Chechet Julia Viktorovna 8 9. Teacher for Russia. Activities with the participation of a speaker

S. Sorokina - Hello. This is the program "in the circle of light." Here Yuri Kobladze.

Y. Kobladze - Hello.

S. Sorokina - and Svetlana Sorokina. And today we have this today, maybe not everyone is understandable. When first hear: Palliative medicine, between life and death. Now I will explain with the help of guests. This is Julia Chetset - the founder and president of the Charitable Foundation for the Development of Palliative Assistance to Children and Natalia Savva - Deputy. Directors and doctor of the mobile service of palliative care for children and a young adult charity foundation, a pediatrician, oncologist, hematologist, an international expert on palliative care for children. Probably immediately need to explain what palliative medicine is.

Y. Kobladze - Do not look at me, I do not really understand. Why she is children and adult.

S. Sorokina - Probably, this is also explained. Palliatives are helping those who are incurably sick and who has a limited life lifespan. And the help, which is already after the fact that the official medicine was able to do, and then already refuses such people. There are palliative care and adults. Of course. Why we still took up this topic today, because in a few days on October 12, World Hospice Day and Palliative Aid.

Y. Kobladze - What's the difference?

S. Sorokina - And this is all in my opinion it goes there.

N. Savva - Hospis This is part of palliative care. Palliative care is wider. Hospice This is usually directly the end of life, the last weeks.

S. Sorokina - hospital.

N. Savva - optional. But the Hospis is more even a philosophical concept. Hospice assistance is at the end of life. And palliative care from the moment when the diagnosis of incurable disease is established. Some children are born with an incurable disease, they immediately need palliative care, but the hospice is not needed.

S. Sorokina - and immediately let's explain that your fund is to help children. And what the difference is essential between palliative to adults and children.

N. Savva - everything is due to the fact that the child's body is not an adult organism. And the child is born completely different and then as it is justified by 20-25, it becomes an adult. Passing the transitional age from childhood to an adult state. And we are talking not only about the body, but we are talking about the psychology of the child. Because one thing is a child understanding of some vital processes in two years, in three years, in a transitional age and as we are adults to all. And therefore, of course, help must be adapted to the child's age. That is, if the child is two years old, he has certain physical characteristics, certain medicines, certain psychologists should work and know these features.

S. Sorokina - at every stage of his adults. I wanted to contact Julia now. She is the founder and president of the Foundation. I read the Fund's report. He is completely young.

Y. Chechet - the Foundation was formed in 2011. Since 2009, we have worked as a volunteer group with the Foundation "Give Life". Then they decided that after all, it is necessary to create a separate structure, which will only be engaged in palliative to children and the foundation arose. We will be in December two years.

Y. Kobladze - that is, you are independent.

S. Sorokina - in close cooperation with the Forest Foundation, which is more adults.

Y. Chechet - Yes, but they, together with the Foundation "Give Life", are now starting a large project for the construction of a children's hospice. It will be private.

Y. Kobladze is the first and only one.

Y. Chechet - in Moscow the first. In St. Petersburg, there is also in Kazan. There is a mobile service and is now being built a new building.

S. Sorokina - Julia, I read in this report that you did this year, your introductory word, where you say that for you participation in the creation of this fund, it largely had an emotional decision. What prompted what history.

Y. Chechet - it was absolutely unexpected. Because I worked for 10 years on Deutsche Bank, then went to maternity leave with a child. And we flew with her husband to Paris to the exhibition, he bought the magazine "excavator", in principle the magazine, too, probably did not mean that Baz. In the journal there was an article by Les Reter and Galya Chalikova, the director "Give Life", the kingdom of heaven. About how children die. And here I flew on the plane for three hours and sobbed. Because for me it was such a shocking discovery. The story was that due to the imperfect system, the child cleaned in agony, without anesthesia. And then I talked to Galya, Galya says, yes, we called this child. We tried to help him. And she says, I heard how the child shouted into the phone: Mom, help. For me, nothing is terrible ...

Y. Kobladze - and what it means in the car. Why?

S. Sorokina - in agony.

Y. Chechet - because he was not acknowledged. Did not make it. There was no exit service, which came to him. There was no hospice. There was no infrastructure and professionals who would have taken responsibility and said: so should not.

S. Sorokina - But as usual, if hopeless, write down home. And then you want, so twist. I imagine the horror of this mother, whom the child shouted.

Y. Chechet - what I was advocated, I emotionally tried to imagine myself in this situation. It seems to me that you can experience a lot. But when you have a child dies in agony, you as a mother actually failed. You as a mother did not provide, as a father, as the closest people did not provide him with decent conditions. And so it seems to me that much from what can be waggered. But this is the injury from which it is simply impossible to get angry for me.

S. Sorokina - Let me remind you, we say about palliative medicine. For many, this is an unfamiliar word. In fact, this is the help, support. Not only physical, but also moral. Those from whom the traditional medicine has already turned away. And one who is already between life and death. The foundation in which Julia is working and Natalia is engaged in palliative to children. And families. Before we talk about the fund, because I have a feeling that Palliative himself is connected with some kind of history of humanist development of society. Because far from always such assistance came. Only about their loved ones, relatives cared. If there were decent children and the environment. Here are a few words tell about when it all appeared and how it developed to today.

N. Savva - Palliative himself consists of several parts. As for psychological assistance, social, probably, in normal, how to say normal, it always existed, in any societies, because when a person is sick and dies, then everyone is trying to help him how can or psychologically or family tries something, friends, relatives. This is one of the types of initial support. But in general, the direction of palliative care has formed when incurable diseases began to heal. We had antibiotics first breakthrough, began to cure infectious diseases, and a lot of people live. After that, they appeared, admit, malignant tumors. They also began to cure. In childhood, seven children from 10 are possible a cure. And therefore it became clear that there are ... that are really incurable, but this does not mean that we cannot help him. We can make it so that he lives these days, as a rule, it is 3-6 months after they say that still a tumor progresses and cannot be done. So that he lived, without tormenting any pain or other side effects. So that he leaves the world, with her mother, at home in toys and to truly Mom managed to say goodbye to the child. And palliative care still takes the period after the child's care. That is, this is the so-called grown period when professionals help parents as far as it can be said to adapt to life without a child. Do not dispay, do not blame each other, and back socialize in society. Because during the disease long chronic, many moms lose work, many relatives are trying not to annoy, and it turns out such social isolation even inside their loved ones. And back to restore, start living, this is also a task of palliative care. And, probably, the first official assembly of palliative specialists in the 70s, early 80s, when the Palliative community began to appear. And in 1974, the term palliative care was first.

Y. Kobladze - Is it or in general?

S. Sorokina - in the world.

N. Savva - that is, the first hospice for adults was created and created his lady Cecilia Sanders, who by profession was first a nurse, then she understood that she was missing it, she received the formation of a social worker and a psychologist. And then another medical diploma. And built the first hospice building. It was 1967, and the first Children's Hospice appeared in 1982.

S. Sorokina - recently. Where is the first?

N. Savva - also in England.

Y. Kobladze - a woman it wrote a book.

N. Savva - Yes, it is considered a guru in palliative care. In adult and children.

S. Sorokina - she, in my opinion, survived his own tragedy.

Y. Kobladze - a child died.

N. Savva - she had a lot of problems, she had two husbands died from cancer, and in Poland the first hospice was built thanks to this, so to say that the husband was Pole. After the English hospice, the following country Poland. Due to the fact that there ...

S. Sorokina - Cecilia. Tell me, please, and we have, when at least some kind of movement on this occasion began. Because it is a ever-sustaining tragedy and a very frequent situation when children who can no longer help official medicine and does not want, refuses otherwise. Leave them just at home and examples of the darkness when a family or a lonely mother stays with a child one on one, with almost no livelihood. Without help. When at least some movement began in order to change this situation.

Y. Chechet is a nursery. The first service, which opened in Moscow, was the Solntsevo Scientific and Practical Center, Solntsevo's NPC, Opened Outbound Service Opened there, and then in 2009, I only came, I came in September, we began to write a letter in October Luzhkov, please, please land for a children's hospice. The land was not given, but opened the stationary compartment for 10 beds and, accordingly, we were probably a month and a half of it. Accordingly, probably in Moscow it was ...

S. Sorokina - only 2009.

Y. Chechet - in St. Petersburg before.

N. Savva - Izhevsk - 1998, a non-state hospice was opened. First children. It turned out to be point. In St. Petersburg a very good hospice. And they take Peter and the Leningrad region. But to say that there is really some kind of systemic help, this is not.

Y. Kobladze - And how much do they need in Moscow?

S. Sorokina - I read that about 60 thousand.

Y. Chechet - from 40 to 80 thousand. But we take English numbers. This is not a bed, these are children who need palliative care. Because the British first considered 16 children for 10 thousand children's population, and two years ago were recalculated and said that 32. Therefore, we give such a plug. At the initial stage, they believed that by shifting on our numbers, these are 40 thousand children. If you look at what you need to strive like the most advanced country on palliative care. Then 80 thousand. This does not mean that you need 80 thousand beds, firstly, because, probably, in the world, the most popular model is a model of palliative care at home. Must be able to be the possibility of hospitalization to select anesthesia, control of symptoms. And in England there is such a term - social counterpart. This is when the family is provided with the ability to place a child in a hospice and relax. Because care for these children, especially when round-the-clock care is a whole feat.

S. Sorokina is true.

N. Savva - I can give an example, a nurse changes every 12 hours, let's say, and the daily duty is then three weekends. We have children mostly not just children, we have the bulk of non-cancer, who have IVL devices, resuscitation, nurses around the clock have rest, change.

S. Sorokina - lung ventilation. When cycidosis, yes?

N. Savva - There are various so-called muscle weaknesses. Myopathy. These are genetic diseases that are accompanied by the fact that the child gradually ceases to breathe. He needs a device to help him. And if earlier, these children left aged 6-9 years, when he stopped breathing the chest, now with the help of this equipment these talented children who have IQ are higher than we have taken together, can live up to 30 years. This observation is when the first children on the artificial ventilation apparatus. Perhaps it will be more. This is not just the children hang on the IVL apparatus and that's it. These are children who communicate, they can be socially active and useful society. They write poetry. They are usually multifaceted talented all. And for example, we have a child already, which is 23 years old, call conditionally, because we help children and young adults. He writes the poems such that really sow sings when you read them. Big philosophy and meaning of life. Therefore, these children, care for them is very complex. But it is worth it because we give it the opportunity to live a full full-blooded life. And if there is a social counterpart in the family, then we give the parents to relax from this round-the-clock care as a nurse in order not to hurt themselves to communicate.

S. Sorokina - to recover. By the way, no one removes this hope that suddenly some breakthrough like Penicillina will be. How do we know. Suddenly something happens, and the person can be cured.

Y. Chechet - to show the contrast, we have these children most often in resuscitation, because the state does not provide them with artificial ventilation devices. That is, they are written out only if parents find money or charitable funds help.

S. Sorokina is a whole story.

Y. Chechet - and in England these children go to school. Represent what contrast.

N. Savva - traveling on airplanes.

Y. Kobladze - that is, the device should always be with you.

S. Sorokina - is it something portable?

Y. Chechet - yes.

Y. Kobladze is generally strange, it seemed to me that you would call the disease number one cancer, but in fact no.

N. Savva is the difference from adults one more. Very important principled. In pediatrics up to 30%, we, for example, in our foundation 5% of children, in Moscow 15% ...

S. Sorokina - Cancer.

N. Savva - yes. The rest is not oncology.

C. Sorokina - Indeed, children of cancer, fortunately, especially if they found it much more often he crucified than in adults. And there is not so hopeless everything. It is sad to see these children sick, but not hopeless. In children at all, a miracle is possible. But what are the nech of the disease you basically, is that?

N. Savva - in the first place genetics. Congenital defects, and most of the newborns occupy. There are, for example, kids who are born premature, small. Now very good technologies that are clinging. They spoke earlier that the kilogram child went away, and now 500 grams and he will live. Because it is hugged.

Y. Kobladze - but he also falls under the category Palliative.

N. Savva is not all, but a certain part falls. Because technology is still imperfect. They do not make it possible to make a hundred percent of children remaining disabled. And the more children we are still clinging, the more people with disabilities, that is, they do not die, they seem to go to the category of disabled people who need palliative care. And some of these children over time can even be held from accounting if you can say so. Get out of palliative observation. But we never know, this will happen to this child or not, we take it, climb. And then if everything is fine ...

S. Sorokina - I'm one thing unclear. It seems that everything related to children should be the one hundred percent care of the state, from the first breath and to the latter. These are children. As it can be from anyone to refuse because it is hopeless there. It seems to me for children, I understand, old people forget. And why with children such a story?

N. Savva - you know the desire to help always a little. When a person wants to just help, as a rule, this is not enough, especially when it comes ...

S. Sorokina - I'm about the state.

N. Savva - I'm talking about the state and say. If we take our device, it does not mean that they do not want to help. The question is how to help and what to do, the question of professionalism. That is, when there are no people in the country who are formed in this, it is not taught at universities, in psychological institutions and so on.

S. Sorokina - Natasha, my feeling that the state of palliative medicine is not indicated even.

N. Savva - why, in law, fortunately marked. In 2011.

S. Sorokina - but not yet, as such.

N. Savva - now it's about the order. That is, in order for somehow the state to shift this entire car, it is necessary to accept a regulatory document that the doctors would say who such palliative children and how to translate them under Palliatives. And he said that these palliative services are at all. And released standards, how to treat these children. And Plus made a list of medicines that are necessary for palliative care and shapes that need.

Y. Kobaladze - and in law is spelled out with one line.

S. Sorokina - What is such here ... And you know, I still do not understand, it seems to me that it is a question of a child, even if there is no palliative care, then the doctor should come to the house, send the sister sister's patronage. It seems to have this toolkit in children's clinics, hospitals.

N. Savva - they go. But what to do, do not know. The problem is this.

S. Sorokina - after all, in theory, and that, well, the child. It is necessary to come to him and help. Why not do this in the framework of the already existing structure. How can it be so.

N. Savva - I think it will be done. Now actively turned to this.

S. Sorokina - no matter how naming, it is impossible. Question with SMS: And how do you feel about euthanasia. The question is like in the side, but close.

Y. Chechet - in the country where there is no palliative care, it seems premature evidence about euthanasia. First you need to create a professional palliative care system.

N. Savva - and in general, the postulate is such that palliative care does not support Euthanasia. That is, we can make our palliative methods so that the sick left calmly. Having a good quality of life, and had worthy care. And did not ask for death. Because usually euthanasia asks the patient in order to be removed from the flour.

S. Sorokina - Now we will interrupt the news. Stay with us, immediately after the news we will continue our conversation.

News S. Sorokina - Hello again. While listened to the news, I looked at SMS, Lisa writes from Kazan: I want to work as a volunteer in an adult hospice. In Kazan, I can not find where to turn. Lisa, if there is no site from the hospice, maybe pay attention to the hospice for children. Which is in Kazan, he has exactly the site, as my interlocuts assure. Therefore, refer to, for sure, you are very useful there. By the way, how are you volunteers go?

N. Savva - go.

S. Sorokina - but less than I would like for sure.

Y. Chechet - I would not say.

S. Sorokina - just the topic is heavy.

Y. Chechet - I also say how you can do it. This is depressive, difficult, I always say, I passed this stage of emotional burnout, because it seemed to me that the doctors and nurses would emotionally burn out, and I would not burn. It was my big mistake. I got for it. Accordingly, I wondered, went further. And Palliatives, it is necessary to consider not as some horror is terrible, but as an opportunity to ensure the quality of life. We do not Lord God, we cannot extend this child, to shorten your life. But we can accurately improve the quality of life. And if you look at Palliatives through this prism, it gives a lot of energy to help these children.

S. Sorokina - Natasha, Julia, where to apply if people will want to come volunteers, for example, assistants. I read in your report that who knows how to photograph, write stories to the site.

N. Savva - it is not necessary to work with children. If a person is not ready to work with a sick child, there are a lot of such people, you can still bring help and your invaluable contribution to the work of the service and the life of the child. Even if you help the Foundation, yes, by some photographing, help something to translate, organize some kind of holiday.

S. Sorokina - Write a story on the site.

N. Savva - you feel some kind of talent, share with us, we will be very happy.

Y. Chechet - We have volunteer coordinator, there are all data on the site. She is engaged in these issues.

S. Sorokina - I recall once again, it is a charitable foundation for the development of palliative care for children.

Y. Kobladze - there was a question about payment.

S. Sorokina - yes. Regarding the fact that the hospice, in any case, for adults is an expensive pleasure. It really is now paid for adults?

Y. Chechet - about adults, honestly, I can not say, and child care should always be free.

C. Sorokina - Should or is there?

Y. Chechet - she is.

N. Savva - Even if, as part of the development of paid services, the clinics are sometimes put in such a framework that paid services should develop, palliative care should not enter. That is, we will be tired for the fact that it is free to get all the children regardless of whether there is money or not, there are parents or not, lives in a village or city. So that it was available absolutely to everyone.

S. Sorokina is, of course, it seems to me that applies to adults, it should be different here. There may be paid and free. Depending on who can. Another thing is that everything is decent. Another question: I saw plots many times, "writes Anya," as people, sick cancer, shout from pain, as it is very difficult to get a narcotic analgesic because of the bureaucracy. Why no one shouts that it is necessary to change the laws. When the fee was canceled for donor blood, Dr. Roshal turned to Putin and the problem was solved. And here. That's about anesthesia. About drugs that really, well, firstly, as you solve this question. You, coming to help the child, have no right to work with narcotic substances.

N. Savva - we work through clinics, through district doctors. Who have the right to write painkillers. But of course today, in principle, it has nothing to work. Pediatrician has nothing to work, unlike adults. It turns out that drugs that are needed, they are not registered. That is, there is one drug that recommends WHO, which is tested in many countries as a very efficient and safe medicine. This is morphine sulfate in tablets. This drug for children is very important, because any injection for a child is always an additional pain and suffering. If we want a child to anesthetic, we must give the drug regularly before pain arises. It is most often 4 or 6 times a day. That is, if we are pricking a baby 4 times a day, then what kind of anesthesia is what anesthesia are we talking if we deliver this pain with our manipulations.

S. Sorokina - And why so far have these pills do not register with us?

N. Savva - I do not know.

S. Sorokina - Yes, you. And why, if this is used in the same Europe, WHO recommended.

N. Savva - I think the problem is probably in morphinoofobia, which exists everywhere among both parents and professionals and probably the legacy of the Soviet of our entire drug addiction and the fight against drug addiction.

S. Sorokina - It is clear, the fight against drug addiction touched and pain relief. "I love the country of Great Britain and proud of it, so we cried when we watched the opening of the Olympics. There is not a shown. " I do not know what he means ...

N. Savva - there were a lot of disabled people.

S. Sorokina - about concern about these people.

N. Savva - they are full members of society.

S. Sorokina - "How volunteers work, who are accepted." In my opinion, Natasha said about it. And what is your help, you have a mobile service. How I read about 50 families.

N. Savva - already more.

S. Sorokina - which you keep in your field of attention. What is the help.

Y. Kobladze - and how many people you are in principle.

N. Savva - Today 65. We received another grant of the Government of Moscow and the presidential grant to expand and probably the next year children will be a hundred. While 65 and assistance is to first remove all the symptoms, this is a medical care doctor and nurses. Second part of psychological assistance. We have two psychologists. One works with children, the second with his parents. There is a very good team of social workers. Which is engaged in advantage of the interests of the child and parents.

S. Sorokina - that is, help with documents.

N. Savva - run by instances and plus organize children's holidays. They work with them at home, they play simply.

Y. Chechet - and there is also an important type of help, this is working with Sibling. With native brothers and sisters. Because in this family they also suffer.

S. Sorokina - also victims of course. And by the way, the appeal naturally not only to those who can help something like a volunteer, but to those who want some means to list. Because as you understand, this is a charity foundation and there are grants. But of course, any help is welcome. Now the new year will soon, in the end, if you think about some kind of gifts, the opportunity to assist. By the way, you have not all children lying. Some leave, for some holidays can come. Therefore, invite and respectively you will begin. What else wanted to ask. How many children in Moscow You say that it would be good to take a hundred people, and how many children who in principle need Moscow in such assistance?

Y. Chechet - no one can say for sure, because no one believed them. One of our projects is very important, it is advocating the emergence of a register as a tool that will allow you to evaluate how many of these children, what diagnoses they have and what types of assistance are necessary.

N. Savva - today's hyposta is not just a team and not just a wallet who collects money, and shares with families, this is another brainstorm, and I like that Julia makes a scientific and practical center. It sounds loud, but it is. Because they swung onto what, on the register of palliative care. We have the opportunity to do it. Make and software, there is a good experience, there are people who know how to do it and we can make the product itself and then offer to the state to eat it for counting these children. Because before opening the bed, build hospices, you need to understand what kind of children are at all how many.

S. Sorokina - and how they are treated by this family, as you find them.

N. Savva - in different ways.

Y. Chechet - At first it was a srangian radio. Because the need is such that it is clear that now we have children in line, because we need to expand the team, the staff is not very simple. That is, this is a separate topic.

S. Sorokina - this is not taught.

Y. Chechet - We are ready to teach, teach. We have no problems with this, but it should be certain people and with the right motivation, approach, the right set of human qualities.

N. Savva - now I am still happy that the doctors call our director of Yulia Vyacheslavovna, she herself oncologist, works in FNCT, center of oncology, hematology named after Dmitry Rogachev. And people appeal precisely with a request, doctors themselves, here I have a heavy child, you can take.

S. Sorokina - Doctors themselves call.

N. Savva - We began to build work in such a way that we do not expect while the child will appear at home, we already want to go to the clinic and conduct a dialogue with the clinic, for example, with your doctor. We buy equipment, the child needs the same oxygen concentrator, we need to be allowed, electric pump, which is satisfied with the mucus and so on. There is still a bunch of devices, for this you need to teach mom. If we do in such a way that my mother was discharged home, then coming there, it's harder than to come to themselves with the equipment, to teach within the clinic and then translate all together. We started such activities and we already have several families that are translated in this way and it is easier of course that they are on the house.

Y. Chechet - We cooperate with the NCCD - a scientific center of human health. Accordingly, they are glad that we are, because we actually let them translate the child under home observation and free the bed to another child.

S. Sorokina - that is, with medical institutions you find a common language. Please tell me, but in general you mentioned that even social workers who help disassemble bureaucratic all stories, according to your practice, it is really very hard to go through and get the necessary benefits, solve some paper questions.

N. Savva - sometimes very hard.

Y. Chechet - in Moscow is easier. Because we serve children in the suburbs. It is harder. But in principle, this is not an easy way.

N. Savva - and when mom's time is engaged in a child, to find time on the bureaucracy.

Y. Chechet - but there must be professional accompaniment of this family.

S. Sorokina - and finally, close to an important. The fact that the Ministry of Health since 2011 has some kind of passing about Palliament. But how moving on. When concretization goes, when something is more accurately spelled out in all of our legitimate and regulatory acts.

N. Savva - We are very pleased with the Ministry of Health, so that it is faster. But at least we are already seeing light in the window, because today there is a proposal from the Ministry of Health, from public organizations and from the Council, which was created under the Ministry of Health, and consists of non-commercial organizations that also provided their proposals. According to the formation of order, at least the provision of palliative care. And until October 15, we hope that these proposals will be considered, a discussion will take place.

S. Sorokina - that is, you hope for it.

N. Savva - yes.

S. Sorokina - Because it often happens that we will announce that we are a dialogue with non-government organizations, and then it is forgotten and is accepted what is accepted. Well, let's hope that you will hear. Because I have a feeling that you have and experience unique and optionally to invent something that has already been invented. In your opinion today is a country where palliative care is best developed by the United Kingdom.

N. Savva - Children's - yes. There is to take the post-Soviet space of Poland. The country is very actively involved in financing and they even made such a one percentage of tax that a person, any resident has the right to decide where he will give it. And a lot of people are given to support palliative care. Very big money from there go.

Y. Kobladze - sometimes you still hear such an argument why sick children, adults in charitable funds are treated. When the state has money laid down in the budget. And we are ready to take treatment for yourself.

S. Sorokina - who is ready?

Y. Kobladze - the state. Why do you need charity funds, when the budget laid money, which allegedly nobody asks.

S. Sorokina - As for Palliament, I do not see that the state is thrown. The fact is, JUR, in which the specifics of non-commercial organizations are that, in contrast to the state, it is targeted. Here, the state will unfold with all Machina, it interlocks a bunch of people who need to turn around and his own case to take into their own hands.

N. Savva - everywhere private-public partnership It is very good because the state takes on some basic guarantees. And education. That is, the state takes on the regulation, the education of specialists, and some basic providing drugs, services. And everyone else can take charitable organizations. Because they are more flexible. That is, they admire the specialists who participate in the form of social work for social and psychological work, the psychologist must come with such an interval, it is very difficult to work, because we have every time a matter of some kind of unique case. Since the car is a car and this is a very bad car, of course, these features are easier to perform non-state structures that are more flexible. They can be flexible from one wallet to another, in a good sense. To fund. Therefore, of course, there must be a public partnership. In England, for example, hospices are financed by 30% of the state, and they say, we no longer want the state to do we dictate some souporls that would not give us flexible to be.

Y. Chechet - they are very developed by the health system, respectively, a lot of services to palliative patients are not provided through palliative services, but within the framework of the main health system.

Y. Kobladze - let the state, at least give medicines.

N. Savva - Yes, at least for starting the basic things to get.

S. Sorokina - and besides medication, what else?

Y. Chechet - the presence of some basic services.

N. Savva - it should not be, of course, bed and hospice. This is not necessary, that is, there must be services that exactly outpatient at home, precinct. That is, they must be organized. And it is necessary to train specialists. That is, the state should be developed by the state of the training program of physicians, psychologists, social workers. Because we, having medicines and services, we still won't help you help if it won't help anyone.

Y. Kobladze - and you are attracted, lectures are reading. Force.

N. Savva - yes. The fact is that I myself am from Belarus and since 2000 since 2000 has a course of palliative medicine ...

S. Sorokina - that is, there are already 13 years old in Belarus. And we have?

N. Savva - No Children, there is an adult. And we are now preparing the program, we have an agreement with the institute, the Medical University of Pirogov with the Department of Oncology, Hematology. Head Department of Rumyantsev Sergey Aleksandrovich. Professor. Which entered our position, agreed to make this course, it is precisely for palliative medicine, the thematic improvement for doctors so far only.

Y. Kobladze - that is, there are no other specialists.

N. Savva - Yes, we will help make a program. We will take the already running program that was in Belarus, we adapt it and there are still requirements for the program that are presented by international training institutes. We will also take into account in order for education at the international level right away.

Y. Kobladze - so that some diplomas are given.

N. Savva - certificates will give.

S. Sorokina - Naturally. Did you consider the opportunity to ask you, conducting clinical studies of palliative drugs that are not approved in the territory of the Russian Federation.

N. Savva - No, we will not do it.

Y. Kobladze - Salt.

Y. Chechet is impossible to argue the immense.

N. Savva - In fact, this question is so very important, because in the palliatives of children's a lot of drugs using the so-called Off Label, it is around the world. Because to hold clinical trials on the child who will give her child for clinical trials. And on the dying child, especially. And therefore it turns out that everything is transferred from adults and even the same painkillers that are now used by the hydromorphone and so on, they are invented for adults and are spelled out for adults older than 18 years old. But the fentanyl plaster, which is used, we still use in children, and then how to work at all. That is, it is no longer clinical trials. Despair is. Or you do not help at all.

C. Sorokina - or somehow help. Tell me, and the cerebral palsy includes your ...

N. Savva - yes.

S. Sorokina - here we are not talking about some kind of momentary threat of death. And just a long hopeless situation.

N. Savva - in the children's palliative there are two groups big. These are children who go out in the near future, quite like oncological kids. And there are kids who live for years, and we say that they are most likely to live to adult age. But this means that 5 years and 10 years. And children's palliatives are engaged in such children. And these years of service, he holds his palliative care.

S. Sorokina - understandable. Tell me, please, for the time you work, for two years it will be in December, you have some kind of, for sure, there are examples of your work. I understand that you have a little happy, but still there are really children who live for years, there are also those who have arrogant. And you somehow with my parents explained that your parents say maybe after the child's care. They want to forget about you immediately or still thank you. What is the positive effect of the service emotional?

N. Savva - From experience, I can no longer say that when a child is cured, the doctor forget very often. Not because everyone is immaterial. They want to forget the situation. When a child leaves, on the contrary. They want to talk to a person who remembered this child. He was near, helped. And, probably, the palliative service is the family, it is not just support. And the family in which you can come and talk about who you've ever loved. And the palliative service creates such parent clubs after the care of children.

S. Sorokina - Do you create such a club?

N. Savva - We are just beginning, it is only the beginning, there are already thoughts.

S. Sorokina - that is, you understand that there is such a need. So that people were, where to gather and talk about their favorite left.

N. Savva - and when the child goes, as a rule, everyone is afraid to bother, everyone is afraid to ask, they are afraid to strangle the wound. In fact, it is absolutely wrong, these people are waiting for them to remember their beloved person. And very much with a big hunt, they remember what he was, as grew, went to school that he loved. Therefore, of course, if there is a place where to go later, it is very good. And palliative care gives this place. We even have such a case when one left a woman in an adult service, and she said that she received such love for the first time, such participation in his entire lives. Nobody loved me like that, says, did not regret it, as in this palliative team. What you gave me, no one could give me during my life.

S. Sorokina - Well, I understood about the register, about the education that should arise from us, I understood about the hospice, even about the club. What else do you have in creative plans?

Y. Chechet is a strategy.

N. Savva - Palliative rehabilitation.

Y. Chechet - We have a project strategy, there is a project of an information and educational portal, yes, it is excellent that the state will be learning, but the state will teach a very limited number of hours, and medicine does not stand still. And in general, palliative care should always learn. Therefore, we want to create an educational portal that will give the opportunity to form always and improve the quality of assistance.

S. Sorokina - everything is clear. Need to finish. Our hour flew. Already give us signals that everything. I remind you that we talked about palliative medicine. Julia Chechet, Natalia Savva was visiting us. Julia is the founder and president of the Charitable Foundation for the Development of Palliative Assistance to Children, Natalia - Deputy. Directors and doctor of the mobile service of the Foundation. Thank you, thanks for your work, for your strategy. For all your faiths, for all your plans. Thank you. God gave good luck.

N. Savva - Thank you.

S. Sorokina is good.

On June 30, the ceremony of the winners and the winners of the All-Russian competition "School of Skills of the XXI century" took place in Mia Russia today. The organizers of the competition - the Sberbank Charitable Foundation "Contribution to the Future" and the Institute of Education NiU "Higher School of Economics".

The competition is aimed at identifying and supporting the best ideas and practices of educational programs, models of organizations oriented to the formation of the student skills of the XXI century. Winners will have the opportunity to pass internships abroad, grants for the implementation of their projects (up to 5 million rubles), the possibility of learning within the design seminars, as well as other prizes from the partners of the competition.

More than 200 teams of teachers from 39 regions of Russia proposed their vision of new models of education and educational programs for children in the 21st century.

In the final of the competition, which was held in Moscow on June 27-29, 12 winners of the correspondence tour (the geography of the winners: Moscow, St. Petersburg, Primorsky Krai, Karelia, Tomsk region, Perm region, Novosibirsk region) came out.

On the first day of the full-time tour, participants presented their TED projects (15-minute speeches and answers to questions for 5 minutes), as a result, continued to fight for the victory in the competition 8 teams (two in each nomination).

The second day of the competition passed in the format of fights.
The winners of the first stage were to prove the need or her absence ("for" and "against") ownership of the skills of the XXI century "4K" - creative and critical thinking, communication, cooperation.

A distinctive feature of the summary of the competition was the fact that experts and a public jury, consisting of teachers, parents, as well as adolescents, had an impact on the final result, is equally. To count the votes, a mobile application specially designed for the competition was used. Openness Society is a fundamental installation of the competition.

In the award ceremony of the winners of the All-Russian competition "School of Skills of the XXI Century" took part:

- Herman Gref, President and Chairman of the Board of PJSC Sberbank of Russia,

- Yaroslav Kuzminov, Rector of NIU "Higher School of Economics",

- Svetlana Chupsheva, General Director of the Agency for Strategic Initiatives,

- Julia Chechet, Executive Director of the Sberbank Charitable Foundation "Contribution to the Future".

Awarding winners Herman Gref He noted: "The skills of the XXI century are now in the center of attention around the world, although there has not yet been a single educational model that meets all the requirements of the new time. One of the key missions of Sberbank is to promote the development of education in Russia, this is one of the most important processes for the future of our country. This year we received more than 200 applications for participation in the School of Skills School of the XXI Century, most of them came from Moscow, St. Petersburg and Yekaterinburg. Therefore, our task next year make a contest more massive, we will strengthen material and intangible motivation for winners and participants. This is very important, because such competitions stimulate the development of innovative educational thought not only in Russia, but also abroad. "

In turn Yaroslav Kuzminov I drew attention to the fact that "the school has always been one of the most conservative institutions in the history of mankind, no matter how paradoxically sounds. The scale of the culture of mankind is increasing all the time, and the task of the school is not to let it lose. But today we are standing before the prospect of the global revolution in education, comparable to the fact that in due time brought the printed book. This is not just the informatization that they say so often, this is the inclusion in the global information environment every minute and this is an artificial intelligence.

Artificial intelligence is an automatic solution not just multimedia tasks, it is automatic acceptance of routine solutions without human participation. In the near future, we will see that 2/3 of our school techniques will simply go to nowhere. No one can distinguish whether the child made a task himself or this work for him made artificial intelligence. Therefore, the school should fight very much for its existence, it should suggest that the artificial intelligence will not be able to substitute, this is a real creativity, this is the formation of project thinking, this is a teaching of people to choose, this is training for people to form teams. Also, the applied skills are also adjacent here, which may be leaning to global knowledge and global calculations to a lesser extent, but are absolutely necessary in a new society, where every person has become economically active. "

According to Svetlana Chupsheva: "Formation in children skills that will allow them to feel comfortable in the modern world, adequately respond to the challenges of the digital economy era, adapt to the accelerating rhythm of life, is for ASI one of the main topics and tasks. Such projects supported by the Agency are aimed at achieving these goals as the development of a network of children's technoparks "Kwancer" and "Our New School". An important link in the required chain of changes is the competition "School of Skills of the XXI Century", which allows identifying and maintaining the best educational practices. I am confident that all those projects and initiatives that we are discussing today are the basis of systemic transformations in the educational system. "

The value of the competition for all participants, and not only the winners, in his speech emphasized Julia Chechet: "Following the final, we saw the participants in the contest of our like-minded people, projects that are solidar with the Mission of the Foundation" Contribution to the Future ". Combining professionals from different regions of Russia on the basis of common goals, the formation of a community of those who think about the school of the future - here is another particularly valuable result of the School of Skills of the XXI Century. These are new resources to expand experience, sharing practitioners, support for teachers. "

Winners of the All-Russian Competition "School of Skills of the XXI Century":

1. Nomination "Educational program (idea / project)":
"Life Design Technology"
moscow
Chibisova Marina Yuryevna and the author's team (Smart School LLC)

2. Nomination "Educational program (implemented project)":
"Technological session"
Perm region, Perm
Iconnikova Elena Evgenievna and author's team (Municipal autonomous general education institution "Gymnasium 5")

3. Nomination "Model of the Organization (Idea / Project)":
Petersburg School Park "
saint Petersburg
Kuchuk Varbara Dmitrievna and the author's team (Ano Park Open Studios)

4. Nomination "Model of the Organization (implemented project)":
"A comprehensive quality management system" Mobile E-School "
moscow
Kondakov Alexander Mikhailovich and author's team (Limited Liability Company Mobile Electronic Education)

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Full-time master's programs for future researchers, analysts, developers "evidence-based educational policy" and "Measurements in psychology and education".
Receiving documents from June 1 to July 20, 2017.
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Chechet Julia Viktorovna

executive Director of the Sberbank Charitable Foundation "Contribution to the Future"

Sberbank

Executive Director of the Sberbank Charitable Foundation "Contribution to the Future", founder and President of the Children's Development Foundation "Children's Palliament", member of the Board of the Association of Hospice Assistance Professionals.

For more than 10 years, she worked in the Deutsche Bank group of companies, implementing projects in Moscow and London in the investment and banking sector. Since 2009, he has been engaged in the theme of the development of palliative care for children, founding the BF "Children's Palliament" in 2011.

The Sberbank Charitable Foundation "Contribution to the Future" was established in 2015 and is intended to send strategic social investments in the development of modern education in Russia, taking into account the challenges of the 21st century, as well as in the development of an inclusive environment that provides members of society equal opportunities for self-realization and full-fledged life regardless of features development and health.

More details

Activities with the participation of a speaker

    19.04 17: 00-19: 00 General education

    20.04 11: 00-12: 00 General education

    20.04 13: 00-13: 50 Regional agenda

  • Marina Mikhailova

    Chairman of the board

    Program director of the Sberbank Charitable Foundation "Contribution to the Future". Responsible for the coordination of the work of the Foundation, the formation of its program portfolio, the implementation of partner projects (All-Russian competition of educational initiatives "School of Skills of the XXI Century", a competition of innovation in education, etc.). In their professional activities, specializes in the development of corporate culture development, interaction with stakeholders, The formation of a socio-cultural environment of the territories of the presence of companies, social investment programs and charity. In different years, he worked in the Renov Group of Companies, in Metalloinvest, Skolkovo Foundation, Museum-Manor L.N. Tolstoy "Clear Polyana". According to education - a teacher of history and law, holds the degree of Master of Art Cultural Management, a graduate of the Moscow Higher School of Social and Economic Sciences ("Schinki").

  • Igor Remorenko

    Rector of the Moscow City Pedagogical University (since 2013), held posts from the Deputy Director of the Department to Deputy Minister in the Ministry of Education and Science (2004-2013), Candidate of Pedagogical Sciences, Activated State Counselor of the Russian Federation II Class. From 1991 to 1997 he worked as a teacher of mathematics, Deputy Director for Educational and Educational Work in High School No. 52 of Krasnoyarsk. I. M. Remorenko is the author of dozens of articles, two monographs, participates in research on educational policy issues, development of management in the field of education. He was awarded the medal and the Order in connection with the participation in the Organization of Humanitarian and Military Assistance to the Republic of South Ossetia.

    Fedor Sheberstov

    Coordinator of the program "Teacher for Russia". He studied at the Moscow Institute of Physics and Technology, a number of short-term training programs in Insead, Stanford GSB and Wharton School of Business were held. The expert in the selection of senior leaders and members of the Board of Directors for companies of financial, oil, infrastructure sectors of the economy, direct investment and venture capital funds. It has extensive experience in managing projects in the field of assessment and development of leadership potential. In 2001, he founded the company Pynes & Moerner (since 2009 Odgers Berndtson), which acted in the top five in the Russian Executive Search market. Since 2006, he held the position of the managing partner Pynes Group - a company offering Executive Search services, developing leadership and consulting in the field of building compensation systems and remuneration. Until April 2014, he held the post of managing partner of the Moscow office of Odgers Berndtson. Since 2015, the New Teacher Foundation is included in the Council. In 2018, he became the winner of the contest "Leaders of Russia".

    Mikhail Mokrinsky

    Director of the "Letovo" school, adviser to the head of the Moscow Department of Education on the Innovative Development of Educational Systems and Organizations. Mikhail Mokrinsky led the Moscow Lice No. 1535 since the foundation and brought it to the first lines of the ranking of the best schools of Russia. Later he headed the central district education department, taking part in a variety of educational projects and reforms both at the regional and federal level.

    Julia Chupina

    Deputy Chairman of the Board of Sberbank of Russia. From 1998 to 2003, worked in the Moscow office of McKinsey & Company. From 2004 to 2009 he worked in VTB, responding to corporate governance. In 2009, he left the bank in the status of deputy chairman. For four years, Yulia Chupina has engaged in independent consulting. In 2013, she adopted the proposal of the head of VTB Andrei Kostina Return to VTB, entered the Bank's Board and supervised the development of the Group's Development Strategy until 2017. Finally left VTB in July 2014. In the fall of 2014, he came to Sberbank by the adviser to President Sberbank German Gref, since July 2016 - Member of the Board and Deputy Chairman of the Board of Sberbank. Head of the Blocks "Strategy and Development", "HR".

    Elena Chernyshkova

    Chairman of the Board of Trustees of the European University in St. Petersburg, Ex-President of the System Charitable Foundation. Founder and first head of the practice of working with educational and non-profit organizations in the Moscow office of Odgers Berndtson. He worked as director of strategic projects of the Moscow School of Management Skolkovo, where he was responsible for the formation of strategic alliances, the development of new projects, attracting donations for school and maintain relations with donors and school partners. He occupied the position of the honored president of VimpelCom OJSC Dmitry Zimin, led by the Wine Family Office, and was also a co-author and head of the Dmitry Zimin Charitable Foundation, which remains the largest private donor in the field of science, education and enlightenment. Actively participates in the work of public organizations and projects.

    Dmitry Fishbain.

    Director of the Lyceum HSE, the chief editor of the "Journal of the Head of Education Management", director of the Autonomous Non-Profit Organization "Educational Quarter". He is a member of the organizing committee and the jury of the All-Russian Competition "Director of School". As a teacher, cooperates with leading scientific organizations of the Russian Federation - Russian Academy of National Economy and Public Service under the President of the Russian Federation (program "Preparation of management personnel in the field of health, education and culture (2011-2014)"), National Research University Higher School of Economics (Master's program "Education Management"). Candidate of Pedagogical Sciences.

Head of the Sberbank Charitable Foundation "Contribution to the Future" Julia Chetset told in an interview with TASS on the challenges of the XXI century, automation of processes in the workplace, as well as how the qualities should have a professional today to be demanded tomorrow.

- What do you associate the emergence of new requirements for a person in the XXI century?

The labor market around the world is transformed: the population is aging, a new generation increased, which grew up on the network, increases the material, intellectual and technological gap between groups of people, employers and whole countries.

The most significant changes occur in the technological sphere. For example, the trend of automation of workplaces based on algorithms and artificial intelligence has already begun to push the workplaces of white collar - lawyers, auditors, recruiters.

Uniform approaches to forecasting the prospects for automation and robotization is not yet: different studies predict that from 9% to 50% of all jobs can be automated. This entails the prospects for the appearance of the interlayer of "extra people". In parallel, the demand of the labor market will grow on what it is impossible to automate, on universal skills that distinguish a person from the car.

Special importance is acquired by competencies at the junction with personality qualities and values, such as adaptability to change, the ability to learn and redeem

Regardless of the industry, universal competencies, or the "XXI century skills", which can be divided into cognitive, non-engineering (including socio-emotional) and digital ones. Of particular importance are competent at the junction with personality and values, such as adaptability to changes, the ability to learn and retrain.

I am sure that a person should become "harder in order not to become" superfluous "in this new reality and successfully adapt to changes.

- Why now about "skillsXXI century "spoke the world community?

In the world about this topic they say for a long time. The Deseco program started more than ten years ago (the International Interdisciplinary Program "Definition and Choice of Competencies: Theoretical and Conceptual Fundamentals" under the auspices of the Organization for Economic Cooperation and Development).

The development of universal competencies in business, including Russian, the company began to pay attention even at the beginning of the century. But it is obvious that the universal competences (or "the skills of the XXI century") are laid long before the person getting into the labor market - they must be developed from an early age.

And educational organizations face a dilemma: on the one hand, the public expects from their graduates of preparedness for life, work and self-realization in the 21st century; On the other hand, the skills and competence required for this are still clearly not defined by educational science, as not to the methods of their formation and evaluation.

Sufficient scientific teaching of key concepts, evidence methods of forming these competencies, debugged models of transformation of education systems - all this is still missing both in Russia and abroad.

How do you think, how do these skills are relevant for the regions of Russia, because the standard of living and education in the regions is uneven?

The need for the development of the "skills of the XXI century" does not depend on the region and standard of living, on the contrary, it is a chance for less "advanced" regions to advance and accelerate their development. But it is important to work on the fact that the labor market in these regions develops so that carriers of universal competencies can find a worthy application.

- Which of the projects of the competition "School of Skills XXI century "hit you personally?

I am most struck on the competition. We received 208 applications from 39 regions of Russia in a very short time. These are applications from individual authors and teams, state and non-state, commercial and non-commercial organizations, from the system both in common and additional education.

12 commands selected in the final. Very interesting projects presented teams from Perm, Novosibirsk, Tomsk, St. Petersburg. Each of these projects has its own value, uniqueness, importance for the development of new approaches in education. Therefore, I will not allocate some one project.

- The winner receives a grant to 5 million rubles. Who became his owner?

We have determined the focus that reflects the values \u200b\u200bof the "Contribution to the Future Charitable Foundation" is the compliance of the XXI century challenges faced by the participants of the educational process today; The potential of projects in terms of their real practical benefits for mass education and the ability to measure the result.

The winners were determined by the expert competitive commission and the voices of the public jury, taking into account these focus. Grants in the amount of up to 5 million rubles are provided by the Sberbank Charitable Foundation "Contribution to the Future" by ideas / projects of educational programs and models of organizations (the final amounts of grants are determined on the basis of budget-protected budgets).

In the nomination "Educational programs (idea / project)" Grant will receive the team of Marina Chibisova "Smart School" from Moscow with the project "Life Design Technology" project. In the nomination "Model of the Organization (Idea / Project)" - Petersburg School Park, presented by the team of Barbara Kuchuk from St. Petersburg.

- Tell us about foreign internship for the winner.

Foreign internships become a prize for winners in two nominations that have previously implemented projects have already implemented.

In the nomination "Model of the Organization", the winning project is represented by the team of Alexander Kondakov from Moscow. This is a comprehensive quality management system for Mobile E-School. Among the implemented educational programs, the winner was the project "Technological session" of the team of Elena Ikonnikova from Perm.

Winners team will be able to undergo internship in a foreign school. Where exactly - in which country, city, school, will recommend the Expert Council and the Competition Commission, taking into account the specifics of each of the victorious projects. Internship is planned for autumn.

- Why does this contest Sberbank?

Sberbank pays great attention to the development of the skills of the XXI century. And we are not only about 300 thousand of our employees. We try to develop the entire ecosystem associated with the bank, and our customers are the whole country. Therefore, Sberbank initiates projects covering not only the bank, but also the Russian economy and society as a whole. For this, it was created including the Sberbank Charitable Foundation "Contribution to the Future", which I imagine.

Our programs are addressed to both teachers, educators, heads of general education, and parents and children. Among them - "Teacher for Russia", "Social and Emotional Intellect", "4K: Formation of the competencies of the XXI century and an assessment of individual progress in their development", "learn to learn" and others.

In addition, we are engaged in the development of an inclusive medium that ensures people equal opportunities for self-realization, regardless of the peculiarities of development and health.

Competition "Skills of the XXI Century" - one of the components of the Foundation "Contribution to the Future" Foundation as part of the development of modern education. With the help of the competition, we wanted to find and support ideas and solutions in the current education system for the acquisition of skills, relevant to the XXI century, contributing to the implementation of the current standards of education (GEF).

According to the results of the competition, we understand that its participants are our like-minded people whose projects are solidar with the Mission of the Fond. And this is another particularly valuable result of the competition: the association of professionals from different regions of Russia on the basis of common goals. This gives our pedagogical community new resources to expand experience, sharing practitioners and mutual support.

- Will there be skillsXXI century integrate into other projects of Sberbank, for example, "teacher for Russia"? Will the preparation of teachers adapted for new skills?

Of course. We decided that all the team-finalists should be invited to work in our laboratory of educational products, where they will be able to develop modules for the development of emotional and social intelligence and 4k (critical and creative thinking skills, communications, cooperation) for its sites based on development methodologies Skills developed by the Foundation and its partners.

Now there are already more than 20 partner organizations in the laboratory, including the Teacher for Russia, the school league Rosnano, the New Generation School, English First, NTI Olympics, Sirius Education Center and others. It is very important that all the best ideas are used in practice. Therefore, we will carefully keep track of the fate of projects and maintain contact with their authors. We strive to form a community of methodologists, teachers, parents interested in the development of "skills of the XXI century".

- We know that you spend a big research on the skills of XXI Century together with the International Institute for Education and a number of international universities. Are there first results? And how long will it pass?

Our strategic partner is the Institute for Education of the Higher School of Economics, tightly interacting with the most progressive representatives of both domestic and world educational science. Together we are implementing an ambitious project - a study involving not only the best Russian scientists, but also leading scientific schools of China, South Korea, Finland, Canada, USA, Great Britain. All together we are looking for answers to the sharp questions: how does the education system respond to changing labor market requests, which there are educational systems that need skills like these skills and evaluate who should develop them and what should be the role of a teacher in a new reality?

All together, we are looking for answers to the sharp questions: how does the education system respond to changing labor market requests, what are the educational systems that need skills, how to develop and evaluate these skills, who should develop them and what should be the role of a teacher in a new reality

The successful implementation of the project will help not only the development of the skills of the XXI century in the Russian system of general education, but also to improving the international reputation of our country as the global development center for the development of modern education and the creation of a competitive national capacity for the further development of this topic. It is important that the project is implemented in synergies with similar programs for organizing economic cooperation and development (OECD / OECD) and UNESCO, and the results will be useful for all parties.

How do you cooperate with the Ministry of Education in this project? Will the school education system changed due to the requirements of the new time?

On the one hand, in their initiative, we proceeded from the global practice of successful integration of the skills of the XXI century in school education. All over the world, such projects were initiated by leading educational organizations with the financial support of the largest companies. And only then, after testing, was offered at the state level. On the other hand, naturally, we strive to act in synergies with state educational policies. The projects of the project will be discussed with a wide range of experts, including, of course, with the Ministry of Education, the opinion and comments of which are very important.

The project's operations are used as part of the work on the development strategy of the Russian Federation for 2018-2024 and for the future until 2035 (the instructions of the President of Russia dated May 18, 2016 №П-972). In particular, this section of the Strategy "Education of the XXI Century", containing proposals to increase the contribution of the country's education system into economic growth.

The results of international research (PiaAc, Pisa, the study of the World Bank and NIU HSE) confirm that the system of general education both in Russia and in other countries of the world does not satisfy the changed needs of the economy and the labor market.

I believe that the educational system will have to transform inevitably. And neither the state nor business, nor science alone will cope with such a transformation. Teachers, children, parents, organizations of informal education also have their understanding of the situation that must be considered. Only together and taking into account the best Russian experience, global practices and positions of all parties involved, we will be able to create a modern system for the preparation of the "person of tomorrow".

Consciously Tatyana Vinogradova