ERN BOND patient representative – ePAGs
What are ePAGs?
European Patient Advocacy Groups (ePAGs) bring together patient representatives who collaborate and actively participate in the work of the European Reference Networks (ERNs).
ePAGs were established in collaboration with EURORDIS to promote strong patient involvement in decision-making and opinion-shaping processes across all ERNs. Each ERN is linked to a specific ePAG group, whose role is to embed the patient voice in the network’s activities.
Within ERN BOND, ePAG representatives speak on behalf of the wider rare bone disease community, ensuring that the needs and priorities of people living with rare bone diseases are reflected in the network’s strategic and operational work.

ePAG in ERN BOND
Patient representatives participate in all ERN BOND governance bodies, providing insight into the organisation and management of the network.
- representing patients with rare bone diseases covered by ERN BOND and adhere to principles of equity within healthcare;
- ensuring that clinical care recommendations are patient-centred and respect patients’ rights and choices;
- promoting transparency;
- monitoring ethical issues;
- ensuring the evaluation of patient experience;
- contributing to patient information, policy development, good practice, care pathways, and guidelines:
- participating in ERN evaluation.

ERN BOND patient representatives
A total of eight patient advocates, representing eight different patient associations, are actively involved in ERN BOND’s activities.
Want to be an ePAG?
Application form
Before filling in the application form, prepare the following documents to upload:
- A CV
- A motivation letter explaining why you wish to join the ERN BOND ePAG
- An endorsement from the patient organisation your represent. If the condition is ultra-rare and no patient organisation exists, an endorsement from an ERN BOND healthcare professional is accepted.
If you meet the criteria, your application will usually be followed by an interview before a final decision is made.
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Application form from EURORDIS – to check the questions asked https://form.jotform.com/211962393900355
Rebecca Tvedt Skarberg, lives in Oslo, Norway. Being born with osteogenesis imperfecta her interest in disability rights, equity and patient advocacy started from an early age. Her main goal has always been to spread awareness, knowledge and independency for people with rare conditions.
Inês Alves (DVM) has a degree in veterinary medicine, Oporto University, a post-graduation in soft tissues surgery, and is a Ph.D. student, Évora University, Portugal. Her advocacy involvement in rare bone conditions started after becoming the mother of a child with achondroplasia in 2012. She is member of the Committee for Orphan Medicinal Products (COMP) at the European Medicine Agency; ePAG and steering committee member in ERN BOND; founder and president of
Tenna Toft Sylvest was born in 1981 and lives in Copenhagen, Denmark with her husband and twin daughters. Tenna was diagnosed with X-linked Hypophosphatemia (XLH) at around 18 months as the first in her family. One of her twin daughters has inherited XLH. Tenna has a master’s degree in political science and works as a Senior IT Consultant in Denmark. In 2018 Tenna co-founded the Danish patient organisation for XLH where she has served as president since 2018. The Danish
Liana is an Italian language teacher and is the parent of a patient with Multiple Osteochondromas. She beame involved with
Born in 1967 in Milan, Italy. Patient with achondroplasia, Marco Sessa is President since 2009 of Italian Association on Achondroplasia
Nadine obtained her Master’s Degree in “Molecular Medicine” and continued her academic career as a Ph.D. candidate in Biochemistry with a focus on the rare disease Fibrodysplasia Ossificans Progressiva (FOP) and bone morphogenetic protein (BMP) signaling in an age-related context. She has a broad education in Molecular Biology, with a specific interest in understanding biomedical aspects of diseases. Moreover, Nadine is not only an FOP researcher but also lives with FOP and is in addition the vice-chair of the German 












Funded by the European Union



