### 28. welcomes the ecb’s new internal whistleblowing framework; calls on the ecb to ensure its integrity and efficiency; ### 28. welcomes the enhancement of the ecb’s internal whistleblowing framework; calls on the ecb to ensure its integrity and efficiency;


### 29. reiterates that the nominations of the executive board members should be prepared carefully and take a gender-balanced approach , with full transparency and together with parliament , in line with the treaties; ### 29. reiterates that the nominations of the executive board members should be prepared carefully and take a gender-balanced approach , with full transparency and together with parliament , in line with the treaties and resolution2019/2614(rsp) , which requires short-lists that respect the principle of gender balance;


### 30. welcomes the ecb’s new strategy to further improve the gender balance of its staff at all levels; notes the increasing share of women in managerial positions , which , however , remains low; ### 30. welcomes the ecb’s strategy to further improve the gender balance of its staff at all levels; notes the increasing share of women in managerial positions , which , however , remains low; points out the huge gender gap in the governing council , where only 2 out of 25 seats are held by women; regrets that the gender imbalance also persists across the organisational structure of the ecb , notably in the share of women in senior management positions; encourages the ecb to steadily progress to its targets as defined in the 2020 gender balance strategy , and to reinforce its efforts to achieve a substantial change across the organisational hierarchy;


### b. whereas high flows of royalty , interest or dividend payments through a certain jurisdiction indicate that profits are being rerouted with the sole purpose of reducing the tax burden; ### b. whereas high flows of royalty , interest or dividend payments through a certain jurisdiction indicate that profits are being rerouted with the sole purpose of reducing the tax burden; whereas such countries are referred to as conduit jurisdictions; whereas studies21a indicate the leading role of the netherlands and ireland in channelling passive income flows to tax havens;


### d. whereas withholding taxes can reduce the risk of tax evasion and avoidance , thus remaining a reliable policy tool until the implementation of the above-mentioned agreement by the g20/oecd inclusive framework on beps; ### d. whereas withholding taxes are an effective tool to protect a domestic tax base and secure source based taxation , in addition withholding taxes are an effective instrument to comhat profit shifting to low-tax jurisdictions;


### e. whereas complex refund procedures increase the administrative burden for cross-border investments and may create an obstacle to market integration; ### e. whereas complex refund procedures increase the risk of tax fraud and avoidance schemes as demonstrated by the cum-ex revelations , it also increases the administrative burden for cross-border investments and may create an obstacle to market integration;


### f. whereas the interest and royalties directive (ird) and the parent-subsidiary directive (psd) both exempt certain cross-border payments that take place within the eu and are related to interest , royalties and dividends from withholding tax with the aim of eliminating double taxation; whereas negotiations on a revision of the ird have stalled in the council for several years; ### f. whereas the interest and royalties directive (ird) and the parent-subsidiary directive (psd) both exempt certain cross-border payments that take place within the eu and are related to interest , royalties and dividends from withholding tax with the aim of eliminating double taxation; whereas both ird and psd effectively gave taxing rights entirely to the residency countries incentivizing both companies to shift mobile profits to low-tax jurisdictions within the eu and member states to engage in a detrimental race to the bottom23a; whereas negotiations on a revision of the ird have stalled in the council since 2012;


### g. whereas the cum-ex and cum-cum schemes both involve reclaims of dividend withholding tax to which the beneficiaries were not entitled and are estimated to have imposed a total cost to taxpayers of about eur 55 billion between 2001 and 2012 in the 11 member states concerned; ### g. whereas the cum-ex and cum-cum schemes both involve reclaims of dividend withholding tax , facilitated by the financial sector and other intermediairies , to which the beneficiaries were not entitled and are estimated to have imposed a total cost to public coffers of around eur 140 billion between 2000 and 2020 in germany , netherlands , spain , france , italy , belgium , luxembourg , denmark , ireland and austria; whereas the revelations consitute the largest ever tax fraud in the european union; whereas public coffers are continuously losing taxpayer money as a result of these schemes which are still being actively used;


### 1. notes that despite continuous efforts , the system of withholding taxes in the eu has remained largely fragmented , creating loopholes which could be abused to shift profits and barriers to cross-border investments in the single market; ### 1. deplores that the system of withholding taxes in the eu , after being dismantled with the ird and psd , has remained largely fragmented in terms of rates and relief procedures , creating loopholes which are abused to shift profits , encouraging aggressive tax competition between eu member states and creating barriers to cross-border investments in the single market; deeply deplores the legislative inaction by policy makers at both eu and member state level confronted with growing evidence of profit shifting , aggressive tax competition , and most in particular after the cum-ex revelations , over the past decades on this matter;


### 3. welcomes the agreement reached by the g20/oecd inclusive framework on a two-pillar reform , including a global minimum effective tax rate; considers this an important step towards ending the practice of shifting profits to low-tax jurisdictions; regrets the fact that the scope is limited to multinational enterprises with a global consolidated turnover of at least eur 750 million; ### 3. welcomes the agreement reached by the g20/oecd inclusive framework on a two-pillar reform , including a global minimum effective tax rate; considers this an important step towards ending the practice of shifting profits to low-tax jurisdictions; regrets the agreement on the carve-out , the de-minimis exclusion and the fact that the rate is limited to 15%; notes that the g20/oecd inclusive framework agreements allows to lower the established threshold of eur 750 million;


### 4. is pleased that 136 countries and jurisdictions have supported the g20/oecd inclusive framework agreement on a two-pillar reform; regrets the fact that one member state is not part of the inclusive framework; ### 4. is pleased that 136 countries and jurisdictions have supported the g20/oecd inclusive framework agreement on a two-pillar reform; regrets the fact that one member state is not part of the inclusive framework; deeply regrets the damaging role played by certain eu member states during the negotiations , most in particular ireland , hungary , and estonia; notes that these countries at first refused to join the agreement in july 2021;


### 5. regrets the fact that base erosion and profit shifting are still ongoing and are facilitated by the tax regimes of certain member states; recalls that the commission , in the context of the european semester and the assessment of the national recovery and resilience plans , found that more reforms are needed in order to address aggressive tax planning in six member states , where the absence or limited application of withholding taxes on outbound payments are likely to be misused for aggressive tax planning; ### 5. regrets the fact that base erosion and profit shifting are still ongoing and are facilitated by the lack of a common withholding tax on outbound payments to third countries and the lack of a minimum rate for intra-eu flows of dividends , royalties and interests; recalls that the commission , in the context of the european semester and the assessment of the national recovery and resilience plans , found that more reforms are needed in order to address aggressive tax planning in six member states , where the absence or limited application of withholding taxes on outbound payments are misused for aggressive tax planning and treaty shopping;


### 6. calls on the commission and the member states to set up a harmonised withholding tax framework that ensures that all dividend , interest and royalties payments flowing out the eu are taxed at a minimum effective tax rate; ### 6. calls on the commission and the member states to agree on a harmonised withholding tax framework that ensures that all dividend , interest and royalties payments flowing out of the eu are taxed at a minimum effective tax rate of at least 25%; welcomes in this respect the introduced conditional withholding tax in the netherlands as a first step to limit profit shifting; notes that such a common withholding tax rates could constitute an eu own resource;


### 7. recalls the proposal by 10 member states to include an effective minimum tax rate for royalties and interest in the context of the ird; urges the council to swiftly resume and conclude the negotiations on the ird and encourages the inclusion of such a measure in the announced directive for the implementation of pillar ii; ### 7. recalls the proposal by 10 member states to include an effective minimum tax rate for royalties and interest in the context of the ird; deplore that negotiations have been blocked since 2012; urges the council to swiftly resume and conclude the negotiations on the ird and calls on the commission to include such a measure in the announced directive for the implementation of pillar ii;


### 8. notes that the lack of an effective minimum tax rate on dividend payments to shareholders has triggered a race to the bottom in this field; calls for the adoption of an effective minimum tax rate for dividend payments to shareholders in the eu , thereby reducing harmful tax competition in this realm; ### 8. notes that the lack of an effective minimum tax rate on dividend payments to shareholders has triggered a race to the bottom in this field; calls for the adoption of an effective minimum tax rate for dividend payments to shareholders in the eu , thereby reducing harmful tax competition in this realm; urges the commission to come forward with a revision of the psd;


### 9. recalls that in october 2018 , an investigation disclosed that 11 member states had lost up to eur 55.2 billion in tax revenue as a result of cum-ex and cum-cum schemes; ### 9. recalls that in october 2018 , an investigation disclosed that 11 member states had lost up to eur 55.2 billion in tax revenue as a result of cum-ex and cum-cum schemes; deeply deplores that in october 2021 the investigating readjusted the lost tax revenues to around 140 billion eur for the period 2000-2020; is deeply concerned that these schemes continue to be exploited and the tax fraud continuous at the expense of european public coffers; is concerned to hear that other schemes might exist with similar damaging impact such as cum-fake; notes that the german court of justice in karlsruhe has ruled in july 2021 that cum-ex schemes are illegal and therefore constitute tax fraud;


### 10. welcomes the inquiry and final report by the european securities and markets authority into cum-ex , cum-cum and withholding tax reclaim schemes , as requested by parliament; calls on the commission to propose measures to link tax reclaims to the underlying distribution of dividends , or to entrust a single entity with responsibility for collecting the withholding tax and issuing the relevant certificate; ### 10. notes the inquiry and final report by the european securities and markets authority (esma) and the european banking authority (eba) into cum-ex , cum-cum and withholding tax reclaim schemes , as requested by parliament; calls on the commission to propose measures to link tax reclaims to the underlying distribution of dividends , or to entrust a single entity with responsibility for collecting the withholding tax and issuing the relevant certificate; highlights in this framework the importance of accurate and complete beneficial ownership information;


### 11. calls on the commission to enhance cooperation and mutual assistance between tax authorities , financial market supervisory authorities and , where appropriate , law enforcement bodies regarding the detection and prosecution of withholding tax reclaim schemes; ### 11. deeply deplores that both esma and eba have failed in their supervisory powers and fail to acknowledge their failure; emphasises that the cum-ex revelations should not be limited to a mere tax issue but also a financial markets abuse matter; calls on the commission to analyse whether the european market abuse regulation has been violated; emphasises in addition that the role of intermediaries should be further investigated and calls on the commission to develop appropriate measures to tackle the role of intermediaries in facilitating tax fraud , and avoidance; calls on the commission to enhance cooperation and mutual assistance between tax authorities , financial market supervisory authorities and , where appropriate , law enforcement bodies regarding the detection and prosecution of withholding tax reclaim schemes;


### 12. notes that although directive 2014/107/eu has facilitated the exchange of information , other obstacles to the detection of cum-ex and cum-cum schemes exist , including the timeliness of exchanges , the scope of the exchange of information on capital gains , and the insufficient spontaneous exchange of information; ### 12. notes that although directive 2014/107/eu has facilitated the exchange of information , other obstacles to the detection of cum-ex and cum-cum schemes exist , including the timeliness of exchanges , the scope of the exchange of information on capital gains , and the insufficient spontaneous exchange of information; recalls the recommendations from its resolution of 16 september 2021 on the implementation of the eu requirements for exchange of tax information: progress , lessons learnt and obstacles to overcome;


### 13. recalls that directive (eu) 2018/822 introduced an obligation on intermediaries to report potentially harmful tax arrangements; calls on the commission to evaluate to what extent these rules have contributed to revealing harmful tax arrangements such as cum-cum and cum-ex schemes and to what extent they have had a deterrent effect; ### 13. recalls that directive (eu) 2018/822 introduced an obligation on intermediaries to report potentially harmful tax arrangements; calls on the commission to evaluate to what extent these rules have contributed to revealing harmful tax arrangements such as cum-cum and cum-ex schemes and to what extent they have had a deterrent effect; calls on the commission to extend dac6 reporting requirements to cross-border arrangements for the management of assets of clients who are natural persons;


### 14. notes the commission’s intention to put forward a proposal by the end of 2022 establishing a european withholding tax framework for dividend , interest or royalty payments , accompanied by a mechanism for the exchange of information and cooperation among tax administrations; ### 14. deplores the commission’s and member states’ large inaction to address the problems of treaty shopping facilitated by eu member states and the abusive schemes revealed by the cum-ex files; welcomes the commission’s intention to put forward a proposal by the end of 2022 establishing a european withholding tax framework for dividend , interest or royalty payments , accompanied by a mechanism for the exchange of information and cooperation among tax administrations; urges the commission for more ambition and to strive to also tackle divergences in withholding tax rates in the eu;


### 15. encourages the development of a harmonised eu procedure for withholding tax refunds for all member states , thereby addressing the concerns about regulatory discrepancies; ### 15. urges the commission to come forward with a harmonised eu procedure for withholding tax refunds for all member states , thereby addressing the concerns about regulatory discrepancies; notes that harmonisation can significantly simplify rules and diminish the need to rely on advanced technologies;


### 16. notes that digitalising these procedures and improving cooperation between national tax administrations could reduce the administrative burden and uncertainty in cross-border investments; ### 16. notes that digitalising these procedures and improving cooperation between national tax administrations could reduce the administrative burden and uncertainty in cross-border investments; emphasises that technology is not a silver bullet to solve complexities caused by political inaction and a refusal to agree on common rules;


### 17. takes note of the option to establish an eu system for relief at source; highlights that a move towards this type of system cannot be detrimental to the fight against tax abuse; stresses that , in all circumstances , compliance by the destination state with the agreement reached by the g20/oecd inclusive framework must be a prerequisite for relief at source; ### 17. takes note of the option to establish an eu system for relief at source; highlights that a move towards this type of system cannot be detrimental to the fight against tax abuse; stresses that , in all circumstances , compliance by the destination state with the agreement reached by the g20/oecd inclusive framework must be a prerequisite for relief at source; calls on the commission to also consider relief at residence as a means to achieve efficient withholding tax procedures limiting possibilities for abuse;


### 3. at its request , a csd operating a dlt securities settlement system may be exempted by the competent authority from the application of article 19 and article 30 of regulation (eu) no 909/2014 , provided that: ### deleted


### they shall also have up-to-date , clear and detailed publically available written documentation , which may be made available by electronic means , defining the rules under which the dlt market infrastructure shall operate , including the agreed upon associated legal terms defining the rights , obligations , responsibilities and liabilities of the operator of the dlt market infrastructure , as well as that of the members , participants , issuers and/or clients using the dlt market infrastructure concerned. such legal arrangements shall specify the governing law , the pre-litigation dispute settlement mechanism and the jurisdiction for bringing legal action. ### they shall also have up-to-date , clear and detailed publically available written documentation , which may be made available by electronic means , defining the rules under which the dlt market infrastructure shall operate , including the agreed upon associated legal terms defining the rights , obligations , responsibilities and liabilities of the operator of the dlt market infrastructure , as well as that of the members , participants , issuers and/or clients using the dlt market infrastructure concerned. such legal arrangements shall specify the governing law , the pre-litigation dispute settlement mechanism , any insolvency protection measures under directive 98/26/ec , and the jurisdiction for bringing legal action.


### 2. a csd operating a dlt securities settlement system , and an investment firm or a market operator operating a dlt mtf requesting an exemption from article 3(2) of regulation (eu) no 909/2014 , shall establish rules on the functioning of the dlt they operate , including the rules for accessing the distributed ledger technology , the participation of the validating nodes , addressing potential conflicts of interest , and risk management including any mitigation measures. ### 2. the operators of dlt market infrastructures shall at all times remain fully responsible for the services and activities they carry out under this regulation , including the operation of their dlt. they shall establish rules on the functioning of the dlt they operate , including the rules for accessing the distributed ledger technology , the participation of the validating nodes , addressing potential conflicts of interest , and risk management including any risk mitigation measures to ensure investor protection and financial stability. where the operators of dlt market infrastructures outsource part of their services and activities they shall ensure that the conditions laid down in article 30 of regulation (eu) no 909/2014 are fully complied with , mutatis mutandis.


### the overall it and cyber arrangements , referred to in paragraph 4 , shall ensure that the said funds , collateral and dlt transferable securities , as well as the means of access to such assets , are protected from the risks of unauthorised access , hacking , degradation , loss , cyber-attack or theft. ### the overall it and cyber arrangements , referred to in paragraph 4 , shall ensure that the said funds , collateral and dlt transferable securities , as well as the means of access to such assets , are protected from the risks of unauthorised access , hacking , degradation , loss , cyber-attack , theft , fraud , negligence or other serious operational malfunctions.


### 3. before deciding on an application for a specific permission to operate a dlt mtf under this regulation , the competent authority of the home member state shall notify and provide all relevant information on the dlt mtf to esma , an explanation of the exemptions requested , their justifications and any compensatory measures proposed by the applicant or required by the competent authority. ### 3. before deciding on an application for a specific permission to operate a dlt mtf under this regulation , esma shall notify the competent authority of the home member state and , where the dltt mtf has requested permission to record and settle securities in accordance with article 4 (2) , shall also notify the relevant authorities specified in article 12 of regulation (eu) no 909/2014 , and shall consult those authorities on the features of the securities settlement system operated by the applicant.


### within three months of receipt of the notification , esma shall provide the competent authority with a non-binding opinion on the application and shall make any recommendations on the exemptions requested by the applicant , that are necessary to ensure investor protection , market integrity and financial stability. esma shall also promote the consistency and proportionality of exemptions granted by competent authorities to investment firms or market operators operating dlt mtfs across the union. in order to do so , esma , shall consult the competent authorities of the other member states in a timely manner and take the utmost account of their views in its opinion. ### within three months of receipt of the application , esma shall issue a decision on the application and shall require any additional compensatory measures on the exemptions requested by the applicant , that are necessary to ensure investor protection , market integrity and financial stability. esma shall adopt a risk-based approach and promote the consistency and proportionality of exemptions granted by competent authorities to investment firms or market operators operating dlt mtfs across the union.


### 5. the specific permission granted to either an investment firm or a market operator to operate a dlt mtf shall be valid throughout the union for up to six years from the date of the specific permission. it shall specify the exemptions that are granted , in accordance with article 4. ### 5. the specific permission granted to either an investment firm or a market operator to operate a dlt mtf shall be valid throughout the union for up to four years from the date of the specific permission. it shall specify the exemptions that are granted , in accordance with article 4.


### 3. before deciding on an application for a specific permission to operate a dlt mtf under this regulation , the competent authority shall notify and provide all relevant information on the dlt securities settlement system to esma and an explanation of the exemptions requested , their justification and any compensatory measures proposed by the applicant or required by the competent authority. ### 3. before deciding on an application for a specific permission to operate a dlt operating securities settlement system under this regulation , esma shall notify the competent authority of the home member state and the relevant authorities specified in article 12 of regulation (eu) no 909/2014 , and shall consult those authorities on the features of the securities settlement system operated by the applicant.


### within three months of receipt of the notification , esma shall provide the competent authority with a non-binding opinion on the application and shall make any recommendations on the exemptions requested by the applicant , that are necessary to ensure investor protection , market integrity and financial stability. esma shall also promote the consistency and proportionality of exemptions granted by competent authorities to csds operating dlt securities settlement systems , across the union. in order to do so , esma , shall consult the competent authorities of the other member states in a timely manner and take the utmost account of their views in its opinion. ### within three months of receipt of the application , esma shall issue a decision on the application and shall require any additional compensatory measures on the exemptions requested by the applicant , that are necessary to ensure investor protection , market integrity and financial stability. esma shall adopt a risk-based approach and promote the consistency and proportionality of exemptions granted by competent authorities to csds operating dlt securities settlement systems across the union.


### 1. five years from the entry into application of this regulation , at the latest , esma shall present a report to the commission on: ### 1. three years from the entry into application of this regulation , at the latest , esma shall present a comprehensive report to the commission on:


### any risks presented by the use of a dlt; ### any risks presented by the use of a dlt to investor protection , market integrity and financial stability , including novel types of legal , systemic and operational risks , which are not sufficiently addressed by existing rules and any unintended effects on liquidity and volatility and financial stability;


### the benefits resulting from the use of a dlt , in terms of any efficiency improvements and risk reductions across the entire trading and post-trading chain , including without limitation , with regard to the recording and safekeeping of dlt transferable securities , the traceability of transactions , corporate actions , reporting and supervision functions at the level of the dlt market infrastructure; ### any benefits resulting from the use of a dlt , in terms of additional liquidity and financing to start-ups and smes , any safety and efficiency improvements and risk reductions across the entire trading and post-trading chain , including without limitation , with regard to the recording and safekeeping of dlt transferable securities , the traceability of transactions and enhanced compliance with know your customer and anti-money laundering processes , corporate actions and direct exercise of investor rights via smart contracts , reporting and supervision functions at the level of the dlt market infrastructure;


### made permanent with or without amendment; or ### deleted


### 1. stresses its commitment to the 2030 agenda , especially in light of the new geopolitical landscape and the ongoing climate , biodiversity and health crises; warns against further polarisation in the distribution of wealth and income , which would lead to increased inequality and poverty; highlights , against this backdrop , the importance of the sdgs , which provide a universal compass for people’s prosperity and to protect the planet; recalls that a pledge to leave no one behind lies at the heart of the 2030 agenda and that the achievement of the sdgs should benefit all countries , people and segments of society; ### 1. stresses its commitment to the 2030 agenda , especially in light of the new geopolitical landscape and the ongoing climate , biodiversity and health crises; warns against further polarisation in the distribution of wealth and income , which would lead to increased inequality and poverty; highlights , against this backdrop , the importance of the sdgs , which provide a universal compass for people’s prosperity and to protect the planet; recalls that a pledge to leave no one behind lies at the heart of the 2030 agenda and should be fully operationalised in the implementation of all sdgs by focusing on issues of equality and non-discrimination and addressing the root causes of these issues , with particular attention being paid to those who are most marginalised and vulnerable;


### 3. notes that the implementation process for almost all the sdgs is lagging and that two consecutive years of regression have been recorded for many indicators9; reaffirms the importance of each sdg and highlights the key challenges that persist for sustainable development , particularly in relation to poverty (sdg 1) , hunger (sdg 2) , health (sdg 3) , education (sdg 4) , climate change (sdg 13) , oceans (sdg 14) and biodiversity (sdg 15); underlines the strategic role that sdg 10 , on reducing inequality , can play in the global implementation of the 2030 agenda; ### 3. notes that the implementation process for almost all the sdgs is lagging and that two consecutive years of regression have been recorded for many indicators[1]; reaffirms the importance of each sdg and highlights the key challenges that persist for sustainable development , particularly in relation to poverty (sdg 1) , hunger (sdg 2) , health (sdg 3) , education (sdg 4) , gender equality (sdg 5) , climate change (sdg 13) , oceans (sdg 14) and biodiversity (sdg 15); underlines the strategic role that sdg 10 , on reducing inequality , and sdg 17 on global partnerships can play in the global implementation of the 2030 agenda;


### 6. regrets the fact that the commission has still not presented a comprehensive strategy for achieving the 2030 agenda; ### 6. regrets the fact that the commission has still not presented a comprehensive strategy for achieving the 2030 agenda given that there are only seven years left to achieve the sdgs and , hence , urgent implementation is required through the definition of specific , quantitative , measurable and time-bound targets and indicators;


### 8. stresses parliament’s important role in promoting the sdgs’ implementation through european policies and heightening the goals’ visibility in public discourse; underlines that coordination within and between the eu institutions is essential in order to ensure the eu’s leadership and increase the effectiveness of its efforts to implement the 2030 agenda; ### 8. stresses the important role of the european parliament , national parliaments and regional and local authorities in the sdgs’ implementation through european policies and heightening the goals’ visibility in public discourse; underlines that coordination within and between the eu institutions is essential in order to ensure the eu’s leadership and increase the effectiveness of its efforts to implement the 2030 agenda;


### 11. underlines the importance of enhanced cooperation with partners in the global south , particularly the african union and civil society representatives , in order to implement the 2030 agenda globally; ### 11. underlines the importance of enhanced cooperation with partners in the global south , particularly the african union and with representatives of local and regional governments and civil society representatives , in order to implement the 2030 agenda globally;


### 12. stresses , in this regard , that the eu and its member states must avoid negative spillover effects at the expense of the global south , which occur as a result of their past economic and technological model; advocates cooperation with global partners to turn any negative spillover effects into virtuous circles; calls for all eu policies to be subject to a mandatory sdg check to provide more insight on and address any negative effects and ensure that change in this area is measurable; ### 12. stresses , in this regard , that the eu and its member states must avoid negative spillover effects at the expense of the global south , which occur as a result of their past economic and technological model; reiterates in this respect the need to comply with the principle of policy coherence for development and the “do not harm” principle , with special attention paid to trade , finance , environment and climate change , food security , migration and security; advocates cooperation with global partners; calls for all eu policies to be subject to a mandatory sdg check to provide more insight on and address any negative effects and ensure that change in this area is measurable;


### 13. points out that , in order to assess the member states’ progress on the sdgs , the eurostat sustainable development indicators must be improved by filling the gaps for some sdgs and better measuring policies’ impact on territories and specific vulnerable groups; ### 13. points out that , in order to assess the member states’ progress on the sdgs , the eurostat sustainable development indicators must be improved by filling the gaps for some sdgs; points out , however , that , since they are used to assess the sdgs at national level , they do not reflect reality on the ground; believes , therefore , that nuts-2-level data should also be used to better measure policies’ impact on territories and specific vulnerable groups;


### 15. highlights the importance of voluntary local reviews and voluntary subnational reviews as a means of further localising the sdgs and therefore advancing their implementation; ### 15. recommends a renewed focus on localizing the sdgs , support for the implementation at all territorial levels , facilitating peer learning between regions and cities at global level and encouraging a greater engagement in voluntary local reviews (vlrs) and voluntary subnational reviews;


### 19. stresses that adequate financing for the attainment of the sdgs , especially in developing countries , requires a thorough overhaul of the global financial architecture; urges the commission and the member states to step up their engagement and jointly work towards the necessary reforms of the international monetary fund , the world bank group and multilateral development banks in order to adjust these financial institutions’ visions and operating models with a focus on strengthening the fight against poverty and rising inequality and promoting a just and sustainable transition; ### 19. stresses that adequate financing for the attainment of the sdgs , especially in developing countries , requires a thorough overhaul of the global financial architecture; welcomes in this respect the un’s sdg stimulus package and its proposal to reform the global international financial architecture; urges the commission and the member states to step up their engagement and jointly work towards the necessary reforms of the international monetary fund , the world bank group and multilateral development banks in order to adjust these financial institutions’ visions and operating models with a focus on strengthening the fight against poverty and rising inequality and promoting a just and sustainable transition;


### 21. stresses that more than half of the world’s poorest countries face either a debt crisis or a high risk of one; welcomes the un secretary-general’s push for a global sdg stimulus package and calls for effective debt relief measures that make use of the full toolset available and include both ‘new lenders’ and private creditors; ### 21. is alarmed by the fact that ldcs were already unable to finance the implementation of the sdgs before the covid-19 pandemic and the war in ukraine and are now even more in need of financial support; stresses that more than half of the world’s poorest countries face either a debt crisis or a high risk of one; notes with deep concern that according to the united nations , 25 developing countries paid more than 20 per cent of total government revenue in external debt service in 2022 , while sixteen of the most debt-troubled countries today owe more than 30 percent to private creditors[1]; against this background , applauds the un secretary-general’s push for a global sdg stimulus package to offset challenging conditions faced by developing countries and accelerate progress towards the sdgs , including through investments in i.e. renewable energy , universal social protection , decent job creation , healthcare , quality education and sustainable food systems; and calls for effective debt relief measures that make use of the full toolset available and include both ‘new lenders’ and private creditors; reiterates its call for the creation of a multilateral debt workout mechanism , under un auspices , to address the debt crisis in developing countries and the financing requirements of the agenda 2030;


### 22. recognises the importance of domestic resources being mobilised in developing countries and draws attention to the fact that this is contingent on an enabling international environment; calls on the commission and the member states to take the initiative and push for the establishment of a un intergovernmental commission for international cooperation on tax matters , in order to fight illicit financial outflows and close tax havens; ### 22. recognises the importance of domestic resources being mobilised in developing countries and draws attention to the fact that this is contingent on an enabling international environment; accordingly , calls on the eu to scale up its cooperation with developing countries on tax matters to enable them to enhance mobilisation of public resources; in particular , calls on the commission and the member states to take the initiative and push for the establishment of a un intergovernmental commission for international cooperation on tax matters , in order to fight illicit financial outflows and close tax havens;


### b. whereas the impact of the covid-19 pandemic is not yet fully known , but has already led to a significant degree of sdg backsliding; ### b. whereas the impact of the covid-19 pandemic is not yet fully known but has already led to a significant degree of sdg backsliding globally , including in the eu where the sdg index score declined for the first time; whereas according to the united nations “financing for sustainable development report” (2021) , the covid-19 pandemic could lead to a “lost decade” for sustainable development; whereas ldcs have been hit particularly hard because of their dependence on trade as a driver of economic growth , their small domestic markets and low levels of diversification , all of which increase their vulnerability to external shocks;


### 12. welcomes the commission’s target of achieving a reduction of at least 10 % in the harmful use of alcohol by 2025; encourages the commission and the member states to promote actions to reduce and prevent alcohol-related harm within the framework of a revised eu alcohol strategy13 ; supports the provision of better information to consumers by improving the labelling of alcohol beverages to include prominent warning labels and introducing the mandatory indication of the list of ingredients and nutritional information; calls for the prohibition of alcohol advertising at sport events and for the prohibition of alcohol sponsorship of sport; considers it important to protect children from commercial communication on alcohol consumption , as well as product placement and sponsorship of alcohol brands , especially in the digital environment; calls for the strong monitoring of the implementation of the revised audiovisual media service directive14 ; encourages the allocation of public funds for national and european awareness campaigns; supports the planned review of eu legislation on the taxation of alcohol and on cross-border purchases of alcohol by private individuals and a review of alcohol pricing policies , including increasing taxes on alcoholic beverages; ### 12. welcomes the commission’s target of achieving a reduction of at least 10 % in alcohol consumption by 2025; encourages the commission and the member states to promote actions to reduce and prevent alcohol-related harm within the framework of a revised eu alcohol strategy13 ; supports the provision of better information to consumers by improving the labelling of alcohol beverages to include prominent warning labels and , in line with obligations for other food and drink products , introducing the mandatory indication of the list of ingredients and nutritional information on the label; calls for the prohibition of alcohol advertising at sport events and for the prohibition of alcohol sponsorship of sport; considers it important to protect children from commercial communication on alcohol consumption , as well as product placement and sponsorship of alcohol brands , especially in the digital environment; calls for the strong monitoring of the implementation of the revised audiovisual media service directive14 ; encourages the allocation of public funds for national and european awareness campaigns; supports the planned review of eu legislation on the taxation of alcohol and on cross-border purchases of alcohol by private individuals and a review of alcohol pricing policies , including increasing taxes on alcoholic beverages and minimum unit pricing;


### 12. welcomes the commission’s target of achieving a reduction of at least 10 % in the harmful use of alcohol by 2025; encourages the commission and the member states to promote actions to reduce and prevent alcohol-related harm within the framework of a revised eu alcohol strategy13; supports the provision of better information to consumers by improving the labelling of alcohol beverages to include prominent warning labels and introducing the mandatory indication of the list of ingredients and nutritional information; calls for the prohibition of alcohol advertising at sport events and for the prohibition of alcohol sponsorship of sport; considers it important to protect children from commercial communication on alcohol consumption , as well as product placement and sponsorship of alcohol brands , especially in the digital environment; calls for the strong monitoring of the implementation of the revised audiovisual media service directive14; encourages the allocation of public funds for national and european awareness campaigns; supports the planned review of eu legislation on the taxation of alcohol and on cross-border purchases of alcohol by private individuals and a review of alcohol pricing policies , including increasing taxes on alcoholic beverages; ### 12. welcomes the commission’s target of achieving a reduction of at least 10 % in the use of alcohol by 2025; encourages the commission and the member states to promote actions to reduce and prevent alcohol-related harm within the framework of a revised eu alcohol strategy13; supports the provision of better information to consumers by improving the labelling of alcohol beverages to include prominent warning labels on the carcinogenic effects of alcohol and introducing the mandatory indication of the list of ingredients and nutritional information; calls for the prohibition of alcohol advertising at sport events and for the prohibition of alcohol sponsorship of sport; considers it important to protect children from commercial communication on alcohol consumption , as well as product placement and sponsorship of alcohol or alcohol-like non-alcoholic beverage brands , especially in the digital environment; calls for the strong monitoring of the implementation of the revised audiovisual media service directive14; calls for stricter controls on the timing of the sale of alcoholic beverages , with limited hours and/or days for the sale of alcoholic beverages , and encourages the allocation of public funds for national and european awareness campaigns; supports the planned review of eu legislation on the taxation of alcohol and on cross-border purchases of alcohol by private individuals and a review of alcohol pricing policies , including increasing taxes on alcoholic beverages;


### 13. emphasises the role of a healthy diet in cancer prevention and that individual cancer risks can be reduced by an appropriate intake of fruits and vegetables , and therefore welcomes the upcoming revision of the ‘eu school fruit , vegetables and milk scheme’; asks the commission and the member states to help consumers to make informed , healthy and sustainable choices about food products via the adoption of harmonised , mandatory front-of-pack nutrition labelling , such as the nutri-score; welcomes the focus on healthy nutrition in the eu child guarantee15 and calls for a new eu action plan on childhood obesity; supports fiscal measures to make fresh foods (such as pulses , grains and vegetables) more affordable and accessible at national level , especially for people with low incomes; encourages member states to use pricing policies , such as value added tax differentiation , and marketing controls to influence demand for , access to and the affordability of food and drink low in saturated fats , trans-fats , salt and sugar; supports member states in restricting the advertising of ultra-processed food products and sugary and sweetened beverages , including on social media; ### 13. emphasises the role of a healthy diet in cancer prevention and that individual cancer risks can be reduced by an increased intake of fruits and vegetables , pulses , legumes and wholegrains and a reduced consumption of red and processed meat and other foods linked to cancer risks , and therefore welcomes the upcoming revision of the ‘eu school fruit , vegetables and milk scheme’ and the eu's policy on the promotion of agricultural products; asks the commission and the member states to help consumers to make informed , healthy and sustainable choices about food products via the adoption of harmonised , mandatory front-of-pack nutrition labelling , such as the nutri-score and information about the use of pesticides; welcomes the focus on healthy nutrition in the eu child guarantee15 and calls for the critical evaluation of the eu action plan on childhood obesity 2014-2020 and an inclusive and evidence-based process to define a new eu action plan on childhood obesity; supports fiscal measures to make fresh foods (such as pulses , grains and vegetables) more affordable and accessible at national level , especially for people with low incomes; recalls that the who has classified processed meats , including ham , bacon , salami , sausages and frankfurters , as a group 1 carcinogen , and red meat , such as beef , lamb and pork , a group 2a carcinogen; calls on member states to use pricing policies , such as value added tax differentiation , and marketing controls to influence demand for , access to and the affordability of food and drink low in saturated fats , trans-fats , salt and sugar; supports member states in restricting the advertising of processed food products high in fats , salt and sugar , and sugary and sweetened beverages , including on social media; calls on the commission to come forward with a proposal for a comprehensive eu-wide regulation to prohibit such advertising to children;


### 15. welcomes the launch of the eu’s ‘healthlifestyle4all’ campaign involving the promotion of sports , physical activity and healthy diets , in addition to other key sectors; ### 15. welcomes the launch of the eu’s ‘healthlifestyle4all’ campaign involving the promotion of sports , physical activity and healthy diets , in addition to other key sectors; recommends for schools to have health education included in their curricula , to ensure that children and adolescents learn how to lead a healthy lifestyle;


### 16. points out that radiation from the sun contains invisible ultraviolet (uv) radiation which can lead to skin cancer; supports the strengthening of protection against exposure to uv radiation at eu level , especially in the framework of occupational health and safety legislation for outdoor workers; calls on the member states to fully implement the rules on artificial tanning devices (sunbeds)16 and to work together towards the phasing out of sunbeds for cosmetic purposes; ### 16. points out that radiation from the sun contains invisible ultraviolet (uv) radiation which can lead to skin cancer; supports the strengthening of protection against exposure to uv radiation at eu level , especially in the framework of occupational health and safety legislation for outdoor workers; calls on the member states to fully implement the rules on artificial tanning devices (sunbeds)16 and to work together towards the outright ban of these devices classified as a group 1 carcinogens , particularly for cosmetic purposes;


### 18. sees the european green deal as a contributing factor in cancer prevention in europe , via the reduction of air , food , water and soil pollution and of chemical exposure; calls for an evaluation of the impact of policies on cancer incidence to be integrated into the farm to fork strategy and the chemical , zero pollution and non-toxic environment strategies; welcomes the upcoming revision of the eu’s air quality standards to align them with who guidelines; calls on the commission to ensure that the common agricultural policy reduces the intake of pesticide residues; encourages the use and development of medicines that are safer for the environment; ### 18. sees the european green deal as a significant contributing factor in cancer prevention in europe , via the reduction of air , food , water and soil pollution and of chemical exposure; calls for full and swift implementation of the farm to fork strategy , the chemical strategy for sustainability , the zero pollution action plan and an evaluation of the impact of those policies on cancer incidence every five years; welcomes the upcoming revision of the eu’s air quality standards to align them with who guidelines; calls on the commission to ensure that the common agricultural policy reduces the intake of pesticide residues; encourages the use and development of medicines that are safer for the environment;


### 18. sees the european green deal as a contributing factor in cancer prevention in europe , via the reduction of air , food , water and soil pollution and of chemical exposure; calls for an evaluation of the impact of policies on cancer incidence to be integrated into the farm to fork strategy and the chemical , zero pollution and non-toxic environment strategies; welcomes the upcoming revision of the eu’s air quality standards to align them with who guidelines; calls on the commission to ensure that the common agricultural policy reduces the intake of pesticide residues; encourages the use and development of medicines that are safer for the environment; ### 18. sees the european green deal as a contributing factor in cancer prevention in europe , via the reduction of air , food , water and soil pollution and of chemical exposure; calls for an evaluation of the impact of policies on cancer incidence to be integrated into the farm to fork strategy and the chemical , zero pollution and non-toxic environment strategies; welcomes the upcoming revision of the eu's air quality standards to align them with who guidelines; calls on the commission to ensure that the common agricultural policy reduces the intake of pesticide residues; encourages the development of green areas inside and surrounding urban and highly populated areas and of green belts along highways;


### 19. looks forward to the implementation of the revised drinking water directive19 and the implementation and enforcement of the water framework directive20 , which will reduce the concentrations in surface and ground waters of certain pollutants that could contribute to cancer incidence; ### 19. stresses the need for full implementation of the revised drinking water directive19 and the implementation and enforcement of the water framework directive20 , which will reduce the concentrations in surface and ground waters of certain pollutants that could contribute to cancer incidence;


### 20. calls for the registration , evaluation , authorisation and restriction of chemicals under the reach regulation21 to be conducted in association with the iarc assessments; calls on the commission to adopt effective guidance and legislation to reduce citizens’ exposure to carcinogenic substances; ### 20. calls in particular for the strengthening of the information requirements on carcinogenicity under reach to enable identification of all carcinogenic substances manufactured or imported , irrespective of the volume , in line with the chemicals strategy for sustainability , and for the registration , evaluation , authorisation and restriction of chemicals under the reach regulation21 to be conducted in association with the iarc assessments; calls on the commission to adopt effective legislation , including on labelling requirements , to reduce citizens’ exposure to carcinogenic substances and endocrine disruptors , in line with the chemicals strategy for sustainability;


### 21. considers that the next review of the european code against cancer (ecac) will have to take into account the latest knowledge on environmental carcinogens; calls for the regulation on food contact materials22 to be reviewed in order to reduce exposure to carcinogens and endocrine disruptors; ### 21. considers that the next edition of the european code against cancer (ecac) will have to take into account the latest knowledge on environmental carcinogens; calls on the commission to propose without delay a revision of reach article 68(2) , the regulation on food contact materials22 , the regulation on cosmetic products , the directive on toys safety and other relevant consumer product legislation to ensure that consumer products do not contain chemicals that cause cancer or affect the endocrine system in line with the chemicals strategy for sustainability;


### 22. recalls that exposure at work is responsible for at least 120 000 deaths from cancer each year in the eu; looks forward to the forthcoming new eu strategic framework on health and safety at work for the 2021-2027 period , the regular update of directive 2004/37/ec of 29 april 2004 on the protection of workers from the risks related to exposure to carcinogens or mutagens at work23 , and the addition of further binding occupational exposure limits within that directive; welcomes the commission’s commitment to presenting a legislative proposal to further reduce workers’ exposure to asbestos in 2022; asks member states to facilitate recognition of and compensation for proven work-related cancers; stresses the need to ensure the best possible general and individual protection measures for healthcare workers handling anti-cancer drugs; ### 22. recalls that exposure at work is responsible for at least 120 000 deaths from cancer each year in the eu and that 8% of all cancer cases are work-related , making up 12% of cancer cases among men and 7% of cancer cases among women; looks forward to the forthcoming new eu strategic framework on health and safety at work for the 2021-2027 period , the regular update of directive 2004/37/ec of 29 april 2004 on the protection of workers from the risks related to exposure to carcinogens or mutagens at work23 , and the addition of further binding occupational exposure limits within that directive; stresses that 50 priority carcinogens have been identified and that workers are widely exposed to them in europe , but that binding occupational exposure limit values exist to date for only 27 of them; calls for the scope of the carcinogens and mutagens directive to be extended to include substances toxic to reproduction and dangerous medicines and for a new coherent , transparent and risk-based system for setting exposure limits to be established; welcomes the commission’s commitment to presenting a legislative proposal to further reduce workers’ exposure to asbestos in 2022; asks member states to facilitate recognition of and compensation for proven work-related cancers; stresses the need to ensure the best possible general and individual protection measures for healthcare workers handling anti-cancer drugs;


### 23. encourages the commission and the member states to promote the prevention of cancers related to infectious diseases; recalls that human papillomavirus (hpv) is a sexually transmitted infection associated with uterine , cervical and oropharyngeal cancers; welcomes the vaccination programmes in the fight against hpv transmission; notes and regrets major discrepancies in vaccination coverage between member states , ranging from less than 30 % to more than 70 % (with the required level of population immunity being at 70 %); insists that a gender-neutral hpv vaccination programme be implemented in the member states to ensure the elimination of all hpv-related cancers; considers it important to draw up further recommendations to better implement these programmes; calls for more harmonisation of hpv and hepatitis b vaccination within member states’ national programmes , while ensuring the provision of information about and equal access to vaccination; supports further research into the most effective vaccination schedules against other carcinogenic viruses such as hepatitis c; calls for collaboration with member states and international organisations to combat the impact of misinformation on vaccination and address vaccine hesitancy; ### 23. acknowledges that carcinogenic viruses are responsible for around 10 % of new cancer cases each year; recognises that such cancers are largely preventable; encourages the commission and the member states to promote the prevention of cancers related to infectious diseases; recalls that human papillomavirus (hpv) is a sexually transmitted infection associated with uterine , cervical and oropharyngeal cancers; welcomes the vaccination programmes in the fight against hpv transmission; notes and regrets major discrepancies in vaccination coverage between member states , ranging from less than 30 % to more than 70 % (with the required level of population immunity being at 70 %); insists that a gender-neutral hpv vaccination programme be implemented in the member states to ensure the elimination of all hpv-related cancers; considers it important to draw up further recommendations to better implement these programmes; stresses the need for coordinated actions targeting carcinogenic viruses , such as hpv and hepatitis b , in order to prevent their transmission and calls for more harmonisation of hpv and hepatitis b vaccination within member states’ national programmes , while ensuring the provision of information about and equal access to vaccination; supports further research into the most effective vaccination schedules against other carcinogenic viruses such as hepatitis c; calls for collaboration with member states and international organisations to combat the impact of misinformation on vaccination and address vaccine hesitancy;


### 23. encourages the commission and the member states to promote the prevention of cancers related to infectious diseases; recalls that human papillomavirus (hpv) is a sexually transmitted infection associated with uterine , cervical and oropharyngeal cancers; welcomes the vaccination programmes in the fight against hpv transmission; notes and regrets major discrepancies in vaccination coverage between member states , ranging from less than 30 % to more than 70 % (with the required level of population immunity being at 70 %); insists that a gender-neutral hpv vaccination programme be implemented in the member states to ensure the elimination of all hpv-related cancers; considers it important to draw up further recommendations to better implement these programmes; calls for more harmonisation of hpv and hepatitis b vaccination within member states’ national programmes , while ensuring the provision of information about and equal access to vaccination; supports further research into the most effective vaccination schedules against other carcinogenic viruses such as hepatitis c; calls for collaboration with member states and international organisations to combat the impact of misinformation on vaccination and address vaccine hesitancy; ### 23. encourages the commission and the member states to promote the prevention of cancers related to infectious diseases; recalls that human papillomavirus (hpv) is a sexually transmitted infection associated with uterine , cervical and oropharyngeal cancers; welcomes the vaccination programmes in the fight against hpv transmission; notes and regrets major discrepancies in vaccination coverage between member states , ranging from less than 30 % to more than 70 % (with the required level of population immunity being at 70 %); insists that a gender-neutral hpv vaccination programme be implemented in the member states , subject to localised context-specific evaluations , to ensure the elimination of all hpv-related cancers; calls for improving the uptake of hpv vaccination in line with the who global strategy on the elimination of cervical cancer encompassing vaccination as well as screening , access to treatment and rehabilitation; considers it important to draw up further recommendations to better implement these programmes; calls for more harmonisation of hpv and hepatitis b vaccination within member states’ national programmes , while ensuring the provision of information about and equal access to vaccination; supports further research into the most effective vaccination schedules against other carcinogenic viruses such as hepatitis c; calls for collaboration with member states and international organisations to combat the impact of misinformation on vaccination and address vaccine hesitancy;


### 25. points out that genetic predisposition to cancer linked to mutations of specific genes has been demonstrated; highlights that methods to detect these mutations are available , especially for breast and colorectal cancers , and may help to prevent or detect early-stage cancer; recommends investments in infrastructures and skills in genetic sequencing platforms and the training of specialised genetic counsellors; ### 25. points out that genetic predisposition to cancer linked to mutations of specific genes has been demonstrated; highlights that methods to detect these mutations are available , especially for breast and colorectal cancers as well as some childhood cancers , and may help to prevent or detect early-stage cancer; stresses the need for focus on genetic predisposition for early detection in childhood cancers as a disease that develops early in life over a short time period; recommends investments in infrastructures and skills in genetic sequencing platforms and the training of specialised genetic counsellors;


### 25. points out that genetic predisposition to cancer linked to mutations of specific genes has been demonstrated; highlights that methods to detect these mutations are available , especially for breast and colorectal cancers , and may help to prevent or detect early-stage cancer; recommends investments in infrastructures and skills in genetic sequencing platforms and the training of specialised genetic counsellors; ### 25. points out that genetic predisposition to cancer linked to mutations of specific genes has been demonstrated; highlights that methods to detect these mutations are available , especially for breast and colorectal cancers , and may help to prevent or detect early-stage cancer; calls for investments in infrastructures and skills in genetic sequencing platforms and the training of specialised genetic counsellors;


### 27. encourages the commission and the member states to promote health literacy as regards cancer risks and determinants , to develop educational tools for prevention and to support the creation of e-learning platforms and applications; considers cancer prevention to be a first step towards a european public health education policy; ### 27. encourages the commission and the member states to better promote health literacy among both the general public and cancer patients as regards cancer risks and determinants , disease management and patients’ rights , in particular with regard to opportunities for patients to participate in biomedical research , both in their own member state and in another member state , to develop educational tools for prevention and to support the creation of e-learning platforms and applications; considers cancer prevention to be a first step towards a european public health education policy; calls on the member states to provide national funding for national programmes that increase oncology literacy among the general public;


### 27. encourages the commission and the member states to promote health literacy as regards cancer risks and determinants , to develop educational tools for prevention and to support the creation of e-learning platforms and applications; considers cancer prevention to be a first step towards a european public health education policy; ### 27. encourages the commission and the member states to promote health literacy as regards cancer risks and determinants and necessary digital literacy , to develop educational tools for prevention and to support the creation of e-learning platforms and applications; considers cancer prevention to be a first step towards a european public health education policy;


### 28. calls for the creation of a virtual european cancer institute , which would be in charge of establishing a european roadmap to devise and coordinate large-scale prevention campaigns and effective communication campaigns on health promotion in educational programmes (harmless behaviours , healthy nutrition , physical activity etc.) with a special focus on young people and disadvantaged groups; ### 28. calls for the continuous update of the knowledge centre on cancer , to include the coordination of large-scale prevention campaigns and effective communication campaigns and synergies with national programmes (on healthy nutrition , physical activity etc.) with a special focus on young people and disadvantaged groups;


### 29. underlines that tobacco and alcohol consumption , poor nutrition , a high body mass index and a sedentary lifestyle are risk factors common to other chronic diseases; believes , therefore , that cancer prevention has to be implemented in the context of an integrated chronic disease prevention programme , in close cooperation with the steering group on health promotion , disease prevention and management of non-communicable diseases; ### 29. underlines that tobacco and alcohol consumption , poor nutrition , a high body mass index , a sedentary lifestyle and environmental pollution are risk factors common to other chronic diseases; believes , therefore , that cancer prevention has to be implemented in the context of an integrated chronic disease prevention programme , in close cooperation with the steering group on health promotion , disease prevention and management of non-communicable diseases;


### 34. supports the launch of a new eu-supported cancer screening scheme , as announced in europe’s beating cancer plan , to help member states to ensure that 90 % of the eu population who qualify for breast , cervical and colorectal cancer screenings are offered screening by 2025; ### 34. supports the launch of a new eu-supported cancer screening scheme , as announced in europe’s beating cancer plan , to help member states to ensure that 90 % of the eu population who qualify for breast , cervical and colorectal cancer screenings are offered screening by 2025; calls for the establishment of a permanent platform to enable the networking of cancer screening programme coordinators , facilitate the training and capacity-building for improving quality in screening programmes , act as central hub for projects and initiatives on cancer screening supported by the eu , and maintain in the long term the network of data providers to the implementation report by the iarc on cancer screening in the european union;


### 34. supports the launch of a new eu-supported cancer screening scheme , as announced in europe’s beating cancer plan , to help member states to ensure that 90 % of the eu population who qualify for breast , cervical and colorectal cancer screenings are offered screening by 2025; ### 34. supports the launch of a new eu-supported cancer screening scheme , as announced in europe’s beating cancer plan , to help member states to ensure that 90 % of the eu population who qualify for breast , cervical and colorectal cancer screenings are offered screening by 2025; urges regular reporting via the cancer inequalities registry towards the achievement of this goal;


### 35. encourages member states to promote cancer screening for breast , cervical and colorectal cancers as part of organised population-based national and regional programmes , including in the remote and outermost regions , and provide adequate resources; recommends that member states roll out programmes for early clinical detection of oral and skin cancers; ### 35. encourages member states to promote cancer screening for breast , cervical and colorectal cancers as part of organised population-based national and regional programmes , including in the remote and outermost regions , and provide adequate resources; recommends that member states investigate quality assured public health programmes for early clinical detection of oral and skin cancers;


### 35. encourages member states to promote cancer screening for breast , cervical and colorectal cancers as part of organised population-based national and regional programmes , including in the remote and outermost regions , and provide adequate resources; recommends that member states roll out programmes for early clinical detection of oral and skin cancers; ### 35. encourages member states to promote cancer screening for breast , prostate , cervical and colorectal cancers as part of organised population-based national and regional programmes , including in the remote and outermost regions , and provide adequate resources; recommends that member states roll out programmes for early clinical detection of oral and skin cancers;


### 36. calls for the full implementation by member states of the european guidelines for quality assurance in cancer screening for breast , cervical and colorectal cancers and early detection services , to minimise the delay to diagnosis for such cancers; recommends that inequalities within member states regarding screening be addressed , possibly by making the criteria for cancer screening , as well as the legal frameworks , governance and quality assurance structures , more stringent; ### 36. calls for the full implementation by member states of the european guidelines for quality assurance in cancer screening for breast , cervical and colorectal cancers and early detection services , to minimise the delay to diagnosis for such cancers; recommends that inequalities within member states regarding screening be addressed , possibly by making the criteria for cancer screening , as well as the legal frameworks , governance and quality assurance structures , more stringent; calls on the commission to support the member states to fully integrate the role of oral health and oral health professionals in building robust oral cancer prevention and health promotion policies;


### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation; ### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered , taking account into the extensive body of evidence available already that proves the positive effect of targeted lung cancer screening in order to assess , in close cooperation with the iarc and the who , the inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in update of the council recommendations in 2022; calls for the development of new guidelines on risk stratified screening of prostate and lung cancer;


### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation; ### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes in the recommendation; considers it necessary to launch new screening programmes using innovative diagnostic methods in eu member states with particularly high rates of lung , prostate , stomach , ovarian cancer morbidity and mortality , in the light of iarc and who data;


### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation; ### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , individualised screening , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation;


### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation; ### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , and review the evidence on new science-based cancer screening strategies;


### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing); emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation; ### 38. welcomes the upcoming update of the 2003 council recommendation on breast , cervical and colorectal cancer screening24 to take into account new screening tests and the most recent data on the best screening protocols (magnetic resonance imaging , hpv testing; psa screening for prostate cancer);emphasises that those programmes should be regularly evaluated by the competent national authorities; calls for research efforts to be fostered in order to assess , in close cooperation with the iarc and the who , the possible inclusion of new science-based cancer screening programmes (including lung , prostate , stomach and ovarian cancers) in the recommendation;


### 40. stresses the importance of increasing the uptake of cancer screening and early detection among eu citizens through european awareness days , motivation surveys and better implementation of existing communication campaigns; ### 40. stresses the importance of increasing the uptake of cancer screening and early detection among eu citizens through european awareness days , motivation surveys and better implementation of existing communication campaigns; highlights the importance of high-quality surgery in curing cancers detected in early stages;


### 40. stresses the importance of increasing the uptake of cancer screening and early detection among eu citizens through european awareness days , motivation surveys and better implementation of existing communication campaigns; ### 40. stresses the importance of increasing the uptake of cancer screening and early detection among eu citizens through european awareness days , motivation surveys and better implementation of existing communication campaigns with special attention to balanced information on advantages and disadvantages;


### 41. calls for reinforced cooperation with third countries to encourage the organisation of screening campaigns , in particular for women’s cancers and notably in low- and middle-income countries; ### 41. calls for reinforced cooperation with third countries to encourage the organisation of screening campaigns , for both women’s and men’s cancers and notably in low- and middle-income countries;


### 41. calls for reinforced cooperation with third countries to encourage the organisation of screening campaigns , in particular for women’s cancers and notably in low- and middle-income countries; ### 41. calls for reinforced cooperation with third countries to encourage the organisation of screening campaigns , in particular for women’s cancers and notably in low- and middle-income countries and with minority communities;


### 42. deplores the fact that eu patients still face challenges in accessing healthcare services in other member states and that only a minority of patients are aware of their right to seek cross-border healthcare; emphasises the need for better implementation of , and an improved financial model for , the cross-border healthcare directive25 to allow for mobility and access to highly specialised equipment and care through the reinforcement of the national contact points (ncps) by providing them with more budgetary resources , and calls for an increase in the number of information campaigns on patients’ rights to cross-border healthcare; emphasises the need to facilitate the process , through the revision of the cross-border healthcare directive , for patients who travel abroad for clinical trials and face issues such as a lack of clarity on follow-up protocols after their return home and on coverage of costs related to their clinical trial participation by national insurance agencies; calls on the commission and the member states to work together to conduct regular evaluations of the commission’s ehealth strategy from 2018 to ensure interconnected electronic health records for cancer patients at regional , national and european level; ### 42. deplores the fact that eu patients still face challenges in accessing healthcare services in other member states and that only a minority of patients are aware of their right to seek cross-border healthcare; emphasises the need for better implementation of , and an improved financial model for , the cross-border healthcare directive25 to allow for mobility and access to highly specialised equipment and care through the reinforcement of the national contact points (ncps) by providing them with more budgetary resources , and calls for an increase in the number of information campaigns on patients’ rights to cross-border healthcare; emphasises the need to facilitate the process , through the revision of the cross-border healthcare directive , for patients who travel abroad for clinical trials and face issues such as a lack of clarity on follow-up protocols after their return home and on coverage of costs related to their clinical trial participation by national insurance agencies; calls on the commission and the member states to work together to conduct regular evaluations of the commission’s ehealth strategy from 2018 to ensure interconnected electronic health records for cancer patients at regional , national and european level; suggests the potential of the cancer inequalities registry as a means of reporting and measuring improvement on these concerns;


### 42. deplores the fact that eu patients still face challenges in accessing healthcare services in other member states and that only a minority of patients are aware of their right to seek cross-border healthcare; emphasises the need for better implementation of , and an improved financial model for , the cross-border healthcare directive25 to allow for mobility and access to highly specialised equipment and care through the reinforcement of the national contact points (ncps) by providing them with more budgetary resources , and calls for an increase in the number of information campaigns on patients’ rights to cross-border healthcare; emphasises the need to facilitate the process , through the revision of the cross-border healthcare directive , for patients who travel abroad for clinical trials and face issues such as a lack of clarity on follow-up protocols after their return home and on coverage of costs related to their clinical trial participation by national insurance agencies; calls on the commission and the member states to work together to conduct regular evaluations of the commission’s ehealth strategy from 2018 to ensure interconnected electronic health records for cancer patients at regional , national and european level; ### 42. deplores the fact that eu patients still face challenges in accessing healthcare services in other member states and that only a minority of patients are aware of their right to seek cross-border healthcare; emphasises the need for better implementation of , and an improved financial model for , the cross-border healthcare directive25 to allow for mobility and access to highly specialised equipment and care through the reinforcement of the national contact points (ncps) by providing them with more budgetary resources , and calls for an increase in the number of information campaigns on patients’ rights to cross-border healthcare; emphasises the need to facilitate the process , through the revision of the cross-border healthcare directive , for patients who , in view of unmet needs and potential benefits , travel abroad for clinical trials and may face issues such as a lack of clarity on follow-up protocols after their return home and on coverage of costs related to their clinical trial participation by national insurance agencies; calls on the commission and the member states to work together to conduct regular evaluations of the commission’s ehealth strategy from 2018 to ensure interconnected electronic health records for cancer patients at regional , national and european level , while ensuring strict adherence to patients’ health data privacy and security rules;


### 44. calls for full recognition of medical oncology as a specialist discipline , the establishment of pan-european quality standards for administering and supervising medical treatments for cancer , and the facilitation of patients’ access to cancer specialists so that they may benefit from innovations and access to early clinical trials on new promising drugs; ### 44. calls for full recognition of medical oncology as a specialist discipline , the establishment of pan-european quality standards for administering and supervising medical treatments for cancer , and the facilitation of patients’ access to cancer specialists so that they may benefit from innovations and access to early clinical trials on new promising health technologies;


### 45. calls for surgical skills in the eu to be strengthened via the recognition of surgical oncology as a specialist discipline , the establishment of pan-european quality standards for cancer surgery , the facilitation of patients’ access to ‘high-volume’ centres for cancer surgery and access to innovative surgical procedures; ### 45. calls for surgical skills in the eu to be strengthened via the recognition of surgical oncology as a specialist discipline , the establishment of pan-european quality standards for cancer surgery , the facilitation of patients’ access to ‘high-volume’ centres for cancer surgery and access to innovative surgical procedures; promotes the development of a core curriculum in surgical oncology and of an individual specialist training in surgical oncology , and calls for programs to harmonize surgical oncology education in the eu;


### 46. supports the improvement of high-quality radiation therapy in the eu through the recognition of medical physics and radiation therapy as dedicated disciplines , the promotion of common education and training standards , and the greater investment of eu and national research and innovation funds in radiation therapy research; ### 46. supports the improvement of , and increased access to , high-quality radiation therapy in the eu through the recognition of medical physics and radiation therapy as dedicated disciplines , the promotion of common education and training standards , and the greater investment of eu and national research and innovation funds in radiation therapy research and infrastructure;


### 47. welcomes the upcoming new action plan under the strategic agenda for medical ionising radiation applications (samira)26 which will support the security of supply of radioisotopes for cancer diagnosis and care and enhance the quality and safety of radiation technology in medicine; ### 47. welcomes the upcoming new action plan under the strategic agenda for medical ionising radiation applications (samira)26 which will support the security of supply of radioisotopes for cancer diagnosis and care and enhance the quality and safety of radiation technology in medicine; calls for an assessment of regulatory gaps faced by the nuclear medicine sector and inclusion of nuclear medicine treatments and related infrastructure into national cancer plans;


### 47. welcomes the upcoming new action plan under the strategic agenda for medical ionising radiation applications (samira)26 which will support the security of supply of radioisotopes for cancer diagnosis and care and enhance the quality and safety of radiation technology in medicine; ### 47. welcomes the upcoming new action plan under the strategic agenda for medical ionising radiation applications (samira)26 which will support the security of supply of radioisotopes for cancer diagnosis and care and enhance the quality and safety of radiation technology in medicine; highlights the importance of nuclear medicine to tackle cancer and the continued need to invest in state-of-the-art radio-therapeutic equipment and well-trained physicians and other healthcare specialists in various specialties , including nuclear medicine;


### 48. calls on the commission to promote , and on member states to strengthen , the role of general practitioners , paediatricians and primary care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care; calls for the development of multidisciplinary decision-making in the framework of dedicated concertation meetings bringing together various cancer specialists; ### 48. calls on member states to revise the necessary legal framework in relation to the role and responsibilities of general practitioners , paediatricians and primary care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care; calls on the commission to develop guidance for the development of multidisciplinary decision-making throughout the treatment pathway , bringing together various cancer specialists;


### 48. calls on the commission to promote , and on member states to strengthen , the role of general practitioners , paediatricians and primary care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care; calls for the development of multidisciplinary decision-making in the framework of dedicated concertation meetings bringing together various cancer specialists; ### 48. calls on the commission to promote , and on member states to strengthen , the role of general practitioners , specialist nurses , paediatricians and primary care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care , in order to ensure access to the right treatment and care at the right time via an optimal care pathway; calls for the development of multidisciplinary decision-making in the framework of dedicated concertation meetings bringing together various cancer specialists;


### 48. calls on the commission to promote , and on member states to strengthen , the role of general practitioners , paediatricians and primary care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care; calls for the development of multidisciplinary decision-making in the framework of dedicated concertation meetings bringing together various cancer specialists; ### 48. calls on the commission to promote , and on member states to strengthen , the role of general practitioners , dentists , paediatricians and primary and specialist care professionals , given their importance in patient referral to diagnostic tests and oncology specialists , as well as during cancer treatment and follow-up care; calls for the development of multidisciplinary decision-making in the framework of dedicated concertation meetings bringing together various cancer specialists


### 49. considers that the eu regulatory framework for the recognition of professional qualifications should be broadened to allow for the standardisation of cancer nursing education; ### 49. considers that the eu regulatory framework for the recognition of professional qualifications should be broadened to allow for the mutual recognition of cancer nursing education;


### 50. calls on the member states to take preventive measures against the risk of burnout among cancer care professionals; ### 50. calls on the member states to develop , within their national cancer control plans , strategies that encompass preventive measures against the risk of burnout among cancer care professionals;


### 51. encourages , where possible and safe , the use of ambulatory cancer treatments in order to preserve the quality of life of patients; calls on member states to implement or improve e-health technologies and telemedicine services to ensure the continuity of cancer care; ### 51. encourages , where feasible and safe , the use of ambulatory cancer treatments in order to preserve the quality of life of patients; calls on member states to implement or improve e-health technologies and telemedicine services to ensure the continuity of inpatient and outpatient cancer care;


### 52. calls on the member states to provide optimal relief for advanced-stage cancer patients at the end of their lives in order to ease their pain and discomfort while preserving their dignity; supports more intensive exchanges and the implementation of best practices on hospice and palliative care at eu level; encourages member states to assess the number of palliative units in each region and to ensure sustainable funding and sufficient and well-trained human resources; ### 52. calls on the member states to provide , within their national cancer control plans , optimal relief for advanced-stage cancer patients at the end of their lives in order to ease their pain and discomfort while preserving their dignity and taking into account the autonomy of the patient; calls on the commission to coordinate regular exchanges of information and supports more intensive exchanges and the implementation of best practices on hospice and palliative care at eu level; encourages member states to assess the number of palliative units in each region and to ensure sustainable funding and sufficient and well-trained human resources;


### 52. calls on the member states to provide optimal relief for advanced-stage cancer patients at the end of their lives in order to ease their pain and discomfort while preserving their dignity; supports more intensive exchanges and the implementation of best practices on hospice and palliative care at eu level; encourages member states to assess the number of palliative units in each region and to ensure sustainable funding and sufficient and well-trained human resources; ### 52. calls on the member states to provide optimal relief for advanced-stage cancer patients at the end of their lives in order to ease their pain and discomfort while preserving their dignity; supports more intensive exchanges and the implementation of best practices on hospice and palliative care at eu level; encourages member states to assess the number of palliative units in each region and to ensure sustainable funding and sufficient and well-trained human resources; stresses the importance of standardized surgical oncology treatments to improve long term quality of life of cancer survivors;


### 53. encourages the commission and the member states to adopt specific quality assurance criteria (including adequate organisations , infrastructures and competences , multidisciplinary practice , continuing education for professionals , patient education and participation in clinical research) for accreditation standards to be applied to public and private hospitals treating cancer patients , in order to ensure the efficient , safe and equal management of cancers all over the eu; ### 53. encourages the commission and the member states to adopt , within the national comprehensive cancer centres , specific quality assurance criteria (including adequate organisations , infrastructures and competences , multidisciplinary practice , continuing education for professionals , patient education and participation in clinical research) for accreditation standards to be applied to public and private hospitals treating cancer patients , in order to ensure the efficient , safe and equal management of cancers all over the eu;


### 54. welcomes the planned establishment , as announced in europe’s beating cancer plan , of an eu network linking recognised national comprehensive cancer centres (reference centres) in every member state to facilitate the uptake of quality-assured diagnosis and treatments , including training , research and promotion of clinical trials across the eu; calls on the commission to identify such existing centres within the eu , to promote the establishment of at least one comprehensive cancer centre in each member state and to support the coordination of the network of these centres via a european cancer institute; ### 54. welcomes the planned establishment , as announced in europe’s beating cancer plan , of an eu network linking recognised national comprehensive cancer centres (reference centres) in every member state to facilitate the uptake of quality-assured diagnosis and treatments , including training , research and promotion of clinical trials across the eu; calls on the commission to identify such existing centres within the eu , to promote the establishment of at least one comprehensive cancer centre in each member state , particularly in the widening countries of the horizon europe programme , and to support the coordination of the network of these centres via a european cancer institute;