Societies globally are undergoing fundamental and unprecedented demographic changes. Similarly cities are experiencing intrinsic structural changes. Today many nations in Europe and worldwide are facing the impact of these challenges that in some cases exhibit interactions that amplify the effects. Governments and local authorities are seeking for solutions by setting policies to mitigate the anticipated effects. In some cases information and communications technologies (ICT) can support such policies by providing the infrastructure for the implementation and provisioning of various services to citizens in an effective and cost efficient way and at the same time enable citizen participation. Among various dimensions that typically are associated with smart cities, like mobility, environment, living, etc. the integration of health care is a primary objective since the cost of health care is currently increasing faster than the GDP in most countries.Europe has mobilized a significant part of its industry in a Public-Private-Partnership on Future Internet (FI-PPP), which is a European programme for Internet-enabled innovation. The FI-PPP will accelerate the development and adoption of Future Internet technologies in Europe, advance the European market for smart infrastructures, and increase the effectiveness of business processes through the Internet.

In this context the FI-STAR project establishes early trials of services and applications in the health care sector by building on top of Future Internet Technologies developed in the programme. The project's ambition is to augment smart cities infrastructures by creating a sustainable ecosystem for all user groups in the global health care and adjacent markets based on FI-PPP specifications. FI-STAR is a unique opportunity to deliver standardised and certified software including a safe, secure and resilient platform, taking advantage of all Cloud Computing benefits and guaranteeing the protection of sensitive and personal data.

The presentation will provide an insight on the current status and the anticipated future trends for decentralized e-health services in smart cities.