How the EU works 

 
A short overview of the key EU institutions

European ParliamentThe activities of the European Union are taken forward by a number of bodies - the EU institutions - whose tasks and responsibilities are set out in the treaties.

The main EU institutions are: 
The European Commission
- The Council of the European Union
- The European Parliament
- The European Courts

The European Commission

The European Commission acts as the EU's executive arm and is responsible for formulating new policies, initiating legislation and the day-to-day running of the EU. It is composed of a President and 26 other Commissioners, supported by approximately 38,000 European civil servants (made up of administrative officials, policy experts, translators, interpreters and secretarial staff). The President is José Manuel Barroso and the Commissioner for Health and Consumer Policy is John Dalli.

The Council of the European Union

Sometimes called the Council of Ministers, the Council of the European Union is the EU’s main decision-making body. The European Council, which defines the overall political direction and priorities of the EU, has a President elected by the members of the Council (i.e. the EU member countries), who serves for a term of two and a half years. The current President of the European Council is Herman Van Rompuy.

The Council also meets in other formations to discuss different policy areas. These sectoral Councils are headed by a rotating presidency, with every member state taking the helm for a period of six months. The UK last held the Presidency in 2005, whilst the current holder is Spain. Meetings are attended by the relevant minister from each country’s national government, depending on the subject, and decisions are usually taken by either qualified majority (voting weighted to take account of population size) or unanimity.

Health Ministers usually meet once every 6 months as part of the Employment, Social Policy, Health and Consumer Affairs Council (often referred to by its French acronym 'EPSCO'). Each Presidency will set out a number of priority areas for their term, and the EU and health policy page gives information about Spain's health policy priorities. 

The European Parliament

The European Parliament (EP) forms the other half of the EU's legislature. Members of the European Parliament (MEPs) are directly elected every five years from all 27 member states (each country has a set number of seats based on its population size). There is no governing party in the Parliament and MEPs do not sit in national blocks but in pan-European political groups. Most EU legislation is now passed according to a procedure known as co-decision, under which the Parliament and the Council amend and approve legislation jointly. Where co-decision doesn’t apply, the Parliament still has the right to be consulted on new legislation. The Parliament also holds the other EU institutions to account, for example by asking Parliamentary Questions, and has the power to reject or censure the Commission and the EU budget.

The European Courts

The judicial branch of the EU consists of the European Court of Justice (ECJ) and the Court of First Instance (CFI). Together they interpret and apply the treaties and the law of the EU, and ensure they are applied in the same way throughout the EU. The Court of First Instance mainly deals with cases taken by individuals and companies directly before the EU's courts, and the ECJ primarily deals with cases taken by member states, the institutions and cases referred to it by the courts of member states. Judgements of the European Courts are legally binding and must be implemented throughout the EU, even if they establish rights in areas where there has previously been no EU legislation.

The EU and health policy page gives more information about EU activities in the area of health.

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Contacts

Michael Wood
020 7074 3364
Michael.Wood@nhsconfed.org

Helena Bowden
+32 (0)2 227 6445
Helena.Bowden@nhsconfed.org

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