railways]] built upon the success of the [[Keltian High Speed]] and [[Alduria|Aldurian High Speed]], as well as creating dedicated rail networks for the Islands regions. It represents €85 billion of investment, from high-speed rail to freight services, across 4 programs:
The Railways Strategy, made in collaboration with [[Nouvelle Alexandrie Railways]] built upon the success of the [[Keltian High Speed]] and [[Alduria|Aldurian High Speed]], as well as creating dedicated rail networks for the Islands regions. It represents €85 billion of investment, from high-speed rail to freight services, across 4 programs:


*The '''Alte Velocidad Vision 1740''', is the official funding vessel to cover the construction, rolling stock, and maintenance of the Alte Velocidad Vision 1740, the official [[Nouvelle Alexandrie Railways|NAR]] project program for the inauguration of 5 new high-speed lines by 1740.
*The €57.2 billion '''Alte Velocidad Vision 1740''', is the official funding vessel to cover the construction, rolling stock, and maintenance of the Alte Velocidad Vision 1740, the official [[Nouvelle Alexandrie Railways|NAR]] project program for the inauguration of 5 new high-speed lines by 1740.
**It called for the creation of three new lines in [[Keltia]], one in [[Alduria]], and one in [[Lyrica]]; a total of 1,130 km of new double, electrified track.
**It called for the creation of three new lines in [[Keltia]], one in [[Alduria]], and one in [[Lyrica]]; a total of 1,130 km of new double, electrified track, worth €53.6 billion.
**It called for negotiations with [[Imperial State of Constancia|Constancia]] on the expansion of high-speed networks cross-border, to [[Astérapolis]] and [[Port Aguilar]].
**It called for negotiations with [[Imperial State of Constancia|Constancia]] on the expansion of high-speed networks cross-border, to [[Astérapolis]] and [[Port Aguilar]].
*The '''Consolidated Freight Rail Grant Program''', provides funds for projects to bring new freight services, expand existing services, and improve the safety, efficiency, and reliability of freight rail. This includes funding for railroad crossing elimination projects, repair and procuring of rolling stock, and (re-)construction of freight facilities.
*The €4 billion '''Consolidated Freight Rail Grant Program''', provides funds for projects to bring new freight services, expand existing services, and improve the safety, efficiency, and reliability of freight rail. This includes funding for railroad crossing elimination projects, repair and procuring of rolling stock, and (re-)construction of freight facilities.
**It included the '''National Safety and Reliability Program''', to enhance and upgrade the safety and reliability of the national freight network; over four sub-programs:
**It included the €1.3 billion '''National Safety and Reliability Program''', to enhance and upgrade the safety and reliability of the national freight network; over four sub-programs:
***The '''Technology Adoption and Automation Program''';
***The €600 million '''Technology Adoption and Automation Program''';
***The '''Track Realignment and Signaling Program''';
***The €300 million '''Track Realignment and Signaling Program''';
***The '''Grade Separation and Track-Dualling Program'''; and
***The €400 million '''Grade Separation and Track-Dualling Program'''; and
***The '''Safety Training Program'''.
***The €100 million '''Safety Training Program'''.
**It included the '''Freight Yards & Intermodal Terminal Program''', worth €2.2 billion, to construct and upgrade freight yards and intermodal terminal facilities; divided over two sub-programs:  
**It included the €2.2 billion '''Freight Yards & Intermodal Terminal Program''' , to construct and upgrade freight yards and intermodal terminal facilities; divided over two sub-programs:  
***The '''Harbor Intermodal Program'''; and
***The €1.6 billion '''Harbor Intermodal Program'''; and
***The '''Industrial Estate Freight Yards Program'''.
***The €600 million '''Industrial Estate Freight Yards Program'''.
**It included the '''Next-Gen Freightliner Program,''' to research and develop a new generation of freight trains; including specialisation of rolling stock.
**It included the €500 million '''Next-Gen Freightliner Program,''' to research and develop a new generation of freight trains; including specialisation of rolling stock.
*The '''Federal-Regional Passenger Rail Grant Program''', provides for projects that support maintenance and repair of rolling stock and facilities; improve performance and efficiency; or expand or establish new intercity passenger rail service; further divided into two categories: (1) interregional rail, and (2) interurban rail.
*The €23 billion '''Federal-Regional Passenger Rail Grant Program''', provides for projects that support maintenance and repair of rolling stock and facilities; improve performance and efficiency; or expand or establish new intercity passenger rail service; further divided into two categories: (1) interregional rail, and (2) interurban rail.
**It included the '''Transforming Rail Program''', providing funding for enhancing existing corridors through right-of-way acquisitions, final design, and construction activities; as well as bridge replacement and addition of tracks.
**It included the €7.2 billion '''Transforming Rail Program''', providing funding for enhancing existing corridors through right-of-way acquisitions, final design, and construction activities; as well as bridge replacement and addition of tracks.
**It included the '''New Corridors Program''', providing funding for creating new standard-gauge railways across the nation; focusing specifically on the Islands regions.
**It included the €5.1 billion '''New Corridors Program''', providing funding for creating new standard-gauge railways across the nation; focusing specifically on the Islands regions.
**It included the '''ExpresoReg Program''', providing funding for track expansion, construction of stations, and resignaling of ExpresoReg services; the interurban category for [[Nouvelle Alexandrie Railways|NAR]] services.
**It included the €4.2 billion '''ExpresoReg Program''', providing funding for track expansion, construction of stations, and resignaling of ExpresoReg services; the interurban category for [[Nouvelle Alexandrie Railways|NAR]] services.
*The '''Restoration and Enhancement Program''', provides funding and technical assistance for projects to initiate, restore, or enhance rural passenger rail service.
*The €1 billion '''Restoration and Enhancement Program''', provides funding and technical assistance for projects to initiate, restore, or enhance rural passenger rail service.
**It included the '''Rural Railways Enhancement Program''', to enhance and modernize rural railways services, including both long-distance (sleeper) and rural-only trains; over two sub-programs:
**It included the €600 million '''Rural Railways Enhancement Program''', to enhance and modernize rural railways services, including both long-distance (sleeper) and rural-only trains; over two sub-programs:
***The '''Rural Networks Program'''; and
***The €400 million '''Rural Networks Program'''; and
***The '''Country to City Connectivity Program'''.
***The €200 million '''Country to City Connectivity Program'''.
**It included the '''Restoring Rail Service Program''', the federal program to restore intercity passenger and freight rail services on closed lines, as well as modernizing current branch lines with track doubling, electrification, and grade separation work; over three sub-programs:
**It included the €400 million '''Restoring Rail Service Program''', the federal program to restore intercity passenger and freight rail services on closed lines, as well as modernizing current branch lines with track doubling, electrification, and grade separation work; over three sub-programs:
***The Service Restoration Program;
***The €200 million '''Service Restoration Program''';
***the Branch Integration Program; and
***the €150 million '''Branch Integration Program'''; and
***The On-board Services Program.
***The €50 million '''On-board Services Program'''.
*It also included other programs, under €100 million in funding each:
*It also included other programs, under €100 million in funding each:
**The '''Railway-Highway Crossings Safety Program''',  supports projects with the goal of reducing the number of fatalities, injuries, and crashes at public railway-highway grade crossings.
**The €45.3 million '''Railway-Highway Crossings Safety Program''',  supports projects with the goal of reducing the number of fatalities, injuries, and crashes at public railway-highway grade crossings.
**The '''High-Density Regions and Areas Formula''', an additional formula funding component that is added to provide administrations with additional financial assistance for planning, final design, expertise-building, and operational assistance.
**The €79 million '''High-Density Regions and Areas Formula''', an additional formula funding component that is added to provide administrations with additional financial assistance for planning, final design, expertise-building, and operational assistance.
**The '''Statistics Program,''' providing funding to run projects for statistics on transportation economics, railway activity, intermodal freight activity, and commercial railway service, and providing context to decision makers and the public for understanding statistics on transportation.
**The €5.4 million '''Statistics Program,''' providing funding to run projects for statistics on transportation economics, railway activity, intermodal freight activity, and commercial railway service, and providing context to decision makers and the public for understanding statistics on transportation.
**The '''Training and Education Program''', provides resources for the development and delivery of technical assistance, training, professional development, and education programs to improve the professional capacity of the workforce that manages, develops and maintains the national railways system.
**The €38.6 million '''Training and Education Program''', provides resources for the development and delivery of technical assistance, training, professional development, and education programs to improve the professional capacity of the workforce that manages, develops and maintains the national railways system.
**The '''Technology and Innovation Deployment Program''', providing funding to advance research products into proven technologies and demonstrated practices; identify the market forces that will influence successful technology and innovation deployment; and plan and deliver effective technical assistance, training, communication and outreach to promote rapid adoption of proven, market-ready technologies and innovations.
**The €55.5 million '''Technology and Innovation Deployment Program''', providing funding to advance research products into proven technologies and demonstrated practices; identify the market forces that will influence successful technology and innovation deployment; and plan and deliver effective technical assistance, training, communication and outreach to promote rapid adoption of proven, market-ready technologies and innovations.
**The '''Prioritisation Process Pilot Porgram''', to award grants to selected Regions and City Planning Organizations to fund the development and implementation of publicly accessible, transparent prioritization processes to assess and score projects according to locally determined priorities, and to use such evaluations to inform the selection of projects to include in transportation plans.
**The €3.8 million '''Prioritisation Process Pilot Program''', to award grants to selected Regions and City Planning Organizations to fund the development and implementation of publicly accessible, transparent prioritization processes to assess and score projects according to locally determined priorities, and to use such evaluations to inform the selection of projects to include in transportation plans.


====High Speed Rail====
====High Speed Rail====
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The AV Vision 1740 envisions the construction, inauguration, and operation of five new corridors by {{AN year|1740}}.
The AV Vision 1740 envisions the construction, inauguration, and operation of five new corridors by {{AN year|1740}}.


#The AV Costa a Costa or C2C, is a program to create a new corridor between Wechuahuasi, Cárdenas, Hato Rey and Puerto Carrillo. This 400 km double, electrified track will be made available for 320 km/h. It will utilize the Cárdenas Tunnel, and share about 15 km of track with AVK. Major infrastructure projects include the 6 km-long Tunnel de Lajas, and a second Morano rail bridge at Potosí. The project will open in two phases: the first phase, between Wechuahuasi and Castellon, will open as early as 1734; the second phase, between Castellon and Puerto Carrillo, via Hato Rey, will open in 1740.
#The €17.6 billion '''AV Costa a Costa''' or '''C2C''', is a program to create a new corridor between Wechuahuasi, Cárdenas, Hato Rey and Puerto Carrillo. This 400 km double, electrified track will be made available for 320 km/h. It will utilize the Cárdenas Tunnel, and share about 15 km of track with AVK. Major infrastructure projects include the 6 km-long Tunnel de Lajas, and a second Morano rail bridge at Potosí. The project will open in two phases: the first phase, between Wechuahuasi and Castellon, will open as early as 1734; the second phase, between Castellon and Puerto Carrillo, via Hato Rey, will open in 1740.
#The AV A Campo Traviesa (AVACT), is a program to create a new corridor between Punta Santiago, Carillo, Vilalba, and Kerman. This 280 km double, electrified track will be made available for 320 km/h. It will start in Punta Santiago, where the AVA will be quadrupled. Major infrastructure projects include the massive Porte de Asuara, west of Carrillo, crossing the Asuara river on a major new bridge; and the 4 km-long Tunnel de Husaz. The project will open in two phases: the first phase between Punta Santiago and Carrillo, will open in 1735; with phase two, between Carillo and Kerman opening in 1740.
#The €14.8 billion '''AV A Campo Traviesa''' (AVACT), is a program to create a new corridor between Punta Santiago, Carillo, Vilalba, and Kerman. This 280 km double, electrified track will be made available for 320 km/h. It will start in Punta Santiago, where the AVA will be quadrupled. Major infrastructure projects include the massive Porte de Asuara, west of Carrillo, crossing the Asuara river on a major new bridge; and the 4 km-long Tunnel de Husaz. The project will open in two phases: the first phase between Punta Santiago and Carrillo, will open in 1735; with phase two, between Carillo and Kerman opening in 1740.
#The AV Lyrica, is a program to create a dedicated high-speed rail corridor in Lyrica, between Beaufort and Lausanne. This 180 km double, electrified track will be made available for 320 km/h. Additional stops will be furnished at Montchèry and Carrasquillo. Major infrastructure projects include the Porte de Mailly northeast of Carrasquillo. It will open in 1734.
#The €9.2 billion '''AV Lyrica''', is a program to create a dedicated high-speed rail corridor in Lyrica, between Beaufort and Lausanne. This 180 km double, electrified track will be made available for 320 km/h. Additional stops will be furnished at Montchèry and Carrasquillo. Major infrastructure projects include the Porte de Mailly northeast of Carrasquillo. It will open in 1734.
#The AV New Caputia,  is program to create a dedicated high-speed rail corridor in New Caputia, connecting with AVK at San Luis. Stops will be created at Ravaillac and Corcovado. This 120 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 4 km-long Túnel de Monterrey. It will open in 1734.
#The €6.9 billion '''AV New Caputia''',  is program to create a dedicated high-speed rail corridor in New Caputia, connecting with AVK at San Luis. Stops will be created at Ravaillac and Corcovado. This 120 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 4 km-long Túnel de Monterrey. It will open in 1734.
#The AV Valencia, is a program to create a dedicated high-speed corridor in Valencia, connecting with the AVK at Santiago. Stops will be created at Trévoux and Chambéry. This 80 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 3 km-long Túnel de Saint-Cloud and the 6 km-long Túnel del Portal de Valencia. The latter will carry the AVV underneath the dense northern Chambéry conglomeration, bypassing the Pornadé Curve. It will open in 1734.
#The €5.1 billion '''AV Valencia''', is a program to create a dedicated high-speed corridor in Valencia, connecting with the AVK at Santiago. Stops will be created at Trévoux and Chambéry. This 80 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 3 km-long Túnel de Saint-Cloud and the 6 km-long Túnel del Portal de Valencia. The latter will carry the AVV underneath the dense northern Chambéry conglomeration, bypassing the Pornadé Curve. It will open in 1734.


It also included the upgrade and expansion of the existing high-speed lines:
It also included the upgrade and expansion of the existing high-speed lines:


#The AV Keltia Upgrade Program, is a program to improve connectivity on the AVK between Cárdenas, Rimarima, San Luis, and Parap. This includes regrading the section between Roanne and Parap, making it available for 320 km/h, raising it from the current 270 km/h. Creating a new regional station, Monte Real, east of Ciudad Real, with through tracks for express trains. Constructing two new deep-level tunnels on the outside of the Cárdenas Tunnel, separating it from the Airport Express Train. And the quadrupling north of Rimarima, including with a flying junction, separating the AV Oeste from AV Keltia.
#The €1.2 billion '''AV Keltia Upgrade Program''', is a program to improve connectivity on the AVK between Cárdenas, Rimarima, San Luis, and Parap. This includes regrading the section between Roanne and Parap, making it available for 320 km/h, raising it from the current 270 km/h. Creating a new regional station, Monte Real, east of Ciudad Real, with through tracks for express trains. Constructing two new deep-level tunnels on the outside of the Cárdenas Tunnel, separating it from the Airport Express Train. And the quadrupling north of Rimarima, including with a flying junction, separating the AV Oeste from AV Keltia.
#The AV Alduria Phase 2, is program to extend the current terminus beyond Amapola and towards Alkhiva via Tudela. This 70 km double, electrified track will be made capable of 320 km/h. Other parts of the project include the construction of the Porte de Gramercy station south of Gramercy, improving connectivity in the region, with through tracks for express trains. As well as regrading the Narbonne-Punta Santiago track to 320 km/h, up from the current 290 km/h.
#The €2.4 billion '''AV Alduria Phase 2''', is program to extend the current terminus beyond Amapola and towards Alkhiva via Tudela. This 70 km double, electrified track will be made capable of 320 km/h. Other parts of the project include the construction of the Porte de Gramercy station south of Gramercy, improving connectivity in the region, with through tracks for express trains. As well as regrading the Narbonne-Punta Santiago track to 320 km/h, up from the current 290 km/h.


====Commuter Rail====
====Commuter Rail====
The New Corridors Networks called for the creation of three new railways:
The New Corridors Networks called for the creation of three new railways:


#The '''Isles of Caputia Railway''', is program creating a standard-gauge railway on the [[Isles of Caputia]], between [[Gotfriedplatz]] and Seydlitz. The track will be double and electrified. Further stops will be constructed in Ulrichstadt and Velez. A depot will be constructed at Velez.
#The €1.5 billion '''Isles of Caputia Railway''', is program creating a standard-gauge railway on the [[Isles of Caputia]], between [[Gotfriedplatz]] and Seydlitz. The track will be double and electrified. Further stops will be constructed in Ulrichstadt and Velez. A depot will be constructed at Velez.
#The '''New Luthoria Railway''', is a program to upgrade the current meter-gauge heritage line between New Luthoria City, Rochefort, and Pharos to standard-gauge track. It will also be doubled. A new depot will furthermore be constructed in Rochefort.
#The €300 million '''New Luthoria Railway''', is a program to upgrade the current meter-gauge heritage line between New Luthoria City, Rochefort, and Pharos to standard-gauge track. It will also be doubled. A new depot will furthermore be constructed in Rochefort.
#The '''Islas de La Libertad Railway''', is a program creating a standard-gauge railway on the [[Islas de la Libertad]], between [[Nuevo Corcovado]] and Ciudad de Howard. The track will be double. Further stops will be constructed in Dorado and San Lorenzo. A depot will be constructed at Ciudad de Howard.
#The €1.5 billion '''Islas de La Libertad Railway''', is a program creating a standard-gauge railway on the [[Islas de la Libertad]], between [[Nuevo Corcovado]] and Ciudad de Howard. The track will be double. Further stops will be constructed in Dorado and San Lorenzo. A depot will be constructed at Ciudad de Howard.


The ExpresoReg Program called for the creation of five new networks:
The ExpresoReg Program called for the creation of five new networks:


#The '''Napoléon ExpresoReg Program''', is a program to create new tracks in [[Punta Santiago]] and [[Narbonne]], creating a new interurban service for West Alduria. It includes the construction of six new stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
#The €400 million '''Napoléon ExpresoReg Program''', is a program to create new tracks in [[Punta Santiago]] and [[Narbonne]], creating a new interurban service for West Alduria. It includes the construction of six new stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
#The '''Kuntisuyu ExpresoReg Program''', is a program to create new tracks in [[Parap]], Huancaveliva, and Huichajanca, creating a new interurban service for East Wechua. It includes the construction of four stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
#The €400 million '''Kuntisuyu ExpresoReg Program''', is a program to create new tracks in [[Parap]], Huancaveliva, and Huichajanca, creating a new interurban service for East Wechua. It includes the construction of four stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
#The '''Boriquén ExpresoReg Program''', is a program to create new tracks in [[Hato Rey]], Dorado, Alaia, Yabucoa, Vela, Carolina, and Minillas, creating new interurban services throughout [[Boriquén]]. This includes the construction of sixteen new stations, new branch lines, and quadrupling of tracks, allowing for dedicated separated tracks.
#The €1.4 billion '''Boriquén ExpresoReg Program''', is a program to create new tracks in [[Hato Rey]], Dorado, Alaia, Yabucoa, Vela, Carolina, and Minillas, creating new interurban services throughout [[Boriquén]]. This includes the construction of sixteen new stations, new branch lines, and quadrupling of tracks, allowing for dedicated separated tracks.
#The '''País Real ExpresoReg Program''', is a program to create new tracks in [[Potosí]], Ciudad Real, Lajas, Wechuahuasi, and [[Port of Jirishanca|Jirishanca]], creating new orbital routes around [[Cárdenas]] and interurban services for West [[Santander]]. This includes the construction of eight new stations, and quadrupling of tracks, allowing for dedicated separated tracks.
#The €800 million '''País Real ExpresoReg Program''', is a program to create new tracks in [[Potosí]], Ciudad Real, Lajas, Wechuahuasi, and [[Port of Jirishanca|Jirishanca]], creating new orbital routes around [[Cárdenas]] and interurban services for West [[Santander]]. This includes the construction of eight new stations, and quadrupling of tracks, allowing for dedicated separated tracks.
#The '''Mailly ExpresoReg Program''', is a program to create new tracks in [[Lausanne]], Guayama, Carrasquillo, and Gálatas, creating new interburban services for West [[South Lyrica]]. This includes the construction of ten stations, and quadrupling of tracks, allowing for dedicated separated tracks.
#The €1.2 billion '''Mailly ExpresoReg Program''', is a program to create new tracks in [[Lausanne]], Guayama, Carrasquillo, and Gálatas, creating new interburban services for West [[South Lyrica]]. This includes the construction of ten stations, and quadrupling of tracks, allowing for dedicated separated tracks.


===Airports===
===Airports===
The Airports Strategy built upon the sucess of [[Cárdenas International Airport]] and [[Punta Santiago International Airport]], as well as [[Lausanne|Lausanne Airport]] and [[Parap|Parap Airport]]. It represents over €18 billion of investment, from infrastructure to environmental standars, over three programs:
The Airports Strategy built upon the sucess of [[Cárdenas International Airport]] and [[Punta Santiago International Airport]], as well as [[Lausanne|Lausanne Airport]] and [[Parap|Parap Airport]]. It represents over €18 billion of investment, from infrastructure to environmental standars, over three programs:


*The '''Airport Infrastructure Program,''' worth program, providing funding to public agencies, private entities, Regions, and local authorities owning a public use airport. These include Primary airports, certain cargo airports, and most general aviation/commercial service airports that are not primary airports but part of the national airport network. This amounts to over 1,800 airports. The funds are divided into three parts: (1) ''Primary Allocation'', for runways, taxiways, and terminal buildings, including airport-transit connections and roadways; (2) ''Non-primary Allocation'', for projects of noise reduction, safety and sustainability, and multimodal facilities; and (3) ''Contract Towers''. The latter will be furnished with a dedicated €250 million.
*The €12.35 billion '''Airport Infrastructure Program,''' worth program, providing funding to public agencies, private entities, Regions, and local authorities owning a public use airport. These include Primary airports, certain cargo airports, and most general aviation/commercial service airports that are not primary airports but part of the national airport network. This amounts to over 1,800 airports. The funds are divided into three parts: (1) ''Primary Allocation'', for runways, taxiways, and terminal buildings, including airport-transit connections and roadways; (2) ''Non-primary Allocation'', for projects of noise reduction, safety and sustainability, and multimodal facilities; and (3) ''Contract Towers''. The latter will be furnished with a dedicated €250 million.
*The '''Facilities and Equipment Program''', providing funding for Federal-airport sustainment work and facilities and for replacing Federal-owned terminal and rout air traffic control facilities; improvement of air route and terminal facilities; workplace safety and environmental standards compliance; Federal-owned fuel storage tank replacement and management; unstaffed infrastructure sustainment; real property disposition; electrical power system sustain and support; energy maintenance and compliance; hazardous materials management and environmental cleanup; facility security risk management; cyber risk management; mobile asset management program; and administrative expenses, including salaries and expenses, administration, and oversight.
*The €3.2 billion '''Facilities and Equipment Program''', providing funding for Federal-airport sustainment work and facilities and for replacing Federal-owned terminal and rout air traffic control facilities; improvement of air route and terminal facilities; workplace safety and environmental standards compliance; Federal-owned fuel storage tank replacement and management; unstaffed infrastructure sustainment; real property disposition; electrical power system sustain and support; energy maintenance and compliance; hazardous materials management and environmental cleanup; facility security risk management; cyber risk management; mobile asset management program; and administrative expenses, including salaries and expenses, administration, and oversight.
*The '''Airport Terminal Program''', providing grants to eligible airports for capital improvements for airport terminal development generally defined as development of an airport passenger terminal building, including terminal gates; access roads servicing exclusively airport traffic that leads directly to or from an airport passenger terminal building; walkways that lead directly to or from an airport passenger terminal building; multimodal terminal development; and projects for on-airport rail access projects. As well as projects for relocating, reconstructing, repairing or improving an airport-owned airport traffic control tower.
*The €3.5 billion '''Airport Terminal Program''', providing grants to eligible airports for capital improvements for airport terminal development generally defined as development of an airport passenger terminal building, including terminal gates; access roads servicing exclusively airport traffic that leads directly to or from an airport passenger terminal building; walkways that lead directly to or from an airport passenger terminal building; multimodal terminal development; and projects for on-airport rail access projects. As well as projects for relocating, reconstructing, repairing or improving an airport-owned airport traffic control tower.


===Waterways and Ports===
===Waterways and Ports===
The Ports and Waterways Strategy built upon the success of [[Punta Santiago|Punta Santiago Port]], [[Port of Jirishanca]], and [[Beaufort|Beaufort Port]]. It represents €12.9 billion of investment, from water resources to ports customs, over seven programs:
The Ports and Waterways Strategy built upon the success of [[Punta Santiago|Punta Santiago Port]], [[Port of Jirishanca]], and [[Beaufort|Beaufort Port]]. It represents €12.9 billion of investment, from water resources to ports customs, over seven programs:


*The '''Federal Port Infrastructure Development Program''', is the federal funding program providing support for modernization and expansion of ports to remove bottlenecks, ensure long-term competitiveness, and promote resilience, cybersecurity, and sustainability.
*The €3.8 billion '''Federal Port Infrastructure Development Program''', is the federal funding program providing support for modernization and expansion of ports to remove bottlenecks, ensure long-term competitiveness, and promote resilience, cybersecurity, and sustainability.
*The '''Water Resources Operation, Remediation, and Development Program''', provides support for Regions and local governments to fund inspection, operation, maintenance and related activities for waterways. This includes navigation channels, locks and dams, flood defenses, and multi-purpose infrastructure.
*The €5.4 billion '''Water Resources Operation, Remediation, and Development Program''', provides support for Regions and local governments to fund inspection, operation, maintenance and related activities for waterways. This includes navigation channels, locks and dams, flood defenses, and multi-purpose infrastructure.
*The '''River and Coast Rehabilitation and Enhancement Program''', provides funds to construct and upgrade coastal and inland navigable waters, including widening and deepening projects.
*The €1.4 billion '''River and Coast Rehabilitation and Enhancement Program''', provides funds to construct and upgrade coastal and inland navigable waters, including widening and deepening projects.
*The '''Ferry Ports Program''', provides funds to businesses to provide ferry services, linking highways, and providing vital connections on the Islands Regions.
*The €965 million '''Ferry Ports Program''', provides funds to businesses to provide ferry services, linking highways, and providing vital connections on the Islands Regions.
*The '''Port Customs Modernization Program''', provides funding for constructing, expanding, sustaining, and upgrading land ports of entry, as well as for border security operations.
*The €135 million '''Port Customs Modernization Program''', provides funding for constructing, expanding, sustaining, and upgrading land ports of entry, as well as for border security operations.
*The '''Port Emission Reduction Grant Program''', provides funding for ports to reduce truck idling and emissions, including through port electrification.
*The €540 million '''Port Emission Reduction Grant Program''', provides funding for ports to reduce truck idling and emissions, including through port electrification.
*The '''Coastal Infrastructure, Navigational, and Design Program''', providing funding for procurement, construction, and improvement to address coastal facility infrastructure and housing construction, replacement, upgrade or improvement needs; construction and improvements to buoys and structures assisting navigation on waterways; and survey and design required for future year projects.
*The €640.5 million '''Coastal Infrastructure, Navigational, and Design Program''', providing funding for procurement, construction, and improvement to address coastal facility infrastructure and housing construction, replacement, upgrade or improvement needs; construction and improvements to buoys and structures assisting navigation on waterways; and survey and design required for future year projects.


===Public Transportation===
===Public Transportation===
The Public Transport Strategy built upon the success of the [[Cárdenas Metro]], [[Punta Santiago Metro]], and [[Parap MetroRail System]]. It represents over €62.4 billion in investments, for metros, trams, buses, and other public transportation modes, over seven programs:
The Public Transport Strategy built upon the success of the [[Cárdenas Metro]], [[Punta Santiago Metro]], and [[Parap MetroRail System]]. It represents over €62.4 billion in investments, for metros, trams, buses, and other public transportation modes, over seven programs:


*The '''Urban Area Formula Grant Program''', is the federal funding program that supports and invests in public transport networks in areas with a population above 50,000 people, including planning and operating assistance.  
*The €41.9 billion '''Urban Area Formula Grant Program''', is the federal funding program that supports and invests in public transport networks in areas with a population above 50,000 people, including planning and operating assistance.  
**It included the '''Urban New Networks Grant Program''', providing funding for the creation and maintenance of new networks and expansion of existing infrastructure. This focuses on projects with significant environmental impacts, complicated financial arrangements, and complex engineering and design elements. The application also involved an extensive engineering phase with planning and final design.
**It included the €22.2 billion '''Urban New Networks Grant Program''', providing funding for the creation and maintenance of new networks and expansion of existing infrastructure. This focuses on projects with significant environmental impacts, complicated financial arrangements, and complex engineering and design elements. The application also involved an extensive engineering phase with planning and final design.
**It included the '''Urban Small Neworks Grant Program''', providing funding for the creation and maintenance of networks that are individually below €400 million in investments. It focuses on projects that work at a local level, utilizing limited land use change. The difference in application means that Small Network one phase in advance of receipt of a construction grant; foregoing engineering planning and final design.
**It included the €13.6 billion '''Urban Small Neworks Grant Program''', providing funding for the creation and maintenance of networks that are individually below €400 million in investments. It focuses on projects that work at a local level, utilizing limited land use change. The difference in application means that Small Network one phase in advance of receipt of a construction grant; foregoing engineering planning and final design.
**It included the '''Core Capacity Grant Program,''' funding the expansion of existing corridors to handle increased demand. This includes rehabilitation and replacement of rolling stock, track, line equipment, and structures, signals and communications, power equipment and substations, passenger stations and terminals, security equipment and systems, maintenance facilities and equipment, administration buildings, support vehicles, and operational support equipment (including computer hardware and software). It can also include preventative maintenance and the development and implementation of a transit asset management plan. Projects may not include expenditures that are needed for new or expanded service.
**It included the €6.1 billion '''Core Capacity Grant Program,''' funding the expansion of existing corridors to handle increased demand. This includes rehabilitation and replacement of rolling stock, track, line equipment, and structures, signals and communications, power equipment and substations, passenger stations and terminals, security equipment and systems, maintenance facilities and equipment, administration buildings, support vehicles, and operational support equipment (including computer hardware and software). It can also include preventative maintenance and the development and implementation of a transit asset management plan. Projects may not include expenditures that are needed for new or expanded service.
**It included the '''Stations Accesibility Program''', funding projects to remove rail and bus station barriers to access for persons with disabilities. This includes the creation of step-free access facilities, ramps, and guide pavement.
**It included the €15 million '''Stations Accesibility Program''', funding projects to remove rail and bus station barriers to access for persons with disabilities. This includes the creation of step-free access facilities, ramps, and guide pavement.
*The '''National Transit Capital Investment Program''', provides funding for capital investments in heavy rail, commuter rail, light rail, streetcars, and bus rapid transit.
*The €10.4 billion '''National Transit Capital Investment Program''', provides funding for capital investments in heavy rail, commuter rail, light rail, streetcars, and bus rapid transit.
*The '''Rural Transit Grant Program''', funding Regions, subdivisions of Regions, and local authorities for transportation research, technical assistance, and related support services in rural public transportation. It also provides funding for the establishment and expansion of rural bus and related rural transportation networks. Lastly, it supports projects to develop information resources and real-time transit management and operations systems.
*The €740 million '''Rural Transit Grant Program''', funding Regions, subdivisions of Regions, and local authorities for transportation research, technical assistance, and related support services in rural public transportation. It also provides funding for the establishment and expansion of rural bus and related rural transportation networks. Lastly, it supports projects to develop information resources and real-time transit management and operations systems.
*The '''Bus and Bus Facilities Formula Grant Program''', provides funding to replace, rehabilitate, purchase, or lease buses and bus related equipment; and to construct, rehabilitate, purchase, or lease bus-related facilities.
*The €2.4 billion '''Bus and Bus Facilities Formula Grant Program''', provides funding to replace, rehabilitate, purchase, or lease buses and bus related equipment; and to construct, rehabilitate, purchase, or lease bus-related facilities.
**It included the '''Bus Grant Program''', providing funding to Regions, Counties, Cities/Townships, and special districts, to replace, rehabilitate, purchase, or lease buses, vans, and bus related equipment to rehabilitate, purchase, construct, or lease bus-related facilities. It also includes projects for technological innovation and to reduce emissions at facilities. Of this, €100 million will be used for training programs.
**It included the €1.4 billion '''Bus Grant Program''', providing funding to Regions, Counties, Cities/Townships, and special districts, to replace, rehabilitate, purchase, or lease buses, vans, and bus related equipment to rehabilitate, purchase, construct, or lease bus-related facilities. It also includes projects for technological innovation and to reduce emissions at facilities. Of this, €100 million will be used for training programs.
**It included the '''Low or No Emission Bus Grants Program''', providing funding to Regions, Counties, Cities/Townships, and special districts, to purchase or lease of zero-emission and low-emission transit buses, including acquisition, construction, and leasing of required supporting facilitates. 2% (€20 million) of the funding for zero emission buses within this program will also support workforce development training so transit operators and mechanics can learn how to maintain and operate zero emission vehicles.
**It included the €1 billion '''Low or No Emission Bus Grants Program''', providing funding to Regions, Counties, Cities/Townships, and special districts, to purchase or lease of zero-emission and low-emission transit buses, including acquisition, construction, and leasing of required supporting facilitates. 2% (€20 million) of the funding for zero emission buses within this program will also support workforce development training so transit operators and mechanics can learn how to maintain and operate zero emission vehicles.
*The '''Transit-Oriented Development Cooperative Program''', provides funding to local communities to integrate land use and transportation planning in urban development.
*The €345 million '''Transit-Oriented Development Cooperative Program''', provides funding to local communities to integrate land use and transportation planning in urban development; including technical assistance for planning and urban development.
*The '''Public Transportation Workforce Development Program''', provides funding to support workforce development and transition, as well as technical support for workforce training to transit providers.
*The €141.3 million '''Public Transportation Workforce Development Program''', provides funding to support workforce development and transition, as well as technical support for workforce training to transit providers.
*The '''University Transportation Research (UTR) Program''', supporting activities for colleges and universities, and consortia thereof on research and development of technology and expertise in the many disciplines comprising transportation through education, solutions-oriented research and technology transfer, and the exploration and sharing of cutting-edge ideas and approaches.
*The €1.45 billion '''University Transportation Research (UTR) Program''', supporting activities for colleges and universities, and consortia thereof on research and development of technology and expertise in the many disciplines comprising transportation through education, solutions-oriented research and technology transfer, and the exploration and sharing of cutting-edge ideas and approaches.


====Metro and Light Rail====
====Metro and Light Rail====
The NTCI Program called for the creation of four new metros networks:
The NTCI Program called for the creation of four new metros networks:


#The '''Lausanne Metro''', is a program to create a dedicated subway line for Lausanne, the capital of South Lyrica. This will be a 18 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the train station, with a possible extension to Lausanne Airport in the future. This will open by 1735.
#The €1.4 billion '''Lausanne Metro''', is a program to create a dedicated subway line for Lausanne, the capital of South Lyrica. This will be a 18 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the train station, with a possible extension to Lausanne Airport in the future. This will open by 1735.
#The '''Narbonne Metro''', is a program to create a dedicated subway line for Narbonne, the second city of Alduria. This will be a 12 km, double, third-rail electrified line mostly underground, serving the city center east west with fourteen stations, connecting to the train station, with an at-grade section to Narbonne Airport. Future expansion to Punta Santiago is possible. This will open in 1734.
#The €1 billion '''Narbonne Metro''', is a program to create a dedicated subway line for Narbonne, the second city of Alduria. This will be a 12 km, double, third-rail electrified line mostly underground, serving the city center east west with fourteen stations, connecting to the train station, with an at-grade section to Narbonne Airport. Future expansion to Punta Santiago is possible. This will open in 1734.
#The '''Potosí Metro''', is a program to create a dedicated subway line for Potosí, the capital of Santander. This will be a 16 km, double, third-rail electrified line completely underground, serving the city center north-south with ten stations, connecting to the train station, with an underground section to Potosí Airport. This will open by 1735.
#The €1.8 billion '''Potosí Metro''', is a program to create a dedicated subway line for Potosí, the capital of Santander. This will be a 16 km, double, third-rail electrified line completely underground, serving the city center north-south with ten stations, connecting to the train station, with an underground section to Potosí Airport. This will open by 1735.
#The '''Rimarima Metro''', is a program to create a dedicated subway line for Rimarima, the second city of Wechua. This will be a 14 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the Rimarima Pueblo HS station.
#The €1.2 billion '''Rimarima Metro''', is a program to create a dedicated subway line for Rimarima, the second city of Wechua. This will be a 14 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the Rimarima Pueblo HS station.


And eighteen new light rail/streetcar networks:
And eighteen new light rail/streetcar networks:


#The '''Alduria Light Rail Program''', is a program funding four separate streetcar projects, for a total of six lines at 38 km in length:  
#The €2.6 billion '''Alduria Light Rail Program''', is a program funding four separate streetcar projects, for a total of six lines at 68 km in length:  
##Line 5 of the Punta Santiago Streetcar
##Line 5 of the '''Punta Santiago Streetcar'''
##The creation of the two-line Napoléon Regional Light Rail
##The creation of the two-line '''Napoléon Regional Light Rail'''
##The creation of the single-line Aldemín Streetcar
##The creation of the single-line '''Aldemín Streetcar'''
##The creation of the two-line Beauharnais Streetcar
##The creation of the two-line '''Beauharnais Streetcar'''
#The '''Wechua Light Rail Program''', is a program funding three separate streetcar projects, for a total of four lines at 12 km in length:
#The €1.2 billion '''Wechua Light Rail Program''', is a program funding three separate streetcar projects, for a total of four lines at 22 km in length:
##The creation of the single-line Huancavelia Streetcar
##The creation of the single-line '''Huancavelia Streetcar'''
##The creation of the single-line Judah Streetcar
##The creation of the single-line '''Judah Streetcar'''
##The creation of the two-line San Luis Streetcar
##The creation of the two-line '''San Luis Streetcar'''
#The '''Santander Light Rail Program''', is a program funding three separate streetcar projects, for a total of four lines at 12 km in length:
#The €1.2 billion '''Santander Light Rail Program''', is a program funding three separate streetcar projects, for a total of four lines at 30 km in length:
##The creation of the two-line Potosí Streetcar
##The creation of the two-line '''Potosí Streetcar'''
##The creation of the single-line Santiago Streetcar
##The creation of the single-line '''Santiago Streetcar'''
##The creation of the single-line Castellón
##The creation of the single-line '''Castellón Streetcar'''
#The '''Lyrica Light Rail Program''', is a program funding two separate streetcar projects, for a total of three lines at 20 km in length:
#The €800 million '''Lyrica Light Rail Program''', is a program funding two separate streetcar projects, for a total of three lines at 20 km in length:
##The creation of the two-line Beaufort Streetcar
##The creation of the two-line '''Beaufort Streetcar'''
##The creation of the single-line Lausanne Streetcar
##The creation of the single-line '''Lausanne Streetcar'''
#The '''Chambèry Streetcar''' is a program creating the Chambèry Streetcar, creating a dedicated streetcar line at 8 km in length.
#The €200 million '''Chambèry Streetcar''' is a program creating a dedicated streetcar line at 8 km in length.
#The '''Hato Rey Streetcar''' is a program creating the Hato Rey Streetcar, creating a dedicated streetcar line at 8 km in length.
#The €200 million '''Hato Rey Streetcar''' is a program creating a dedicated streetcar line at 8 km in length.


== National Health Plan ==
== National Health Plan ==
The NHP was devised by the [[Department of Social Security and National Solidarity (Nouvelle Alexandrie)|Department of Social Security and National Solidarity]], along with the [[Department of Education (Nouvelle Alexandrie)|Department of Education]], [[Department of Housing and Urban Development (Nouvelle Alexandrie)|Department of Housing and Urban Development]], and [[Department of Civil Works and Transportation (Nouvelle Alexandrie)|Department of Civil Works and Transportation]]. It outlines a comprehensive vision for top-class healthcare services, universal access, and breakthroughs in science and innovation. The planm focused on reducing waiting lists, improving patient care and outcomes, and moving towards a consolidated care experience with both health and social care. It was divided into four themes:
The NHP was devised by the [[Department of Social Security and National Solidarity (Nouvelle Alexandrie)|Department of Social Security and National Solidarity]], along with the [[Department of Education (Nouvelle Alexandrie)|Department of Education]], [[Department of Housing and Urban Development (Nouvelle Alexandrie)|Department of Housing and Urban Development]], and [[Department of Civil Works and Transportation (Nouvelle Alexandrie)|Department of Civil Works and Transportation]]. It outlines a comprehensive vision for top-class healthcare services, universal access, and breakthroughs in science and innovation. The planm focused on reducing waiting lists, improving patient care and outcomes, and moving towards a consolidated care experience with both health and social care. It represented over €384 billion in funding. It was divided into four themes:


# The Plan for Patients;
# The Plan for Patients;
Line 199: Line 201:


=== Plan for Patients ===
=== Plan for Patients ===
The aim of this plan was  provide high-quality, accessible, and patient-centred care that focuses on improving patient experience, reducing waiting times, and ensuring equitable access to healthcare services. By promoting shared decision-making and empowering patients, the Government sought to enhance the overall quality and safety of care.  
The aim of this plan was  provide high-quality, accessible, and patient-centred care that focuses on improving patient experience, reducing waiting times, and ensuring equitable access to healthcare services. By promoting shared decision-making and empowering patients, the Government sought to enhance the overall quality and safety of care. It represents €85 billion of investment.  


==== Patient -Centred Care ====
==== Patient -Centred Care ====
The policies for improving patient outcomes and standards in healthcare are focused on empowering patients and their representatives to inform decisions and reforms.
The policies for improving patient outcomes and standards in healthcare are focused on empowering patients and their representatives to inform decisions and reforms.


* The '''Patient Experience Enhancement Initiative''' (PEEI), is a comprehensive program to improve patient experiences and outcomes, through the implementation of specific initiatives and regulations. The PEEI will be led by a multidisciplinary task force of healthcare professionals, patient advocates, researchers, and care experts. These will establish thorough PEEI Guidelines and Standards, focusing on best practices for patient-centred care, encompassing a wide variety of care aspects, including communication, care coordination, patient preferences, and physical environment. We will help the NHS develop implementation plans for patient-centred care initiatives, from enhancing communications through training programs, documentation digitization, and the use of patient-friendly language; process optimization, resource allocation management, and appointment scheduling systems to reduce waiting lists; to enhancing physical environments through patient-friendly spaces, improved amenities, and patient-specific design. We will support collaboration and knowledge sharing between NHS trusts participating in the PEEI. This includes funding regular workshops and conferences; as well as a dedicated online platform and knowledge hub. Through feedback systems and evaluation, the PEEI will continuously improve.
* The €12 billion '''Patient Experience Enhancement Initiative''' (PEEI), is a comprehensive program to improve patient experiences and outcomes, through the implementation of specific initiatives and regulations. The PEEI will be led by a multidisciplinary task force of healthcare professionals, patient advocates, researchers, and care experts. These will establish thorough PEEI Guidelines and Standards, focusing on best practices for patient-centred care, encompassing a wide variety of care aspects, including communication, care coordination, patient preferences, and physical environment. We will help Hospitals develop implementation plans for patient-centred care initiatives, from enhancing communications through training programs, documentation digitization, and the use of patient-friendly language; process optimization, resource allocation management, and appointment scheduling systems to reduce waiting lists; to enhancing physical environments through patient-friendly spaces, improved amenities, and patient-specific design. We will support collaboration and knowledge sharing between Hospital trusts participating in the PEEI. This includes funding regular workshops and conferences; as well as a dedicated online platform and knowledge hub. Through feedback systems and evaluation, the PEEI will continuously improve.
* The '''Shared Decision-Making Program''' (SDMP), will aid decision-making between healthcare professionals and patients, by making the latter an active participant. We will establish a work group of healthcare professionals and patient representatives. This group will develop training modules and resources for shared decision-making principles and communication. We will also introduce new decision aids and tools that assist patients in understanding their healthcare options, including through a central patient decision repository. We will also reform electronic health records systems and clinical decision support systems to integrate decision aids and tools, and enhance healthcare workflows. Through a robust monitoring and feedback system, the SDMP will be assessed on effectiveness and impact on patient outcomes and experiences. These include the development of data collection tools and data analysis to identify key areas for improvements and refinements.
* The €5 billion '''Shared Decision-Making Program''' (SDMP), will aid decision-making between healthcare professionals and patients, by making the latter an active participant. We will establish a work group of healthcare professionals and patient representatives. This group will develop training modules and resources for shared decision-making principles and communication. We will also introduce new decision aids and tools that assist patients in understanding their healthcare options, including through a central patient decision repository. We will also reform electronic health records systems and clinical decision support systems to integrate decision aids and tools, and enhance healthcare workflows. Through a robust monitoring and feedback system, the SDMP will be assessed on effectiveness and impact on patient outcomes and experiences. These include the development of data collection tools and data analysis to identify key areas for improvements and refinements.
* The '''Patient Feedback Mechanisms Development Program''' (PFMDP), will aid to establish effective tools and resources for collecting, analysing, and utilising feedback, to drive quality improvements in our healthcare. We will establish a new digital feedback platform, focusing on use-friendliness, and ensuring data privacy, confidentiality, and anonymity of patients. Through the development of advanced analytics tools, patterns, trends, and common themes in patient feedback can be identified and addressed through regular reporting, highlighting areas of improvement and sharing best practices among healthcare professionals. With this, we will fund new Quality Improvement Initiatives, developing targeted improvement strategies, action plans, and performance indicators to address identified issues and enhance patient experience. These QIIs will be a collaborative effort between healthcare professionals, patient representatives, researchers, and care experts. They will also include training programs and resources focusing on patient feedback, to enhance communication and empathy skills. Through guidance, we can implement changes within healthcare settings based on patient feedback.
* The €12 billion '''Patient Feedback Mechanisms Development Program''' (PFMDP), will aid to establish effective tools and resources for collecting, analysing, and utilising feedback, to drive quality improvements in our healthcare. We will establish a new digital feedback platform, focusing on use-friendliness, and ensuring data privacy, confidentiality, and anonymity of patients. Through the development of advanced analytics tools, patterns, trends, and common themes in patient feedback can be identified and addressed through regular reporting, highlighting areas of improvement and sharing best practices among healthcare professionals. With this, we will fund new Quality Improvement Initiatives, developing targeted improvement strategies, action plans, and performance indicators to address identified issues and enhance patient experience. These QIIs will be a collaborative effort between healthcare professionals, patient representatives, researchers, and care experts. They will also include training programs and resources focusing on patient feedback, to enhance communication and empathy skills. Through guidance, we can implement changes within healthcare settings based on patient feedback.
* The '''Patient Advocacy and Support Fund''' (PASF) will go towards three initiatives: establishing new patient advocacy programs and recruiting and training patient advocates to provide support, guidance, and information to patients; developing education programs to enhance health literacy and establishing peer support networks where patients can connect to others with similar health challenges, empowering patients to actively participate in their care; and conducting regular assessments of the effectiveness and impact of patient advocacy, including through patient satisfaction surveys. We will foster collaboration between healthcare providers, patient advocacy groups, and relevant stakeholders to maximise the impact of PASF.
* The €3 billion '''Patient Advocacy and Support Fund''' (PASF) will go towards three initiatives: establishing new patient advocacy programs and recruiting and training patient advocates to provide support, guidance, and information to patients; developing education programs to enhance health literacy and establishing peer support networks where patients can connect to others with similar health challenges, empowering patients to actively participate in their care; and conducting regular assessments of the effectiveness and impact of patient advocacy, including through patient satisfaction surveys. We will foster collaboration between healthcare providers, patient advocacy groups, and relevant stakeholders to maximise the impact of PASF.
* The '''Patient Engagement in Healthcare Design Program (PEHD)''' will ensure that patients and their representatives have an active say in the design of healthcare facilities, focusing on their needs, preferences, and comfort. We will establish design committees that include healthcare providers, patient representatives, architects, and facility managers. These committees will conduct thorough surveys and focus groups studies to gather patient perspectives on facility design, accessibility, and patient amenities. They will especially focus on important factors such as ease of navigation, comfort, privacy, cleanliness, noise levels, and access to natural light and air. Special attention will be given to utilise technology to streamline patient flow and communication, including through digitisation. A comprehensive needs assessment will identify areas of improvement and prioritise patient-centred modifications. With analytics tools, common themes and concerns can be identified to implement thorough action plans that inform design decisions throughout the medical organisation.  
* The €3 billion '''Patient Engagement in Healthcare Design Program (PEHD)''' will ensure that patients and their representatives have an active say in the design of healthcare facilities, focusing on their needs, preferences, and comfort. We will establish design committees that include healthcare providers, patient representatives, architects, and facility managers. These committees will conduct thorough surveys and focus groups studies to gather patient perspectives on facility design, accessibility, and patient amenities. They will especially focus on important factors such as ease of navigation, comfort, privacy, cleanliness, noise levels, and access to natural light and air. Special attention will be given to utilise technology to streamline patient flow and communication, including through digitisation. A comprehensive needs assessment will identify areas of improvement and prioritise patient-centred modifications. With analytics tools, common themes and concerns can be identified to implement thorough action plans that inform design decisions throughout the medical organisation.  


==== Accessible and Timely Care ====
==== Accessible and Timely Care ====
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===== Reducing Waiting Times =====
===== Reducing Waiting Times =====


* The '''Faster Access Initiative''' (FAI) will reduce waiting times for primary care appointments, specialist referrals, and elective procedures. We will establish a multidisciplinary task force including healthcare professionals, patient representatives, researchers, and relevant stakeholders, to identify and set specific performance targets for different healthcare services, based on evidence-based guidelines and best practices. Through new incentives for healthcare providers, such as financial bonuses, recognition, and professional development opportunities, these performance targets will be ambitious yet realistic, and aimed to significantly reduce waiting times. The most important part of the FAI is the workforce expansion programme. We will recruit and train additional healthcare professionals, focusing on GPs, nurses, and support staff, to enhance capacity and meet increased demand for services. This will be done through new recruitment campaigns and financial incentives, including college fees grants, loan forgiveness programs, and signup bonuses. The taskforce will conduct a comprehensive review of existing processes to identify bottlenecks, and implement process improvement strategies to streamline workflows, reduce administrative burdens, and optimise resource allocation. We will also foster increased collaboration and communication between primary and secondary care services, establishing new care pathways and referral processes to streamline transition. We will also facilitate shared decision-making and coordination of care through multidisciplinary team workshops and conferences, as well as webinars and a dedicated online platform.
* The €3 billion '''Faster Access Initiative''' (FAI) will reduce waiting times for primary care appointments, specialist referrals, and elective procedures. We will establish a multidisciplinary task force including healthcare professionals, patient representatives, researchers, and relevant stakeholders, to identify and set specific performance targets for different healthcare services, based on evidence-based guidelines and best practices. Through new incentives for healthcare providers, such as financial bonuses, recognition, and professional development opportunities, these performance targets will be ambitious yet realistic, and aimed to significantly reduce waiting times. The most important part of the FAI is the workforce expansion programme. We will recruit and train additional healthcare professionals, focusing on GPs, nurses, and support staff, to enhance capacity and meet increased demand for services. This will be done through new recruitment campaigns and financial incentives, including college fees grants, loan forgiveness programs, and signup bonuses. The taskforce will conduct a comprehensive review of existing processes to identify bottlenecks, and implement process improvement strategies to streamline workflows, reduce administrative burdens, and optimise resource allocation. We will also foster increased collaboration and communication between primary and secondary care services, establishing new care pathways and referral processes to streamline transition. We will also facilitate shared decision-making and coordination of care through multidisciplinary team workshops and conferences, as well as webinars and a dedicated online platform.
* The '''Booking System Improvement Program''' (BSIP)  will enhance booking and scheduling systems across healthcare settings. We will fund initiatives to upgrade existing booking and scheduling systems, enhancing system functionality, user interfaces, and integration with other healthcare IT systems, with a specific focus on scalability and adaptability to future needs. We will also establish new centralised and regional coordinated systems to manage appointments and optimise resource allocation for entire Hospital Trusts at once, as well as between Trusts. We will also develop standardised protocols and guidelines for appointment booking and scheduling, defining appointment durations, follow-up intervals, and referral criteria to streamline booking. We will ensure these protocols are consistent and transparent for patients, and publicly available. Training programs will also ensure that support staff and healthcare professionals are effective on appointment management and system usage.
* The €2 billion '''Booking System Improvement Program''' (BSIP)  will enhance booking and scheduling systems across healthcare settings. We will fund initiatives to upgrade existing booking and scheduling systems, enhancing system functionality, user interfaces, and integration with other healthcare IT systems, with a specific focus on scalability and adaptability to future needs. We will also establish new centralised and regional coordinated systems to manage appointments and optimise resource allocation for entire Hospital Trusts at once, as well as between Trusts. We will also develop standardised protocols and guidelines for appointment booking and scheduling, defining appointment durations, follow-up intervals, and referral criteria to streamline booking. We will ensure these protocols are consistent and transparent for patients, and publicly available. Training programs will also ensure that support staff and healthcare professionals are effective on appointment management and system usage.
* The '''Outpatient Pathway Program''' (OPP) will improve outpatient services and enhance patient experience. The OPP will be used to fund the development of IT infrastructure, including electronic health record systems, secure and reliable telemedicine platforms and virtual consultations, and upgrading of networks and cybersecurity measures. We will establish multidisciplinary team meetings to discuss complex cases, treatment plans, and care coordination, including through secure messaging platforms and virtual meeting tools. We will establish new virtual clinics with video conferencing software and remote monitoring devices, such as the Smart Pacemaker. Through training programs, we will ensure healthcare professionals are skilled to conduct virtual consultations and make virtual appointments.
* The €600 million '''Outpatient Pathway Program''' (OPP) will improve outpatient services and enhance patient experience. The OPP will be used to fund the development of IT infrastructure, including electronic health record systems, secure and reliable telemedicine platforms and virtual consultations, and upgrading of networks and cybersecurity measures. We will establish multidisciplinary team meetings to discuss complex cases, treatment plans, and care coordination, including through secure messaging platforms and virtual meeting tools. We will establish new virtual clinics with video conferencing software and remote monitoring devices, such as the Smart Pacemaker. Through training programs, we will ensure healthcare professionals are skilled to conduct virtual consultations and make virtual appointments.


===== Tackling Health Inequalities =====
===== Tackling Health Inequalities =====


* The '''Health Equity Fund''' (HEF) will address health inequalities and ensure equal access to healthcare. The HEF will be administered by a dedicated task force that includes healthcare professionals, patient representatives, local authorities officials, and community organisations. A comprehensive assessment will identify specific healthcare needs and barriers to access in socioeconomically disadvantaged areas, with specific focus on rural areas. Targeted interventions such as health promotion campaigns, preventive care initiatives, and disease management programs will be developed to tailor to identified needs. We will also support outreach programs in collaboration with community organisations, faith-based groups, and local authorities. This includes sensitive health education initiatives. We will also invest in language services such as interpreter services and translated materials; transport solutions to ensure access to healthcare for remote communities; and awareness campaigns to ensure patients are informed about available services, as well as their rights and entitlements. The HEF will also support initiatives that offer screenings, vaccinations, and health promotion activities to specific needs of disadvantaged communities.
* The €2 billion '''Health Equity Fund''' (HEF) will address health inequalities and ensure equal access to healthcare. The HEF will be administered by a dedicated task force that includes healthcare professionals, patient representatives, local authorities officials, and community organisations. A comprehensive assessment will identify specific healthcare needs and barriers to access in socioeconomically disadvantaged areas, with specific focus on rural areas. Targeted interventions such as health promotion campaigns, preventive care initiatives, and disease management programs will be developed to tailor to identified needs. We will also support outreach programs in collaboration with community organisations, faith-based groups, and local authorities. This includes sensitive health education initiatives. We will also invest in language services such as interpreter services and translated materials; transport solutions to ensure access to healthcare for remote communities; and awareness campaigns to ensure patients are informed about available services, as well as their rights and entitlements. The HEF will also support initiatives that offer screenings, vaccinations, and health promotion activities to specific needs of disadvantaged communities.
* The '''Health Navigator Program''' (HNP) will be a groundbreaking effort to improve patient experiences and outcomes. It will train a new team of health navigators from diverse backgrounds, including social workers, community health workers, and nurses. These navigators will be deployed in areas of high health inequalities, aiding patients directly with navigating the healthcare systems. This includes assistance in accessing appropriate healthcare services, understanding treatment plans, and removing barriers to care. By collaborating with primary care providers and community organisations, these navigators will be integrated with existing care teams, providing a vital service to patients.
* The €400 million '''Health Navigator Program''' (HNP) will be a groundbreaking effort to improve patient experiences and outcomes. It will train a new team of health navigators from diverse backgrounds, including social workers, community health workers, and nurses. These navigators will be deployed in areas of high health inequalities, aiding patients directly with navigating the healthcare systems. This includes assistance in accessing appropriate healthcare services, understanding treatment plans, and removing barriers to care. By collaborating with primary care providers and community organisations, these navigators will be integrated with existing care teams, providing a vital service to patients.


==== Quality and Safety ====
==== Quality and Safety ====
The government wants to keep patients safe and maintain the high standards required from a modern healthcare institution.
The government wants to keep patients safe and maintain the high standards required from a modern healthcare institution.


* The '''Quality Assurance Framework''' (QAF) will define minimum standards that healthcare professionals must meet to ensure the delivery of safe and high-quality care, encompassing important aspects such as patient safety, clinical effectiveness, patient experience, and governance. It will also identify and promote best practices and evidence-based approaches and strategies that lead to improved patient outcomes, through extensive research, consultation with experts, and benchmarking against both national and international standards. Through a comprehensive and standardised set of quality indicators and metrics, consistency and fair comparisons and benchmarking across healthcare institutions can be assured. These indicators will include various aspects of care, including patient safety incidents, mortality rates, infection rates, readmission rates, waiting times, patient satisfaction, and adherence to clinical guidelines. We will establish support mechanisms to provide guidance, resources, and training to healthcare professionals in meeting quality standards. We will also foster collaboration between healthcare professionals, regulatory bodies, professional organisations, and patients representatives to improve the QAF. Regular inspection, auditing, and feedback mechanisms will be used to refine the framework, and inform improvement plans and corrective actions.
* The €1.2 billion '''Quality Assurance Framework''' (QAF) will define minimum standards that healthcare professionals must meet to ensure the delivery of safe and high-quality care, encompassing important aspects such as patient safety, clinical effectiveness, patient experience, and governance. It will also identify and promote best practices and evidence-based approaches and strategies that lead to improved patient outcomes, through extensive research, consultation with experts, and benchmarking against both national and international standards. Through a comprehensive and standardised set of quality indicators and metrics, consistency and fair comparisons and benchmarking across healthcare institutions can be assured. These indicators will include various aspects of care, including patient safety incidents, mortality rates, infection rates, readmission rates, waiting times, patient satisfaction, and adherence to clinical guidelines. We will establish support mechanisms to provide guidance, resources, and training to healthcare professionals in meeting quality standards. We will also foster collaboration between healthcare professionals, regulatory bodies, professional organisations, and patients representatives to improve the QAF. Regular inspection, auditing, and feedback mechanisms will be used to refine the framework, and inform improvement plans and corrective actions.
* The '''Clinical Governance Program''' (CGP) will establish comprehensive clinical governance systems in healthcare facilities. We will encourage them to appoint clinical leaders who focus on quality improvement and patient safety initiatives, and empower them to engage with frontline staff. We will implement robust clinical audit programs to review and evaluate clinical practice against established standards, which will identify areas for improvement and ensure compliance with quality standards. We will encourage the development of risk management strategies to identify, assess, and mitigate risks to patient safety, as well as establishing incident reporting systems and mechanisms for learning from adverse outcomes. We will also foster collaboration between primary carers, specialists, and nurses to ensure a holistic and comprehensive approach to patient care, ensuring clinician participation in decision-making. We will also develop new evidence-based clinical guidelines and care pathways & transitions that involve input from frontline clinicians, professional organisations, and expert groups, to ensure relevance and clinical ownership. We will also support the use of clinical decision support tools and resources to facilitate access to up-to-date evidence and guidelines at the point of care.
* The €5 billion '''Clinical Governance Program''' (CGP) will establish comprehensive clinical governance systems in healthcare facilities. We will encourage them to appoint clinical leaders who focus on quality improvement and patient safety initiatives, and empower them to engage with frontline staff. We will implement robust clinical audit programs to review and evaluate clinical practice against established standards, which will identify areas for improvement and ensure compliance with quality standards. We will encourage the development of risk management strategies to identify, assess, and mitigate risks to patient safety, as well as establishing incident reporting systems and mechanisms for learning from adverse outcomes. We will also foster collaboration between primary carers, specialists, and nurses to ensure a holistic and comprehensive approach to patient care, ensuring clinician participation in decision-making. We will also develop new evidence-based clinical guidelines and care pathways & transitions that involve input from frontline clinicians, professional organisations, and expert groups, to ensure relevance and clinical ownership. We will also support the use of clinical decision support tools and resources to facilitate access to up-to-date evidence and guidelines at the point of care.


==== Prevention and Health Promotion ====
==== Prevention and Health Promotion ====
The Government believes that preventing disease or illness is better than curing it. That is why we are focusing on implementing policies and programs for prevention and health promotion, reducing the pressure on healthcare and improving public health.
The Government believes that preventing disease or illness is better than curing it. That is why we are focusing on implementing policies and programs for prevention and health promotion, reducing the pressure on healthcare and improving public health.


* The '''National Healthy Living Campaign''' (NA Health Life) will raise awareness about preventable diseases and promote healthy lifestyles. They include dedicated multimedia campaigns tailored towards various public health issues, including smoking-cessation, alcohol and substance abuse, obesity, burn-out prevention, and anti-social behaviour. We will conduct extensive research to understand target audiences’ demographics, preferences, and health behaviours, focusing on specific messaging for different age groups, ethnicities, and socioeconomic backgrounds. We will engage with health experts, community organisations, and researchers to provide evidence-based information for the campaign and leverage their expertise and grassroots networks. We will especially establish a strong presence on social media platforms, encouraging interaction with users. We will conduct pre- and post-campaign surveys to assess changes in knowledge, attitudes, and behaviours related to preventable diseases and healthy lifestyles. We will also implement feedback mechanisms for target audiences. We will use this information, as well as long-term trends, to continuously refine and improve the campaign.
* The €14 billion '''National Healthy Living Campaign''' (NA Health Life) will raise awareness about preventable diseases and promote healthy lifestyles. They include dedicated multimedia campaigns tailored towards various public health issues, including smoking-cessation, alcohol and substance abuse, obesity, burn-out prevention, and anti-social behaviour. We will conduct extensive research to understand target audiences’ demographics, preferences, and health behaviours, focusing on specific messaging for different age groups, ethnicities, and socioeconomic backgrounds. We will engage with health experts, community organisations, and researchers to provide evidence-based information for the campaign and leverage their expertise and grassroots networks. We will especially establish a strong presence on social media platforms, encouraging interaction with users. We will conduct pre- and post-campaign surveys to assess changes in knowledge, attitudes, and behaviours related to preventable diseases and healthy lifestyles. We will also implement feedback mechanisms for target audiences. We will use this information, as well as long-term trends, to continuously refine and improve the campaign.
* The '''Early Detection and Screening Programs''' (EDSP) include two national programs: the Cancer Screening Program; and the Cardiovascular Screening Program. For the former, we will implement population-based screening programs for breast, cervical, and colorectal cancers. For this, we will establish new screening centres and mobile units; as well as closing partnerships with primary care providers for delivery of services. We will also develop comprehensive communication strategies to inform the public about the benefits and process of screening. And we will ensure that funding is available for diagnostic tests and follow-up care for patients with positive screening results, including mental care services. For the latter, we will offer cardiovascular risk assessments, including blood pressure checks, cholesterol testing, and lifestyle counselling. We will establish screening clinics in primary care facilities and community centres to accomplish this.
* The €5 billion '''Early Detection and Screening Programs''' (EDSP) include two national programs: the Cancer Screening Program; and the Cardiovascular Screening Program. For the former, we will implement population-based screening programs for breast, cervical, and colorectal cancers. For this, we will establish new screening centres and mobile units; as well as closing partnerships with primary care providers for delivery of services. We will also develop comprehensive communication strategies to inform the public about the benefits and process of screening. And we will ensure that funding is available for diagnostic tests and follow-up care for patients with positive screening results, including mental care services. For the latter, we will offer cardiovascular risk assessments, including blood pressure checks, cholesterol testing, and lifestyle counselling. We will establish screening clinics in primary care facilities and community centres to accomplish this.
* The '''School Health Education Initiative''' (SHEI) will develop age-appropriate health education materials in collaboration with health experts, teachers, and curriculum developers. These will cover various health topics, including nutrition, physical activity, mental health, sexual health, and substance abuse prevention. The materials will take diverse needs of students, such as cultural sensitivity, inclusivity, and gender appropriateness, into account. We will develop standardised training programs and professional development opportunities for teachers to enhance their knowledge and skills in health education. We will also develop interactive teaching methods, such as group discussions, role-playing, and multimedia presentations to help teachers to engage with students. We will collaborate with school administrators to implement healthy school environments; including by supporting nutritious food options in school cafeterias; implementing PE activities including recess breaks and extracurricular sports clubs; and providing guidelines for managing chronic health conditions in schools, ensuring proper support and accommodations for SEND students. We will also support the establishment of partnerships between schools and local sports clubs to provide opportunities for low-cost sports activities outside of school. We will encourage inviting healthcare professionals to deliver guest lectures and workshops on health topics; and facilitating field trips to public health exhibitions and healthcare facilities.
* The €3 billion '''School Health Education Initiative''' (SHEI) will develop age-appropriate health education materials in collaboration with health experts, teachers, and curriculum developers. These will cover various health topics, including nutrition, physical activity, mental health, sexual health, and substance abuse prevention. The materials will take diverse needs of students, such as cultural sensitivity, inclusivity, and gender appropriateness, into account. We will develop standardised training programs and professional development opportunities for teachers to enhance their knowledge and skills in health education. We will also develop interactive teaching methods, such as group discussions, role-playing, and multimedia presentations to help teachers to engage with students. We will collaborate with school administrators to implement healthy school environments; including by supporting nutritious food options in school cafeterias; implementing PE activities including recess breaks and extracurricular sports clubs; and providing guidelines for managing chronic health conditions in schools, ensuring proper support and accommodations for SEND students. We will also support the establishment of partnerships between schools and local sports clubs to provide opportunities for low-cost sports activities outside of school. We will encourage inviting healthcare professionals to deliver guest lectures and workshops on health topics; and facilitating field trips to public health exhibitions and healthcare facilities.


==== Self-Care ====
==== Self-Care ====
We want to empower citizens to take responsibility for their own health and well-being. This will reduce waiting times, lower hospital admissions, and reduce pressure on primary carers.
We want to empower citizens to take responsibility for their own health and well-being. This will reduce waiting times, lower hospital admissions, and reduce pressure on primary carers.


* We will launch a '''National Self-Care Awareness''' (NSCA) campaign will promote self care and raise awareness about the benefits. We will collaborate with healthcare providers, local authorities, researchers, and community organisations to create information, resources, and tools to promote positive lifestyle changes and adopt preventive measures. The campaign will have a multimedia approach, with targeted campaigns for different age groups and demographics. It will also include workshops, seminars, and health fairs to engage with communities to learn about self-care practices and interact with healthcare professionals. We will regularly evaluate the campaign and establish feedback mechanisms to adapt to changing demographics and public health behaviour.
* The €9 billion '''National Self-Care Awareness''' (NSCA) campaign will promote self care and raise awareness about the benefits. We will collaborate with healthcare providers, local authorities, researchers, and community organisations to create information, resources, and tools to promote positive lifestyle changes and adopt preventive measures. The campaign will have a multimedia approach, with targeted campaigns for different age groups and demographics. It will also include workshops, seminars, and health fairs to engage with communities to learn about self-care practices and interact with healthcare professionals. We will regularly evaluate the campaign and establish feedback mechanisms to adapt to changing demographics and public health behaviour.
* The '''Self-Care Information Hub''' (SCIH) will provide evidence-based resources and tools on the different aspects of self-care. We will collaborate with academia, healthcare professionals, policymakers, and software developers to aggregate information, ensuring accuracy, relevance, and suitability for diverse user groups. This includes information on nutrition, physical activity, stress management, sleep hygiene, mindfulness, and self-assessment tools. We will ensure the platform is designed to be user-friendly, responsive and optimised for various devices. It will include interactive tools and features for self-assessment, goal-setting modules, and personalised health planning. This includes accessibility for other languages and specific features for individuals with disabilities. We will evaluate the platform through several key performance indicators such as number of unique visitors, user engagement metrics, user satisfaction surveys, and the impact on self-care practices and health outcomes. This will inform adjustments and improvements to the platform.
* The €5 billion '''Self-Care Information Hub''' (SCIH) will provide evidence-based resources and tools on the different aspects of self-care. We will collaborate with academia, healthcare professionals, policymakers, and software developers to aggregate information, ensuring accuracy, relevance, and suitability for diverse user groups. This includes information on nutrition, physical activity, stress management, sleep hygiene, mindfulness, and self-assessment tools. We will ensure the platform is designed to be user-friendly, responsive and optimised for various devices. It will include interactive tools and features for self-assessment, goal-setting modules, and personalised health planning. This includes accessibility for other languages and specific features for individuals with disabilities. We will evaluate the platform through several key performance indicators such as number of unique visitors, user engagement metrics, user satisfaction surveys, and the impact on self-care practices and health outcomes. This will inform adjustments and improvements to the platform.


=== Medical Science and Innovation ===
=== Medical Science and Innovation ===
The Government is driven by the vision of advancing medical science and fostering innovation within the healthcare system. We have made a lot of progress over the last decade, and the Government wants to capitalise on that success. The aim is to invest in new research and development, promote the commercialization and adoption of new technologies and methodologies, and support ongoing training and education for healthcare professionals. Embracing cutting-edge advancement, we want to improve patient outcomes, personalise medicine, drive progress in addressing emerging healthcare challenges, and end the scourge of the deadliest diseases.
The Government is driven by the vision of advancing medical science and fostering innovation within the healthcare system. We have made a lot of progress over the last decade, and the Government wants to capitalise on that success. The aim is to invest in new research and development, promote the commercialization and adoption of new technologies and methodologies, and support ongoing training and education for healthcare professionals. Embracing cutting-edge advancement, we want to improve patient outcomes, personalise medicine, drive progress in addressing emerging healthcare challenges, and end the scourge of the deadliest diseases. It represents €61 billion in investment.


==== Research and Development ====
==== Research and Development ====
Our plan for medical research is focused on driving innovation and scientific discovery, to force breakthroughs in vital fields, meeting medical needs, and combating emerging healthcare challenges.
Our plan for medical research is focused on driving innovation and scientific discovery, to force breakthroughs in vital fields, meeting medical needs, and combating emerging healthcare challenges.


* The '''National Medical Research Fund''' (NMRF) will support innovative research projects, and accelerate scientific discovery, promote medical innovation, and improve patient outcomes. The fund will be issued through grants and dedicated funding opportunities for researchers in academia, industry, and hospitals, spread across seven different program fields (see table). This includes different grant categories, from seed grants, project grants, career development grants, and collaborative research grants. For this, a rigorous peer review system, utilising expert review panels of leading researchers, healthcare professionals, and industrial experts, will be implemented to evaluate grant applications based on scientific merit, feasibility, and potential impact. These expert boards will also conduct comprehensive reviews to identify priority areas, and establish targeted funding streams. These include chronic diseases, mental health, ageing population, infectious diseases, and personalised medicine. Through regular reporting requirements and a feedback mechanism, the progress and outcomes of research can be monitored. Regular impact assessments will evaluate the contribution of NMRF to scientific discovery, knowledge translation, and healthcare innovation. We will also work on long-term strategies of the fund to supplement it with additional funding sources such as donations, public-private partnerships, and industry collaborations.
* The €44 billion '''National Medical Research Fund''' (NMRF) will support innovative research projects, and accelerate scientific discovery, promote medical innovation, and improve patient outcomes. The fund will be issued through grants and dedicated funding opportunities for researchers in academia, industry, and hospitals, spread across seven different program fields (see table). This includes different grant categories, from seed grants, project grants, career development grants, and collaborative research grants. For this, a rigorous peer review system, utilising expert review panels of leading researchers, healthcare professionals, and industrial experts, will be implemented to evaluate grant applications based on scientific merit, feasibility, and potential impact. These expert boards will also conduct comprehensive reviews to identify priority areas, and establish targeted funding streams. These include chronic diseases, mental health, ageing population, infectious diseases, and personalised medicine. Through regular reporting requirements and a feedback mechanism, the progress and outcomes of research can be monitored. Regular impact assessments will evaluate the contribution of NMRF to scientific discovery, knowledge translation, and healthcare innovation. We will also work on long-term strategies of the fund to supplement it with additional funding sources such as donations, public-private partnerships, and industry collaborations.
* The '''Collaborative Research Consortia''' (CRC) will bring together researchers, clinicians, academia, industry experts, and healthcare professionals. These CRCs will conduct systematic assessments of healthcare priorities and unmet medical needs in their respective areas, by considering disease prevalence, burden on healthcare services, potential for breakthroughs, and alignment with national health priorities. They will furthermore facilitate regular knowledge exchange platforms through conferences and workshops, with a focus on interdisciplinary collaboration, sharing technical know-how, resources, and insights to accelerate translation of research into practical applications. CRCs will also include a dedicated Technology Translation and Commercialisation Unit, who will provide assistance with IP protection, business development, and access to funding for product development and commercialisation. They will also be encouraged to develop long-term plans to foster continuity and impactful research collaboration.
* The €2.2 billion '''Collaborative Research Consortia''' (CRC) will bring together researchers, clinicians, academia, industry experts, and healthcare professionals. These CRCs will conduct systematic assessments of healthcare priorities and unmet medical needs in their respective areas, by considering disease prevalence, burden on healthcare services, potential for breakthroughs, and alignment with national health priorities. They will furthermore facilitate regular knowledge exchange platforms through conferences and workshops, with a focus on interdisciplinary collaboration, sharing technical know-how, resources, and insights to accelerate translation of research into practical applications. CRCs will also include a dedicated Technology Translation and Commercialisation Unit, who will provide assistance with IP protection, business development, and access to funding for product development and commercialisation. They will also be encouraged to develop long-term plans to foster continuity and impactful research collaboration.


==== New Technologies ====
==== New Technologies ====
Our plans for hospitals include the adoption of cutting-edge technologies, including the continuation of digitisation.
Our plans for hospitals include the adoption of cutting-edge technologies, including the continuation of digitisation.


* The '''Technology Assessment and Evaluation Framework''' (TAEF) will establish an expert panel of healthcare professionals, researchers, economists, industry experts, and patient representatives. They will conduct a rigorous assessment of existing and new healthcare technologies, drugs, and treatments; establish safety profiles through analysis of pre-clinical and clinical trial data, monitoring adverse outcomes, and considering long-term safety implications; evaluate efficacy and effectiveness of interventions based on robust evidence, through clinical trial data, comparative effectiveness studies, real-world evidence, and meta-analysis; and establish cost-effectiveness analyses to evaluate economic impact of new technologies, through analysis of direct healthcare costs, cost savings, patient outcomes, and the overall value for money. The TAEF will establish evidence-based recommendations on the adoption of new medical technologies, drugs, and treatments to inform healthcare policy and decision-making; communicated through comprehensive reports, summarising the findings of assessments, the level of confidence in the evidence, and the potential benefits and risks associated with reviewed technologies. We will ensure that TAEF remains transparent through regular reporting and recommendation. It will be regularly updated and revised based on new evidence, technological advancements, and changes in clinical practice.  
* The €700 million '''Technology Assessment and Evaluation Framework''' (TAEF) will establish an expert panel of healthcare professionals, researchers, economists, industry experts, and patient representatives. They will conduct a rigorous assessment of existing and new healthcare technologies, drugs, and treatments; establish safety profiles through analysis of pre-clinical and clinical trial data, monitoring adverse outcomes, and considering long-term safety implications; evaluate efficacy and effectiveness of interventions based on robust evidence, through clinical trial data, comparative effectiveness studies, real-world evidence, and meta-analysis; and establish cost-effectiveness analyses to evaluate economic impact of new technologies, through analysis of direct healthcare costs, cost savings, patient outcomes, and the overall value for money. The TAEF will establish evidence-based recommendations on the adoption of new medical technologies, drugs, and treatments to inform healthcare policy and decision-making; communicated through comprehensive reports, summarising the findings of assessments, the level of confidence in the evidence, and the potential benefits and risks associated with reviewed technologies. We will ensure that TAEF remains transparent through regular reporting and recommendation. It will be regularly updated and revised based on new evidence, technological advancements, and changes in clinical practice.  
* The '''Digital Health Technology Program''' (DHTP) will promote the widespread implementation and adoption of digital health solutions. It focuses on enhancing patient care coordination and outcomes, and increasing digital literacy skills of healthcare professionals. The program will be implemented on a grant-based basis, which will assist in covering the costs of adopting and deploying digital technology. It will also offer technical assistance, providing guidance on digital health solutions, configuring systems, and interoperability between different technologies. DHTP will have specific funding for the implementation of the following three technologies: the adoption of electronic health records, and transitioning from paper-based records to digital systems; adopting remote monitoring devices, such as wearable sensors and home monitoring kits, allowing remote monitoring of patients’ vital signs, activity levels, and other health indicators; and the use of digital tools for care coordination, including secure messaging platforms, virtual care platforms, and shared care plans. We will also create training and education programs to increase digital literacy of healthcare professionals.  
* The €5.5 billion '''Digital Health Technology Program''' (DHTP) will promote the widespread implementation and adoption of digital health solutions. It focuses on enhancing patient care coordination and outcomes, and increasing digital literacy skills of healthcare professionals. The program will be implemented on a grant-based basis, which will assist in covering the costs of adopting and deploying digital technology. It will also offer technical assistance, providing guidance on digital health solutions, configuring systems, and interoperability between different technologies. DHTP will have specific funding for the implementation of the following three technologies: the adoption of electronic health records, and transitioning from paper-based records to digital systems; adopting remote monitoring devices, such as wearable sensors and home monitoring kits, allowing remote monitoring of patients’ vital signs, activity levels, and other health indicators; and the use of digital tools for care coordination, including secure messaging platforms, virtual care platforms, and shared care plans. We will also create training and education programs to increase digital literacy of healthcare professionals.  
* The '''Technology Adoption Fund''' (TAF), will incentivize healthcare organisations to adopt technologies by providing financial support. This funding will be done on a grant-based program, covering costs for acquiring technologies, implementing it within healthcare settings, and providing training to healthcare professionals. The fund focuses on approved technologies that have undergone rigorous evaluation and meet criteria regarding safety, efficacy, and value for money. The grants cover medical devices, diagnostic tools, software applications, and innovative treatment modalities. We will encourage collaboration between healthcare providers, technologists, and other stakeholders, to share their experiences and lessons learned, as well as promoting shared proposals and use of technologies. We will also consider the potential for scaling and sustainability of technologies, by highlighting projects that integrate into existing healthcare systems, demonstrate long-term benefits, and have the potential for wider implementation.
* The €2 billion '''Technology Adoption Fund''' (TAF), will incentivize healthcare organisations to adopt technologies by providing financial support. This funding will be done on a grant-based program, covering costs for acquiring technologies, implementing it within healthcare settings, and providing training to healthcare professionals. The fund focuses on approved technologies that have undergone rigorous evaluation and meet criteria regarding safety, efficacy, and value for money. The grants cover medical devices, diagnostic tools, software applications, and innovative treatment modalities. We will encourage collaboration between healthcare providers, technologists, and other stakeholders, to share their experiences and lessons learned, as well as promoting shared proposals and use of technologies. We will also consider the potential for scaling and sustainability of technologies, by highlighting projects that integrate into existing healthcare systems, demonstrate long-term benefits, and have the potential for wider implementation.


==== Workforce Training and Upskilling ====
==== Workforce Training and Upskilling ====
We want to invest in the continuous professional development of healthcare professionals, providing them with the necessary skills to leverage new technologies and advancements.
We want to invest in the continuous professional development of healthcare professionals, providing them with the necessary skills to leverage new technologies and advancements.


* The '''Professional Development in Healthcare Initiative''' (PDHI) will support healthcare professionals in acquiring new skills and knowledge. The program will provide financial support for training programs, conferences, and workshops, prioritising emerging healthcare needs and continuous professional development. Through comprehensive needs assessment on an individual and organisational basis, the workforce can be upskilled to address the most pressing educational needs on a local and national level. This includes a focus on personalised medicine, genomics, digital health, and AI. We will collaborate with educational institutions, training organisations, and industry leaders to develop and deliver high-quality programs, emphasising hands-on practical training, case studies, and interactive learning methodologies. We will implement a feedback mechanism and robust evaluation system to improve the program’s quality and relevance to meet the evolving needs of the workforce.
* The €2.2 billion '''Professional Development in Healthcare Initiative''' (PDHI) will support healthcare professionals in acquiring new skills and knowledge. The program will provide financial support for training programs, conferences, and workshops, prioritising emerging healthcare needs and continuous professional development. Through comprehensive needs assessment on an individual and organisational basis, the workforce can be upskilled to address the most pressing educational needs on a local and national level. This includes a focus on personalised medicine, genomics, digital health, and AI. We will collaborate with educational institutions, training organisations, and industry leaders to develop and deliver high-quality programs, emphasising hands-on practical training, case studies, and interactive learning methodologies. We will implement a feedback mechanism and robust evaluation system to improve the program’s quality and relevance to meet the evolving needs of the workforce.
* The '''Research-Practice Integration Initiative''' (RPII) will foster collaboration between academia and healthcare providers. The RPII will facilitate the development of joint research programs between researchers and healthcare professionals, focusing on projects that have direct relevance to clinical practice, patient outcomes, and healthcare system improvement. We will also support regular knowledge-sharing forums and conferences with input from healthcare professionals, researchers, and policymakers to foster interdisciplinary dialogue. The RPII will also establish mentorship programs for early-career healthcare professionals to engage in research activities, gaining skills in methodologies, data analysis, and evidence-based decision-making. We will also develop mechanisms to translate research applications into new healthcare methodologies, developing clinical guidelines and protocols based on latest research evidence.  
* The €2 billion '''Research-Practice Integration Initiative''' (RPII) will foster collaboration between academia and healthcare providers. The RPII will facilitate the development of joint research programs between researchers and healthcare professionals, focusing on projects that have direct relevance to clinical practice, patient outcomes, and healthcare system improvement. We will also support regular knowledge-sharing forums and conferences with input from healthcare professionals, researchers, and policymakers to foster interdisciplinary dialogue. The RPII will also establish mentorship programs for early-career healthcare professionals to engage in research activities, gaining skills in methodologies, data analysis, and evidence-based decision-making. We will also develop mechanisms to translate research applications into new healthcare methodologies, developing clinical guidelines and protocols based on latest research evidence.  
* The '''Continuing Medical Education''' (CME) Scholarships will support healthcare professionals in pursuing advanced training, specialisation, and certification. This scholarship will provide financial support to cover tuition fees, course materials, travel expenses (if applicable), and other associated costs for the chosen training or certification program. We will establish mentorships for recipients to provide support for professional development goals, monitoring progress, and advising on career advancement opportunities. A thorough framework will be established to establish a curriculum emphasis encompassing evidence-based medicine, critical appraisal, research methodologies, data analysis, and study design. We will incorporate ethical considerations in the curriculum, emphasising patient autonomy, informed consent, and ethical decision-making. We will establish reporting mechanisms to monitor attendance, completion of coursework, and any additional achievements or contributions made by recipients, providing updates on their progress throughout the programme. We will also conduct periodic evaluations to assess the impact of scholarships on healthcare professionals’ knowledge, skills, and career development. A strong feedback mechanism will identify areas for improvement and adjustment.
* The €3 billion '''Continuing Medical Education''' (CME) Scholarships will support healthcare professionals in pursuing advanced training, specialisation, and certification. This scholarship will provide financial support to cover tuition fees, course materials, travel expenses (if applicable), and other associated costs for the chosen training or certification program. We will establish mentorships for recipients to provide support for professional development goals, monitoring progress, and advising on career advancement opportunities. A thorough framework will be established to establish a curriculum emphasis encompassing evidence-based medicine, critical appraisal, research methodologies, data analysis, and study design. We will incorporate ethical considerations in the curriculum, emphasising patient autonomy, informed consent, and ethical decision-making. We will establish reporting mechanisms to monitor attendance, completion of coursework, and any additional achievements or contributions made by recipients, providing updates on their progress throughout the programme. We will also conduct periodic evaluations to assess the impact of scholarships on healthcare professionals’ knowledge, skills, and career development. A strong feedback mechanism will identify areas for improvement and adjustment.
* The '''Interdisciplinary Collaboration Platform''' (ICP) will promote interdisciplinary collaboration among healthcare professionals. The program will establish new interdisciplinary teams that consist of professionals from various specialisations, as well as nurses, pharmacists, social workers, and administrative staff. These teams will conduct thorough assessments of patient needs, with a focus on addressing complex and multifaceted healthcare challenges. Each team will designate a leader and facilitators to coordinate and guide team efforts. We will provide training and support to team leaders for group management and collaborative activities, supporting regular team meetings, case discussions, and collaborative treatment plans. For this, we will encourage the use of technology to facilitate virtual meetings and communication, especially in geographically dispersed settings. We will establish a dedicated online platform, as well as hold conferences, to facilitate information sharing between teams.  
* The €750 million '''Interdisciplinary Collaboration Platform''' (ICP) will promote interdisciplinary collaboration among healthcare professionals. The program will establish new interdisciplinary teams that consist of professionals from various specialisations, as well as nurses, pharmacists, social workers, and administrative staff. These teams will conduct thorough assessments of patient needs, with a focus on addressing complex and multifaceted healthcare challenges. Each team will designate a leader and facilitators to coordinate and guide team efforts. We will provide training and support to team leaders for group management and collaborative activities, supporting regular team meetings, case discussions, and collaborative treatment plans. For this, we will encourage the use of technology to facilitate virtual meetings and communication, especially in geographically dispersed settings. We will establish a dedicated online platform, as well as hold conferences, to facilitate information sharing between teams.  


=== Healthcare Infrastructure ===
=== Healthcare Infrastructure ===
The vision of the Government is to strengthen our healthcare infrastructure to support the delivery of high-quality care. We will work to secure adequate funding and resources to improve facilities, equipment, and the overall healthcare environment. We will also place an emphasis on the digital transformation of healthcare by the adoption of new IT systems and enhanced cybersecurity measures. Our investments in infrastructure and facilities will work to optimise resource allocation, enhance access to healthcare, and ensure a seamless, high-tech, and efficient healthcare system. By modernising our infrastructure, we also reduce operating costs of buildings and vehicles, which can ensure that budgets for hospitals and clinics focus on patients and staff.
The vision of the Government is to strengthen our healthcare infrastructure to support the delivery of high-quality care. We will work to secure adequate funding and resources to improve facilities, equipment, and the overall healthcare environment. We will also place an emphasis on the digital transformation of healthcare by the adoption of new IT systems and enhanced cybersecurity measures. Our investments in infrastructure and facilities will work to optimise resource allocation, enhance access to healthcare, and ensure a seamless, high-tech, and efficient healthcare system. By modernising our infrastructure, we also reduce operating costs of buildings and vehicles, which can ensure that budgets for hospitals and clinics focus on patients and staff. It represents €218 billion in investment.  


==== Facilities Expansion and Mobile Healthcare ====
==== Facilities Expansion and Mobile Healthcare ====
We will put a significant focus on enhancing healthcare facilities to provide modern and efficient healthcare services to patients across the nations. We will invest in upgrading and expanding our healthcare infrastructure networks.  
We will put a significant focus on enhancing healthcare facilities to provide modern and efficient healthcare services to patients across the nations. We will invest in upgrading and expanding our healthcare infrastructure networks.  


* The '''Healthcare Infrastructure Enhancement Program''' (HIEP) will modernise and upgrade existing healthcare facilities. We will establish a thorough resource allocation framework to ensure fair distribution of funds, taking into consideration population size, healthcare needs, and the condition of current facilities. We will conduct rigorous priority assessments, in collaboration with directors, architects, industrial experts, and policymakers, to identify facilities that require immediate modernisation and upgrades, taking into consideration factors such as the age of the infrastructure, condition of equipment and facilities, patient capacity, and compliance with modern standards. These assessments will also specifically address infrastructural challenges in underserved or economically disadvantaged areas. We will require NHS facilities to develop detailed infrastructure improvement plans that outline specific areas and facilities targeted for modernisation and upgrades, taking into account the long-term strategic goals of the NHS. We will prioritise investments in modern medical equipment and technologies that enhance diagnostic capabilities and treatment options; including the adoption of digital healthcare solutions. The program will also allocate specific funding to improve patient rooms, waiting areas, and amenities to promote comfort and a welcoming environment, focusing on patient-centred improvements. It will also allocate specific funds for energy efficiency and reducing the carbon footprint of the NHS, through renewable energy integration, energy-efficient lighting, and waste reduction efforts; which will reduce operating costs of the building, allowing more funds for patients and staff. Through regular evaluation, the outcomes achieved by the program in terms of improved patient care, safety, and overall healthcare quality are analysed, and the program can adapt accordingly.
* The €79 billion '''Healthcare Infrastructure Enhancement Program''' (HIEP) will modernise and upgrade existing healthcare facilities. We will establish a thorough resource allocation framework to ensure fair distribution of funds, taking into consideration population size, healthcare needs, and the condition of current facilities. We will conduct rigorous priority assessments, in collaboration with directors, architects, industrial experts, and policymakers, to identify facilities that require immediate modernisation and upgrades, taking into consideration factors such as the age of the infrastructure, condition of equipment and facilities, patient capacity, and compliance with modern standards. These assessments will also specifically address infrastructural challenges in underserved or economically disadvantaged areas. We will require Hospital facilities to develop detailed infrastructure improvement plans that outline specific areas and facilities targeted for modernisation and upgrades, taking into account the long-term strategic goals of the Department. We will prioritise investments in modern medical equipment and technologies that enhance diagnostic capabilities and treatment options; including the adoption of digital healthcare solutions. The program will also allocate specific funding to improve patient rooms, waiting areas, and amenities to promote comfort and a welcoming environment, focusing on patient-centred improvements. It will also allocate specific funds for energy efficiency and reducing the carbon footprint of Hospital infrastructure, through renewable energy integration, energy-efficient lighting, and waste reduction efforts; which will reduce operating costs of the building, allowing more funds for patients and staff. Through regular evaluation, the outcomes achieved by the program in terms of improved patient care, safety, and overall healthcare quality are analysed, and the program can adapt accordingly.
* The '''Hospital Infrastructure Improvement Initiative''' (HI3) will address the critical need for construction and expansion of healthcare facilities. The program will conduct an in-depth assessment of healthcare facilities needs throughout the country. This will identify hospitals and clinics that require urgent improvements and expansions, as well as the needs of underserved and economically disadvantaged areas. A priority list of high-priority targets will be established, setting the initial focus of HI3. The program will allocate dedicated funds to undertake comprehensive refurbishment of identified high-priority hospitals, which will also target patient care areas, including wards, outpatient departments, and common areas. The program will also prioritise the construction and upgrading of state-of-the-art hospitals and clinics with advanced medical technology and equipment, which will adhere to stringent clinical practice standards and optimise workflow to enhance patient safety and outcomes. The program will allocate dedicated funding to expand and modernise emergency departments, improving triage systems, enhancing diagnostic capabilities, and streamlining patient flow as an integral part of the enhancements. It will also allocate specific funding for the establishment of specialised care units, equipped with cutting-edge medical technology and staffed with highly trained healthcare professions. The program will be implemented in a phased manner to ensure the successful completion of refurbishment and expansion of high-priority targets, and onwards to other facilities, based on their respective needs and capacity. The program will involve extensive stakeholder engagement with hospital staff, patient representatives, local communities, researchers, and healthcare experts. We will ensure the transparency of the initiatives through regular updates and progress reports related to the public and stakeholders.  
* The €19.7 '''Hospital Infrastructure Improvement Initiative''' (HI3) will address the critical need for construction and expansion of healthcare facilities. The program will conduct an in-depth assessment of healthcare facilities needs throughout the country. This will identify hospitals and clinics that require urgent improvements and expansions, as well as the needs of underserved and economically disadvantaged areas. A priority list of high-priority targets will be established, setting the initial focus of HI3. The program will allocate dedicated funds to undertake comprehensive refurbishment of identified high-priority hospitals, which will also target patient care areas, including wards, outpatient departments, and common areas. The program will also prioritise the construction and upgrading of state-of-the-art hospitals and clinics with advanced medical technology and equipment, which will adhere to stringent clinical practice standards and optimise workflow to enhance patient safety and outcomes. The program will allocate dedicated funding to expand and modernise emergency departments, improving triage systems, enhancing diagnostic capabilities, and streamlining patient flow as an integral part of the enhancements. It will also allocate specific funding for the establishment of specialised care units, equipped with cutting-edge medical technology and staffed with highly trained healthcare professions. The program will be implemented in a phased manner to ensure the successful completion of refurbishment and expansion of high-priority targets, and onwards to other facilities, based on their respective needs and capacity. The program will involve extensive stakeholder engagement with hospital staff, patient representatives, local communities, researchers, and healthcare experts. We will ensure the transparency of the initiatives through regular updates and progress reports related to the public and stakeholders.  
* The '''Specialised Centres of Excellence Development''' (SCED) Program will advance medical research, treatment, and patient care by concentrating resources and expertise on specific medical conditions and treatments in specialised facilities. We will conduct a thorough assessment in collaboration with medical experts, community organisations, patient representatives, and researchers to identify priority medical areas based on healthcare trends, prevalence of diseases, and unmet medical needs. The program will allocate specific funding for target hospitals and medical centres to build new infrastructure required for specialised care, research and treatment, equipped with specialised research equipment and cutting-edge technology, and staffed with high-trained specialists. We will create training programs and resources to build expertise in the specialist medical fields. SCEs will be encouraged to create multidisciplinary teams comprising physicians, surgeons, researchers, nurses, support staff, and data analysts to collaborate on addressing complex medical challenges comprehensively. The program will promote research initiatives, clinical trials, and translational studies to be conducted in SCEs, in collaboration with academic institutions, industry partners, and research organisations. The centres will prioritise patient-centred care, providing personalised treatment plans and holistic support for patients and their families; establishing patient advisory groups to meet patient needs and expectations effectively; and actively engaging with patient communities, offering educational programs and support services related to specific medical conditions. The program will actively participate in international medical collaborations by sharing their expertise and best practices, facilitating partnerships with global healthcare leaders to promote joint research projects, and inviting foreign medical professionals and researchers to collaborate in SCEs in the UK.
* The €15.7 billion '''Specialised Centres of Excellence Development''' (SCED) Program will advance medical research, treatment, and patient care by concentrating resources and expertise on specific medical conditions and treatments in specialised facilities. We will conduct a thorough assessment in collaboration with medical experts, community organisations, patient representatives, and researchers to identify priority medical areas based on healthcare trends, prevalence of diseases, and unmet medical needs. The program will allocate specific funding for target hospitals and medical centres to build new infrastructure required for specialised care, research and treatment, equipped with specialised research equipment and cutting-edge technology, and staffed with high-trained specialists. We will create training programs and resources to build expertise in the specialist medical fields. SCEs will be encouraged to create multidisciplinary teams comprising physicians, surgeons, researchers, nurses, support staff, and data analysts to collaborate on addressing complex medical challenges comprehensively. The program will promote research initiatives, clinical trials, and translational studies to be conducted in SCEs, in collaboration with academic institutions, industry partners, and research organisations. The centres will prioritise patient-centred care, providing personalised treatment plans and holistic support for patients and their families; establishing patient advisory groups to meet patient needs and expectations effectively; and actively engaging with patient communities, offering educational programs and support services related to specific medical conditions. The program will actively participate in international medical collaborations by sharing their expertise and best practices, facilitating partnerships with global healthcare leaders to promote joint research projects, and inviting foreign medical professionals and researchers to collaborate in SCEs in Nouvelle Alexandrie.
* The '''Regional Healthcare Facility Fund''' (RHFF) will support infrastructure enhancements in all regions of the UK, focusing on community-based healthcare. We will conduct a comprehensive needs assessment to identify healthcare infrastructure gaps and challenges in different regions, considering factors such as population size, demographic characteristics, existing healthcare facilities, disease prevalences, and social determinants of health. The fund will be distributed on a grant basis, with a structured application process for NHS trusts and healthcare authorities, subject to a review committee consisting of healthcare professionals, industry experts, and local authorities, with evaluation based on merit, feasibility, and alignment with program goals. The fund will allocate specific funding  for the construction, renovation, equipment upgrades, and technology implementation of GP clinics and community health centres. An emphasis will be placed on innovation and efficiency, investing in digital health solutions, telemedicine, and mobile health clinics. Specific funding will be allocated to support transport links and accessibility of healthcare facilities.
* The €12 billion '''Regional Healthcare Facility Fund''' (RHFF) will support infrastructure enhancements in all regions of Nouvelle Alexandrie, focusing on community-based healthcare. We will conduct a comprehensive needs assessment to identify healthcare infrastructure gaps and challenges in different regions, considering factors such as population size, demographic characteristics, existing healthcare facilities, disease prevalences, and social determinants of health. The fund will be distributed on a grant basis, with a structured application process for Hospital trusts and healthcare authorities, subject to a review committee consisting of healthcare professionals, industry experts, and local authorities, with evaluation based on merit, feasibility, and alignment with program goals. The fund will allocate specific funding  for the construction, renovation, equipment upgrades, and technology implementation of GP clinics and community health centres. An emphasis will be placed on innovation and efficiency, investing in digital health solutions, telemedicine, and mobile health clinics. Specific funding will be allocated to support transport links and accessibility of healthcare facilities.
* The '''Mobile Healthcare Unit''' (MHU) Program will establish and deploy new mobile healthcare units. We will conduct a comprehensive assessment to identify underserved and remote areas lacking adequate access to healthcare services, in collaboration with local authorities, community organisations, and researchers to ensure an accurate and updated list of target locations. The program will procure and fully equip mobile healthcare units with high-quality medical equipment, diagnostic tools, and necessary supplies to provide essential medical services. They will be designed to be versatile, capable of reaching various terrains locations, focusing especially on rural villages and remote communities. We will recruit qualified healthcare professionals, including doctors, nurses, and medical assistants, to staff these MHUs. The units will perform essential services, including basic consultations, preventive care, and minor procedures. They will also conduct regular health screenings, including blood pressure checks, diabetes screenings, and ENT checks; as well as perform vaccinations, to promote early detection and disease prevention. Each unit will be equipped with telemedicine technology, connected with regional or tertiary hospitals, to allow real-time consultations and collaboration with specialists. We will prioritise community engagement and health education by MHU, to remove pressure on healthcare facilities, in conjunction with local healthcare providers and community leaders. We will establish key indicators, such as the number of beneficiaries served, health outcomes, and patient satisfaction, to evaluate and monitor the effectiveness and impact of MHUs. We will collaborate with private partners and NGOs to ensure scalability.
* The €8 billion '''Mobile Healthcare Unit''' (MHU) Program will establish and deploy new mobile healthcare units. We will conduct a comprehensive assessment to identify underserved and remote areas lacking adequate access to healthcare services, in collaboration with local authorities, community organisations, and researchers to ensure an accurate and updated list of target locations. The program will procure and fully equip mobile healthcare units with high-quality medical equipment, diagnostic tools, and necessary supplies to provide essential medical services. They will be designed to be versatile, capable of reaching various terrains locations, focusing especially on rural villages and remote communities. We will recruit qualified healthcare professionals, including doctors, nurses, and medical assistants, to staff these MHUs. The units will perform essential services, including basic consultations, preventive care, and minor procedures. They will also conduct regular health screenings, including blood pressure checks, diabetes screenings, and ENT checks; as well as perform vaccinations, to promote early detection and disease prevention. Each unit will be equipped with telemedicine technology, connected with regional or tertiary hospitals, to allow real-time consultations and collaboration with specialists. We will prioritise community engagement and health education by MHU, to remove pressure on healthcare facilities, in conjunction with local healthcare providers and community leaders. We will establish key indicators, such as the number of beneficiaries served, health outcomes, and patient satisfaction, to evaluate and monitor the effectiveness and impact of MHUs. We will collaborate with private partners and NGOs to ensure scalability.


==== Digital Transition ====
==== Digital Transition ====
We believe that the adoption of digital health solutions will significantly improve the quality of healthcare, reduce waiting times, and improve patient outcomes and experiences.  
We believe that the adoption of digital health solutions will significantly improve the quality of healthcare, reduce waiting times, and improve patient outcomes and experiences.  


* The '''National Interoperability Framework''' (NIF) will set the standards and guidelines for uniform data standards across our healthcare. It will be overseen by a task force composed of healthcare professionals, health IT vendors, patient representatives, and regulatory authorities. The framework will standardise technical standards & specifications, data formats & semantics, and protocols to ensure compatibility between different health IT systems used by healthcare providers. These data standards will include clinical data, patient demographics, medication records, laboratory results, and other relevant health information. It will establish a national certification for health IT systems, which will be required for vendors going forward. Regular audits will be conducted to ensure compliance. We will create dedicated testing centres equipped to rigorously simulate health IT systems for interoperability before deployment, as well as conducting thorough validation to verify compatibility and adherence to the framework.  
* The €6.5 billion '''National Interoperability Framework''' (NIF) will set the standards and guidelines for uniform data standards across our healthcare. It will be overseen by a task force composed of healthcare professionals, health IT vendors, patient representatives, and regulatory authorities. The framework will standardise technical standards & specifications, data formats & semantics, and protocols to ensure compatibility between different health IT systems used by healthcare providers. These data standards will include clinical data, patient demographics, medication records, laboratory results, and other relevant health information. It will establish a national certification for health IT systems, which will be required for vendors going forward. Regular audits will be conducted to ensure compliance. We will create dedicated testing centres equipped to rigorously simulate health IT systems for interoperability before deployment, as well as conducting thorough validation to verify compatibility and adherence to the framework.  
* The '''Health Information Exchange Hub''' (HIEH) will facilitate seamless data exchange between healthcare providers. It will be created in collaboration with experts in health informatics, software developers, clinicians, and researchers. There will be a specific focus on user-friendliness, scalability, and interoperability with existing health IT systems. The platform will prioritise patient data security and privacy, by implementing state-of-the-art encryption protocols and security measures to safeguard patient health information during transmission and storage; including through access controls, two-factor authentication, and audit logs. The platform will support common data formats and protocols, through dedicated high-performance data centres. Such centres will adhere to standards for redundancy, disaster recovery, and data backup. A dedicated team of developers will maintain and continuously improve the platform, through dedicated allocation of resources for ongoing maintenance, bug fixes, updates, and user support services. Regular evaluations and feedback mechanisms for users will identify areas for improvement and optimise the platform’s functionality.
* The €2.6 billion '''Health Information Exchange Hub''' (HIEH) will facilitate seamless data exchange between healthcare providers. It will be created in collaboration with experts in health informatics, software developers, clinicians, and researchers. There will be a specific focus on user-friendliness, scalability, and interoperability with existing health IT systems. The platform will prioritise patient data security and privacy, by implementing state-of-the-art encryption protocols and security measures to safeguard patient health information during transmission and storage; including through access controls, two-factor authentication, and audit logs. The platform will support common data formats and protocols, through dedicated high-performance data centres. Such centres will adhere to standards for redundancy, disaster recovery, and data backup. A dedicated team of developers will maintain and continuously improve the platform, through dedicated allocation of resources for ongoing maintenance, bug fixes, updates, and user support services. Regular evaluations and feedback mechanisms for users will identify areas for improvement and optimise the platform’s functionality.


==== Primary Care Development ====
==== Primary Care Development ====
We will place a specific focus on our primary care, to lower hospital uptake and improve patient outcomes through enhanced GP services.
We will place a specific focus on our primary care, to lower hospital uptake and improve patient outcomes through enhanced GP services.


* The '''GP Training Places Program''' (GP TPP) will provide medical students with financial support when pursuing careers in general practice. These will consist of scholarships that will cover tuition fees, course materials, and transport expenses. They will receive this support throughout their medical school, foundation years, and GP specialty training. We will also provide support for relocation and student loan repayment assistance. The program includes financial incentives, including competitive salaries, signup bonuses, and subsidised continuing education opportunities. Furthermore, the program will provide support for active GPs facing challenges in their practice, such as workload management and mental health support. GP TPP will conduct thorough needs assessments to identify areas of low GP density, and incentivise students to relocate to target areas, through a relocation allowance, as well as providing technology to conduct telemedicine and remote consultations.
* The €6.5 billion '''GP Training Places Program''' (GP TPP) will provide medical students with financial support when pursuing careers in general practice. These will consist of scholarships that will cover tuition fees, course materials, and transport expenses. They will receive this support throughout their medical school, foundation years, and GP specialty training. We will also provide support for relocation and student loan repayment assistance. The program includes financial incentives, including competitive salaries, signup bonuses, and subsidised continuing education opportunities. Furthermore, the program will provide support for active GPs facing challenges in their practice, such as workload management and mental health support. GP TPP will conduct thorough needs assessments to identify areas of low GP density, and incentivise students to relocate to target areas, through a relocation allowance, as well as providing technology to conduct telemedicine and remote consultations.
* The '''GP Retention and Returners Program''' (GP RRP) is a scheme to encourage retired GPs and those on career breaks to return to practice. For this, we will offer flexible working arrangements and establish mentorships to support reintegration into active practice, with a focus on updating clinical skills and knowledge to meet current medical standards and guidelines; as well as establishing peer support networks to encourage returners to connect and share experiences. There will be financial incentives in place, including through a return-to-work stipend, reintegration allowance, and relocation support. The program will launch an outreach campaign to inform eligible people, with targeted communications through medical associations, online platforms, and ads in medical journals.  
* The €2.6 billion '''GP Retention and Returners Program''' (GP RRP) is a scheme to encourage retired GPs and those on career breaks to return to practice. For this, we will offer flexible working arrangements and establish mentorships to support reintegration into active practice, with a focus on updating clinical skills and knowledge to meet current medical standards and guidelines; as well as establishing peer support networks to encourage returners to connect and share experiences. There will be financial incentives in place, including through a return-to-work stipend, reintegration allowance, and relocation support. The program will launch an outreach campaign to inform eligible people, with targeted communications through medical associations, online platforms, and ads in medical journals.  
* The '''Care Coordination and Plans''' (CCP) Initiative will create collaboration between primary carers and community health services. The plan will create a framework which will standardise care coordination protocols that outline the processes and responsibilities for transferring patient information between primary care settings and community-based services, addressing the sharing of relevant medical information, medication reconciliation, and coordination of follow-up care after hospital discharges or specialist consultations. The framework will also mandate primary care providers to develop and maintain comprehensive care plans for patients with complex health needs. These care plans will be tailored to address the specific health and social needs of each patient, taking into account medical conditions, social circumstances, and individual preferences. The plans will be collaboratively developed with the patient, family or caregivers, and relevant healthcare professionals, and will include clear treatment goals, a timeline for interventions, and mechanisms for regular review and updates of health status changes. We will establish training programs to equip primary care teams with necessary skills and knowledge for various aspects of care coordination, including communication strategies, teamwork, patient engagement, and utilisation of health IT tools. The program will establish care coordinators or care management teams responsible for patients with complex health needs, acting as the central point of contact. They will receive specialised training and support in care management.  
* The €12 billion '''Care Coordination and Plans''' (CCP) Initiative will create collaboration between primary carers and community health services. The plan will create a framework which will standardise care coordination protocols that outline the processes and responsibilities for transferring patient information between primary care settings and community-based services, addressing the sharing of relevant medical information, medication reconciliation, and coordination of follow-up care after hospital discharges or specialist consultations. The framework will also mandate primary care providers to develop and maintain comprehensive care plans for patients with complex health needs. These care plans will be tailored to address the specific health and social needs of each patient, taking into account medical conditions, social circumstances, and individual preferences. The plans will be collaboratively developed with the patient, family or caregivers, and relevant healthcare professionals, and will include clear treatment goals, a timeline for interventions, and mechanisms for regular review and updates of health status changes. We will establish training programs to equip primary care teams with necessary skills and knowledge for various aspects of care coordination, including communication strategies, teamwork, patient engagement, and utilisation of health IT tools. The program will establish care coordinators or care management teams responsible for patients with complex health needs, acting as the central point of contact. They will receive specialised training and support in care management.  
* The '''Comprehensive Community Services Program''' (CCSP) will offer a broad range of services that address various aspects of health and wellbeing. We will allocate specific funding to implement evidence-based preventive care programs, providing resources for regular check-ups, medication adherence support, and patient education on self-management. The program will support efforts to integrate mental health and behavioural health centres within community health centres, and foster collaboration between primary carers and behavioural health specialists. We will implement screening and early intervention programs to identify individuals with mental health concerns and facilitate timely access to appropriate services. We will support access to dental care in community health services, upgrading existing ones with modern technology and equipment; as well as launching oral health promotion programs to raise awareness on oral hygiene and regular dental check-ups. The program will establish social support programs in community health centres to address social determinants of health, providing assistance with housing, transportation, food security, and employment, in collaboration with community organisations and social service agencies. We will allocate target funding for programs focused on at-risk populations, including maternal and child health and geriatric care. These focus both on preventive care, chronic disease management, and mobility support. They also include substance abuse treatment programs that provide counselling, rehabilitation, and support services.
* The €15.7 billion '''Comprehensive Community Services Program''' (CCSP) will offer a broad range of services that address various aspects of health and wellbeing. We will allocate specific funding to implement evidence-based preventive care programs, providing resources for regular check-ups, medication adherence support, and patient education on self-management. The program will support efforts to integrate mental health and behavioural health centres within community health centres, and foster collaboration between primary carers and behavioural health specialists. We will implement screening and early intervention programs to identify individuals with mental health concerns and facilitate timely access to appropriate services. We will support access to dental care in community health services, upgrading existing ones with modern technology and equipment; as well as launching oral health promotion programs to raise awareness on oral hygiene and regular dental check-ups. The program will establish social support programs in community health centres to address social determinants of health, providing assistance with housing, transportation, food security, and employment, in collaboration with community organisations and social service agencies. We will allocate target funding for programs focused on at-risk populations, including maternal and child health and geriatric care. These focus both on preventive care, chronic disease management, and mobility support. They also include substance abuse treatment programs that provide counselling, rehabilitation, and support services.
* The '''Community Health Worker''' (CHW) Program will serve as a link between healthcare providers and community members. A framework will be established to define clear roles and responsibilities for community health workers, including their scope of practice. The program will focus on underserved and disadvantaged areas. It will work to develop mechanisms to integrate CHWs into primary care settings, hospitals, and community health centres, involving them in social determinants of health, such as housing, nutrition, and transportation. They will be trained specifically to provide culturally competent support, focusing on diversity, cultural competence, and sensitivity; enabling them to navigate cultural barriers in healthcare delivery. CHWs will be empowered to conduct community-based health education sessions, with a focus on preventive care, disease management, and healthy lifestyle practices, utilising mobile health units and community outreach. They will also offer specific navigation services to assist in scheduling appointments, accessing health insurance, and understanding medical information. They will provide follow-up care and monitoring for patients with chronic conditions to ensure treatment adherence and continuity of care, in collaboration with healthcare professionals. The program will establish collaborative networks between CHWs in conjunction with community organisations, as well as offering continuous professional development opportunities and clear career pathways, focusing on long-term commitment and retention.
* The €8 billion '''Community Health Worker''' (CHW) Program will serve as a link between healthcare providers and community members. A framework will be established to define clear roles and responsibilities for community health workers, including their scope of practice. The program will focus on underserved and disadvantaged areas. It will work to develop mechanisms to integrate CHWs into primary care settings, hospitals, and community health centres, involving them in social determinants of health, such as housing, nutrition, and transportation. They will be trained specifically to provide culturally competent support, focusing on diversity, cultural competence, and sensitivity; enabling them to navigate cultural barriers in healthcare delivery. CHWs will be empowered to conduct community-based health education sessions, with a focus on preventive care, disease management, and healthy lifestyle practices, utilising mobile health units and community outreach. They will also offer specific navigation services to assist in scheduling appointments, accessing health insurance, and understanding medical information. They will provide follow-up care and monitoring for patients with chronic conditions to ensure treatment adherence and continuity of care, in collaboration with healthcare professionals. The program will establish collaborative networks between CHWs in conjunction with community organisations, as well as offering continuous professional development opportunities and clear career pathways, focusing on long-term commitment and retention.


=== Integration of Health and Social Care ===
=== Integration of Health and Social Care ===
The Government envisions a seamless integration of health and social care services to improve overall care coordination and outcomes. We aim to develop collaborative care models that bridge the gap between healthcare and social support systems. We will promote community-based care, create partnerships, and enable seamless transitions between care settings. This will address the social determinants of health, support individuals in their homes, and provide holistic approaches of those with complex needs.
The Government envisions a seamless integration of health and social care services to improve overall care coordination and outcomes. We aim to develop collaborative care models that bridge the gap between healthcare and social support systems. We will promote community-based care, create partnerships, and enable seamless transitions between care settings. This will address the social determinants of health, support individuals in their homes, and provide holistic approaches of those with complex needs. It represents €96 billion in investment.


==== Collaborative Care ====
==== Collaborative Care ====
We will work towards fostering closer integration between health and social care services to improve care coordination and outcomes, pooling their resources to enable integrated care planning and provide holistic care for individuals with complex needs.
We will work towards fostering closer integration between health and social care services to improve care coordination and outcomes, pooling their resources to enable integrated care planning and provide holistic care for individuals with complex needs.


* The '''Integrated Care Pathways for Complex Needs''' (ICPCN) Program will provide comprehensive and coordinated care, enabling local health and social care providers to collaborate. The program will establish Joint Steering Committees to oversee the development and implementation of ICPs for various complex needs, including multimorbidity, mental disorders, and disabilities. These JSCs will consist of healthcare professionals, social workers, patient representatives, policymakers, and researchers. They will conduct regular evaluations to review progress, address challenges, and make data-driven decisions to enhance the effectiveness of ICPs. The program will establish training programs and capacity building projects to build on skills in collaborative care, such as care coordination, information sharing, joint decision-making, and person-centred care. The ICPs will include comprehensive assessments to identify unique healthcare, social and emotional requirements for individuals with complex needs, including also on social determinants of health, mental health, family support, and community resources available to the individual. Feedback mechanisms for patients and caregivers will identify improvements and address challenges.  
* The €11.6 billion '''Integrated Care Pathways for Complex Needs''' (ICPCN) Program will provide comprehensive and coordinated care, enabling local health and social care providers to collaborate. The program will establish Joint Steering Committees to oversee the development and implementation of ICPs for various complex needs, including multimorbidity, mental disorders, and disabilities. These JSCs will consist of healthcare professionals, social workers, patient representatives, policymakers, and researchers. They will conduct regular evaluations to review progress, address challenges, and make data-driven decisions to enhance the effectiveness of ICPs. The program will establish training programs and capacity building projects to build on skills in collaborative care, such as care coordination, information sharing, joint decision-making, and person-centred care. The ICPs will include comprehensive assessments to identify unique healthcare, social and emotional requirements for individuals with complex needs, including also on social determinants of health, mental health, family support, and community resources available to the individual. Feedback mechanisms for patients and caregivers will identify improvements and address challenges.  
* The '''Transitions to Home Program''' (THP) will address the challenges that patients often face during the transition from hospital to home. It will establish hospital liaison teams comprising social workers, nurses, and discharge planners. These teams will conduct thorough assessments of discharge needs, taking into account medical, social, and psychological circumstances; coordinate with hospital staff and primary care providers to develop personalised discharge plans; and provide patients and their families with detailed information about post-discharge care plans, medication management, and potential warning signs. The teams will also conduct regular home visits to monitor health status, wound care, medication adherence, and provide necessary medical interventions. The program will also fund community-based rehabilitation programs to support patients in recovery, including through physical therapy, occupational therapy, or psychological counselling. We will collaborate with community organisations, support groups, and charities to provide additional resources and assistance to patients and their families, including through integration into community programs such as social events, peer support programs, and recreational activities. Through regular evaluation and monitoring, utilising key performance indicators such as readmission rates, patient satisfaction, and successful care transitions, we can adapt and improve the program.  
* The €7.2 billion '''Transitions to Home Program''' (THP) will address the challenges that patients often face during the transition from hospital to home. It will establish hospital liaison teams comprising social workers, nurses, and discharge planners. These teams will conduct thorough assessments of discharge needs, taking into account medical, social, and psychological circumstances; coordinate with hospital staff and primary care providers to develop personalised discharge plans; and provide patients and their families with detailed information about post-discharge care plans, medication management, and potential warning signs. The teams will also conduct regular home visits to monitor health status, wound care, medication adherence, and provide necessary medical interventions. The program will also fund community-based rehabilitation programs to support patients in recovery, including through physical therapy, occupational therapy, or psychological counselling. We will collaborate with community organisations, support groups, and charities to provide additional resources and assistance to patients and their families, including through integration into community programs such as social events, peer support programs, and recreational activities. Through regular evaluation and monitoring, utilising key performance indicators such as readmission rates, patient satisfaction, and successful care transitions, we can adapt and improve the program.  


==== Community-Based Care ====
==== Community-Based Care ====
We will promote community-based care services to support individuals in their own homes and reduce hospital admissions.  
We will promote community-based care services to support individuals in their own homes and reduce hospital admissions.  


* The '''Community Care Support Initiative''' (CCSI) will provide comprehensive care and support to individuals in their own homes. The program will provide financial support to individuals using social care services, including home nursing, palliative care, and rehabilitation services. These funds will cover at least part of the expenses incurred by the use of these services. The program will ensure that a range of medical and non-medical services are eligible for the financial support, including wound care, medication management, pain management, personal care assistance, physical therapy, and occupational therapy. The program will foster collaboration between primary care providers and social workers to develop personalised care plans for home-based care, addressing the specific needs and goals of each patient. The program will implement a system within healthcare settings to identify patients at risk of hospitalisation due to health conditions or circumstances. The system will involve screening tools, risk assessment algorithms, and information sharing between primary carers, hospitals, and social workers; this information includes health status, test results, and care plans. These assessments will be used to develop targeted interventions to prevent hospitalisation, including enhanced home-based care, rapid response teams, telehealth consultations, and increased access to specialist services.  
* The €22 billion '''Community Care Support Initiative''' (CCSI) will provide comprehensive care and support to individuals in their own homes. The program will provide financial support to individuals using social care services, including home nursing, palliative care, and rehabilitation services. These funds will cover at least part of the expenses incurred by the use of these services. The program will ensure that a range of medical and non-medical services are eligible for the financial support, including wound care, medication management, pain management, personal care assistance, physical therapy, and occupational therapy. The program will foster collaboration between primary care providers and social workers to develop personalised care plans for home-based care, addressing the specific needs and goals of each patient. The program will implement a system within healthcare settings to identify patients at risk of hospitalisation due to health conditions or circumstances. The system will involve screening tools, risk assessment algorithms, and information sharing between primary carers, hospitals, and social workers; this information includes health status, test results, and care plans. These assessments will be used to develop targeted interventions to prevent hospitalisation, including enhanced home-based care, rapid response teams, telehealth consultations, and increased access to specialist services.  
* The '''Informal Caregiver Respite Program''' (ICRP) will provide ICs with much-needed respite and training. The program will establish and provide funding for specific Respite Care Vouchers, giving ICs temporary caregiver support from professional care providers, specialised respite care facilities, or registered caregivers within their community. The vouchers will be flexible to allow ICs with the choice best suiting their needs and preferences. We will establish training workshops for ICs in collaboration with healthcare professionals, educators, and caregiver support organisations, covering various topics such as medication management, mobility assistance, emotional support, and cultural sensitivity. We will ensure these workshops are given in multiple languages to cater to the diverse IC population. The program will establish peer support groups for ICs, facilitated by social workers, psychologists, and healthcare volunteers. These groups will offer regular meetings both in-person and virtually, sharing experiences, providing ongoing emotional support, and exchanging caregiving tips. Specialised groups will be designed to address the needs of caregivers of patients with complex needs, including Alzheimer’s and children with special needs.  
* The €7.2 billion '''Informal Caregiver Respite Program''' (ICRP) will provide ICs with much-needed respite and training. The program will establish and provide funding for specific Respite Care Vouchers, giving ICs temporary caregiver support from professional care providers, specialised respite care facilities, or registered caregivers within their community. The vouchers will be flexible to allow ICs with the choice best suiting their needs and preferences. We will establish training workshops for ICs in collaboration with healthcare professionals, educators, and caregiver support organisations, covering various topics such as medication management, mobility assistance, emotional support, and cultural sensitivity. We will ensure these workshops are given in multiple languages to cater to the diverse IC population. The program will establish peer support groups for ICs, facilitated by social workers, psychologists, and healthcare volunteers. These groups will offer regular meetings both in-person and virtually, sharing experiences, providing ongoing emotional support, and exchanging caregiving tips. Specialised groups will be designed to address the needs of caregivers of patients with complex needs, including Alzheimer’s and children with special needs.  
* The '''Social Prescribing Program''' (SPP) will enable healthcare professionals to refer patients to non-medical services, improving overall well-being and health outcomes. The program will establish a collaborative network of primary care providers, community-based organisations, charities, and local authorities to create a wide range of social prescribing options, including fitness classes, mental health support groups, arts and crafts workshops, gardening clubs, financial advice, and community volunteering. The network will be supported by a dedicated online platform that is user-friendly and regularly updating, including contact details, descriptions of services, eligibility criteria, and any associated costs. A framework will be established to create a streamlined and efficient referral process to allow healthcare professionals to easily refer patients to appropriate social prescribing options, with timely feedback and updates on patients’ progress on social prescribing activities. We will launch a public awareness campaign to inform patients and healthcare professionals about the benefits of social prescribing, and encourage active participation.
* The €4.3 billion '''Social Prescribing Program''' (SPP) will enable healthcare professionals to refer patients to non-medical services, improving overall well-being and health outcomes. The program will establish a collaborative network of primary care providers, community-based organisations, charities, and local authorities to create a wide range of social prescribing options, including fitness classes, mental health support groups, arts and crafts workshops, gardening clubs, financial advice, and community volunteering. The network will be supported by a dedicated online platform that is user-friendly and regularly updating, including contact details, descriptions of services, eligibility criteria, and any associated costs. A framework will be established to create a streamlined and efficient referral process to allow healthcare professionals to easily refer patients to appropriate social prescribing options, with timely feedback and updates on patients’ progress on social prescribing activities. We will launch a public awareness campaign to inform patients and healthcare professionals about the benefits of social prescribing, and encourage active participation.


==== Child Health and Social Care ====
==== Child Health and Social Care ====
We want to ensure that our children have the best start in life, by ensuring that child health is maintained, and our schools work closely with health and social care providers.  
We want to ensure that our children have the best start in life, by ensuring that child health is maintained, and our schools work closely with health and social care providers.  


* The '''Integrated Child Health Teams''' (ICHT) is a program that will create health teams consisting of paediatricians, nurses, social workers, and educational specialists. This team will work to create a coordinated care plan for children, working closely with families, schools, and other relevant stakeholders, taking into account medical conditions, social circumstances, mental health, and educational requirements. The plan shall focus on family-centred care, actively engaging families and providing guidance to parents and caregivers. The team will coordinate appointments, referrals, and services to ensure seamless care transitions for children. Specific funding will be allocated on mental health support, providing counselling and resources to children and their families. We will establish training programs to help ICHTs to enhance their skills in child development, effective communication, cultural sensitivity, and collaborative decision-making. We will conduct regular evaluations and implement a feedback mechanism for parents and caregivers to identify areas of improvement and adapt the program for the specific needs of children and their families.
* The €10 billion '''Integrated Child Health Teams''' (ICHT) is a program that will create health teams consisting of paediatricians, nurses, social workers, and educational specialists. This team will work to create a coordinated care plan for children, working closely with families, schools, and other relevant stakeholders, taking into account medical conditions, social circumstances, mental health, and educational requirements. The plan shall focus on family-centred care, actively engaging families and providing guidance to parents and caregivers. The team will coordinate appointments, referrals, and services to ensure seamless care transitions for children. Specific funding will be allocated on mental health support, providing counselling and resources to children and their families. We will establish training programs to help ICHTs to enhance their skills in child development, effective communication, cultural sensitivity, and collaborative decision-making. We will conduct regular evaluations and implement a feedback mechanism for parents and caregivers to identify areas of improvement and adapt the program for the specific needs of children and their families.
* The '''Early Childhood Development Program''' (ECDP) will provide comprehensive and accessible support for families with young children. This will establish new ECD Hubs in community health centres, which will be easily accessible, specifically for underserved communities. The hubs will offer child-friendly environments, with play areas and age-appropriate educational resources. The hub will be staffed by an integrated team of primary care providers, paediatricians, early education providers, social workers, and child psychologists. The teams will conduct assessments and develop individualised early development care plans for children and their family. The Hubs will offer multiple services, including parenting classes, developmental screenings, family counselling and support, and health and nutrition services. They also include vaccinations. The team will also empower parents and caregivers by providing educational materials and resources to support their understanding of child development milestones and the importance of play in learning.
* The €11.6 billion '''Early Childhood Development Program''' (ECDP) will provide comprehensive and accessible support for families with young children. This will establish new ECD Hubs in community health centres, which will be easily accessible, specifically for underserved communities. The hubs will offer child-friendly environments, with play areas and age-appropriate educational resources. The hub will be staffed by an integrated team of primary care providers, paediatricians, early education providers, social workers, and child psychologists. The teams will conduct assessments and develop individualised early development care plans for children and their family. The Hubs will offer multiple services, including parenting classes, developmental screenings, family counselling and support, and health and nutrition services. They also include vaccinations. The team will also empower parents and caregivers by providing educational materials and resources to support their understanding of child development milestones and the importance of play in learning.
* The '''Multi-Agency Child Protection Teams''' (MACPT) will create a shared platform for sharing information on child welfare. These teams will consist of healthcare providers, social carers, educators, law enforcement, and charities. The teams will prioritise early identification of children at risk and those experiencing significant health or social challenges, and create early interventions and care plans, considering social status, health conditions, mental health, and their families. The teams will develop and implement coordinated safeguarding plans that outline actions to ensure children’s safety and well-being, specifying roles, responsibilities, and timelines for agencies involved. The teams will be supported by a dedicated online platform to enable secure and fast information sharing, with a strong focus on data protection and confidentiality. We will implement regular evaluation of safeguarding plans and intervention outcomes to identify areas of improvement and adapt the program for the specific needs of child protection, including the continuing development of the internet.
* The €21.8 billion '''Multi-Agency Child Protection Teams''' (MACPT) will create a shared platform for sharing information on child welfare. These teams will consist of healthcare providers, social carers, educators, law enforcement, and charities. The teams will prioritise early identification of children at risk and those experiencing significant health or social challenges, and create early interventions and care plans, considering social status, health conditions, mental health, and their families. The teams will develop and implement coordinated safeguarding plans that outline actions to ensure children’s safety and well-being, specifying roles, responsibilities, and timelines for agencies involved. The teams will be supported by a dedicated online platform to enable secure and fast information sharing, with a strong focus on data protection and confidentiality. We will implement regular evaluation of safeguarding plans and intervention outcomes to identify areas of improvement and adapt the program for the specific needs of child protection, including the continuing development of the internet.


=== Dentistry ===
=== Dentistry ===
The Government believes that a proper standard of dental care is vital for children’s development, but also for public health. We will work to expand dental coverage to ensure universal coverage for individuals with high needs. We will promote oral health and overall well-being by ensuring timely and affordable access.  
The Government believes that a proper standard of dental care is vital for children’s development, but also for public health. We will work to expand dental coverage to ensure universal coverage for individuals with high needs. We will promote oral health and overall well-being by ensuring timely and affordable access. It represents €800 million in investment.  


==== Affordable Dental Treatments ====
==== Affordable Dental Treatments ====
We will reform dental treatment charges to make dental access more affordable. This includes a thorough assessment with NHS Dentistry and dental professionals to establish a transparent and reasonable pricing structure for dental treatments. We will also place an inflation-linked cap on charge increases.
We will reform dental treatment charges to make dental access more affordable. This includes a thorough assessment with dental professionals to establish a transparent and reasonable pricing structure for dental treatments. We will also place an inflation-linked cap on charge increases.


* The Dental Access Program (DAP) will provide subsidies for low-income individuals and vulnerable populations. These subsidies will come in the form of vouchers that ensure that eligible individuals have expenses covered for at least three dental check-ups each year. It will also offer affordable care packages for routine preventive services.  
* The €260 million '''Dental Access Program''' (DAP) will provide subsidies for low-income individuals and vulnerable populations. These subsidies will come in the form of vouchers that ensure that eligible individuals have expenses covered for at least three dental check-ups each year. It will also offer affordable care packages for routine preventive services.  


==== Oral Health ====
==== Oral Health ====
We will work towards creating a comprehensive public health program that promotes the significance of oral hygiene, regular dental check-ups, and preventive care.  
We will work towards creating a comprehensive public health program that promotes the significance of oral hygiene, regular dental check-ups, and preventive care.  


* The National Oral Care Initiative (NOCI) will provide a comprehensive campaign on oral health. The initiative will fund two sets of programs: it will fund the School-based Oral Health Program (SOHP), which will conduct workshops, seminars, and interactive sessions to teach both students and parents about proper oral hygiene. The Federak Dentistry Office will furthermore work to integrate oral health education into school curricula, through the development of educational materials, and free oral care kids. Lastly, NOCI will have a dedicated online platform that is user-friendly, and includes interactive materials to offer guidance on oral hygiene practices, nutrition, and the importance of regular dental check-up. It will also provide a secure tool for virtual consultations and Q&A sessions with dental professionals.  
* The €180 million '''National Oral Care Initiative''' (NOCI) will provide a comprehensive campaign on oral health. The initiative will fund two sets of programs: it will fund the School-based Oral Health Program (SOHP), which will conduct workshops, seminars, and interactive sessions to teach both students and parents about proper oral hygiene. The Federak Dentistry Office will furthermore work to integrate oral health education into school curricula, through the development of educational materials, and free oral care kids. Lastly, NOCI will have a dedicated online platform that is user-friendly, and includes interactive materials to offer guidance on oral hygiene practices, nutrition, and the importance of regular dental check-up. It will also provide a secure tool for virtual consultations and Q&A sessions with dental professionals.  
* The Community Oral Health Awareness Program (COHAP) will collaborate with local authorities and community organisations to host oral health workshops, seminars, and awareness campaigns. It will also provide free dental screening and information sessions to vulnerable individuals in local communities. Dentists will develop informational materials and resources to support COHAP.  
* The €80 million '''Community Oral Health Awareness Program''' (COHAP) will collaborate with local authorities and community organisations to host oral health workshops, seminars, and awareness campaigns. It will also provide free dental screening and information sessions to vulnerable individuals in local communities. Dentists will develop informational materials and resources to support COHAP.  


==== Workforce and Infrastructure ====
==== Workforce and Infrastructure ====
We will work to expand the number of dental professionals in the NHS, to ensure universal access to dental care. We will also create new dental clinics in underserved communities, to address the geographical and socioeconomic barriers to oral care.
We will work to expand the number of dental professionals nationally, to ensure universal access to dental care. We will also create new dental clinics in underserved communities, to address the geographical and socioeconomic barriers to oral care.


* We will create the Dental Workforce Expansion Program (DWEP), to alleviate shortage of dental professionals and bolster the workforce, which will enhance access, reduce waiting times, and improve overall oral health outcomes. We will collaborate with dental schools to provide scholarships and debt forgiveness programs to encourage dental students to pursue careers within the NHS. We will also fund postgraduate training programs to upskill newly qualified dental professionals to meet the modern standards. We will furthermore establish training programs and professional development opportunities for dental professionals. The programme will also launch targeted recruitment campaigns for areas with acute shortages.
* The €190 million '''Dental Workforce Expansion Program''' (DWEP), to alleviate shortage of dental professionals and bolster the workforce, which will enhance access, reduce waiting times, and improve overall oral health outcomes. We will collaborate with dental schools to provide scholarships and debt forgiveness programs to encourage dental students to pursue careers within dentistry. We will also fund postgraduate training programs to upskill newly qualified dental professionals to meet the modern standards. We will furthermore establish training programs and professional development opportunities for dental professionals. The programme will also launch targeted recruitment campaigns for areas with acute shortages.
* We will establish the Dental Clinics Expansion Program (DCEP) to create new dental access points to tackle regional inequalities in oral care. The programme will hold a thorough assessment to identify areas for site selection and infrastructure development. We will have a dedicated fund to establish new dental clinics, as well as dedicated funding to expand existing ones, with a focus on technology, accessibility, and capacity. We will also integrate dental units with the MHUs established in Chapter 3 to reach remote areas, which can provide basic dental check-ups and preventive treatments.
* The €260 million '''Dental Clinics Expansion Program''' (DCEP) will create new dental access points to tackle regional inequalities in oral care. The programme will hold a thorough assessment to identify areas for site selection and infrastructure development. We will have a dedicated fund to establish new dental clinics, as well as dedicated funding to expand existing ones, with a focus on technology, accessibility, and capacity. We will also integrate dental units with the MHUs established in Chapter 3 to reach remote areas, which can provide basic dental check-ups and preventive treatments.


=== Midwifery ===
=== Midwifery ===
The Government understands that effective and compassionate midwifery care is essential for ensuring the health and well-being of pregnant individuals and their newborns. We will work to enhance midwifery services throughout the country, and provide a holistic approach to pregnancy and childbirth.
The Government understands that effective and compassionate midwifery care is essential for ensuring the health and well-being of pregnant individuals and their newborns. We will work to enhance midwifery services throughout the country, and provide a holistic approach to pregnancy and childbirth. It represents €210 million in investment.


==== Workforce and Technology ====
==== Workforce and Technology ====
We want to recruit and train additional midwives over the next five years, with significant funding dedicated to recruitment and training. We also want to develop advanced technology solutions to integrate midwifing with other vital healthcare specialisations.
We want to recruit and train additional midwives over the next five years, with significant funding dedicated to recruitment and training. We also want to develop advanced technology solutions to integrate midwifing with other vital healthcare specialisations.


* The National Midwifery Initiative (NMI) will address the increasing demand for maternity care services and enhance the quality of care for pregnant individuals and their newborns. We will launch a targeted recruitment campaign to attract midwifery students to join the NHS, by providing scholarships and financial incentives, including apprenticeships and loan forgiveness programs. We shall also establish training programs and professional development opportunities. We will create a mentorship program to pair experienced midwives with newly graduated ones.  
* The €120 million '''National Midwifery Initiative''' (NMI) will address the increasing demand for maternity care services and enhance the quality of care for pregnant individuals and their newborns. We will launch a targeted recruitment campaign to attract midwifery students to join public hospitals, by providing scholarships and financial incentives, including apprenticeships and loan forgiveness programs. We shall also establish training programs and professional development opportunities. We will create a mentorship program to pair experienced midwives with newly graduated ones.
* We will also integrate midwifery services with mobile health teams to reach remote areas. These services will be able to provide pregnancy screenings, childbirth care, as well as postpartum services.  
* We will also integrate midwifery services with mobile health teams to reach remote areas, funding it with €30 million. These services will be able to provide pregnancy screenings, childbirth care, as well as postpartum services.
* We will ensure that midwifery professionals will be interoperable with EHRs, with specific modules for prenatal, intrapartum, and postpartum care. Midwife EHRs will also be accessible via secure mobile devices, to facilitate real-time communication and coordination, to aid in fast-paced maternity care scenarios.
* We will ensure that midwifery professionals will be interoperable with EHRs, with specific modules for prenatal, intrapartum, and postpartum care. Midwife EHRs will also be accessible via secure mobile devices, to facilitate real-time communication and coordination, to aid in fast-paced maternity care scenarios.


==== Continuity of Care ====
==== Continuity of Care ====
We would implement continuity of care models (CoCs) for pregnant individuals, ensuring they receive care from a single midwife throughout pregnancy, childbirth, and postpartum period. These models will create a midwife team to oversee personalised support, patient-provider relationships, and consistent communication throughout the care period. The model would be based on a patient-centred approach, which ensures active participation in decision-making and tailoring care plans for the unique needs and preferences of expectant parents. These programs will collect comprehensive data on maternal and neonatal outcomes, patient satisfaction, and healthcare utilisation. This data will be analysed, and utilised to continuously improve continuity of care models.
The €60 million '''Continuity of Care Models''' (CoCs) will ensure pregnant individuals will receive care from a single midwife throughout pregnancy, childbirth, and postpartum period. These models will create a midwife team to oversee personalised support, patient-provider relationships, and consistent communication throughout the care period. The model would be based on a patient-centred approach, which ensures active participation in decision-making and tailoring care plans for the unique needs and preferences of expectant parents. These programs will collect comprehensive data on maternal and neonatal outcomes, patient satisfaction, and healthcare utilisation. This data will be analysed, and utilised to continuously improve continuity of care models.
 
== National Plan for the Police ==
The National Plan for the Police was devised by the [[Department of Interior (Nouvelle Alexandrie)]], along with the [[Department of Justice (Nouvelle Alexandrie)]] and [[Department of Defense (Nouvelle Alexandrie)]]. It outlines an ambitious plan for policing, prosecution, criminal justice, national security, and gun control. The plan focused on investing the police, specifically the [[Federal Gendarmerie of Nouvelle Alexandrie|Federal Gendarmerie]] and National Police forces; improving access to justice; investing in crime prevention and adressing the causes of crime; and improving gun control to prevent violent crimes. It represented over €203 billion of funding. It was based on five themes:
 
# Policing
# Prosecution
# Crime Prevention and Justice
# National Security
# Gun Control
 
=== Policing ===
Effective policing is the cornerstone of public safety, requiring community trust, proactive crime prevention strategies, accountability, and collaboration. The aim of this plan is to strengthen police-community relationships, enhance crime-fighting capabilities, ensure transparency and accountability, and promote violence reduction through targeted interventions. It represented over €106.5 billion of investment.
 
* The €62.2 billion '''Force Expansion Program''' (FEP) will work to hire and train 200,000 additional police officers over the next five years, focusing on diverse recruitment to reflect local populations. We will establish community outreach programs to foster trust and cooperation between law enforcement agencies and communities.We will also invest in technology for police departments to enhance transparency, accountability, and efficiency in policing efforts.
* The €12 billion '''Crime Analysis and Intelligence Integration (CAII)''' will work to implement data-driven crime analysis systems in police departments nationwide to identify crime hotspots, trends, and emerging threats. We will establish partnerships between local, state, and federal agencies to share intelligence and enhance coordination in crime prevention efforts. We will also provide training for law enforcement personnel in utilizing advanced analytics and technology for effective crime analysis.
* The €6 billion '''Police Accountability and Professional Standards Program (PAPS)''' will implement body-worn camera programs in all law enforcement agencies to enhance accountability and transparency in police-civilian interactions. We will establish independent review boards to investigate allegations of misconduct and ensure accountability within police departments. We will also provide ongoing training for officers on ethical conduct, de-escalation techniques, and cultural competency.
* The €15 billion '''Rural Policing Initiative''' (RPI) will provide resources for law enforcement for small cities and towns, including funding for additional officers, capacity-building programs, and rural policing efforts.
* The €1 billion '''Violence Interruption Teams''' (VIT) will create specialized violence interruption teams in high-crime areas to intervene in conflicts and prevent retaliatory violence. We will collaborate with community organizations and social services to provide support and resources to individuals at risk of involvement in violent activities. We will also implement evidence-based violence prevention strategies, such as cognitive behavioral therapy and mentorship programs.
* The €600 million '''Mental Health Crisis Response Teams''' (MHCRT) will establish specialized mental health crisis response teams composed of trained mental health professionals and law enforcement officers. We will deploy MHCRT units to respond to calls involving individuals experiencing mental health crises, providing assessment, de-escalation, and access to appropriate mental health services. We will also collaborate with local mental health agencies and community organizations to coordinate follow-up care and support for individuals in crisis.
* The €300 million '''Technology Integration for Policing''' (TIP) will invest in cutting-edge technology solutions, such as predictive analytics, artificial intelligence, and smart surveillance systems, to enhance policing efforts. Implement data-sharing platforms to facilitate information exchange between law enforcement agencies, allowing for real-time collaboration and intelligence-led policing strategies. Provide training and technical assistance to law enforcement personnel on the use and integration of technology tools for prosecution and investigation.
* The €400 million '''School Safety Policing Initiative''' (SSPI) will establish trained School Policing Officers (SPOs) in tertiary educational institutions nationwide. We will provide specialized training for SPOs on youth engagement, conflict resolution, and crisis intervention techniques. Collaborate with school administrators, teachers, and students to develop comprehensive safety plans and prevention strategies tailored to each school's unique needs.
 
=== Prosecution ===
A fair and efficient prosecution system is essential for upholding the rule of law and ensuring accountability for criminal behavior. By investing in innovative approaches, victim support services, and alternatives to traditional prosecution, these programs seek to improve case outcomes, support victims of crime, and promote justice that is both swift and equitable. It represents €12.5 billion of investment.
 
* The €6 billion '''Prosecutorial Innovation and Efficiency Initiative''' (PIEI) will invest in technology and resources to streamline case management processes and reduce backlogs in court systems. We will establish specialized units within prosecutor's offices to focus on complex cases such as cybercrime, organized crime, and white-collar offenses. We will provide training for prosecutors on best practices in evidence collection, case preparation, and trial advocacy.
* The €4 billion '''Victim Support and Advocacy Program''' (VSAP) will expand victim support services, including counseling, legal assistance, and financial compensation, to ensure comprehensive assistance to victims of crime. We will work to enhance collaboration between prosecutors and victim advocacy organizations to prioritize victim needs and participation in the criminal justice process. We will also implement restorative justice programs to facilitate healing and reconciliation between victims and offenders in appropriate cases.
* The €2 billion '''Cybercrime Prosecution Taskforce''' (CPT) will establish specialized cybercrime prosecution task forces at the federal, state, and local levels to investigate and prosecute cybercriminals engaged in hacking, fraud, identity theft, and other digital crimes. We will provide training and resources for prosecutors to handle complex cybercrime cases, including digital evidence collection, forensic analysis, and international cooperation in extradition and legal proceedings. We will also collaborate with private sector partners, cybersecurity firms, and academic institutions to enhance expertise and capacity in prosecuting cyber offenses and addressing emerging cyber threats.
* The €500 million '''Elder Abuse and Financial Fraud Prosecution Initiative''' (EAFFPI) will expand specialized units within prosecutor's offices to investigate and prosecute cases of elder abuse, financial exploitation, and fraud targeting vulnerable populations, including seniors and individuals with disabilities. We will provide training for prosecutors and law enforcement personnel on recognizing and addressing signs of elder abuse and financial fraud, as well as collaborating with adult protective services and financial regulators. We will enhance victim support services for elderly victims, including legal assistance, counseling, and financial restitution, to ensure justice and recovery for those affected by elder abuse and financial crimes.
 
=== Crime Prevention and Justice ===
Crime prevention efforts go beyond law enforcement and prosecution, addressing underlying factors such as poverty, substance abuse, and lack of opportunity that contribute to criminal behavior. By investing in early intervention, substance abuse prevention, and economic development, these programs aim to create safer communities and break the cycle of crime before it begins. It represents €67.2 billion in investment.
 
==== Crime Prevention ====
 
* The €20 billion '''Early Intervention and Youth Development Initiative''' (EIYDI) will invest in community-based interventions targeting factors such as poverty, substance abuse, and family instability that contribute to juvenile delinquency. We will also implement evidence-based prevention programs focusing on social-emotional learning, conflict resolution, and positive youth development.
* The €15 billion '''Substance Abuse Prevention and Treatment''' (SAPT) will expand access to substance abuse prevention programs, including education, screening, and intervention initiatives in schools and communities. We will invest in comprehensive treatment services, including detoxification, rehabilitation, and counseling, for individuals struggling with substance use disorders. We will enhance collaboration between law enforcement, healthcare providers, and community organizations to address the root causes of substance abuse and addiction.
* The €7 billion '''Technology-Based Crime Prevention Initiative''' (TBCPI) will invest in cutting-edge technology solutions, such as predictive analytics, artificial intelligence, and geospatial mapping, to enhance proactive crime prevention efforts. We will implement real-time crime monitoring systems that analyze data from various sources, including CCTV cameras, social media, and sensors, to identify potential criminal activity and deploy resources effectively. We will also provide training for law enforcement personnel on the use of technology tools and platforms for crime prevention and response.
* The €5.2 billion '''Community-Based Problem-Solving Initiative''' (CBPSI) will establish community-based problem-solving teams comprised of law enforcement officers, social workers, educators, and community leaders to address underlying factors contributing to crime, such as poverty, substance abuse, and youth disengagement. We will implement data-driven approaches, such as focused deterrence and hotspot policing, tailored to specific community needs and priorities to reduce crime and improve quality of life. We will also provide resources and support for community-led initiatives, including neighborhood watch programs, youth mentoring, and community clean-up efforts, to empower residents in crime prevention and community revitalization efforts.
 
==== Criminal Justice ====
 
* The €15 billion '''Rehabilitation and Re-entry Support Services''' (RRSS) will expand access to rehabilitative programs, including education, vocational training, and mental health services, in correctional facilities. We will provide comprehensive reentry support services, including housing assistance, employment placement, and substance abuse treatment, to individuals returning to the community after incarceration. We will also implement evidence-based practices to reduce recidivism and promote successful reintegration into society.
* The €5 billion '''Alternatives to Incarceration Initiative''' (AII) will expand diversion programs, such as drug courts, mental health courts, and restorative justice programs, to divert nonviolent offenders away from the criminal justice system and into treatment and support services. We will invest in community-based supervision programs, including probation and parole, to provide oversight and support to individuals under judicial supervision. We will also promote sentencing reform efforts to reduce reliance on incarceration for low-level offenses and prioritize alternatives that address underlying issues driving criminal behavior.
 
=== National Security ===
National security encompasses a wide range of threats, including terrorism, cyberattacks, and border security. By investing in border security, cybersecurity, and counterterrorism efforts, these programs aim to protect the country from external threats, safeguard critical infrastructure, and preserve the safety and security of all citizens. It represents €56 billion of investment.
 
* The €30 billion '''Cybersecurity and Critical Infrastructure Protection''' (CCIP) will strengthen cybersecurity capabilities and resilience of government agencies, critical infrastructure, and private sector entities against cyber threats and attacks. We will enhance information sharing and collaboration between government, industry, and international partners to detect, prevent, and respond to cyber incidents. We will also invest in research and development of advanced cybersecurity technologies and workforce training to stay ahead of evolving cyber threats.
* The €10 billion '''Counterterrorism and Intelligence Integration''' (CTII) will enhance intelligence gathering, analysis, and sharing capabilities to identify and disrupt terrorist threats and networks domestically and internationally. We will invest in counterterrorism training and resources for law enforcement, intelligence agencies, and first responders to effectively respond to terrorist incidents. We will also work to strengthen partnerships with foreign governments and international organizations to combat terrorism and address root causes of radicalization and violent extremism.
* The €9 billion '''Intelligence Fusion and Intelligence Initiative''' (IFII) will establish a centralized intelligence fusion center tasked with aggregating, analyzing, and disseminating intelligence from various sources, including government agencies, law enforcement, and private sector partners. We will invest in advanced data analytics and machine learning technologies to identify patterns, trends, and emerging threats in large datasets. We will also work to enhance collaboration and information sharing between federal, state, and local intelligence agencies to improve situational awareness and response capabilities.
* The €7 billion '''Civil Defense and Emergency Preparedness Initiative''' (CDEPI) will enhance civil defense and emergency preparedness capabilities at the federal, state, and local levels to respond effectively to natural disasters, pandemics, and other catastrophic events. We will invest in training, equipment, and resources for emergency responders, including firefighters, paramedics, and search and rescue teams, to mitigate the impact of emergencies and save lives. We will also implement public education and outreach campaigns to raise awareness and encourage preparedness among individuals, families, and communities.
 
=== Gun Control ===
Gun violence is a pressing public health and safety issue that requires comprehensive measures to prevent firearms-related crime and protect communities. By implementing universal background checks, supporting violence prevention programs, and addressing illegal firearms trafficking, these programs aim to reduce gun violence, save lives, and promote responsible gun ownership. It represents €1.4 billion of investment.
 
* The €800 million '''Universal Background Check Initiative''' (UBCI) will implement universal background checks for all firearm purchases, including private sales and transfers, to prevent prohibited individuals from obtaining firearms. Invest in technology and resources to enhance the accuracy and efficiency of background checks. We will also establish the National Criminal Background Check System (NICS). We will work to enforce existing firearms laws and regulations, including prosecuting individuals who attempt to illegally purchase or possess firearms.
* The €400 million '''Gun Violence Prevention and Intervention Program''' (GVPIP) will invest in evidence-based violence prevention and intervention programs, including community outreach, conflict mediation, and mental health services, to address the root causes of gun violence. We will support law enforcement efforts to disrupt illegal firearms trafficking networks and remove illegal guns from the streets. We will also provide resources and support for victims of gun violence and their families, including trauma-informed care and financial assistance.
* The €200 million '''Gun Buyback and Safe Storage Campaign (GBSSC)''' will implement nationwide gun buyback events offering financial incentives and amnesty for individuals to surrender unwanted or illegally possessed firearms. We will provide funding for community-based organizations and law enforcement agencies to distribute gun locks, safes, and storage containers to firearm owners. We will also launch public awareness campaigns to educate individuals about the importance of safely storing firearms and preventing unauthorized access.
 
== National Plan for the Armed Forces ==
The National Plan for the Armed Forces was devised by the [[Department of Defense (Nouvelle Alexandrie)|Department of Defense]], along with the [[Department of Justice (Nouvelle Alexandrie)|Department of Justice]] and [[Department of State (Nouvelle Alexandrie)|Department of State]]. It aims to address the evolving security landscape by outlining strategic programs and funding decisions across key military domains. By prioritizing modernization, readiness, and resilience, the paper seeks to ensure the effectiveness and agility of our armed forces in facing current and emerging threats. Additionally, by investing in veterans' affairs, the government underscores the national commitment to supporting those who have served and sacrificed for their country. It represents €440 billion in investment.
 
=== Army ===
The government has the imperative to maintain a versatile and capable ground force. Through these, the Army will be equipped to meet the challenges of modern warfare with enhanced individual soldier capabilities, upgraded armored vehicles, and rapid response capabilities, respectively. These programs reinforce the Army's readiness to address diverse threats across various operational environments. It represents €92 billion in investment.
 
* The €40 billion '''Modernisation of the Infantry & Equipment''' (MIE) will upgrade  infantry equipment, including rifles, body armor, and communications systems, to enhance the effectiveness and survivability of frontline troops. We will invest in advanced technologies such as night vision goggles, unmanned ground vehicles, and integrated combat systems to provide soldiers with a decisive advantage on the battlefield. We will also prioritize research and development efforts to address emerging threats and maintain technological superiority over adversaries.
* The €25 billion '''Cyber and Electronic Warfare Capabilities''' (CEWC) will expand the Army's cyber and electronic warfare capabilities to counter adversaries' asymmetric threats in the digital domain. We will recruit and train personnel specialized in cyber operations, electronic warfare, and information warfare to support combat operations and protect critical infrastructure. We will also enhance collaboration with other military branches and government agencies to leverage expertise and resources in cyberspace and electromagnetic spectrum operations.
* The €20 billion '''Enhanced Forward Presence and Rapid Deployment''' (EFPRD) will establish and maintain forward-deployed units and prepositioned equipment in key strategic locations to enhance deterrence and response capabilities. We will improve logistical support and infrastructure to enable rapid deployment of forces in crisis situations, including air and sea lift capabilities and forward operating bases. We will also strengthen partnerships with allies and regional partners to facilitate interoperability and collective defense efforts in priority regions.
* The €5 billion '''Urban Warfare Training and Equipment Enhancement''' (UWTEE) will develop specialized training programs and simulation facilities to prepare Army personnel for operations in urban environments, including close-quarters combat, counterinsurgency, and stabilization missions. We will also procure advanced urban warfare equipment and technology, such as lightweight body armor, breaching tools, and non-lethal weapons, to improve soldiers' effectiveness and survivability in urban combat scenarios.
* The €2 billion '''Environmental Sustainability and Resilience Initiative''' (ESRI) will invest  in renewable energy projects, energy-efficient infrastructure upgrades, and sustainable practices to reduce the Army's carbon footprint and dependence on fossil fuels. We will implement natural resource conservation and land management initiatives to protect and preserve military training ranges, wildlife habitats, and ecosystem services. We will also develop resilience strategies and contingency plans to mitigate the impacts of climate change, extreme weather events, and environmental hazards on Army installations and operations.
 
=== Navy ===
The Navy chapter emphasizes the importance of maritime superiority and global presence. Its programs enhance the Navy's expeditionary capabilities, air-sea warfare capabilities, and cybersecurity posture, respectively. By investing in these areas, the Navy can maintain its ability to project power, protect sea lanes, and respond effectively to regional and global contingencies. It represents €145 billion in investment.
 
* The €100 billion '''Fleet Expansion Program''' (FEP) will increase  the size and capabilities of the Navy's surface combatant and submarine fleets to meet growing maritime security challenges and maintain global presence. We will invest in the construction of new guided-missile destroyers, attack submarines, and amphibious assault ships to replace aging vessels and address capability gaps. We will enhance the readiness and sustainability of naval forces through modernization and maintenance programs to ensure operational effectiveness and availability.
* The €20 billion '''Naval Aviation Advancement''' (NAA) will upgrade and procure new carrier-based aircraft, including fighter jets, airborne early warning aircraft, and unmanned aerial systems, to enhance the Navy's air superiority and strike capabilities. We will invest in the development of next-generation naval aviation technologies, such as hypersonic missiles, stealth drones, and directed energy weapons, to maintain technological edge over potential adversaries. We will also prioritize training and readiness initiatives to ensure naval aviators possess the skills and proficiency needed to operate advanced aircraft in high-threat environments.
* The €10 billion '''Maritime Domain Enhancement Program''' (MDEP) will enhance the Navy's maritime surveillance and reconnaissance capabilities through investments in satellite systems, unmanned maritime vehicles, and sensor networks to monitor and track maritime activity. We will improve information sharing and interoperability with allied navies, coast guards, and international maritime organizations to enhance situational awareness and maritime security cooperation. We will also expand the Navy's anti-submarine warfare capabilities to counter emerging underwater threats and protect naval assets and sea lines of communication.
* The €10 billion '''Underwater Warfare Capabilities Program''' (UWCP) will invest  in the development and deployment of next-generation undersea warfare technologies, including unmanned underwater vehicles (UUVs), advanced sonar systems, and submarine-launched autonomous torpedoes. We will expand the Navy's fleet of (nuclear) attack submarines and underwater surveillance platforms to maintain dominance in undersea domains and counter emerging submarine threats from potential adversaries. We will enhance anti-submarine warfare training and exercises to improve the proficiency and effectiveness of naval forces in detecting, tracking, and neutralizing enemy submarines in contested waters.
* The €5 billion '''Maritime Cybersecurity Program''' (MCP) will enhance the cybersecurity posture of Navy systems, networks, and maritime platforms to defend against cyber threats, data breaches, and malicious cyber activities targeting naval operations and infrastructure. We will implement robust cyber defense mechanisms, including network segmentation, encryption, and intrusion detection systems, to safeguard critical information and communication systems aboard Navy ships and installations. We will also enhance cybersecurity training and awareness programs for Navy personnel to promote cyber hygiene, incident response, and threat intelligence sharing to mitigate cyber risks and vulnerabilities.
 
=== Air Force ===
The Air Force underscores the significance of air superiority and domain awareness in modern warfare. Its programs enhance the Air Force's capabilities in air dominance, global strike missions, and space superiority, respectively. These programs ensure the Air Force remains a vital component of joint operations, capable of securing airspace and projecting power across all domains. It represents €86 billion in investment.
 
* The €40 billion '''Aircraft Modernisation and Expansion Program''' (AMEP) will upgrade and procure advanced fighter aircraft, bombers, and multi-role platforms to maintain air superiority, conduct precision strike missions, and support joint and coalition operations. We will invest in next-generation air combat technologies, including stealth, hypersonics, and unmanned systems, to ensure the Air Force maintains dominance in contested and denied environments. We will also enhance pilot training programs and simulation capabilities to develop and sustain aircrew proficiency in operating advanced aircraft and conducting complex missions.
* The €20 billion '''Space Superiority and Resilience Initiative''' (SSRI) will enhance the resilience and redundancy of space-based assets, including satellites, ground stations, and space-based sensors, to withstand threats from adversaries and natural hazards. We will develop and deploy next-generation space systems, including space situational awareness, missile warning, and communication satellites, to support military operations and national security objectives. We will also strengthen partnerships with commercial space providers and international allies to leverage resources and capabilities in space domain awareness and space-based services.
* The €10 billion '''Air Cyber Warfare and Information Operations''' (ACWIO) will expand the Air Force's cyber warfare and information operations capabilities to protect critical networks, disrupt adversary operations, and defend against cyber attacks and information warfare threats. We will invest in cyber resilience and defense technologies, including network encryption, intrusion detection, and secure communications systems, to safeguard Air Force assets and operations. We will enhance cyber training and education programs for Air Force personnel to develop and maintain proficiency in offensive and defensive cyber operations and information warfare tactics.
* The €8 billion '''Unmanned Aerial Systems Development''' (UASD) will invest in the research, development, and procurement of advanced unmanned aerial systems (UAS) for a variety of missions, including intelligence, surveillance, reconnaissance (ISR), and strike operations. We will collaborate with industry partners to develop next-generation UAS platforms with increased endurance, stealth capabilities, and payload capacity to support diverse operational requirements. We will also enhance training programs and operational concepts for integrating UAS into air combat operations, including swarm tactics and autonomous mission planning.
* The €4 billion '''Airborne Electronic Warfare Enhancement Initiative''' (AEWEI) will upgrade and modernize the Air Force's airborne electronic warfare capabilities, including electronic attack (EA) and electronic protection (EP) systems, to counter evolving threats from adversary air defenses and electronic warfare systems. We will develop and procure advanced electronic warfare aircraft and pods equipped with state-of-the-art jamming, deception, and self-protection technologies to disrupt enemy radar and communication networks. We will enhance electronic warfare training programs and exercises to prepare aircrews for operating in contested electromagnetic environments and conducting offensive and defensive electronic warfare missions.
* The €4 billion '''Next-Generation Air Mobility''' (NGAM) will invest in the development and acquisition of next-generation air mobility platforms, including airlifters, tankers, and aerial refueling drones, to support global power projection and sustainment operations. We will collaborate with industry partners to design and manufacture advanced air mobility systems with increased range, speed, and payload capacity, as well as improved fuel efficiency and survivability. We will enhance aircrew training and mission planning capabilities to optimize the use of next-generation air mobility assets in expeditionary operations, humanitarian assistance, and disaster relief missions.
 
=== Military Research and Technology ===
The rationale for Military Research and Technology is grounded in the need to maintain technological superiority and innovation. Its programs focus on advancing research and development in critical areas such as advanced technologies, cybersecurity, resilience, and artificial intelligence. These programs enable the military to leverage cutting-edge capabilities to stay ahead of adversaries and address emerging threats effectively. It represents €7.6 billion in investment.
 
* The €2.8 billion '''Directed Energy Weapons Program''' (DEW) will accelerate research and development efforts to field directed energy weapons, including lasers and high-power microwaves, for missile defense, counter-drone, and precision strike missions. We will collaborate with industry partners and academic institutions to overcome technical challenges and scale up production of directed energy systems for operational deployment. We will also conduct operational testing and evaluation to validate the effectiveness and reliability of directed energy weapons in real-world scenarios and combat environments.
* The €2.2 billion '''Hypersonic Technologies Program''' (HTP) will invest in hypersonic research and development programs to develop and field hypersonic missiles, aircraft, and vehicles capable of reaching speeds exceeding Mach 5. We will collaborate with industry partners and international allies to accelerate the development and testing of hypersonic technologies and prototypes. We will also establish dedicated test and evaluation facilities to assess the performance, maneuverability, and survivability of hypersonic systems in realistic operational conditions.
* The €1 billion '''Artificial Intelligence and Autonomy Program''' (AIAP) will invest in research and development of artificial intelligence and autonomy technologies to enhance military decision-making, autonomous systems, and human-machine teaming capabilities. We will establish test beds and experimentation platforms to validate AI algorithms, machine learning models, and autonomous systems for military applications. We will also develop training programs and ethical guidelines for integrating AI and autonomy into military operations while ensuring accountability, transparency, and adherence to international laws and norms.
* The €800 million '''Military Biotechnology Applications Program''' (MBAP) will invest in research and development of biotechnologies with military applications, including bioengineered materials, medical treatments, and biodefense solutions. We will develop advanced biometric identification systems and biosensors for enhanced situational awareness, force protection, and battlefield intelligence. We will also collaborate with academic institutions, biotech companies, and government agencies to leverage cutting-edge biotechnology research and accelerate the translation of innovations into military capabilities.
* The €800 million '''Quantum Computing for Military Operations Program''' (QCMO) will invest in research and development of quantum computing technologies tailored for military applications, including quantum algorithms, quantum cryptography, and quantum sensing. We will establish quantum computing test beds and demonstration projects to evaluate the feasibility and performance of quantum solutions for defense and national security missions. We will also develop quantum-enabled simulations and modeling tools to support military planning, decision-making, and strategic analysis across diverse operational domains.
 
=== Veterans Affairs ===
Our Veterans Affairs STrategy recognizes the importance of fulfilling our commitment to those who have served in uniform. Its programs aim to ensure veterans receive comprehensive healthcare support and assistance with transitioning to civilian life. By investing in veterans' well-being and employment opportunities, the chapter honors their service and contributes to their successful reintegration into society. It represents €68.2 billion.
 
* The €38 billion '''Veterans Healthcare Acccess and Services''' (VHAS) will maintain universal access to healthcare services for veterans by increasing funding for VA hospitals, clinics, and community care programs. We will invest in mental health and substance abuse treatment programs to address the unique needs of veterans suffering from post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and other combat-related conditions. We will also enhance telehealth capabilities to provide remote medical consultations, monitoring, and therapy for veterans in rural and underserved areas.
* The €15 billion '''Support for Education, Employment, and Transition Program''' (SEET) will expand education and training benefits for veterans, including tuition assistance, vocational rehabilitation, and job placement services, to facilitate their transition to civilian life and pursue meaningful careers. Invest in programs to support veteran-owned small businesses and entrepreneurship initiatives, including access to capital, technical assistance, and government contracting opportunities. Enhance reintegration and transition assistance programs to provide comprehensive support services, including financial counseling, housing assistance, and mentorship, for veterans transitioning from military service to civilian life.
* The €10.2 billion '''Veteran Housing Assitance Program''', will provide financial assistance and incentives for veterans to become homeowners, including down payment assistance, mortgage loan guarantees, and low-interest financing options. We will expand housing counseling and education programs to help veterans navigate the home buying process, understand their rights and benefits, and make informed decisions about homeownership. We also collaborate with public and private sector partners to increase affordable housing options and reduce barriers to homeownership for veterans, including those with disabilities or low-income backgrounds.
* The €5 billion '''Veterans Community Engagement and Integration Initiative''' (VCEII) will expand community-based support services and programs to enhance social integration and connection for veterans, including peer support groups, recreational activities, and cultural events. We will invest in initiatives to combat social isolation and loneliness among veterans, especially those transitioning from military service or facing physical or mental health challenges. We will also strengthen partnerships with community organizations, local governments, and businesses to create veteran-friendly environments, increase awareness of veterans' needs, and facilitate collaboration in providing support and opportunities for veterans' participation and contribution to society.
 
==See also==
*[[Federal Economic Recovery Plan]]
*[[General Appropriations and Taxation Act, 1730]]
 
[[Category:Politics of Nouvelle Alexandrie]]
[[Category:Law]]
[[Category:Healthcare in Nouvelle Alexandrie]]
[[Category:Transportation in Nouvelle Alexandrie]]

Latest revision as of 21:01, 29 April 2024

The Federal National Plans were a series of policy papers, published by Marissa Santini as President of the Government and her Council of State, in Nouvelle Alexandrie, between II.1730 AN and IV.1730 AN. They were the result of the budgetary decisions of the General Appropriations and Taxation Act, 1730, and the policy priorities as stipulated by the Government Delivery Plan. They included the:

  • National Infrastructure Plan
  • National Health Plan
  • National Plan for the Police
  • National Plan for the Armed Forces

History

The results of the New Alexandrian general election of 1729 led to the Federal Consensus Party gaining a plurality of the vote. Together with United for Alvelo and the Democratic Socialist Party, they formed a minority government with the other parties giving confidence and supply. Marissa Santini announced three of the plans (Health, Police, and Rail) during the Throne Speech Debate. Much of the plans evolved from the New Consensus book published in 1714 AN, and from the 1729 Election Campaign.

The plans were devised by the respective Departments, with input from the Office of the President's Department of National Affairs. The DNA for this purpose designated specific Implementation Coordinators for the plans to oversee the management and implementation of each plan through the Coordination Unit. The Department of Political Affairs also collaborated for purposes of macroeconomic analysis and management.

The National Rail Plan, finished as first, was eventually subsumed into the larger Infrastructure Plan, which also included policies on roads, airports, and waterways. The plans for Police and the Armed Forces, which were first combined, were later separated.

National Infrastructure Plan

The national infrastructure plan was devised by the Department of Civil Works and Transportation (Nouvelle Alexandrie), in collaboration with Nouvelle Alexandrie Railways, AirAlduria, and the Federal Highways Agency. It created an ambitious plan for high-capacity, efficient, and modern connections on road, rail, airport and water. It worked to respond to the growing population, growing urban sprawl, and evolving demands in infrastructure and transit needs.

Road, Bridges, and Major Projects

The Road and Highways Strategy build upon the successes of the Pan-Keltian Highway and Pan-Euran Highway, as well as the ongoing efforts of the Pan-Lyrican Highway. In total, it represents over €171 billion, across a total of seven other programs that were created, or expanded:

  • the €86 nillion National Highways Program, is the federal funding program that supports and invests in highway construction, maintenance of highways, and improving safety and reliability of highway operations.
    • It included three major extension projects for the Pan-Keltian Highway (Boriquén and New Caputia) and Pan-Euran Highway, worth €27.7 billion.
    • It included the €18.1 billion National Highway Network Upgrade Plan, to upgrade highways across the nation, improving safety and reliability, reducing congestion and emissions, and creating new highway facilities; divided across three sub-programs:
      • The €8.7 billion Highway Charging Infrastructure Program;
      • The €6.2 billion Highway Noise & Emission Reduction Program; and
      • The €3.2 billion Highway Wildlife Crossing Program.
    • It included the €12 billion National Highway Network Freight Highways Projects, funding Regions and local governments with competitive grants for multimodal freight and highway projects of national or regional significance to improve the safety, efficiency and reliability of the movement of freight and human capital in and across rural and urban areas.
    • It included the €15.4 billion Regional Highway Construction and Rehabilitation Program, supporting Regions and local authorities with non-Federal highway construction, maintenance, and rehabilitation; including the construction of secondary and tertiary roads.
    • It included the €2.5 billion National Highway Corridor Planning and Development Program, funding Regions and city planning organizations for coordinated planning, design, and construction of corridors of national significance, economic growth, and international or interregional trade; including highway facilities, interchanges, and bypasses.
    • It included the €10.2 billion Intelligent Transportation Systems Deployment and Integration Program, funding ITS integration and interoperability in cities and rural areas; including real-time management systems and monitoring.
    • It included the €8 billion National Highway Network MegaProjects, providing funding for large, complex highway projects that are difficult to fund by other means and likely to generate national or regional economic, mobility, or safety benefits; including rail-highway grade separation projects and intercity high-capacity highway projects. Major projects included:
      • The €2.6 billion Islas de la Libertad Belt Bridge, connecting Isla Corcovado and Isla Dorado; including a €600 million railway bridge.
      • The €1.2 billion Badregas Orbital Highway, extending the Bagalipe and Jario Bypasses of the Cárdenas Ring Road eastward and constructing the Olos Bypass; creating a far-out east orbital for Cárdenas.
      • The €1.4 billion Isles of Caputia Belt Bridge, connecting Gotfriedland and Karsten.
  • The €54.2 billion Surface Transportation Grant Program, funds projects that promote flexibility in Regional and local transportation networks, including flexible funding for Regional and local transportation decisions based on regional and local needs.
    • It included the €28.5 billion Roads, Bridges and Tunnels Program, providing funding to Regions and local authorities to invest in their regional non-Federal highways and roads, bridges, and tunnels infrastructure.
    • It included the €6.5 billion Road Safety and Accidents Program, providing funding to Regions and local authorities to invest in road safety measures; including data collection and road maintenance.
    • It included the €10.9 billion Urban Charging Infrastructure Program, providing funding to Regions and local authorities to establish EV charging infrastructure; including preferential parking for carpools associated with an non-Federal facility.
    • It included the €8.3 billion Bicycle Transportation and Pedestrian Walkways Program, providing funding for projects for the construction, expansion, and maintenance of pedestrian walkways and bicycle transportation facilities and for carrying out non-construction projects related to safe bicycle use.
  • The €19.55 billion Bridge Formula Program, is the federal funding program to support bridge replacement, rehabilitation, preservation, protection or construction projects on public roads.
    • It included the €11.6 billion Highway Bridge Program, to  replace, rehabilitate, upgrade,and repair highway bridges, including funding for maintenance, anti-icing, and painting expenses.
    • It included the €5.4 billion Off-System Bridge Program, to replace, rehabilitate, upgrade, and repair off-system bridges, including funding for maintenance, anti-icing, and painting expenses; meaning bridges by cities, counties, townships, or privately - those ineligible for Federal highway funding.
    • It included the €2.55 billion Innovative Bridge Research and Development Program, providing grants, cooperative agreements, and contracts for Regions, local authorities, universities and colleges, private sector entities, and non-profit organizations for federal funding for bridge repair, rehabilitation, replacement, and new construction demonstrating the application of innovative design, materials, and construction methods.
  • The €9.7 billion Congestion and Air Quality Improvement Program, provides flexible funding for Regional and local governments for transportation projects and programs to reduce congestion and improve air quality, focusing on ozone, carbon monoxide, and particulate matter.
    • It included the Diesel and Alternative Fuel Program, providing funds to Regions and local authorities to reduce emissions by fossil fuel phaseout.
    • It included the Traffic Flow Improvement Program, provides funds to Regions and local authorities to improve traffic flow and shift travel demand.
  • The €1.3 billion National Culvert Program, provides funding for Regions and local governments to replace, remove, and repair culverts or weirs.
  • The €800 million Transportation Technologies and Innovation Program, provides grants to researchers to develop advanced transport technologies, as well as the deployment and operation of these systems.
  • The €250 million Businesses and Enterprises Road Program, assists small and medium businesses (SMEs) with capacity building and improving competitiveness for highway facilities and contracting.
  • The €88 million Road Tax Evasion Program, provides funding to Regions and local governments to support enforcement efforts and training, to reduce evasion on fuel duty and road tax.

Highway Construction Projects

The NHP includes three extension programs across Keltia and Alduria. This included:

  1. The Pan-Keltia Expansion Program - Boriquén, working from the Pan-Keltian Highway Expansion Act, 1726, will expand the Pan-Keltian Highway through the new C59 between Castellón, Hato Rey, and Puerto Carrillo. This covers over 140 km of new dual-lane carriageway, with new three-lane ring roads at Hato Rey and Castellón. It will also connect with the C6 at Puerto Carrillo.
  2. The Pan-Keltia Expansion Program - New Caputia, will expand the PKH through the new C76 between Ancash, Ravaillac, and Corcovado; and the new C67 between Junín, St. Melusine, and Corcovado. This covers over 160 km of new dual-lane carriageway, with new three-lane ring roads at Ravaillac, St. Melusine, and Corcovado.
  3. The Pan-Euran Extension Program, will expand the Pan-Euran Highway through the new C19 between Corrada del Río to Villalba, with more than 100 km of new dual-lane carriageway, with a new three-lane ring road at Siwa. It also covers new three-lane ring roads at Amapola and Villalba.

Rail

The Railways Strategy, made in collaboration with Nouvelle Alexandrie Railways built upon the success of the Keltian High Speed and Aldurian High Speed, as well as creating dedicated rail networks for the Islands regions. It represents €85 billion of investment, from high-speed rail to freight services, across 4 programs:

  • The €57.2 billion Alte Velocidad Vision 1740, is the official funding vessel to cover the construction, rolling stock, and maintenance of the Alte Velocidad Vision 1740, the official NAR project program for the inauguration of 5 new high-speed lines by 1740.
    • It called for the creation of three new lines in Keltia, one in Alduria, and one in Lyrica; a total of 1,130 km of new double, electrified track, worth €53.6 billion.
    • It called for negotiations with Constancia on the expansion of high-speed networks cross-border, to Astérapolis and Port Aguilar.
  • The €4 billion Consolidated Freight Rail Grant Program, provides funds for projects to bring new freight services, expand existing services, and improve the safety, efficiency, and reliability of freight rail. This includes funding for railroad crossing elimination projects, repair and procuring of rolling stock, and (re-)construction of freight facilities.
    • It included the €1.3 billion National Safety and Reliability Program, to enhance and upgrade the safety and reliability of the national freight network; over four sub-programs:
      • The €600 million Technology Adoption and Automation Program;
      • The €300 million Track Realignment and Signaling Program;
      • The €400 million Grade Separation and Track-Dualling Program; and
      • The €100 million Safety Training Program.
    • It included the €2.2 billion Freight Yards & Intermodal Terminal Program , to construct and upgrade freight yards and intermodal terminal facilities; divided over two sub-programs:
      • The €1.6 billion Harbor Intermodal Program; and
      • The €600 million Industrial Estate Freight Yards Program.
    • It included the €500 million Next-Gen Freightliner Program, to research and develop a new generation of freight trains; including specialisation of rolling stock.
  • The €23 billion Federal-Regional Passenger Rail Grant Program, provides for projects that support maintenance and repair of rolling stock and facilities; improve performance and efficiency; or expand or establish new intercity passenger rail service; further divided into two categories: (1) interregional rail, and (2) interurban rail.
    • It included the €7.2 billion Transforming Rail Program, providing funding for enhancing existing corridors through right-of-way acquisitions, final design, and construction activities; as well as bridge replacement and addition of tracks.
    • It included the €5.1 billion New Corridors Program, providing funding for creating new standard-gauge railways across the nation; focusing specifically on the Islands regions.
    • It included the €4.2 billion ExpresoReg Program, providing funding for track expansion, construction of stations, and resignaling of ExpresoReg services; the interurban category for NAR services.
  • The €1 billion Restoration and Enhancement Program, provides funding and technical assistance for projects to initiate, restore, or enhance rural passenger rail service.
    • It included the €600 million Rural Railways Enhancement Program, to enhance and modernize rural railways services, including both long-distance (sleeper) and rural-only trains; over two sub-programs:
      • The €400 million Rural Networks Program; and
      • The €200 million Country to City Connectivity Program.
    • It included the €400 million Restoring Rail Service Program, the federal program to restore intercity passenger and freight rail services on closed lines, as well as modernizing current branch lines with track doubling, electrification, and grade separation work; over three sub-programs:
      • The €200 million Service Restoration Program;
      • the €150 million Branch Integration Program; and
      • The €50 million On-board Services Program.
  • It also included other programs, under €100 million in funding each:
    • The €45.3 million Railway-Highway Crossings Safety Program, supports projects with the goal of reducing the number of fatalities, injuries, and crashes at public railway-highway grade crossings.
    • The €79 million High-Density Regions and Areas Formula, an additional formula funding component that is added to provide administrations with additional financial assistance for planning, final design, expertise-building, and operational assistance.
    • The €5.4 million Statistics Program, providing funding to run projects for statistics on transportation economics, railway activity, intermodal freight activity, and commercial railway service, and providing context to decision makers and the public for understanding statistics on transportation.
    • The €38.6 million Training and Education Program, provides resources for the development and delivery of technical assistance, training, professional development, and education programs to improve the professional capacity of the workforce that manages, develops and maintains the national railways system.
    • The €55.5 million Technology and Innovation Deployment Program, providing funding to advance research products into proven technologies and demonstrated practices; identify the market forces that will influence successful technology and innovation deployment; and plan and deliver effective technical assistance, training, communication and outreach to promote rapid adoption of proven, market-ready technologies and innovations.
    • The €3.8 million Prioritisation Process Pilot Program, to award grants to selected Regions and City Planning Organizations to fund the development and implementation of publicly accessible, transparent prioritization processes to assess and score projects according to locally determined priorities, and to use such evaluations to inform the selection of projects to include in transportation plans.

High Speed Rail

Map of the planned high-speed network of Nouvelle Alexandrie by 1740 NA.

The AV Vision 1740 envisions the construction, inauguration, and operation of five new corridors by 1740 AN.

  1. The €17.6 billion AV Costa a Costa or C2C, is a program to create a new corridor between Wechuahuasi, Cárdenas, Hato Rey and Puerto Carrillo. This 400 km double, electrified track will be made available for 320 km/h. It will utilize the Cárdenas Tunnel, and share about 15 km of track with AVK. Major infrastructure projects include the 6 km-long Tunnel de Lajas, and a second Morano rail bridge at Potosí. The project will open in two phases: the first phase, between Wechuahuasi and Castellon, will open as early as 1734; the second phase, between Castellon and Puerto Carrillo, via Hato Rey, will open in 1740.
  2. The €14.8 billion AV A Campo Traviesa (AVACT), is a program to create a new corridor between Punta Santiago, Carillo, Vilalba, and Kerman. This 280 km double, electrified track will be made available for 320 km/h. It will start in Punta Santiago, where the AVA will be quadrupled. Major infrastructure projects include the massive Porte de Asuara, west of Carrillo, crossing the Asuara river on a major new bridge; and the 4 km-long Tunnel de Husaz. The project will open in two phases: the first phase between Punta Santiago and Carrillo, will open in 1735; with phase two, between Carillo and Kerman opening in 1740.
  3. The €9.2 billion AV Lyrica, is a program to create a dedicated high-speed rail corridor in Lyrica, between Beaufort and Lausanne. This 180 km double, electrified track will be made available for 320 km/h. Additional stops will be furnished at Montchèry and Carrasquillo. Major infrastructure projects include the Porte de Mailly northeast of Carrasquillo. It will open in 1734.
  4. The €6.9 billion AV New Caputia, is program to create a dedicated high-speed rail corridor in New Caputia, connecting with AVK at San Luis. Stops will be created at Ravaillac and Corcovado. This 120 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 4 km-long Túnel de Monterrey. It will open in 1734.
  5. The €5.1 billion AV Valencia, is a program to create a dedicated high-speed corridor in Valencia, connecting with the AVK at Santiago. Stops will be created at Trévoux and Chambéry. This 80 km double, electrified track will be made available for 320 km/h. Major infrastructure projects include the 3 km-long Túnel de Saint-Cloud and the 6 km-long Túnel del Portal de Valencia. The latter will carry the AVV underneath the dense northern Chambéry conglomeration, bypassing the Pornadé Curve. It will open in 1734.

It also included the upgrade and expansion of the existing high-speed lines:

  1. The €1.2 billion AV Keltia Upgrade Program, is a program to improve connectivity on the AVK between Cárdenas, Rimarima, San Luis, and Parap. This includes regrading the section between Roanne and Parap, making it available for 320 km/h, raising it from the current 270 km/h. Creating a new regional station, Monte Real, east of Ciudad Real, with through tracks for express trains. Constructing two new deep-level tunnels on the outside of the Cárdenas Tunnel, separating it from the Airport Express Train. And the quadrupling north of Rimarima, including with a flying junction, separating the AV Oeste from AV Keltia.
  2. The €2.4 billion AV Alduria Phase 2, is program to extend the current terminus beyond Amapola and towards Alkhiva via Tudela. This 70 km double, electrified track will be made capable of 320 km/h. Other parts of the project include the construction of the Porte de Gramercy station south of Gramercy, improving connectivity in the region, with through tracks for express trains. As well as regrading the Narbonne-Punta Santiago track to 320 km/h, up from the current 290 km/h.

Commuter Rail

The New Corridors Networks called for the creation of three new railways:

  1. The €1.5 billion Isles of Caputia Railway, is program creating a standard-gauge railway on the Isles of Caputia, between Gotfriedplatz and Seydlitz. The track will be double and electrified. Further stops will be constructed in Ulrichstadt and Velez. A depot will be constructed at Velez.
  2. The €300 million New Luthoria Railway, is a program to upgrade the current meter-gauge heritage line between New Luthoria City, Rochefort, and Pharos to standard-gauge track. It will also be doubled. A new depot will furthermore be constructed in Rochefort.
  3. The €1.5 billion Islas de La Libertad Railway, is a program creating a standard-gauge railway on the Islas de la Libertad, between Nuevo Corcovado and Ciudad de Howard. The track will be double. Further stops will be constructed in Dorado and San Lorenzo. A depot will be constructed at Ciudad de Howard.

The ExpresoReg Program called for the creation of five new networks:

  1. The €400 million Napoléon ExpresoReg Program, is a program to create new tracks in Punta Santiago and Narbonne, creating a new interurban service for West Alduria. It includes the construction of six new stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
  2. The €400 million Kuntisuyu ExpresoReg Program, is a program to create new tracks in Parap, Huancaveliva, and Huichajanca, creating a new interurban service for East Wechua. It includes the construction of four stations, as well as quadrupling of tracks, allowing for dedicated separated tracks.
  3. The €1.4 billion Boriquén ExpresoReg Program, is a program to create new tracks in Hato Rey, Dorado, Alaia, Yabucoa, Vela, Carolina, and Minillas, creating new interurban services throughout Boriquén. This includes the construction of sixteen new stations, new branch lines, and quadrupling of tracks, allowing for dedicated separated tracks.
  4. The €800 million País Real ExpresoReg Program, is a program to create new tracks in Potosí, Ciudad Real, Lajas, Wechuahuasi, and Jirishanca, creating new orbital routes around Cárdenas and interurban services for West Santander. This includes the construction of eight new stations, and quadrupling of tracks, allowing for dedicated separated tracks.
  5. The €1.2 billion Mailly ExpresoReg Program, is a program to create new tracks in Lausanne, Guayama, Carrasquillo, and Gálatas, creating new interburban services for West South Lyrica. This includes the construction of ten stations, and quadrupling of tracks, allowing for dedicated separated tracks.

Airports

The Airports Strategy built upon the sucess of Cárdenas International Airport and Punta Santiago International Airport, as well as Lausanne Airport and Parap Airport. It represents over €18 billion of investment, from infrastructure to environmental standars, over three programs:

  • The €12.35 billion Airport Infrastructure Program, worth program, providing funding to public agencies, private entities, Regions, and local authorities owning a public use airport. These include Primary airports, certain cargo airports, and most general aviation/commercial service airports that are not primary airports but part of the national airport network. This amounts to over 1,800 airports. The funds are divided into three parts: (1) Primary Allocation, for runways, taxiways, and terminal buildings, including airport-transit connections and roadways; (2) Non-primary Allocation, for projects of noise reduction, safety and sustainability, and multimodal facilities; and (3) Contract Towers. The latter will be furnished with a dedicated €250 million.
  • The €3.2 billion Facilities and Equipment Program, providing funding for Federal-airport sustainment work and facilities and for replacing Federal-owned terminal and rout air traffic control facilities; improvement of air route and terminal facilities; workplace safety and environmental standards compliance; Federal-owned fuel storage tank replacement and management; unstaffed infrastructure sustainment; real property disposition; electrical power system sustain and support; energy maintenance and compliance; hazardous materials management and environmental cleanup; facility security risk management; cyber risk management; mobile asset management program; and administrative expenses, including salaries and expenses, administration, and oversight.
  • The €3.5 billion Airport Terminal Program, providing grants to eligible airports for capital improvements for airport terminal development generally defined as development of an airport passenger terminal building, including terminal gates; access roads servicing exclusively airport traffic that leads directly to or from an airport passenger terminal building; walkways that lead directly to or from an airport passenger terminal building; multimodal terminal development; and projects for on-airport rail access projects. As well as projects for relocating, reconstructing, repairing or improving an airport-owned airport traffic control tower.

Waterways and Ports

The Ports and Waterways Strategy built upon the success of Punta Santiago Port, Port of Jirishanca, and Beaufort Port. It represents €12.9 billion of investment, from water resources to ports customs, over seven programs:

  • The €3.8 billion Federal Port Infrastructure Development Program, is the federal funding program providing support for modernization and expansion of ports to remove bottlenecks, ensure long-term competitiveness, and promote resilience, cybersecurity, and sustainability.
  • The €5.4 billion Water Resources Operation, Remediation, and Development Program, provides support for Regions and local governments to fund inspection, operation, maintenance and related activities for waterways. This includes navigation channels, locks and dams, flood defenses, and multi-purpose infrastructure.
  • The €1.4 billion River and Coast Rehabilitation and Enhancement Program, provides funds to construct and upgrade coastal and inland navigable waters, including widening and deepening projects.
  • The €965 million Ferry Ports Program, provides funds to businesses to provide ferry services, linking highways, and providing vital connections on the Islands Regions.
  • The €135 million Port Customs Modernization Program, provides funding for constructing, expanding, sustaining, and upgrading land ports of entry, as well as for border security operations.
  • The €540 million Port Emission Reduction Grant Program, provides funding for ports to reduce truck idling and emissions, including through port electrification.
  • The €640.5 million Coastal Infrastructure, Navigational, and Design Program, providing funding for procurement, construction, and improvement to address coastal facility infrastructure and housing construction, replacement, upgrade or improvement needs; construction and improvements to buoys and structures assisting navigation on waterways; and survey and design required for future year projects.

Public Transportation

The Public Transport Strategy built upon the success of the Cárdenas Metro, Punta Santiago Metro, and Parap MetroRail System. It represents over €62.4 billion in investments, for metros, trams, buses, and other public transportation modes, over seven programs:

  • The €41.9 billion Urban Area Formula Grant Program, is the federal funding program that supports and invests in public transport networks in areas with a population above 50,000 people, including planning and operating assistance.
    • It included the €22.2 billion Urban New Networks Grant Program, providing funding for the creation and maintenance of new networks and expansion of existing infrastructure. This focuses on projects with significant environmental impacts, complicated financial arrangements, and complex engineering and design elements. The application also involved an extensive engineering phase with planning and final design.
    • It included the €13.6 billion Urban Small Neworks Grant Program, providing funding for the creation and maintenance of networks that are individually below €400 million in investments. It focuses on projects that work at a local level, utilizing limited land use change. The difference in application means that Small Network one phase in advance of receipt of a construction grant; foregoing engineering planning and final design.
    • It included the €6.1 billion Core Capacity Grant Program, funding the expansion of existing corridors to handle increased demand. This includes rehabilitation and replacement of rolling stock, track, line equipment, and structures, signals and communications, power equipment and substations, passenger stations and terminals, security equipment and systems, maintenance facilities and equipment, administration buildings, support vehicles, and operational support equipment (including computer hardware and software). It can also include preventative maintenance and the development and implementation of a transit asset management plan. Projects may not include expenditures that are needed for new or expanded service.
    • It included the €15 million Stations Accesibility Program, funding projects to remove rail and bus station barriers to access for persons with disabilities. This includes the creation of step-free access facilities, ramps, and guide pavement.
  • The €10.4 billion National Transit Capital Investment Program, provides funding for capital investments in heavy rail, commuter rail, light rail, streetcars, and bus rapid transit.
  • The €740 million Rural Transit Grant Program, funding Regions, subdivisions of Regions, and local authorities for transportation research, technical assistance, and related support services in rural public transportation. It also provides funding for the establishment and expansion of rural bus and related rural transportation networks. Lastly, it supports projects to develop information resources and real-time transit management and operations systems.
  • The €2.4 billion Bus and Bus Facilities Formula Grant Program, provides funding to replace, rehabilitate, purchase, or lease buses and bus related equipment; and to construct, rehabilitate, purchase, or lease bus-related facilities.
    • It included the €1.4 billion Bus Grant Program, providing funding to Regions, Counties, Cities/Townships, and special districts, to replace, rehabilitate, purchase, or lease buses, vans, and bus related equipment to rehabilitate, purchase, construct, or lease bus-related facilities. It also includes projects for technological innovation and to reduce emissions at facilities. Of this, €100 million will be used for training programs.
    • It included the €1 billion Low or No Emission Bus Grants Program, providing funding to Regions, Counties, Cities/Townships, and special districts, to purchase or lease of zero-emission and low-emission transit buses, including acquisition, construction, and leasing of required supporting facilitates. 2% (€20 million) of the funding for zero emission buses within this program will also support workforce development training so transit operators and mechanics can learn how to maintain and operate zero emission vehicles.
  • The €345 million Transit-Oriented Development Cooperative Program, provides funding to local communities to integrate land use and transportation planning in urban development; including technical assistance for planning and urban development.
  • The €141.3 million Public Transportation Workforce Development Program, provides funding to support workforce development and transition, as well as technical support for workforce training to transit providers.
  • The €1.45 billion University Transportation Research (UTR) Program, supporting activities for colleges and universities, and consortia thereof on research and development of technology and expertise in the many disciplines comprising transportation through education, solutions-oriented research and technology transfer, and the exploration and sharing of cutting-edge ideas and approaches.

Metro and Light Rail

The NTCI Program called for the creation of four new metros networks:

  1. The €1.4 billion Lausanne Metro, is a program to create a dedicated subway line for Lausanne, the capital of South Lyrica. This will be a 18 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the train station, with a possible extension to Lausanne Airport in the future. This will open by 1735.
  2. The €1 billion Narbonne Metro, is a program to create a dedicated subway line for Narbonne, the second city of Alduria. This will be a 12 km, double, third-rail electrified line mostly underground, serving the city center east west with fourteen stations, connecting to the train station, with an at-grade section to Narbonne Airport. Future expansion to Punta Santiago is possible. This will open in 1734.
  3. The €1.8 billion Potosí Metro, is a program to create a dedicated subway line for Potosí, the capital of Santander. This will be a 16 km, double, third-rail electrified line completely underground, serving the city center north-south with ten stations, connecting to the train station, with an underground section to Potosí Airport. This will open by 1735.
  4. The €1.2 billion Rimarima Metro, is a program to create a dedicated subway line for Rimarima, the second city of Wechua. This will be a 14 km, double, third-rail electrified line completely underground, serving the city center east-west with eight stations, connecting to the Rimarima Pueblo HS station.

And eighteen new light rail/streetcar networks:

  1. The €2.6 billion Alduria Light Rail Program, is a program funding four separate streetcar projects, for a total of six lines at 68 km in length:
    1. Line 5 of the Punta Santiago Streetcar
    2. The creation of the two-line Napoléon Regional Light Rail
    3. The creation of the single-line Aldemín Streetcar
    4. The creation of the two-line Beauharnais Streetcar
  2. The €1.2 billion Wechua Light Rail Program, is a program funding three separate streetcar projects, for a total of four lines at 22 km in length:
    1. The creation of the single-line Huancavelia Streetcar
    2. The creation of the single-line Judah Streetcar
    3. The creation of the two-line San Luis Streetcar
  3. The €1.2 billion Santander Light Rail Program, is a program funding three separate streetcar projects, for a total of four lines at 30 km in length:
    1. The creation of the two-line Potosí Streetcar
    2. The creation of the single-line Santiago Streetcar
    3. The creation of the single-line Castellón Streetcar
  4. The €800 million Lyrica Light Rail Program, is a program funding two separate streetcar projects, for a total of three lines at 20 km in length:
    1. The creation of the two-line Beaufort Streetcar
    2. The creation of the single-line Lausanne Streetcar
  5. The €200 million Chambèry Streetcar is a program creating a dedicated streetcar line at 8 km in length.
  6. The €200 million Hato Rey Streetcar is a program creating a dedicated streetcar line at 8 km in length.

National Health Plan

The NHP was devised by the Department of Social Security and National Solidarity, along with the Department of Education, Department of Housing and Urban Development, and Department of Civil Works and Transportation. It outlines a comprehensive vision for top-class healthcare services, universal access, and breakthroughs in science and innovation. The planm focused on reducing waiting lists, improving patient care and outcomes, and moving towards a consolidated care experience with both health and social care. It represented over €384 billion in funding. It was divided into four themes:

  1. The Plan for Patients;
  2. Medical Science and Innovation
  3. Healthcare Infrastructure
  4. Integration of Health and Social Care

It also included specific chapters on Dentistry and Midwifery.

Plan for Patients

The aim of this plan was provide high-quality, accessible, and patient-centred care that focuses on improving patient experience, reducing waiting times, and ensuring equitable access to healthcare services. By promoting shared decision-making and empowering patients, the Government sought to enhance the overall quality and safety of care. It represents €85 billion of investment.

Patient -Centred Care

The policies for improving patient outcomes and standards in healthcare are focused on empowering patients and their representatives to inform decisions and reforms.

  • The €12 billion Patient Experience Enhancement Initiative (PEEI), is a comprehensive program to improve patient experiences and outcomes, through the implementation of specific initiatives and regulations. The PEEI will be led by a multidisciplinary task force of healthcare professionals, patient advocates, researchers, and care experts. These will establish thorough PEEI Guidelines and Standards, focusing on best practices for patient-centred care, encompassing a wide variety of care aspects, including communication, care coordination, patient preferences, and physical environment. We will help Hospitals develop implementation plans for patient-centred care initiatives, from enhancing communications through training programs, documentation digitization, and the use of patient-friendly language; process optimization, resource allocation management, and appointment scheduling systems to reduce waiting lists; to enhancing physical environments through patient-friendly spaces, improved amenities, and patient-specific design. We will support collaboration and knowledge sharing between Hospital trusts participating in the PEEI. This includes funding regular workshops and conferences; as well as a dedicated online platform and knowledge hub. Through feedback systems and evaluation, the PEEI will continuously improve.
  • The €5 billion Shared Decision-Making Program (SDMP), will aid decision-making between healthcare professionals and patients, by making the latter an active participant. We will establish a work group of healthcare professionals and patient representatives. This group will develop training modules and resources for shared decision-making principles and communication. We will also introduce new decision aids and tools that assist patients in understanding their healthcare options, including through a central patient decision repository. We will also reform electronic health records systems and clinical decision support systems to integrate decision aids and tools, and enhance healthcare workflows. Through a robust monitoring and feedback system, the SDMP will be assessed on effectiveness and impact on patient outcomes and experiences. These include the development of data collection tools and data analysis to identify key areas for improvements and refinements.
  • The €12 billion Patient Feedback Mechanisms Development Program (PFMDP), will aid to establish effective tools and resources for collecting, analysing, and utilising feedback, to drive quality improvements in our healthcare. We will establish a new digital feedback platform, focusing on use-friendliness, and ensuring data privacy, confidentiality, and anonymity of patients. Through the development of advanced analytics tools, patterns, trends, and common themes in patient feedback can be identified and addressed through regular reporting, highlighting areas of improvement and sharing best practices among healthcare professionals. With this, we will fund new Quality Improvement Initiatives, developing targeted improvement strategies, action plans, and performance indicators to address identified issues and enhance patient experience. These QIIs will be a collaborative effort between healthcare professionals, patient representatives, researchers, and care experts. They will also include training programs and resources focusing on patient feedback, to enhance communication and empathy skills. Through guidance, we can implement changes within healthcare settings based on patient feedback.
  • The €3 billion Patient Advocacy and Support Fund (PASF) will go towards three initiatives: establishing new patient advocacy programs and recruiting and training patient advocates to provide support, guidance, and information to patients; developing education programs to enhance health literacy and establishing peer support networks where patients can connect to others with similar health challenges, empowering patients to actively participate in their care; and conducting regular assessments of the effectiveness and impact of patient advocacy, including through patient satisfaction surveys. We will foster collaboration between healthcare providers, patient advocacy groups, and relevant stakeholders to maximise the impact of PASF.
  • The €3 billion Patient Engagement in Healthcare Design Program (PEHD) will ensure that patients and their representatives have an active say in the design of healthcare facilities, focusing on their needs, preferences, and comfort. We will establish design committees that include healthcare providers, patient representatives, architects, and facility managers. These committees will conduct thorough surveys and focus groups studies to gather patient perspectives on facility design, accessibility, and patient amenities. They will especially focus on important factors such as ease of navigation, comfort, privacy, cleanliness, noise levels, and access to natural light and air. Special attention will be given to utilise technology to streamline patient flow and communication, including through digitisation. A comprehensive needs assessment will identify areas of improvement and prioritise patient-centred modifications. With analytics tools, common themes and concerns can be identified to implement thorough action plans that inform design decisions throughout the medical organisation.

Accessible and Timely Care

The Government remains committed to the promise to provide quality healthcare on time, ensuring universal access. Our policies will work to continue to reduce waiting times, reduce health inequalities, and ensure access to healthcare for all.

Reducing Waiting Times
  • The €3 billion Faster Access Initiative (FAI) will reduce waiting times for primary care appointments, specialist referrals, and elective procedures. We will establish a multidisciplinary task force including healthcare professionals, patient representatives, researchers, and relevant stakeholders, to identify and set specific performance targets for different healthcare services, based on evidence-based guidelines and best practices. Through new incentives for healthcare providers, such as financial bonuses, recognition, and professional development opportunities, these performance targets will be ambitious yet realistic, and aimed to significantly reduce waiting times. The most important part of the FAI is the workforce expansion programme. We will recruit and train additional healthcare professionals, focusing on GPs, nurses, and support staff, to enhance capacity and meet increased demand for services. This will be done through new recruitment campaigns and financial incentives, including college fees grants, loan forgiveness programs, and signup bonuses. The taskforce will conduct a comprehensive review of existing processes to identify bottlenecks, and implement process improvement strategies to streamline workflows, reduce administrative burdens, and optimise resource allocation. We will also foster increased collaboration and communication between primary and secondary care services, establishing new care pathways and referral processes to streamline transition. We will also facilitate shared decision-making and coordination of care through multidisciplinary team workshops and conferences, as well as webinars and a dedicated online platform.
  • The €2 billion Booking System Improvement Program (BSIP) will enhance booking and scheduling systems across healthcare settings. We will fund initiatives to upgrade existing booking and scheduling systems, enhancing system functionality, user interfaces, and integration with other healthcare IT systems, with a specific focus on scalability and adaptability to future needs. We will also establish new centralised and regional coordinated systems to manage appointments and optimise resource allocation for entire Hospital Trusts at once, as well as between Trusts. We will also develop standardised protocols and guidelines for appointment booking and scheduling, defining appointment durations, follow-up intervals, and referral criteria to streamline booking. We will ensure these protocols are consistent and transparent for patients, and publicly available. Training programs will also ensure that support staff and healthcare professionals are effective on appointment management and system usage.
  • The €600 million Outpatient Pathway Program (OPP) will improve outpatient services and enhance patient experience. The OPP will be used to fund the development of IT infrastructure, including electronic health record systems, secure and reliable telemedicine platforms and virtual consultations, and upgrading of networks and cybersecurity measures. We will establish multidisciplinary team meetings to discuss complex cases, treatment plans, and care coordination, including through secure messaging platforms and virtual meeting tools. We will establish new virtual clinics with video conferencing software and remote monitoring devices, such as the Smart Pacemaker. Through training programs, we will ensure healthcare professionals are skilled to conduct virtual consultations and make virtual appointments.
Tackling Health Inequalities
  • The €2 billion Health Equity Fund (HEF) will address health inequalities and ensure equal access to healthcare. The HEF will be administered by a dedicated task force that includes healthcare professionals, patient representatives, local authorities officials, and community organisations. A comprehensive assessment will identify specific healthcare needs and barriers to access in socioeconomically disadvantaged areas, with specific focus on rural areas. Targeted interventions such as health promotion campaigns, preventive care initiatives, and disease management programs will be developed to tailor to identified needs. We will also support outreach programs in collaboration with community organisations, faith-based groups, and local authorities. This includes sensitive health education initiatives. We will also invest in language services such as interpreter services and translated materials; transport solutions to ensure access to healthcare for remote communities; and awareness campaigns to ensure patients are informed about available services, as well as their rights and entitlements. The HEF will also support initiatives that offer screenings, vaccinations, and health promotion activities to specific needs of disadvantaged communities.
  • The €400 million Health Navigator Program (HNP) will be a groundbreaking effort to improve patient experiences and outcomes. It will train a new team of health navigators from diverse backgrounds, including social workers, community health workers, and nurses. These navigators will be deployed in areas of high health inequalities, aiding patients directly with navigating the healthcare systems. This includes assistance in accessing appropriate healthcare services, understanding treatment plans, and removing barriers to care. By collaborating with primary care providers and community organisations, these navigators will be integrated with existing care teams, providing a vital service to patients.

Quality and Safety

The government wants to keep patients safe and maintain the high standards required from a modern healthcare institution.

  • The €1.2 billion Quality Assurance Framework (QAF) will define minimum standards that healthcare professionals must meet to ensure the delivery of safe and high-quality care, encompassing important aspects such as patient safety, clinical effectiveness, patient experience, and governance. It will also identify and promote best practices and evidence-based approaches and strategies that lead to improved patient outcomes, through extensive research, consultation with experts, and benchmarking against both national and international standards. Through a comprehensive and standardised set of quality indicators and metrics, consistency and fair comparisons and benchmarking across healthcare institutions can be assured. These indicators will include various aspects of care, including patient safety incidents, mortality rates, infection rates, readmission rates, waiting times, patient satisfaction, and adherence to clinical guidelines. We will establish support mechanisms to provide guidance, resources, and training to healthcare professionals in meeting quality standards. We will also foster collaboration between healthcare professionals, regulatory bodies, professional organisations, and patients representatives to improve the QAF. Regular inspection, auditing, and feedback mechanisms will be used to refine the framework, and inform improvement plans and corrective actions.
  • The €5 billion Clinical Governance Program (CGP) will establish comprehensive clinical governance systems in healthcare facilities. We will encourage them to appoint clinical leaders who focus on quality improvement and patient safety initiatives, and empower them to engage with frontline staff. We will implement robust clinical audit programs to review and evaluate clinical practice against established standards, which will identify areas for improvement and ensure compliance with quality standards. We will encourage the development of risk management strategies to identify, assess, and mitigate risks to patient safety, as well as establishing incident reporting systems and mechanisms for learning from adverse outcomes. We will also foster collaboration between primary carers, specialists, and nurses to ensure a holistic and comprehensive approach to patient care, ensuring clinician participation in decision-making. We will also develop new evidence-based clinical guidelines and care pathways & transitions that involve input from frontline clinicians, professional organisations, and expert groups, to ensure relevance and clinical ownership. We will also support the use of clinical decision support tools and resources to facilitate access to up-to-date evidence and guidelines at the point of care.

Prevention and Health Promotion

The Government believes that preventing disease or illness is better than curing it. That is why we are focusing on implementing policies and programs for prevention and health promotion, reducing the pressure on healthcare and improving public health.

  • The €14 billion National Healthy Living Campaign (NA Health Life) will raise awareness about preventable diseases and promote healthy lifestyles. They include dedicated multimedia campaigns tailored towards various public health issues, including smoking-cessation, alcohol and substance abuse, obesity, burn-out prevention, and anti-social behaviour. We will conduct extensive research to understand target audiences’ demographics, preferences, and health behaviours, focusing on specific messaging for different age groups, ethnicities, and socioeconomic backgrounds. We will engage with health experts, community organisations, and researchers to provide evidence-based information for the campaign and leverage their expertise and grassroots networks. We will especially establish a strong presence on social media platforms, encouraging interaction with users. We will conduct pre- and post-campaign surveys to assess changes in knowledge, attitudes, and behaviours related to preventable diseases and healthy lifestyles. We will also implement feedback mechanisms for target audiences. We will use this information, as well as long-term trends, to continuously refine and improve the campaign.
  • The €5 billion Early Detection and Screening Programs (EDSP) include two national programs: the Cancer Screening Program; and the Cardiovascular Screening Program. For the former, we will implement population-based screening programs for breast, cervical, and colorectal cancers. For this, we will establish new screening centres and mobile units; as well as closing partnerships with primary care providers for delivery of services. We will also develop comprehensive communication strategies to inform the public about the benefits and process of screening. And we will ensure that funding is available for diagnostic tests and follow-up care for patients with positive screening results, including mental care services. For the latter, we will offer cardiovascular risk assessments, including blood pressure checks, cholesterol testing, and lifestyle counselling. We will establish screening clinics in primary care facilities and community centres to accomplish this.
  • The €3 billion School Health Education Initiative (SHEI) will develop age-appropriate health education materials in collaboration with health experts, teachers, and curriculum developers. These will cover various health topics, including nutrition, physical activity, mental health, sexual health, and substance abuse prevention. The materials will take diverse needs of students, such as cultural sensitivity, inclusivity, and gender appropriateness, into account. We will develop standardised training programs and professional development opportunities for teachers to enhance their knowledge and skills in health education. We will also develop interactive teaching methods, such as group discussions, role-playing, and multimedia presentations to help teachers to engage with students. We will collaborate with school administrators to implement healthy school environments; including by supporting nutritious food options in school cafeterias; implementing PE activities including recess breaks and extracurricular sports clubs; and providing guidelines for managing chronic health conditions in schools, ensuring proper support and accommodations for SEND students. We will also support the establishment of partnerships between schools and local sports clubs to provide opportunities for low-cost sports activities outside of school. We will encourage inviting healthcare professionals to deliver guest lectures and workshops on health topics; and facilitating field trips to public health exhibitions and healthcare facilities.

Self-Care

We want to empower citizens to take responsibility for their own health and well-being. This will reduce waiting times, lower hospital admissions, and reduce pressure on primary carers.

  • The €9 billion National Self-Care Awareness (NSCA) campaign will promote self care and raise awareness about the benefits. We will collaborate with healthcare providers, local authorities, researchers, and community organisations to create information, resources, and tools to promote positive lifestyle changes and adopt preventive measures. The campaign will have a multimedia approach, with targeted campaigns for different age groups and demographics. It will also include workshops, seminars, and health fairs to engage with communities to learn about self-care practices and interact with healthcare professionals. We will regularly evaluate the campaign and establish feedback mechanisms to adapt to changing demographics and public health behaviour.
  • The €5 billion Self-Care Information Hub (SCIH) will provide evidence-based resources and tools on the different aspects of self-care. We will collaborate with academia, healthcare professionals, policymakers, and software developers to aggregate information, ensuring accuracy, relevance, and suitability for diverse user groups. This includes information on nutrition, physical activity, stress management, sleep hygiene, mindfulness, and self-assessment tools. We will ensure the platform is designed to be user-friendly, responsive and optimised for various devices. It will include interactive tools and features for self-assessment, goal-setting modules, and personalised health planning. This includes accessibility for other languages and specific features for individuals with disabilities. We will evaluate the platform through several key performance indicators such as number of unique visitors, user engagement metrics, user satisfaction surveys, and the impact on self-care practices and health outcomes. This will inform adjustments and improvements to the platform.

Medical Science and Innovation

The Government is driven by the vision of advancing medical science and fostering innovation within the healthcare system. We have made a lot of progress over the last decade, and the Government wants to capitalise on that success. The aim is to invest in new research and development, promote the commercialization and adoption of new technologies and methodologies, and support ongoing training and education for healthcare professionals. Embracing cutting-edge advancement, we want to improve patient outcomes, personalise medicine, drive progress in addressing emerging healthcare challenges, and end the scourge of the deadliest diseases. It represents €61 billion in investment.

Research and Development

Our plan for medical research is focused on driving innovation and scientific discovery, to force breakthroughs in vital fields, meeting medical needs, and combating emerging healthcare challenges.

  • The €44 billion National Medical Research Fund (NMRF) will support innovative research projects, and accelerate scientific discovery, promote medical innovation, and improve patient outcomes. The fund will be issued through grants and dedicated funding opportunities for researchers in academia, industry, and hospitals, spread across seven different program fields (see table). This includes different grant categories, from seed grants, project grants, career development grants, and collaborative research grants. For this, a rigorous peer review system, utilising expert review panels of leading researchers, healthcare professionals, and industrial experts, will be implemented to evaluate grant applications based on scientific merit, feasibility, and potential impact. These expert boards will also conduct comprehensive reviews to identify priority areas, and establish targeted funding streams. These include chronic diseases, mental health, ageing population, infectious diseases, and personalised medicine. Through regular reporting requirements and a feedback mechanism, the progress and outcomes of research can be monitored. Regular impact assessments will evaluate the contribution of NMRF to scientific discovery, knowledge translation, and healthcare innovation. We will also work on long-term strategies of the fund to supplement it with additional funding sources such as donations, public-private partnerships, and industry collaborations.
  • The €2.2 billion Collaborative Research Consortia (CRC) will bring together researchers, clinicians, academia, industry experts, and healthcare professionals. These CRCs will conduct systematic assessments of healthcare priorities and unmet medical needs in their respective areas, by considering disease prevalence, burden on healthcare services, potential for breakthroughs, and alignment with national health priorities. They will furthermore facilitate regular knowledge exchange platforms through conferences and workshops, with a focus on interdisciplinary collaboration, sharing technical know-how, resources, and insights to accelerate translation of research into practical applications. CRCs will also include a dedicated Technology Translation and Commercialisation Unit, who will provide assistance with IP protection, business development, and access to funding for product development and commercialisation. They will also be encouraged to develop long-term plans to foster continuity and impactful research collaboration.

New Technologies

Our plans for hospitals include the adoption of cutting-edge technologies, including the continuation of digitisation.

  • The €700 million Technology Assessment and Evaluation Framework (TAEF) will establish an expert panel of healthcare professionals, researchers, economists, industry experts, and patient representatives. They will conduct a rigorous assessment of existing and new healthcare technologies, drugs, and treatments; establish safety profiles through analysis of pre-clinical and clinical trial data, monitoring adverse outcomes, and considering long-term safety implications; evaluate efficacy and effectiveness of interventions based on robust evidence, through clinical trial data, comparative effectiveness studies, real-world evidence, and meta-analysis; and establish cost-effectiveness analyses to evaluate economic impact of new technologies, through analysis of direct healthcare costs, cost savings, patient outcomes, and the overall value for money. The TAEF will establish evidence-based recommendations on the adoption of new medical technologies, drugs, and treatments to inform healthcare policy and decision-making; communicated through comprehensive reports, summarising the findings of assessments, the level of confidence in the evidence, and the potential benefits and risks associated with reviewed technologies. We will ensure that TAEF remains transparent through regular reporting and recommendation. It will be regularly updated and revised based on new evidence, technological advancements, and changes in clinical practice.
  • The €5.5 billion Digital Health Technology Program (DHTP) will promote the widespread implementation and adoption of digital health solutions. It focuses on enhancing patient care coordination and outcomes, and increasing digital literacy skills of healthcare professionals. The program will be implemented on a grant-based basis, which will assist in covering the costs of adopting and deploying digital technology. It will also offer technical assistance, providing guidance on digital health solutions, configuring systems, and interoperability between different technologies. DHTP will have specific funding for the implementation of the following three technologies: the adoption of electronic health records, and transitioning from paper-based records to digital systems; adopting remote monitoring devices, such as wearable sensors and home monitoring kits, allowing remote monitoring of patients’ vital signs, activity levels, and other health indicators; and the use of digital tools for care coordination, including secure messaging platforms, virtual care platforms, and shared care plans. We will also create training and education programs to increase digital literacy of healthcare professionals.
  • The €2 billion Technology Adoption Fund (TAF), will incentivize healthcare organisations to adopt technologies by providing financial support. This funding will be done on a grant-based program, covering costs for acquiring technologies, implementing it within healthcare settings, and providing training to healthcare professionals. The fund focuses on approved technologies that have undergone rigorous evaluation and meet criteria regarding safety, efficacy, and value for money. The grants cover medical devices, diagnostic tools, software applications, and innovative treatment modalities. We will encourage collaboration between healthcare providers, technologists, and other stakeholders, to share their experiences and lessons learned, as well as promoting shared proposals and use of technologies. We will also consider the potential for scaling and sustainability of technologies, by highlighting projects that integrate into existing healthcare systems, demonstrate long-term benefits, and have the potential for wider implementation.

Workforce Training and Upskilling

We want to invest in the continuous professional development of healthcare professionals, providing them with the necessary skills to leverage new technologies and advancements.

  • The €2.2 billion Professional Development in Healthcare Initiative (PDHI) will support healthcare professionals in acquiring new skills and knowledge. The program will provide financial support for training programs, conferences, and workshops, prioritising emerging healthcare needs and continuous professional development. Through comprehensive needs assessment on an individual and organisational basis, the workforce can be upskilled to address the most pressing educational needs on a local and national level. This includes a focus on personalised medicine, genomics, digital health, and AI. We will collaborate with educational institutions, training organisations, and industry leaders to develop and deliver high-quality programs, emphasising hands-on practical training, case studies, and interactive learning methodologies. We will implement a feedback mechanism and robust evaluation system to improve the program’s quality and relevance to meet the evolving needs of the workforce.
  • The €2 billion Research-Practice Integration Initiative (RPII) will foster collaboration between academia and healthcare providers. The RPII will facilitate the development of joint research programs between researchers and healthcare professionals, focusing on projects that have direct relevance to clinical practice, patient outcomes, and healthcare system improvement. We will also support regular knowledge-sharing forums and conferences with input from healthcare professionals, researchers, and policymakers to foster interdisciplinary dialogue. The RPII will also establish mentorship programs for early-career healthcare professionals to engage in research activities, gaining skills in methodologies, data analysis, and evidence-based decision-making. We will also develop mechanisms to translate research applications into new healthcare methodologies, developing clinical guidelines and protocols based on latest research evidence.
  • The €3 billion Continuing Medical Education (CME) Scholarships will support healthcare professionals in pursuing advanced training, specialisation, and certification. This scholarship will provide financial support to cover tuition fees, course materials, travel expenses (if applicable), and other associated costs for the chosen training or certification program. We will establish mentorships for recipients to provide support for professional development goals, monitoring progress, and advising on career advancement opportunities. A thorough framework will be established to establish a curriculum emphasis encompassing evidence-based medicine, critical appraisal, research methodologies, data analysis, and study design. We will incorporate ethical considerations in the curriculum, emphasising patient autonomy, informed consent, and ethical decision-making. We will establish reporting mechanisms to monitor attendance, completion of coursework, and any additional achievements or contributions made by recipients, providing updates on their progress throughout the programme. We will also conduct periodic evaluations to assess the impact of scholarships on healthcare professionals’ knowledge, skills, and career development. A strong feedback mechanism will identify areas for improvement and adjustment.
  • The €750 million Interdisciplinary Collaboration Platform (ICP) will promote interdisciplinary collaboration among healthcare professionals. The program will establish new interdisciplinary teams that consist of professionals from various specialisations, as well as nurses, pharmacists, social workers, and administrative staff. These teams will conduct thorough assessments of patient needs, with a focus on addressing complex and multifaceted healthcare challenges. Each team will designate a leader and facilitators to coordinate and guide team efforts. We will provide training and support to team leaders for group management and collaborative activities, supporting regular team meetings, case discussions, and collaborative treatment plans. For this, we will encourage the use of technology to facilitate virtual meetings and communication, especially in geographically dispersed settings. We will establish a dedicated online platform, as well as hold conferences, to facilitate information sharing between teams.

Healthcare Infrastructure

The vision of the Government is to strengthen our healthcare infrastructure to support the delivery of high-quality care. We will work to secure adequate funding and resources to improve facilities, equipment, and the overall healthcare environment. We will also place an emphasis on the digital transformation of healthcare by the adoption of new IT systems and enhanced cybersecurity measures. Our investments in infrastructure and facilities will work to optimise resource allocation, enhance access to healthcare, and ensure a seamless, high-tech, and efficient healthcare system. By modernising our infrastructure, we also reduce operating costs of buildings and vehicles, which can ensure that budgets for hospitals and clinics focus on patients and staff. It represents €218 billion in investment.

Facilities Expansion and Mobile Healthcare

We will put a significant focus on enhancing healthcare facilities to provide modern and efficient healthcare services to patients across the nations. We will invest in upgrading and expanding our healthcare infrastructure networks.

  • The €79 billion Healthcare Infrastructure Enhancement Program (HIEP) will modernise and upgrade existing healthcare facilities. We will establish a thorough resource allocation framework to ensure fair distribution of funds, taking into consideration population size, healthcare needs, and the condition of current facilities. We will conduct rigorous priority assessments, in collaboration with directors, architects, industrial experts, and policymakers, to identify facilities that require immediate modernisation and upgrades, taking into consideration factors such as the age of the infrastructure, condition of equipment and facilities, patient capacity, and compliance with modern standards. These assessments will also specifically address infrastructural challenges in underserved or economically disadvantaged areas. We will require Hospital facilities to develop detailed infrastructure improvement plans that outline specific areas and facilities targeted for modernisation and upgrades, taking into account the long-term strategic goals of the Department. We will prioritise investments in modern medical equipment and technologies that enhance diagnostic capabilities and treatment options; including the adoption of digital healthcare solutions. The program will also allocate specific funding to improve patient rooms, waiting areas, and amenities to promote comfort and a welcoming environment, focusing on patient-centred improvements. It will also allocate specific funds for energy efficiency and reducing the carbon footprint of Hospital infrastructure, through renewable energy integration, energy-efficient lighting, and waste reduction efforts; which will reduce operating costs of the building, allowing more funds for patients and staff. Through regular evaluation, the outcomes achieved by the program in terms of improved patient care, safety, and overall healthcare quality are analysed, and the program can adapt accordingly.
  • The €19.7 Hospital Infrastructure Improvement Initiative (HI3) will address the critical need for construction and expansion of healthcare facilities. The program will conduct an in-depth assessment of healthcare facilities needs throughout the country. This will identify hospitals and clinics that require urgent improvements and expansions, as well as the needs of underserved and economically disadvantaged areas. A priority list of high-priority targets will be established, setting the initial focus of HI3. The program will allocate dedicated funds to undertake comprehensive refurbishment of identified high-priority hospitals, which will also target patient care areas, including wards, outpatient departments, and common areas. The program will also prioritise the construction and upgrading of state-of-the-art hospitals and clinics with advanced medical technology and equipment, which will adhere to stringent clinical practice standards and optimise workflow to enhance patient safety and outcomes. The program will allocate dedicated funding to expand and modernise emergency departments, improving triage systems, enhancing diagnostic capabilities, and streamlining patient flow as an integral part of the enhancements. It will also allocate specific funding for the establishment of specialised care units, equipped with cutting-edge medical technology and staffed with highly trained healthcare professions. The program will be implemented in a phased manner to ensure the successful completion of refurbishment and expansion of high-priority targets, and onwards to other facilities, based on their respective needs and capacity. The program will involve extensive stakeholder engagement with hospital staff, patient representatives, local communities, researchers, and healthcare experts. We will ensure the transparency of the initiatives through regular updates and progress reports related to the public and stakeholders.
  • The €15.7 billion Specialised Centres of Excellence Development (SCED) Program will advance medical research, treatment, and patient care by concentrating resources and expertise on specific medical conditions and treatments in specialised facilities. We will conduct a thorough assessment in collaboration with medical experts, community organisations, patient representatives, and researchers to identify priority medical areas based on healthcare trends, prevalence of diseases, and unmet medical needs. The program will allocate specific funding for target hospitals and medical centres to build new infrastructure required for specialised care, research and treatment, equipped with specialised research equipment and cutting-edge technology, and staffed with high-trained specialists. We will create training programs and resources to build expertise in the specialist medical fields. SCEs will be encouraged to create multidisciplinary teams comprising physicians, surgeons, researchers, nurses, support staff, and data analysts to collaborate on addressing complex medical challenges comprehensively. The program will promote research initiatives, clinical trials, and translational studies to be conducted in SCEs, in collaboration with academic institutions, industry partners, and research organisations. The centres will prioritise patient-centred care, providing personalised treatment plans and holistic support for patients and their families; establishing patient advisory groups to meet patient needs and expectations effectively; and actively engaging with patient communities, offering educational programs and support services related to specific medical conditions. The program will actively participate in international medical collaborations by sharing their expertise and best practices, facilitating partnerships with global healthcare leaders to promote joint research projects, and inviting foreign medical professionals and researchers to collaborate in SCEs in Nouvelle Alexandrie.
  • The €12 billion Regional Healthcare Facility Fund (RHFF) will support infrastructure enhancements in all regions of Nouvelle Alexandrie, focusing on community-based healthcare. We will conduct a comprehensive needs assessment to identify healthcare infrastructure gaps and challenges in different regions, considering factors such as population size, demographic characteristics, existing healthcare facilities, disease prevalences, and social determinants of health. The fund will be distributed on a grant basis, with a structured application process for Hospital trusts and healthcare authorities, subject to a review committee consisting of healthcare professionals, industry experts, and local authorities, with evaluation based on merit, feasibility, and alignment with program goals. The fund will allocate specific funding  for the construction, renovation, equipment upgrades, and technology implementation of GP clinics and community health centres. An emphasis will be placed on innovation and efficiency, investing in digital health solutions, telemedicine, and mobile health clinics. Specific funding will be allocated to support transport links and accessibility of healthcare facilities.
  • The €8 billion Mobile Healthcare Unit (MHU) Program will establish and deploy new mobile healthcare units. We will conduct a comprehensive assessment to identify underserved and remote areas lacking adequate access to healthcare services, in collaboration with local authorities, community organisations, and researchers to ensure an accurate and updated list of target locations. The program will procure and fully equip mobile healthcare units with high-quality medical equipment, diagnostic tools, and necessary supplies to provide essential medical services. They will be designed to be versatile, capable of reaching various terrains locations, focusing especially on rural villages and remote communities. We will recruit qualified healthcare professionals, including doctors, nurses, and medical assistants, to staff these MHUs. The units will perform essential services, including basic consultations, preventive care, and minor procedures. They will also conduct regular health screenings, including blood pressure checks, diabetes screenings, and ENT checks; as well as perform vaccinations, to promote early detection and disease prevention. Each unit will be equipped with telemedicine technology, connected with regional or tertiary hospitals, to allow real-time consultations and collaboration with specialists. We will prioritise community engagement and health education by MHU, to remove pressure on healthcare facilities, in conjunction with local healthcare providers and community leaders. We will establish key indicators, such as the number of beneficiaries served, health outcomes, and patient satisfaction, to evaluate and monitor the effectiveness and impact of MHUs. We will collaborate with private partners and NGOs to ensure scalability.

Digital Transition

We believe that the adoption of digital health solutions will significantly improve the quality of healthcare, reduce waiting times, and improve patient outcomes and experiences.

  • The €6.5 billion National Interoperability Framework (NIF) will set the standards and guidelines for uniform data standards across our healthcare. It will be overseen by a task force composed of healthcare professionals, health IT vendors, patient representatives, and regulatory authorities. The framework will standardise technical standards & specifications, data formats & semantics, and protocols to ensure compatibility between different health IT systems used by healthcare providers. These data standards will include clinical data, patient demographics, medication records, laboratory results, and other relevant health information. It will establish a national certification for health IT systems, which will be required for vendors going forward. Regular audits will be conducted to ensure compliance. We will create dedicated testing centres equipped to rigorously simulate health IT systems for interoperability before deployment, as well as conducting thorough validation to verify compatibility and adherence to the framework.
  • The €2.6 billion Health Information Exchange Hub (HIEH) will facilitate seamless data exchange between healthcare providers. It will be created in collaboration with experts in health informatics, software developers, clinicians, and researchers. There will be a specific focus on user-friendliness, scalability, and interoperability with existing health IT systems. The platform will prioritise patient data security and privacy, by implementing state-of-the-art encryption protocols and security measures to safeguard patient health information during transmission and storage; including through access controls, two-factor authentication, and audit logs. The platform will support common data formats and protocols, through dedicated high-performance data centres. Such centres will adhere to standards for redundancy, disaster recovery, and data backup. A dedicated team of developers will maintain and continuously improve the platform, through dedicated allocation of resources for ongoing maintenance, bug fixes, updates, and user support services. Regular evaluations and feedback mechanisms for users will identify areas for improvement and optimise the platform’s functionality.

Primary Care Development

We will place a specific focus on our primary care, to lower hospital uptake and improve patient outcomes through enhanced GP services.

  • The €6.5 billion GP Training Places Program (GP TPP) will provide medical students with financial support when pursuing careers in general practice. These will consist of scholarships that will cover tuition fees, course materials, and transport expenses. They will receive this support throughout their medical school, foundation years, and GP specialty training. We will also provide support for relocation and student loan repayment assistance. The program includes financial incentives, including competitive salaries, signup bonuses, and subsidised continuing education opportunities. Furthermore, the program will provide support for active GPs facing challenges in their practice, such as workload management and mental health support. GP TPP will conduct thorough needs assessments to identify areas of low GP density, and incentivise students to relocate to target areas, through a relocation allowance, as well as providing technology to conduct telemedicine and remote consultations.
  • The €2.6 billion GP Retention and Returners Program (GP RRP) is a scheme to encourage retired GPs and those on career breaks to return to practice. For this, we will offer flexible working arrangements and establish mentorships to support reintegration into active practice, with a focus on updating clinical skills and knowledge to meet current medical standards and guidelines; as well as establishing peer support networks to encourage returners to connect and share experiences. There will be financial incentives in place, including through a return-to-work stipend, reintegration allowance, and relocation support. The program will launch an outreach campaign to inform eligible people, with targeted communications through medical associations, online platforms, and ads in medical journals.
  • The €12 billion Care Coordination and Plans (CCP) Initiative will create collaboration between primary carers and community health services. The plan will create a framework which will standardise care coordination protocols that outline the processes and responsibilities for transferring patient information between primary care settings and community-based services, addressing the sharing of relevant medical information, medication reconciliation, and coordination of follow-up care after hospital discharges or specialist consultations. The framework will also mandate primary care providers to develop and maintain comprehensive care plans for patients with complex health needs. These care plans will be tailored to address the specific health and social needs of each patient, taking into account medical conditions, social circumstances, and individual preferences. The plans will be collaboratively developed with the patient, family or caregivers, and relevant healthcare professionals, and will include clear treatment goals, a timeline for interventions, and mechanisms for regular review and updates of health status changes. We will establish training programs to equip primary care teams with necessary skills and knowledge for various aspects of care coordination, including communication strategies, teamwork, patient engagement, and utilisation of health IT tools. The program will establish care coordinators or care management teams responsible for patients with complex health needs, acting as the central point of contact. They will receive specialised training and support in care management.
  • The €15.7 billion Comprehensive Community Services Program (CCSP) will offer a broad range of services that address various aspects of health and wellbeing. We will allocate specific funding to implement evidence-based preventive care programs, providing resources for regular check-ups, medication adherence support, and patient education on self-management. The program will support efforts to integrate mental health and behavioural health centres within community health centres, and foster collaboration between primary carers and behavioural health specialists. We will implement screening and early intervention programs to identify individuals with mental health concerns and facilitate timely access to appropriate services. We will support access to dental care in community health services, upgrading existing ones with modern technology and equipment; as well as launching oral health promotion programs to raise awareness on oral hygiene and regular dental check-ups. The program will establish social support programs in community health centres to address social determinants of health, providing assistance with housing, transportation, food security, and employment, in collaboration with community organisations and social service agencies. We will allocate target funding for programs focused on at-risk populations, including maternal and child health and geriatric care. These focus both on preventive care, chronic disease management, and mobility support. They also include substance abuse treatment programs that provide counselling, rehabilitation, and support services.
  • The €8 billion Community Health Worker (CHW) Program will serve as a link between healthcare providers and community members. A framework will be established to define clear roles and responsibilities for community health workers, including their scope of practice. The program will focus on underserved and disadvantaged areas. It will work to develop mechanisms to integrate CHWs into primary care settings, hospitals, and community health centres, involving them in social determinants of health, such as housing, nutrition, and transportation. They will be trained specifically to provide culturally competent support, focusing on diversity, cultural competence, and sensitivity; enabling them to navigate cultural barriers in healthcare delivery. CHWs will be empowered to conduct community-based health education sessions, with a focus on preventive care, disease management, and healthy lifestyle practices, utilising mobile health units and community outreach. They will also offer specific navigation services to assist in scheduling appointments, accessing health insurance, and understanding medical information. They will provide follow-up care and monitoring for patients with chronic conditions to ensure treatment adherence and continuity of care, in collaboration with healthcare professionals. The program will establish collaborative networks between CHWs in conjunction with community organisations, as well as offering continuous professional development opportunities and clear career pathways, focusing on long-term commitment and retention.

Integration of Health and Social Care

The Government envisions a seamless integration of health and social care services to improve overall care coordination and outcomes. We aim to develop collaborative care models that bridge the gap between healthcare and social support systems. We will promote community-based care, create partnerships, and enable seamless transitions between care settings. This will address the social determinants of health, support individuals in their homes, and provide holistic approaches of those with complex needs. It represents €96 billion in investment.

Collaborative Care

We will work towards fostering closer integration between health and social care services to improve care coordination and outcomes, pooling their resources to enable integrated care planning and provide holistic care for individuals with complex needs.

  • The €11.6 billion Integrated Care Pathways for Complex Needs (ICPCN) Program will provide comprehensive and coordinated care, enabling local health and social care providers to collaborate. The program will establish Joint Steering Committees to oversee the development and implementation of ICPs for various complex needs, including multimorbidity, mental disorders, and disabilities. These JSCs will consist of healthcare professionals, social workers, patient representatives, policymakers, and researchers. They will conduct regular evaluations to review progress, address challenges, and make data-driven decisions to enhance the effectiveness of ICPs. The program will establish training programs and capacity building projects to build on skills in collaborative care, such as care coordination, information sharing, joint decision-making, and person-centred care. The ICPs will include comprehensive assessments to identify unique healthcare, social and emotional requirements for individuals with complex needs, including also on social determinants of health, mental health, family support, and community resources available to the individual. Feedback mechanisms for patients and caregivers will identify improvements and address challenges.  
  • The €7.2 billion Transitions to Home Program (THP) will address the challenges that patients often face during the transition from hospital to home. It will establish hospital liaison teams comprising social workers, nurses, and discharge planners. These teams will conduct thorough assessments of discharge needs, taking into account medical, social, and psychological circumstances; coordinate with hospital staff and primary care providers to develop personalised discharge plans; and provide patients and their families with detailed information about post-discharge care plans, medication management, and potential warning signs. The teams will also conduct regular home visits to monitor health status, wound care, medication adherence, and provide necessary medical interventions. The program will also fund community-based rehabilitation programs to support patients in recovery, including through physical therapy, occupational therapy, or psychological counselling. We will collaborate with community organisations, support groups, and charities to provide additional resources and assistance to patients and their families, including through integration into community programs such as social events, peer support programs, and recreational activities. Through regular evaluation and monitoring, utilising key performance indicators such as readmission rates, patient satisfaction, and successful care transitions, we can adapt and improve the program.

Community-Based Care

We will promote community-based care services to support individuals in their own homes and reduce hospital admissions.

  • The €22 billion Community Care Support Initiative (CCSI) will provide comprehensive care and support to individuals in their own homes. The program will provide financial support to individuals using social care services, including home nursing, palliative care, and rehabilitation services. These funds will cover at least part of the expenses incurred by the use of these services. The program will ensure that a range of medical and non-medical services are eligible for the financial support, including wound care, medication management, pain management, personal care assistance, physical therapy, and occupational therapy. The program will foster collaboration between primary care providers and social workers to develop personalised care plans for home-based care, addressing the specific needs and goals of each patient. The program will implement a system within healthcare settings to identify patients at risk of hospitalisation due to health conditions or circumstances. The system will involve screening tools, risk assessment algorithms, and information sharing between primary carers, hospitals, and social workers; this information includes health status, test results, and care plans. These assessments will be used to develop targeted interventions to prevent hospitalisation, including enhanced home-based care, rapid response teams, telehealth consultations, and increased access to specialist services.
  • The €7.2 billion Informal Caregiver Respite Program (ICRP) will provide ICs with much-needed respite and training. The program will establish and provide funding for specific Respite Care Vouchers, giving ICs temporary caregiver support from professional care providers, specialised respite care facilities, or registered caregivers within their community. The vouchers will be flexible to allow ICs with the choice best suiting their needs and preferences. We will establish training workshops for ICs in collaboration with healthcare professionals, educators, and caregiver support organisations, covering various topics such as medication management, mobility assistance, emotional support, and cultural sensitivity. We will ensure these workshops are given in multiple languages to cater to the diverse IC population. The program will establish peer support groups for ICs, facilitated by social workers, psychologists, and healthcare volunteers. These groups will offer regular meetings both in-person and virtually, sharing experiences, providing ongoing emotional support, and exchanging caregiving tips. Specialised groups will be designed to address the needs of caregivers of patients with complex needs, including Alzheimer’s and children with special needs.  
  • The €4.3 billion Social Prescribing Program (SPP) will enable healthcare professionals to refer patients to non-medical services, improving overall well-being and health outcomes. The program will establish a collaborative network of primary care providers, community-based organisations, charities, and local authorities to create a wide range of social prescribing options, including fitness classes, mental health support groups, arts and crafts workshops, gardening clubs, financial advice, and community volunteering. The network will be supported by a dedicated online platform that is user-friendly and regularly updating, including contact details, descriptions of services, eligibility criteria, and any associated costs. A framework will be established to create a streamlined and efficient referral process to allow healthcare professionals to easily refer patients to appropriate social prescribing options, with timely feedback and updates on patients’ progress on social prescribing activities. We will launch a public awareness campaign to inform patients and healthcare professionals about the benefits of social prescribing, and encourage active participation.

Child Health and Social Care

We want to ensure that our children have the best start in life, by ensuring that child health is maintained, and our schools work closely with health and social care providers.

  • The €10 billion Integrated Child Health Teams (ICHT) is a program that will create health teams consisting of paediatricians, nurses, social workers, and educational specialists. This team will work to create a coordinated care plan for children, working closely with families, schools, and other relevant stakeholders, taking into account medical conditions, social circumstances, mental health, and educational requirements. The plan shall focus on family-centred care, actively engaging families and providing guidance to parents and caregivers. The team will coordinate appointments, referrals, and services to ensure seamless care transitions for children. Specific funding will be allocated on mental health support, providing counselling and resources to children and their families. We will establish training programs to help ICHTs to enhance their skills in child development, effective communication, cultural sensitivity, and collaborative decision-making. We will conduct regular evaluations and implement a feedback mechanism for parents and caregivers to identify areas of improvement and adapt the program for the specific needs of children and their families.
  • The €11.6 billion Early Childhood Development Program (ECDP) will provide comprehensive and accessible support for families with young children. This will establish new ECD Hubs in community health centres, which will be easily accessible, specifically for underserved communities. The hubs will offer child-friendly environments, with play areas and age-appropriate educational resources. The hub will be staffed by an integrated team of primary care providers, paediatricians, early education providers, social workers, and child psychologists. The teams will conduct assessments and develop individualised early development care plans for children and their family. The Hubs will offer multiple services, including parenting classes, developmental screenings, family counselling and support, and health and nutrition services. They also include vaccinations. The team will also empower parents and caregivers by providing educational materials and resources to support their understanding of child development milestones and the importance of play in learning.
  • The €21.8 billion Multi-Agency Child Protection Teams (MACPT) will create a shared platform for sharing information on child welfare. These teams will consist of healthcare providers, social carers, educators, law enforcement, and charities. The teams will prioritise early identification of children at risk and those experiencing significant health or social challenges, and create early interventions and care plans, considering social status, health conditions, mental health, and their families. The teams will develop and implement coordinated safeguarding plans that outline actions to ensure children’s safety and well-being, specifying roles, responsibilities, and timelines for agencies involved. The teams will be supported by a dedicated online platform to enable secure and fast information sharing, with a strong focus on data protection and confidentiality. We will implement regular evaluation of safeguarding plans and intervention outcomes to identify areas of improvement and adapt the program for the specific needs of child protection, including the continuing development of the internet.

Dentistry

The Government believes that a proper standard of dental care is vital for children’s development, but also for public health. We will work to expand dental coverage to ensure universal coverage for individuals with high needs. We will promote oral health and overall well-being by ensuring timely and affordable access. It represents €800 million in investment.

Affordable Dental Treatments

We will reform dental treatment charges to make dental access more affordable. This includes a thorough assessment with dental professionals to establish a transparent and reasonable pricing structure for dental treatments. We will also place an inflation-linked cap on charge increases.

  • The €260 million Dental Access Program (DAP) will provide subsidies for low-income individuals and vulnerable populations. These subsidies will come in the form of vouchers that ensure that eligible individuals have expenses covered for at least three dental check-ups each year. It will also offer affordable care packages for routine preventive services.

Oral Health

We will work towards creating a comprehensive public health program that promotes the significance of oral hygiene, regular dental check-ups, and preventive care.

  • The €180 million National Oral Care Initiative (NOCI) will provide a comprehensive campaign on oral health. The initiative will fund two sets of programs: it will fund the School-based Oral Health Program (SOHP), which will conduct workshops, seminars, and interactive sessions to teach both students and parents about proper oral hygiene. The Federak Dentistry Office will furthermore work to integrate oral health education into school curricula, through the development of educational materials, and free oral care kids. Lastly, NOCI will have a dedicated online platform that is user-friendly, and includes interactive materials to offer guidance on oral hygiene practices, nutrition, and the importance of regular dental check-up. It will also provide a secure tool for virtual consultations and Q&A sessions with dental professionals.
  • The €80 million Community Oral Health Awareness Program (COHAP) will collaborate with local authorities and community organisations to host oral health workshops, seminars, and awareness campaigns. It will also provide free dental screening and information sessions to vulnerable individuals in local communities. Dentists will develop informational materials and resources to support COHAP.

Workforce and Infrastructure

We will work to expand the number of dental professionals nationally, to ensure universal access to dental care. We will also create new dental clinics in underserved communities, to address the geographical and socioeconomic barriers to oral care.

  • The €190 million Dental Workforce Expansion Program (DWEP), to alleviate shortage of dental professionals and bolster the workforce, which will enhance access, reduce waiting times, and improve overall oral health outcomes. We will collaborate with dental schools to provide scholarships and debt forgiveness programs to encourage dental students to pursue careers within dentistry. We will also fund postgraduate training programs to upskill newly qualified dental professionals to meet the modern standards. We will furthermore establish training programs and professional development opportunities for dental professionals. The programme will also launch targeted recruitment campaigns for areas with acute shortages.
  • The €260 million Dental Clinics Expansion Program (DCEP) will create new dental access points to tackle regional inequalities in oral care. The programme will hold a thorough assessment to identify areas for site selection and infrastructure development. We will have a dedicated fund to establish new dental clinics, as well as dedicated funding to expand existing ones, with a focus on technology, accessibility, and capacity. We will also integrate dental units with the MHUs established in Chapter 3 to reach remote areas, which can provide basic dental check-ups and preventive treatments.

Midwifery

The Government understands that effective and compassionate midwifery care is essential for ensuring the health and well-being of pregnant individuals and their newborns. We will work to enhance midwifery services throughout the country, and provide a holistic approach to pregnancy and childbirth. It represents €210 million in investment.

Workforce and Technology

We want to recruit and train additional midwives over the next five years, with significant funding dedicated to recruitment and training. We also want to develop advanced technology solutions to integrate midwifing with other vital healthcare specialisations.

  • The €120 million National Midwifery Initiative (NMI) will address the increasing demand for maternity care services and enhance the quality of care for pregnant individuals and their newborns. We will launch a targeted recruitment campaign to attract midwifery students to join public hospitals, by providing scholarships and financial incentives, including apprenticeships and loan forgiveness programs. We shall also establish training programs and professional development opportunities. We will create a mentorship program to pair experienced midwives with newly graduated ones.
  • We will also integrate midwifery services with mobile health teams to reach remote areas, funding it with €30 million. These services will be able to provide pregnancy screenings, childbirth care, as well as postpartum services.
  • We will ensure that midwifery professionals will be interoperable with EHRs, with specific modules for prenatal, intrapartum, and postpartum care. Midwife EHRs will also be accessible via secure mobile devices, to facilitate real-time communication and coordination, to aid in fast-paced maternity care scenarios.

Continuity of Care

The €60 million Continuity of Care Models (CoCs) will ensure pregnant individuals will receive care from a single midwife throughout pregnancy, childbirth, and postpartum period. These models will create a midwife team to oversee personalised support, patient-provider relationships, and consistent communication throughout the care period. The model would be based on a patient-centred approach, which ensures active participation in decision-making and tailoring care plans for the unique needs and preferences of expectant parents. These programs will collect comprehensive data on maternal and neonatal outcomes, patient satisfaction, and healthcare utilisation. This data will be analysed, and utilised to continuously improve continuity of care models.

National Plan for the Police

The National Plan for the Police was devised by the Department of Interior (Nouvelle Alexandrie), along with the Department of Justice (Nouvelle Alexandrie) and Department of Defense (Nouvelle Alexandrie). It outlines an ambitious plan for policing, prosecution, criminal justice, national security, and gun control. The plan focused on investing the police, specifically the Federal Gendarmerie and National Police forces; improving access to justice; investing in crime prevention and adressing the causes of crime; and improving gun control to prevent violent crimes. It represented over €203 billion of funding. It was based on five themes:

  1. Policing
  2. Prosecution
  3. Crime Prevention and Justice
  4. National Security
  5. Gun Control

Policing

Effective policing is the cornerstone of public safety, requiring community trust, proactive crime prevention strategies, accountability, and collaboration. The aim of this plan is to strengthen police-community relationships, enhance crime-fighting capabilities, ensure transparency and accountability, and promote violence reduction through targeted interventions. It represented over €106.5 billion of investment.

  • The €62.2 billion Force Expansion Program (FEP) will work to hire and train 200,000 additional police officers over the next five years, focusing on diverse recruitment to reflect local populations. We will establish community outreach programs to foster trust and cooperation between law enforcement agencies and communities.We will also invest in technology for police departments to enhance transparency, accountability, and efficiency in policing efforts.
  • The €12 billion Crime Analysis and Intelligence Integration (CAII) will work to implement data-driven crime analysis systems in police departments nationwide to identify crime hotspots, trends, and emerging threats. We will establish partnerships between local, state, and federal agencies to share intelligence and enhance coordination in crime prevention efforts. We will also provide training for law enforcement personnel in utilizing advanced analytics and technology for effective crime analysis.
  • The €6 billion Police Accountability and Professional Standards Program (PAPS) will implement body-worn camera programs in all law enforcement agencies to enhance accountability and transparency in police-civilian interactions. We will establish independent review boards to investigate allegations of misconduct and ensure accountability within police departments. We will also provide ongoing training for officers on ethical conduct, de-escalation techniques, and cultural competency.
  • The €15 billion Rural Policing Initiative (RPI) will provide resources for law enforcement for small cities and towns, including funding for additional officers, capacity-building programs, and rural policing efforts.
  • The €1 billion Violence Interruption Teams (VIT) will create specialized violence interruption teams in high-crime areas to intervene in conflicts and prevent retaliatory violence. We will collaborate with community organizations and social services to provide support and resources to individuals at risk of involvement in violent activities. We will also implement evidence-based violence prevention strategies, such as cognitive behavioral therapy and mentorship programs.
  • The €600 million Mental Health Crisis Response Teams (MHCRT) will establish specialized mental health crisis response teams composed of trained mental health professionals and law enforcement officers. We will deploy MHCRT units to respond to calls involving individuals experiencing mental health crises, providing assessment, de-escalation, and access to appropriate mental health services. We will also collaborate with local mental health agencies and community organizations to coordinate follow-up care and support for individuals in crisis.
  • The €300 million Technology Integration for Policing (TIP) will invest in cutting-edge technology solutions, such as predictive analytics, artificial intelligence, and smart surveillance systems, to enhance policing efforts. Implement data-sharing platforms to facilitate information exchange between law enforcement agencies, allowing for real-time collaboration and intelligence-led policing strategies. Provide training and technical assistance to law enforcement personnel on the use and integration of technology tools for prosecution and investigation.
  • The €400 million School Safety Policing Initiative (SSPI) will establish trained School Policing Officers (SPOs) in tertiary educational institutions nationwide. We will provide specialized training for SPOs on youth engagement, conflict resolution, and crisis intervention techniques. Collaborate with school administrators, teachers, and students to develop comprehensive safety plans and prevention strategies tailored to each school's unique needs.

Prosecution

A fair and efficient prosecution system is essential for upholding the rule of law and ensuring accountability for criminal behavior. By investing in innovative approaches, victim support services, and alternatives to traditional prosecution, these programs seek to improve case outcomes, support victims of crime, and promote justice that is both swift and equitable. It represents €12.5 billion of investment.

  • The €6 billion Prosecutorial Innovation and Efficiency Initiative (PIEI) will invest in technology and resources to streamline case management processes and reduce backlogs in court systems. We will establish specialized units within prosecutor's offices to focus on complex cases such as cybercrime, organized crime, and white-collar offenses. We will provide training for prosecutors on best practices in evidence collection, case preparation, and trial advocacy.
  • The €4 billion Victim Support and Advocacy Program (VSAP) will expand victim support services, including counseling, legal assistance, and financial compensation, to ensure comprehensive assistance to victims of crime. We will work to enhance collaboration between prosecutors and victim advocacy organizations to prioritize victim needs and participation in the criminal justice process. We will also implement restorative justice programs to facilitate healing and reconciliation between victims and offenders in appropriate cases.
  • The €2 billion Cybercrime Prosecution Taskforce (CPT) will establish specialized cybercrime prosecution task forces at the federal, state, and local levels to investigate and prosecute cybercriminals engaged in hacking, fraud, identity theft, and other digital crimes. We will provide training and resources for prosecutors to handle complex cybercrime cases, including digital evidence collection, forensic analysis, and international cooperation in extradition and legal proceedings. We will also collaborate with private sector partners, cybersecurity firms, and academic institutions to enhance expertise and capacity in prosecuting cyber offenses and addressing emerging cyber threats.
  • The €500 million Elder Abuse and Financial Fraud Prosecution Initiative (EAFFPI) will expand specialized units within prosecutor's offices to investigate and prosecute cases of elder abuse, financial exploitation, and fraud targeting vulnerable populations, including seniors and individuals with disabilities. We will provide training for prosecutors and law enforcement personnel on recognizing and addressing signs of elder abuse and financial fraud, as well as collaborating with adult protective services and financial regulators. We will enhance victim support services for elderly victims, including legal assistance, counseling, and financial restitution, to ensure justice and recovery for those affected by elder abuse and financial crimes.

Crime Prevention and Justice

Crime prevention efforts go beyond law enforcement and prosecution, addressing underlying factors such as poverty, substance abuse, and lack of opportunity that contribute to criminal behavior. By investing in early intervention, substance abuse prevention, and economic development, these programs aim to create safer communities and break the cycle of crime before it begins. It represents €67.2 billion in investment.

Crime Prevention

  • The €20 billion Early Intervention and Youth Development Initiative (EIYDI) will invest in community-based interventions targeting factors such as poverty, substance abuse, and family instability that contribute to juvenile delinquency. We will also implement evidence-based prevention programs focusing on social-emotional learning, conflict resolution, and positive youth development.
  • The €15 billion Substance Abuse Prevention and Treatment (SAPT) will expand access to substance abuse prevention programs, including education, screening, and intervention initiatives in schools and communities. We will invest in comprehensive treatment services, including detoxification, rehabilitation, and counseling, for individuals struggling with substance use disorders. We will enhance collaboration between law enforcement, healthcare providers, and community organizations to address the root causes of substance abuse and addiction.
  • The €7 billion Technology-Based Crime Prevention Initiative (TBCPI) will invest in cutting-edge technology solutions, such as predictive analytics, artificial intelligence, and geospatial mapping, to enhance proactive crime prevention efforts. We will implement real-time crime monitoring systems that analyze data from various sources, including CCTV cameras, social media, and sensors, to identify potential criminal activity and deploy resources effectively. We will also provide training for law enforcement personnel on the use of technology tools and platforms for crime prevention and response.
  • The €5.2 billion Community-Based Problem-Solving Initiative (CBPSI) will establish community-based problem-solving teams comprised of law enforcement officers, social workers, educators, and community leaders to address underlying factors contributing to crime, such as poverty, substance abuse, and youth disengagement. We will implement data-driven approaches, such as focused deterrence and hotspot policing, tailored to specific community needs and priorities to reduce crime and improve quality of life. We will also provide resources and support for community-led initiatives, including neighborhood watch programs, youth mentoring, and community clean-up efforts, to empower residents in crime prevention and community revitalization efforts.

Criminal Justice

  • The €15 billion Rehabilitation and Re-entry Support Services (RRSS) will expand access to rehabilitative programs, including education, vocational training, and mental health services, in correctional facilities. We will provide comprehensive reentry support services, including housing assistance, employment placement, and substance abuse treatment, to individuals returning to the community after incarceration. We will also implement evidence-based practices to reduce recidivism and promote successful reintegration into society.
  • The €5 billion Alternatives to Incarceration Initiative (AII) will expand diversion programs, such as drug courts, mental health courts, and restorative justice programs, to divert nonviolent offenders away from the criminal justice system and into treatment and support services. We will invest in community-based supervision programs, including probation and parole, to provide oversight and support to individuals under judicial supervision. We will also promote sentencing reform efforts to reduce reliance on incarceration for low-level offenses and prioritize alternatives that address underlying issues driving criminal behavior.

National Security

National security encompasses a wide range of threats, including terrorism, cyberattacks, and border security. By investing in border security, cybersecurity, and counterterrorism efforts, these programs aim to protect the country from external threats, safeguard critical infrastructure, and preserve the safety and security of all citizens. It represents €56 billion of investment.

  • The €30 billion Cybersecurity and Critical Infrastructure Protection (CCIP) will strengthen cybersecurity capabilities and resilience of government agencies, critical infrastructure, and private sector entities against cyber threats and attacks. We will enhance information sharing and collaboration between government, industry, and international partners to detect, prevent, and respond to cyber incidents. We will also invest in research and development of advanced cybersecurity technologies and workforce training to stay ahead of evolving cyber threats.
  • The €10 billion Counterterrorism and Intelligence Integration (CTII) will enhance intelligence gathering, analysis, and sharing capabilities to identify and disrupt terrorist threats and networks domestically and internationally. We will invest in counterterrorism training and resources for law enforcement, intelligence agencies, and first responders to effectively respond to terrorist incidents. We will also work to strengthen partnerships with foreign governments and international organizations to combat terrorism and address root causes of radicalization and violent extremism.
  • The €9 billion Intelligence Fusion and Intelligence Initiative (IFII) will establish a centralized intelligence fusion center tasked with aggregating, analyzing, and disseminating intelligence from various sources, including government agencies, law enforcement, and private sector partners. We will invest in advanced data analytics and machine learning technologies to identify patterns, trends, and emerging threats in large datasets. We will also work to enhance collaboration and information sharing between federal, state, and local intelligence agencies to improve situational awareness and response capabilities.
  • The €7 billion Civil Defense and Emergency Preparedness Initiative (CDEPI) will enhance civil defense and emergency preparedness capabilities at the federal, state, and local levels to respond effectively to natural disasters, pandemics, and other catastrophic events. We will invest in training, equipment, and resources for emergency responders, including firefighters, paramedics, and search and rescue teams, to mitigate the impact of emergencies and save lives. We will also implement public education and outreach campaigns to raise awareness and encourage preparedness among individuals, families, and communities.

Gun Control

Gun violence is a pressing public health and safety issue that requires comprehensive measures to prevent firearms-related crime and protect communities. By implementing universal background checks, supporting violence prevention programs, and addressing illegal firearms trafficking, these programs aim to reduce gun violence, save lives, and promote responsible gun ownership. It represents €1.4 billion of investment.

  • The €800 million Universal Background Check Initiative (UBCI) will implement universal background checks for all firearm purchases, including private sales and transfers, to prevent prohibited individuals from obtaining firearms. Invest in technology and resources to enhance the accuracy and efficiency of background checks. We will also establish the National Criminal Background Check System (NICS). We will work to enforce existing firearms laws and regulations, including prosecuting individuals who attempt to illegally purchase or possess firearms.
  • The €400 million Gun Violence Prevention and Intervention Program (GVPIP) will invest in evidence-based violence prevention and intervention programs, including community outreach, conflict mediation, and mental health services, to address the root causes of gun violence. We will support law enforcement efforts to disrupt illegal firearms trafficking networks and remove illegal guns from the streets. We will also provide resources and support for victims of gun violence and their families, including trauma-informed care and financial assistance.
  • The €200 million Gun Buyback and Safe Storage Campaign (GBSSC) will implement nationwide gun buyback events offering financial incentives and amnesty for individuals to surrender unwanted or illegally possessed firearms. We will provide funding for community-based organizations and law enforcement agencies to distribute gun locks, safes, and storage containers to firearm owners. We will also launch public awareness campaigns to educate individuals about the importance of safely storing firearms and preventing unauthorized access.

National Plan for the Armed Forces

The National Plan for the Armed Forces was devised by the Department of Defense, along with the Department of Justice and Department of State. It aims to address the evolving security landscape by outlining strategic programs and funding decisions across key military domains. By prioritizing modernization, readiness, and resilience, the paper seeks to ensure the effectiveness and agility of our armed forces in facing current and emerging threats. Additionally, by investing in veterans' affairs, the government underscores the national commitment to supporting those who have served and sacrificed for their country. It represents €440 billion in investment.

Army

The government has the imperative to maintain a versatile and capable ground force. Through these, the Army will be equipped to meet the challenges of modern warfare with enhanced individual soldier capabilities, upgraded armored vehicles, and rapid response capabilities, respectively. These programs reinforce the Army's readiness to address diverse threats across various operational environments. It represents €92 billion in investment.

  • The €40 billion Modernisation of the Infantry & Equipment (MIE) will upgrade infantry equipment, including rifles, body armor, and communications systems, to enhance the effectiveness and survivability of frontline troops. We will invest in advanced technologies such as night vision goggles, unmanned ground vehicles, and integrated combat systems to provide soldiers with a decisive advantage on the battlefield. We will also prioritize research and development efforts to address emerging threats and maintain technological superiority over adversaries.
  • The €25 billion Cyber and Electronic Warfare Capabilities (CEWC) will expand the Army's cyber and electronic warfare capabilities to counter adversaries' asymmetric threats in the digital domain. We will recruit and train personnel specialized in cyber operations, electronic warfare, and information warfare to support combat operations and protect critical infrastructure. We will also enhance collaboration with other military branches and government agencies to leverage expertise and resources in cyberspace and electromagnetic spectrum operations.
  • The €20 billion Enhanced Forward Presence and Rapid Deployment (EFPRD) will establish and maintain forward-deployed units and prepositioned equipment in key strategic locations to enhance deterrence and response capabilities. We will improve logistical support and infrastructure to enable rapid deployment of forces in crisis situations, including air and sea lift capabilities and forward operating bases. We will also strengthen partnerships with allies and regional partners to facilitate interoperability and collective defense efforts in priority regions.
  • The €5 billion Urban Warfare Training and Equipment Enhancement (UWTEE) will develop specialized training programs and simulation facilities to prepare Army personnel for operations in urban environments, including close-quarters combat, counterinsurgency, and stabilization missions. We will also procure advanced urban warfare equipment and technology, such as lightweight body armor, breaching tools, and non-lethal weapons, to improve soldiers' effectiveness and survivability in urban combat scenarios.
  • The €2 billion Environmental Sustainability and Resilience Initiative (ESRI) will invest in renewable energy projects, energy-efficient infrastructure upgrades, and sustainable practices to reduce the Army's carbon footprint and dependence on fossil fuels. We will implement natural resource conservation and land management initiatives to protect and preserve military training ranges, wildlife habitats, and ecosystem services. We will also develop resilience strategies and contingency plans to mitigate the impacts of climate change, extreme weather events, and environmental hazards on Army installations and operations.

Navy

The Navy chapter emphasizes the importance of maritime superiority and global presence. Its programs enhance the Navy's expeditionary capabilities, air-sea warfare capabilities, and cybersecurity posture, respectively. By investing in these areas, the Navy can maintain its ability to project power, protect sea lanes, and respond effectively to regional and global contingencies. It represents €145 billion in investment.

  • The €100 billion Fleet Expansion Program (FEP) will increase the size and capabilities of the Navy's surface combatant and submarine fleets to meet growing maritime security challenges and maintain global presence. We will invest in the construction of new guided-missile destroyers, attack submarines, and amphibious assault ships to replace aging vessels and address capability gaps. We will enhance the readiness and sustainability of naval forces through modernization and maintenance programs to ensure operational effectiveness and availability.
  • The €20 billion Naval Aviation Advancement (NAA) will upgrade and procure new carrier-based aircraft, including fighter jets, airborne early warning aircraft, and unmanned aerial systems, to enhance the Navy's air superiority and strike capabilities. We will invest in the development of next-generation naval aviation technologies, such as hypersonic missiles, stealth drones, and directed energy weapons, to maintain technological edge over potential adversaries. We will also prioritize training and readiness initiatives to ensure naval aviators possess the skills and proficiency needed to operate advanced aircraft in high-threat environments.
  • The €10 billion Maritime Domain Enhancement Program (MDEP) will enhance the Navy's maritime surveillance and reconnaissance capabilities through investments in satellite systems, unmanned maritime vehicles, and sensor networks to monitor and track maritime activity. We will improve information sharing and interoperability with allied navies, coast guards, and international maritime organizations to enhance situational awareness and maritime security cooperation. We will also expand the Navy's anti-submarine warfare capabilities to counter emerging underwater threats and protect naval assets and sea lines of communication.
  • The €10 billion Underwater Warfare Capabilities Program (UWCP) will invest in the development and deployment of next-generation undersea warfare technologies, including unmanned underwater vehicles (UUVs), advanced sonar systems, and submarine-launched autonomous torpedoes. We will expand the Navy's fleet of (nuclear) attack submarines and underwater surveillance platforms to maintain dominance in undersea domains and counter emerging submarine threats from potential adversaries. We will enhance anti-submarine warfare training and exercises to improve the proficiency and effectiveness of naval forces in detecting, tracking, and neutralizing enemy submarines in contested waters.
  • The €5 billion Maritime Cybersecurity Program (MCP) will enhance the cybersecurity posture of Navy systems, networks, and maritime platforms to defend against cyber threats, data breaches, and malicious cyber activities targeting naval operations and infrastructure. We will implement robust cyber defense mechanisms, including network segmentation, encryption, and intrusion detection systems, to safeguard critical information and communication systems aboard Navy ships and installations. We will also enhance cybersecurity training and awareness programs for Navy personnel to promote cyber hygiene, incident response, and threat intelligence sharing to mitigate cyber risks and vulnerabilities.

Air Force

The Air Force underscores the significance of air superiority and domain awareness in modern warfare. Its programs enhance the Air Force's capabilities in air dominance, global strike missions, and space superiority, respectively. These programs ensure the Air Force remains a vital component of joint operations, capable of securing airspace and projecting power across all domains. It represents €86 billion in investment.

  • The €40 billion Aircraft Modernisation and Expansion Program (AMEP) will upgrade and procure advanced fighter aircraft, bombers, and multi-role platforms to maintain air superiority, conduct precision strike missions, and support joint and coalition operations. We will invest in next-generation air combat technologies, including stealth, hypersonics, and unmanned systems, to ensure the Air Force maintains dominance in contested and denied environments. We will also enhance pilot training programs and simulation capabilities to develop and sustain aircrew proficiency in operating advanced aircraft and conducting complex missions.
  • The €20 billion Space Superiority and Resilience Initiative (SSRI) will enhance the resilience and redundancy of space-based assets, including satellites, ground stations, and space-based sensors, to withstand threats from adversaries and natural hazards. We will develop and deploy next-generation space systems, including space situational awareness, missile warning, and communication satellites, to support military operations and national security objectives. We will also strengthen partnerships with commercial space providers and international allies to leverage resources and capabilities in space domain awareness and space-based services.
  • The €10 billion Air Cyber Warfare and Information Operations (ACWIO) will expand the Air Force's cyber warfare and information operations capabilities to protect critical networks, disrupt adversary operations, and defend against cyber attacks and information warfare threats. We will invest in cyber resilience and defense technologies, including network encryption, intrusion detection, and secure communications systems, to safeguard Air Force assets and operations. We will enhance cyber training and education programs for Air Force personnel to develop and maintain proficiency in offensive and defensive cyber operations and information warfare tactics.
  • The €8 billion Unmanned Aerial Systems Development (UASD) will invest in the research, development, and procurement of advanced unmanned aerial systems (UAS) for a variety of missions, including intelligence, surveillance, reconnaissance (ISR), and strike operations. We will collaborate with industry partners to develop next-generation UAS platforms with increased endurance, stealth capabilities, and payload capacity to support diverse operational requirements. We will also enhance training programs and operational concepts for integrating UAS into air combat operations, including swarm tactics and autonomous mission planning.
  • The €4 billion Airborne Electronic Warfare Enhancement Initiative (AEWEI) will upgrade and modernize the Air Force's airborne electronic warfare capabilities, including electronic attack (EA) and electronic protection (EP) systems, to counter evolving threats from adversary air defenses and electronic warfare systems. We will develop and procure advanced electronic warfare aircraft and pods equipped with state-of-the-art jamming, deception, and self-protection technologies to disrupt enemy radar and communication networks. We will enhance electronic warfare training programs and exercises to prepare aircrews for operating in contested electromagnetic environments and conducting offensive and defensive electronic warfare missions.
  • The €4 billion Next-Generation Air Mobility (NGAM) will invest in the development and acquisition of next-generation air mobility platforms, including airlifters, tankers, and aerial refueling drones, to support global power projection and sustainment operations. We will collaborate with industry partners to design and manufacture advanced air mobility systems with increased range, speed, and payload capacity, as well as improved fuel efficiency and survivability. We will enhance aircrew training and mission planning capabilities to optimize the use of next-generation air mobility assets in expeditionary operations, humanitarian assistance, and disaster relief missions.

Military Research and Technology

The rationale for Military Research and Technology is grounded in the need to maintain technological superiority and innovation. Its programs focus on advancing research and development in critical areas such as advanced technologies, cybersecurity, resilience, and artificial intelligence. These programs enable the military to leverage cutting-edge capabilities to stay ahead of adversaries and address emerging threats effectively. It represents €7.6 billion in investment.

  • The €2.8 billion Directed Energy Weapons Program (DEW) will accelerate research and development efforts to field directed energy weapons, including lasers and high-power microwaves, for missile defense, counter-drone, and precision strike missions. We will collaborate with industry partners and academic institutions to overcome technical challenges and scale up production of directed energy systems for operational deployment. We will also conduct operational testing and evaluation to validate the effectiveness and reliability of directed energy weapons in real-world scenarios and combat environments.
  • The €2.2 billion Hypersonic Technologies Program (HTP) will invest in hypersonic research and development programs to develop and field hypersonic missiles, aircraft, and vehicles capable of reaching speeds exceeding Mach 5. We will collaborate with industry partners and international allies to accelerate the development and testing of hypersonic technologies and prototypes. We will also establish dedicated test and evaluation facilities to assess the performance, maneuverability, and survivability of hypersonic systems in realistic operational conditions.
  • The €1 billion Artificial Intelligence and Autonomy Program (AIAP) will invest in research and development of artificial intelligence and autonomy technologies to enhance military decision-making, autonomous systems, and human-machine teaming capabilities. We will establish test beds and experimentation platforms to validate AI algorithms, machine learning models, and autonomous systems for military applications. We will also develop training programs and ethical guidelines for integrating AI and autonomy into military operations while ensuring accountability, transparency, and adherence to international laws and norms.
  • The €800 million Military Biotechnology Applications Program (MBAP) will invest in research and development of biotechnologies with military applications, including bioengineered materials, medical treatments, and biodefense solutions. We will develop advanced biometric identification systems and biosensors for enhanced situational awareness, force protection, and battlefield intelligence. We will also collaborate with academic institutions, biotech companies, and government agencies to leverage cutting-edge biotechnology research and accelerate the translation of innovations into military capabilities.
  • The €800 million Quantum Computing for Military Operations Program (QCMO) will invest in research and development of quantum computing technologies tailored for military applications, including quantum algorithms, quantum cryptography, and quantum sensing. We will establish quantum computing test beds and demonstration projects to evaluate the feasibility and performance of quantum solutions for defense and national security missions. We will also develop quantum-enabled simulations and modeling tools to support military planning, decision-making, and strategic analysis across diverse operational domains.

Veterans Affairs

Our Veterans Affairs STrategy recognizes the importance of fulfilling our commitment to those who have served in uniform. Its programs aim to ensure veterans receive comprehensive healthcare support and assistance with transitioning to civilian life. By investing in veterans' well-being and employment opportunities, the chapter honors their service and contributes to their successful reintegration into society. It represents €68.2 billion.

  • The €38 billion Veterans Healthcare Acccess and Services (VHAS) will maintain universal access to healthcare services for veterans by increasing funding for VA hospitals, clinics, and community care programs. We will invest in mental health and substance abuse treatment programs to address the unique needs of veterans suffering from post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and other combat-related conditions. We will also enhance telehealth capabilities to provide remote medical consultations, monitoring, and therapy for veterans in rural and underserved areas.
  • The €15 billion Support for Education, Employment, and Transition Program (SEET) will expand education and training benefits for veterans, including tuition assistance, vocational rehabilitation, and job placement services, to facilitate their transition to civilian life and pursue meaningful careers. Invest in programs to support veteran-owned small businesses and entrepreneurship initiatives, including access to capital, technical assistance, and government contracting opportunities. Enhance reintegration and transition assistance programs to provide comprehensive support services, including financial counseling, housing assistance, and mentorship, for veterans transitioning from military service to civilian life.
  • The €10.2 billion Veteran Housing Assitance Program, will provide financial assistance and incentives for veterans to become homeowners, including down payment assistance, mortgage loan guarantees, and low-interest financing options. We will expand housing counseling and education programs to help veterans navigate the home buying process, understand their rights and benefits, and make informed decisions about homeownership. We also collaborate with public and private sector partners to increase affordable housing options and reduce barriers to homeownership for veterans, including those with disabilities or low-income backgrounds.
  • The €5 billion Veterans Community Engagement and Integration Initiative (VCEII) will expand community-based support services and programs to enhance social integration and connection for veterans, including peer support groups, recreational activities, and cultural events. We will invest in initiatives to combat social isolation and loneliness among veterans, especially those transitioning from military service or facing physical or mental health challenges. We will also strengthen partnerships with community organizations, local governments, and businesses to create veteran-friendly environments, increase awareness of veterans' needs, and facilitate collaboration in providing support and opportunities for veterans' participation and contribution to society.

See also