In the role of Executive Secretary of ESNO, he beside the association managment also promoter and supporter of the role and position of Specialist Nurses in European context. So far most of European members have specialised nurses and some imbedded in national legislation as specialist, but all have their definition and description. It is key that there is a common understanding of this title for cross border and interdisciplinary communication and health safety. His role is also assisting in streamlining the process and Continuing Professional Development programs such as the Common Training Framework with Accreditation within the ESNO and advocate the profession in health programs in Brussels. One of his activities is leading ESNO focus group of the European nursing guideline on biosimilar.'