What are European Reference Networks?

European Reference Networks (ERNs) are virtual networks involving Reference Centres across the EU and Norway. The aim of the ERNs is to tackle complex or rare diseases and conditions that require highly specialised treatment and concentrated knowledge and resources. 

The objectives of the ERNs are to: 

  • Improve clinical care by developing guidelines, training, and sharing knowledge. 
  • Secure involvement of key stakeholders including patients and patient organisations. 
  • Develop research activities as well as clinical trials to improve disease understanding. 
  • Implement new IT systems to enable cross-border clinical collaboration.

Rare patient cases can be discussed by a ‘virtual’ advisory board of medical specialists from across different countries and disciplines in a dedicated and secure IT platform, developed by the EU Commission specifically for ERNs. This approach allows the medical knowledge and expertise that travel, rather than the patients, who have the comfort of staying in their supportive home environments.

ERNs are based on Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patient’s rights in cross-border healthcare, which provides rules to facilitate access to safe and high-quality cross-border healthcare and promotes cooperation on healthcare between Member States.

Health systems in the European Union aim to provide high-quality, cost-effective care, but this is particularly difficult with rare or low-prevalence complex diseases or conditions. Between 5,000 and 8,000 rare diseases affect the daily lives of around 30 million people in the EU.

European Reference Networks additional information can be found on the website of the #newwindow# “European Commission”: https://ec.europa.eu/health/european-reference-networks/overview_en .

Explanatory video for patients

This video explains to patients affected by rare, low prevalence and complex diseases what the European Reference Networks (ERN) are and how they might support them to identify diagnosis or treatment, in the case their health professional considers the support of the ERNs is necessary. It is available in all EU languages and Norwegian, with or without subtitles here: Watch the video on audiovisual.ec.europa.eu

Overview of all networks

Network Name

Description

ERN BOND

ERN on bone disorders

ERN CRANIO

ERN on craniofacial anomalies and ear, nose and throat (ENT) disorders

Endo-ERN

ERN on endocrine conditions

ERN EpiCARE

ERN on epilepsies

ERKNet

ERN on kidney diseases

ERN-RND

ERN on neurological diseases

ERNICA

ERN on inherited and congenital anomalies

ERN LUNG

ERN on respiratory diseases

ERN Skin

ERN on skin disorders

ERN EURACAN

ERN on adult cancers (solid tumours)

ERN EuroBloodNet

ERN on haematological diseases

ERN eUROGEN

ERN on urogenital diseases and conditions

ERN EURO-NMD

ERN on neuromuscular diseases

ERN EYE

ERN on eye diseases

ERN GUARD-HEART

ERN on diseases of the heart

ERN-ITHACA

ERN on congenital malformations and rare intellectual disability

MetabERN

ERN on hereditary metabolic disorders

ERN PaedCan

ERN on paediatric cancer (haemato-oncology)

ERN RARE-LIVER

ERN on hepatological diseases

ERN ReCONNET

ERN on connective tissue and musculoskeletal diseases

ERN RITA

ERN on immunodeficiency, autoinflammatory and autoimmune diseases

ERN TRANSPLANT-CHILD

ERN on Transplantation in Children

VASCERN

ERN on Rare Multisystemic Vascular Diseases

Cross-border healthcare

ERNs were set up under the 2011 Directive on patients’ rights in cross-border healthcare. This Directive also makes it easier for patients to access information on healthcare and thus increase their treatment options.

To find information points on cross-border healthcare in the country where you want to be treated, click here