Unlock Your Global Business Potential The UK digital health and care opportunity Click to begin
EASE OF DOING BUSINESS SECTOR OVERVIEW MARKET OPPORTUNITY RICH AND DIVERSE ECOSYSTEM MARKET SUCCESS CLICK TO TURN THE PAGE DIGITAL HEALTH AND CARE
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL UK’S DIGITAL HEALTH AND CARE OFFER You can get in touch with the UKTI Life Science Investment Organisation § The UK Government recognised the need to provide better support for overseas business § UK Trade & Investment has established the Life Science Investment Organisation (LSIO), the LSIO is here to help your business navigate the opportunity to partner with and invest in the UK and to connect you to wider UK life science community § For further details on the LSIO and the UK life sciences offer for industry, visit: www. ukti. gov. uk/lifesciences § Contact: chike. eduputa@ukti-invest. com
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL DIGITAL HEALTH AND CARE – MULTI-SECTOR CONVERGENCE Genomics The impact technology can have in healthcare is profound and transformative. Imaging The UK’s digital ambitions for the health service are to: • Integrate solutions around the patient Wireless Sensors DIGITAL HEALTH AND CARE Information Systems • Widespread use of technology • Electronic health records to become norm • National standards throughout the health and care sector High performance Computing, Cloud computing Social Networking ‘Patients at the centre of care’ Mobile connectivity Internet and broadband Big Data, Open Data
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL UK’S DIGITAL HEALTH AND CARE OFFER • Unlock the power of data through advanced analytics • Smarter use of data to inform decision making and create value • • • Open and big data Diverse patient level dataset Shift towards cloud computing WORLD CLASS DATA • Partner with the world’s leading academic and research institutions • Access talent from industry across multiple strong UK sectors E PL EO DP • Active web and social network usage Reliable superfast fixed and mobile connectivity NN EC TE • CO • Strong life sciences, creative, IT and electronics industries Leading talent, academia and research OR CT CE ISE EN LT RG MU NVE CO • Moving towards an Integrated Health and Care System • Connect with a web, mobile and tech active consumer base • Leverage UK-wide advanced connectivity capabilities
SECTOR OVERVIEW
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW The global mobile health market will grow 32% CAGR to reach £ 35. 7 bn by 2020 + The global digital health and care market is expanding rapidly. Now is the time for companies to actively participate in this growing and diversifying market £ 35. 7 bn by 2020 Growing The UK will continue to dominate the EU Telehealth market with a high degree Highest EU of e-health initiatives Telehealth making a market revenue across the UK £ Active With a variety of initiatives and an early adopter population, the UK offers the ease to enter and participate in the UK and EU digital health and care marketplace
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW Healthcare analytics market The market shows a double-digit growth due to factors like the emergence of big data and increasing number of technologies. Outside the U. S. , Europe is the second largest, well-established and lucrative market for healthcare analytics. Real time location systems market Technology - Presently, active RFID and Wi-Fi based Real-Time Location Systems solutions are driving the growth of the market; however, new technologies such as UWB and Zigbee are estimated to have a promising future in all the industry verticals. Clinical decision support system market The global clinical decision support system market is estimated to cross $550 million by 2018, at a CAGR of close to 10. 0% between 2013 and 2018. The emergence of the cloud computing mode of delivery Cloud computing market The global cloud computing market is expected to grow from $37. 8 billion in 2010 to $121. 1 billion in 2015 at a CAGR of 26. 2% from 2010 to 2015. Saa. S is the largest segment of the cloud computing services market, accounting for 73% of the market’s revenues 2010
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW Mobile phone and smartphone market The total global mobile phone and smartphone market is expected to be worth $341. 4 billion by 2015 while smartphone revenue will account for 75. 8% of the overall mobile handset revenue at $258. 9 billion in the same year Medical sensors market in healthcare The field of wireless sensor networking is one of the major focus areas among novel and upcoming fields of research and the latest hot-topic in the field of sensors. bio sensors can be termed as the biggest game-changers for sensors market in healthcare applications in the past two decades, as it can be undoubtedly said that the current huge market size worth approximately $8 billion in 2012 is attained through bio sensors. Bio sensors alone contribute more than 60% of the total revenue Wearable electronics market The market was worth $2. 7 billion in revenue in 2012 and is expected to reach $8. 3 billion in 2018, growing at an estimated CAGR of 17. 71% from 2013 to 2018. The global market’s volume is expected to reach 134. 27 million units by 2018, growing at a CAGR of 30. 36% for the five year period of 2013 to 2018.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW Internet of Things and Machine to Machine Io. T & M 2 M communication market in 2011 was worth $44. 0 billion, and is expected to grow $290. 0 billion by 2017. It is expected to have an increasing CAGR of 30. 1% from 2012 to 2017. Europe, APAC, and North America regions are emerging market, whereas in Latin America and Middle East & Africa regions considered a high growth in the markets. In 2011, Europe accounted for about 30. 0% of the global revenue, and is expected to grow at a CAGR of 27. 4% from 2012 to 2017 Medical sensors market in healthcare The field of wireless sensor networking is one of the major focus areas among novel and upcoming fields of research and the latest hot-topic in the field of sensors. bio sensors can be termed as the biggest game-changers for sensors market in healthcare applications in the past two decades, as it can be undoubtedly said that the current huge market size worth approximately $8 billion in 2012 is attained through bio sensors. Bio sensors alone contribute more than 60% of the total revenue Healthcare and medical simulation market The market was valued at $790. 1 million in 2012 and is poised to grow at a CAGR of 19. 6% in the forecast period to reach $1930. 5 million by 2017.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW Healthcare IT market The provider market for healthcare IT is the fastest-growing market with the highest revenue generated from the applications of clinical information systems, such as integrated solutions of EHR, CVIS, CDSS, PACS, CPOE, and RIS. The global market is estimated to grow at a CAGR of 7. 0% to reach $56. 7 billion by 2017 Mobile health apps market The connected medical devices market contributes the maximum share (~85%) to the mhealthcare solutions market; whereas paid healthcare apps market is expected to grow at the highest CAGR (33. 8%) during the forecast period. The global connected devices market is estimated at $5. 3 billion in 2013 and is poised to reach $16. 4 billion by 2018 at a CAGR of more than 25. 0% Wireless health market The global market is valued at $23. 8 billion in 2013 and is expected to reach $59. 7 billion by 2018, at an estimated CAGR of 20. 2% from 2013 to 2018
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW Health information exchange market The global Healthcare Information Exchange market was valued at an estimated $558 million in 2013 and is expected to grow at a CAGR of 9. 5% in the next five years Security Analytics market Global Market to grow from $1. 96 billion in 2013 to $3. 22 billion in 2018. This represents a compound annual growth rate (CAGR) of 10. 4% from 2013 to 2018 Business Intelligence market The global Business Intelligence market is estimated to reach $20. 81 billion in 2018 from $13. 98 billion in 2013, at an estimated Compound Annual Growth Rate (CAGR) of 8. 28% during the same period of five years Healthcare IT Integration market The market is expected to grow at a CAGR of 9. 6% in the forecast period, to reach $2, 745. 9 million by 2018 from $1, 737. 3 million in 2013.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OVERVIEW The UK is gearing up for growth in the digital health and care market and is already offering companies interested a range of opportunities to engage. £ 128 bn NHS www The UK National Health Service (NHS) spent approximately £ 128 billion across the UK in 2011 -12 £ 35 bn Private The UK private healthcare market which is growing and estimated to reach £ 35 billion by 2015 £ 23 bn Social The £ 23 bn UK social care market, dominated by assistive technologies, is set to grow to £ 6 billion in 2020. The UK has identified e-health as a growth area for the UK economy and has selected Big Data as one of the Eight Great Technologies. The aim here is to use the big data revolution to grow a data-based healthcare economy in the UK through the creation of new products and services. The UK is a nation of early adopters where consumers are keen to engage with new technologies and get involved in the digital health and care revolution. Treating almost 1 million patients a day from diverse ethnicities (for example, London with over 200 different nationalities living there), the NHS is the largest unified healthcare system in the world. >80% of patients that would like to view medical records online, use an online GP appointment booking service and services that let them ask a clinician a question.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR CHALLENGES • Demand for health and care is rising - Ageing population - People with long term conditions The increase in LTCs has created an opportunity to apply new digital solutions across a range of application areas for example, telehealth, wellness and fitness technologies • Cost of providing health and care is not sustainable • Quality, Innovation, Productivity, Prevention (QIPP) challenge to identify £ 20 bn efficiency savings by 2015 Access to electronic health records, greater collaboration and efficiency in patient management are part of the drive to meet the challenge. How can your organisation help to achieve this target?
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL SECTOR OPPORTUNITIES The UK digital health and care environment offers unrivalled commercial advantages • Access to a world class open data • Access a world leading academic and research environment • The gateway into UK and Europe health and care markets • A large supply of highly skilled and well-trained employees • A highly cost effective environment for R&D investment and product testing • A proven business and investment environment • Wide range of funding support for SMEs • A robust system of protecting intellectual property • A wide range of fiscal incentives to support innovation • Access to a wide range of healthcare stakeholders
MARKET OPPORTUNITY
UK DIGITAL HEALTH AND CARE OFFER • Unlock the power of data through advanced analytics • Smarter use of data to inform decision making and create value • • • Open and big data Diverse patient level dataset Shift towards cloud computing WORLD CLASS DATA • Partner with the world’s leading academic and research institutions • Access talent from industry across multiple strong UK sectors E PL EO DP • Active web and social network usage Reliable superfast fixed and mobile connectivity NN EC TE • CO • Strong life sciences, creative, IT and electronics industries Leading talent, academia and research OR CT CE ISE EN LT RG MU NVE CO • Moving towards an Integrated Health and Care System • Connect with a web, mobile and tech active consumer base • Leverage UK-wide advanced connectivity capabilities
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL POLICIES The UK has recognised and is actively responding to the shift towards digital health and care UK policies on digital health and care DIGITAL CHALLENGE “ Transparency – the safe sharing of data and information between clinicians and with patients Participation – supporting patients and the public to take more control of their health and care. “ NHS Mandate “By March 2015, everyone who wants it will be able to get online access to their GP record, as well as book appointments with their GP and order repeat prescriptions online. ” England’s Secretary of State for Health has set a digital challenge to the NHS to become paperless by 2018, making it the most modern digital health and care service in the world England’s ‘Making sure health and social care services work together’ policy sets out a shared vision for integrated care and support to become the norm in the next five years. Person-centred coordinated care and support is identified as critical to improving outcomes for individuals who use health and social care services. The Scottish government’s 2020 vision highlights patient-centred care, with care being provided to the highest standards at home or in the community enabled through technology. Northern Ireland operates a Connected Health Ecosystem and is developing a region wide e. Health and care strategy to provide an overarching strategy for addressing all aspects of e. Health and care. The Welsh Government recognises the growing evidence and move towards integrating health and social care services with a specific commitment in Sustainable Social Services. The Digital Wales policy launched in January 2014 maps out a brighter digital future for wales including delivering digital skills, improved online public services, better infrastructure and enhanced mobile coverage.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL REGULATION Self-regulation – Trade associations like the ABHI, ABPI and the TSA have codes of practice available to both members and nonmembers First of its kind worldwide, the TSA Integrated Code of Practice is a national quality framework which providers of telehealth and telecare services can be accredited. The code has been written to respond to the challenges of an evolving health and social care system, and in support of national frameworks and priorities. ABHI sees ethical compliance as a key subject for the medical technology industry, particularly as a means to safeguard the important relationships that companies have with healthcare professionals with whom they work closely in developing and improving medical devices. For many companies this is a new area and ABHI is keen to provide a structure for companies to work towards the highest standards of behaviour both as organisations and by their staff. The Prescription Medicines Code of Practice Authority (PMCPA) is responsible for administering the ABPI Code of Practice for the pharmaceutical industry at arm's length of the ABPI itself. The code regulates the advertising of medicines for prescription to health professionals and administrative staff. It also covers information about prescription only medicines made available to the general public.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL STANDARDS INFORMATION The Information Standard is a certification programme, supported by NHS England, for any organisation producing evidence-based health and/or care information for the public. This programme enables people to quickly identify reliable sources of high quality, evidence-based information through the use of an easily recognised quality mark. This helps people to make more informed healthcare decisions for themselves and their families. Organisations who join the programme are making a clear commitment to improving the experience of their patients and users by providing high quality, evidence-based information by default. It is also possible to join The Information Standard either as individual department or as a whole organisation, and the process is simpler and more straightforward than ever before. INTEROPERABILITY Roadmap of ITU E-health standardisation – ITU-approved H. 800 -H. 899 standard for E-health multimedia services and applications Recommendation ITU-T H. 810 defines the Continua Design Guidelines (CDG) which contains specifications to ensure the interoperability of devices used for applications monitoring personal health. It also contains additional design guidelines for interoperability that further clarifies these specifications by reducing the options in the underlying standard or specification, or by adding a feature missing in the underlying standard or specification. These guidelines focus on the following interfaces: TANIF, PAN-IF, LAN-IF, WAN-IF and HRN-IF NHS England the Health and Social Care Information Centre signed a healthcare IT memorandum of understanding with the US Department for Health and Social Services focusing on sharing common values around healthcare informatics improving access for small and medium-sized enterprises and identifying alignments across existing UK and US repositories
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL MOVING TOWARDS AN INTEGRATED HEALTH AND CARE SYSTEM The UK government has made strong commitments to move to a fully integrated health and care system enabled through technology. The vision for the Department of Health is an information revolution where people have access to the right information they need. The UK is currently the largest EU spender for telehealth Scotland’s National Telehealth and Telecare Delivery Plan to 2015, sets out the vision and direction for how the use of technology will be integrated into service development and delivery. Significant milestones include a world’s first national telehealth strategy in 2010 and developments in the technology infrastructure, education and training till 2015. Northern Ireland is unique within the UK in that health and social services are already integrated, so providing a unified patient engagement approach. It already has a single Electronic Care Record for every patient which pulls together key details about patient care from existing systems and makes them available to authorized staff wherever the patient is located, ensuring that their information is available, as needed, by those looking after them. The European Commission has awarded Northern Ireland 3 star Reference Site status as part of its European Innovative Partnership on Active and Healthy Aging. Northern Ireland is now seen independently, as a forerunner in Europe in bringing about a higher quality of health and social care for the older population. In 2011 a review of the provision of health and social care services within Northern Ireland was undertaken under the banner of ‘Transforming Your Care’ digital health provision was identified as a key strand moving forward. A single integrated Scottish Centre for Telehealth and Telecare (SCTT) embedded within NHS 24 (NHS 24 provides comprehensive health information and self care advice to the people of Scotland) and a National Telehealth and Telecare Advisory Board (NTTAB) will inform and drive the strategic direction on telehealth and telecare. Wales already has integrated service projects underway that place the citizen at the core of service design, planning and delivery. Examples of these projects include: Gwent Frailty Project funded by Invest-to-Save bid, Wrexham Frailty Project funded by the Strategic Continuing Health Care resources and the Wyn Campaign also funded by the Invest-to-Save bid.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL MOVING TOWARDS AN INTEGRATED HEALTH AND CARE SYSTEM Several national programmes across the UK aim to address the challenge of integrating health and social care through telehealth and telecare. Some programmes include: DALLAS (Delivering Assisted Living Lifestyles At Scale) £ 37. 3 million investment is being made in the UK-wide DALLAS programme. DALLAS is establishing communities totalling 169, 000 people by June 2015 across the UK. These communities will show independent living technologies, services and systems can be used to promote wellbeing, and provide integrated top quality health and care, enabling people to live independently. ALIP (Assisted Living Innovation Platform), is a project delivering a wide ranging programme to enable the ageing population and those with long-term health conditions to live with greater independence. The 3 million lives programme, now referred to as Technology Enabled Care Services under the new leadership of NHS England has created 4 Rapid Design Groups around the following topic areas: Improving information governance, Developing commissioning skills and capability, Improving procurement levers and frameworks and Developing measurements and metrics. NHS England is looking to match the 14 Integrated Care Pioneers to companies providing technology enabled services to support these Pioneer sites in their ambitions
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL WORLD CLASS DATA The NHS generates and manages large amounts of data and companies are already finding innovative ways to take advantage of this data opportunity and create value. Engage with and access a large and diverse data set Health & Social Care Information Centre (HSCIC) is England’s central source of health and social care information that manages Hospital Episodes Statistics (HES) patient level data Access care. data, a new programme to develop established national datasets such as HES into a comprehensive source of data across the patient pathway. UK Biobank is a detailed study that is building a resource able to track people’s health over the next 30 years Anonymised, aggregated and in some cases pseudonymised health and social care programmes such as CPRD in England, SAIL in Wales, SHIP in Scotland Honest Broker Service in Northern Ireland Extract information through data analysis Smarter use of information to inform decision making and create value across UK/Europe Create a Research Centre focused on Big Data – UCL Big Data Institute, UCL and Elsevier Active participation in networks to translate information into daily health and care practice – Greater Manchester AHSN and Hitachi Develop a data analysis and R&D centre with an academic institution – Imperial College and Huawei Prescribing Analytics. Using open data to identify points at which we can optimise the healthcare system – Open Healthcare UK and Mastodon C
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL WORLD CLASS DATA A huge variety of organisations, charities, government departments are looking to create value from the UK’s world class data, when will you? 25
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL WORLD CLASS DATA The global market for Big Data was £ 6 bn in 2012 but is expected to soar to £ 30 bn in 2015 Source: Frost & Sullivan UK is a trendsetter for open data, with its own Open Data Institute 85% of Fortune 500 companies are expected to implement Big Data analytics in next 2 years with widespread adoption of big data analytics by 2017. Across the UK, research partnerships into Big Data are growing to explore innovative ways to better serve needs through the exploration of new technologies and analytics as applied to scholarly content and data. Examples include the Big Data Institute at the Li Ka Shing Centre for Health Information and Discovery, at the University of Oxford, UCL Big Data Institute and the Farr Health Informatics Research Institute The UK is leading the world on open data. In 2010, data. gov. uk and the open government license were created with an ambition to make UK Government data available for public and commercial use in a consistent manner. The UK has put Open Data at the heart of his agenda for government and has launched the Open Data Institute (ODI) to foster collaboration between businesses. The ODI, a world’s first, set up by Sir Tim Berners-Lee and Prof. Nigel Shadbolt will be collaborating theodi. org between businesses, entrepreneurs, universities and researchers, government and civil society to unlock enterprise and social value from the vast amount of Open Public Sector Data now being made accessible.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL CONNECTED PEOPLE 75% + >50% of the UK population go online for health information Access of the UK population use the internet to self diagnose Connect In the future, we should be… Accessing, managing and sharing health and care records online Sharing reviews, experiences and creating social health networks Offering better reporting, improved referrals, linked appointments and enhanced service management
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL CONNECTED PEOPLE Joint top third for fixed broadband subscriptions/ 100 worldwide UK domestic Broadband The UK government has set out a clear objective that the UK is to have the best superfast broadband network in Europe by 2015. This means that virtually all homes will have access to a minimum level of service of 2 Mbps. To accomplish this, two technologies will make up the bulk of the infrastructure with fibre deeper into the network being the main technology and wireless technologies, both fixed and mobile, having an important role in serving rural areas. The ultimate aim is to extend mobile services to 99 per cent of the UK population 73% of the UK population access the internet every day UK commercial Broadband The UK has a deregulated telecommunications market and many competitive suppliers of services. Most data communication is via fibre optic links with some backhaul using microwave links for specific applications. As a result businesses can lease services on existing lines or commission private services to most areas of the UK.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL MULTISECTOR CONVERGENCE Life Sciences The UK has a share of around 5% of the global export market for creative goods. he T value of services exported by the Creative Industries was £ 15. 5 billion in 2011, 8. 0 per cent of total UK service exports. Creative ICT Electronics At the overlap of the creative and healthcare industries in the UK, there is enormous potential for innovation, improved well-being and developing products and services for a healthcare market which represents approximately 10% of the economy as a whole. At the overlap of the creative and healthcare industries in the UK, there is enormous potential for innovation Despite the size of the healthcare sector, very few digital media businesses are addressing these creative challenges and commercial opportunities. There is world-class expertise in such fields as software engineering, ICT, interactive and interface design, 3 D animation, user-centred design, games development, special effects, script writing, music composition and television production. Some ICT clusters include… Glasgow/Edinburgh - software, creative Tech City (London) - digital, creative & tech Dundee – gaming Cambridge - hardware / networks / digital Belfast – security health West Midlands - software, gaming Brighton - gaming, animation, apps Thames Valley – software Bristol – animation Manchester - media, animation, apps
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL MULTISECTOR CONVERGENCE The UK life science industry is the third largest contributor to economic growth in the UK Life Sciences with more than 4, 000 companies, accounting for 165, 000 UK jobs and an annual turnover of over £ 50 bn Creative ICT Electronics The Medical Research Council (MRC) ehealth research centres aim to undertake research that links health records with other forms of routinely collected data. The Babraham Research Campus handles, stores and interprets large volumes of data which offer fast and efficient access to large biological data sets The Association of the British Pharmaceutical Industry (ABPI) is calling for a cross-sector response across healthcare, academia and the pharmaceutical industry to navigate and harness the potential of ‘big data’ to improve patient care and maximise the opportunities for investment in the UK. ABPI’s newly launched big data roadmap is a four-point plan to direct progress over the next four years.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL MULTISECTOR CONVERGENCE The UK has a long history of innovation in Electronics and IT. Today, world leading Life Sciences businesses in processor core technology, mixed signal devices, sensors, and lighting operate in the UK. Creative ICT Electronics The UK has one of the largest ICT markets in Europe with a focus on new technology and design and a sophisticated consumer base. UK consumers are early adopters of new technologies and design making the UK market an excellent ‘test bed’ for ICT companies. UK is the second strongest nation on IP protection globally The UK also has the strongest ICT skills in Europe and the highest number of ICT graduates in the whole of Western Europe. UK has 4 of the Top 10 universities worldwide. With some of the world’s best trained data scientists, the UK continues to attract talent from the rest of the EU (e. g. Tech City community) Some mechanisms to attract talent include Silicon milkroundabout, Internships and Digital Apprenticeships subsidised by UK Government
EASE OF DOING BUSINESS
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL FISCAL INCENTIVES The UK’s business environment favours innovation-oriented businesses by providing the support to nurture pioneering companies through catalysing their innovation and achieving commercial success. This commercial environment combined with the increased access to health care data is redefining the UK as the go-to place to establish digital health and care companies. £ £ Patent Box R&D tax credits Patent Box which reduces Small and medium sized enterprises (SMEs) are entitled to tax relief at 225%; for every £ 1 spent on R&D in the UK, £ 2. 25 can be put against the company’s corporation tax liability. For larger companies, tax relief is at 130%. corporation tax on profits from UK patents to 10%. Low corporation tax rate currently at 21% and dropping to 20% by April 2015. Funding for business growth (in England the Devolved Administrations)
RICH AND DIVERSE ECOSYSTEM
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL DIRECT FUNDING OPPORTUNITIES The UK has many funding opportunities available to inward investors as well as UK based organisations to support technology development. The government and NHS are investing £ 1 billion in technology over the next 3 years. The Digital Economy Research Hubs use a £ 12 million fund in flexible funding from EPSRC to explore how technology can transform lives. The Engineering and Physical Sciences Research Council (EPSRC) is the UK’s main agency for funding research in engineering and the physical sciences. EPSRC invests around £ 800 million a year in research and postgraduate training, to help the nation handle the next generation of technological change Technology Strategy Board (TSB) funding programmes DIGITAL HEALTH IN A HOSPITAL SETTING £ 6 M FUND Digital Health in a hospital setting: will open at end of April 2014, worth approximately: £ 6 m, with an aim to support the rapid movement of patients through the hospital setting using digital health technologies In 2014/15, the £ 200 m Small Business Research Initiative (SBRI) connects public sector challenges with innovative ideas from industry, supporting companies to generate economic growth and enabling improvement in achieving government objectives. IC tomorrow is a test bed for Digital Innovators to experiment and ascertain the commercial feasibility of their idea. Catapult is a technology and innovation programme where the very best of the UK's businesses, scientists and engineers can work side by side, transforming ideas into new products and services to generate economic growth through £ 1 bn of private and public sector investment £ 180 million Biomedical Catalyst is a joint TSB and Medical Research Council programme that offers funding to innovative businesses who are small and medium-sized enterprises (SMEs), and researchers looking to work either individually or in collaboration to develop solutions to healthcare challenges. Launchpads provide funding for business innovation that aims to support the development and strengthening of clusters of small and medium sized high-tech companies in specific theme areas and geographical locations. Collaborative research and development (R&D) encourages businesses and researchers to work together on innovative projects in strategically important areas of science, engineering and technology – from which successful new products, processes and services can emerge, contributing to business and economic growth.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL INDIRECT FUNDING OPPORTUNITIES The UK has many funding opportunities companies can tap into through partnerships with NHS providers, commissioners. £ 260 m Safe Wards, Safer Hospitals Fund is available to NHS Trusts, including Foundation Trusts, to support the rapid progression from paper-based systems for patient notes and prescriptions to integrated digital care records (IDCRs) and the Professor Sir Bruce Keogh, Medical Director of NHS England said: “This new fund will help patients get better and safer care by giving doctors access to the right information when they need it most. ” development of e. Prescribing and e. Referral systems Wales £ 40 m ‘Invest to Save’ fund to support the introduction of new or proven ways of working Regional Collaboration fund announced in Oct 2012 to encourage regional collaboration also has proposals for additional work streams into 2014 £ 50 m Intermediate Care Fund available in 2014/15 to encourage integrated working between health, local authorities and housing. The NHS England £ 3. 8 bn Better Care Fund (formerly the Integration Transformation Fund) was announced in the June 2013 spending round, to ensure a transformation in integrated health and social care. The Better Care Fund (BCF) is a single pooled budget to support health and social care services to work more closely together in local areas.
MARKET SUCCESS UK CASE STUDIES • • • • • Clinical Digital Maturity • Index • NHS Choices Open Data Institute • NHS Airedale Digital Health Centre • Cellnovo DW-UK NHS Well Happy • • app IDBS driving innovation in • the UK Powys Health Board goes • Digital • Invest-to-Save Fund Superfast Cymru (Welsh. Gov/BT) Serious Games and Sexual Health Avatar Therapy Research Know Your Own Health Living It Up project Syml. Connect Healthbox Europe Glasgow School of Art e. Redbook University of Exeter/Simpleware Scottish Care Information Diabetes Collaboration Aridhia Smart. Care United For Health Yarra/Northern Health and Social Care Trust ESRC Administrative Data Research Network Orion Health FDI CASE STUDIES • • • Patientslikeme Greater Manchester organisations/Hitachi UCL Big Data Institute (UCL/Elsevier) Digital Health Institute Scotland Greater Manchester Organisations/GSK TF 3 Consortium
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Clinical Digital Maturity Index CDMI is an important step to realising NHS England’s Digital Vision Nov 2013 NHS Hospitals needed to better understand how investing in and effectively using information technology can improve patient safety outcomes. EHI Intelligence partnered with NHS England to develop the Clinical Digital Maturity Index (CDMI), a benchmarking tool free to all NHS organisations. www. ehi. co. uk www. england. nhs. uk The CDMI delivers on NHS England’s commitment in ‘Putting Patients First: The NHS England Business Plan 2013/14 – 2015/16 to drive the move to digital records, prescribing and referrals by March 2015. CDMI, which is based on EHI’s existing tool and uses information obtained directly from NHS Trusts, to provide the learning and information The CDMI, completely free to all NHS organisations saving the NHS about £ 1. 6 m can be viewed as an important step in realising NHS England’s Digital Vision CDMI will be putting insight into hands of clinicians, senior managers and boards, to enable them review and identify best practice.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: NHS Choices April 2014 NHS Choices Syndication Programme NHS Choices is the UK’s biggest and most trusted source of information about health and lifestyle. The service, with about 40 million visits a month, includes more than 20, 000 regularly updated articles, more than 1, 000 videos, over 120 health tools and more than 50 postcode-search directories enabling visitors to find, choose, compare and comment on health services across England. Each month, around 10 million people access NHS Choices content via more than 400 partner websites, www. nhs. uk applications and other internet connected devices, including over 200 NHS organisations, local authorities, and commercial companies. Our free syndication programme allows partners to embed NHS Choices content and multimedia within their websites, negating the need for in-house development or external signposting.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: First UK Healthcare Cloud SCC, NHS Informatics Merseyside and Mersey Care Trust partnership to deliver cloud solutions www. imerseyside. nhs. uk www. scc. com/ April 2012 Informatics Merseyside is hoping to deliver a minimum 15% saving on IT spend for its customers after signing a framework agreement with cloud computing provider SCC. Customers of the health informatics service include Aintree University Hospitals and Liverpool Heart and Chest NHS foundation trusts and Liverpool Clinical Commissioning Group It was costly to maintain 14 local data centres across the Informatics Merseyside patch, and the need to cut budgets while providing transparency about costs had been a driver for change. The new model means organisations pay only for the storage space they use. Business cases for projects so far are showing a minimum reduction in IT costs of 15% when services are moved to the cloud. Informatics Merseyside also wanted a flexible infrastructure that could be adapted quickly, in line with customer innovations. In July 2011, SCC committed to build a G-Cloud platform, which is a framework agreement available for the public sector, although the Liverpool deal was done outside of the G-Cloud framework. The company also invested £ 25 m in a data centre. The recently released NHS information strategy says cloud technology offers "new opportunities. “ “Hospitals no longer need to buy and maintain expensive servers on site, with systems suppliers offering cheaper web-based storage and software solutions, "
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Open data identifies possible prescription savings Open data identifies £ 200 m potential prescription savings April 2012 In 2011 -12, the NHS in England spent more than £ 400 m on statins, a class of drugs used to prevent cardiovascular problems, out of a total drug budget of £ 12. 7 billion Open Healthcare UK (a consortium of NHS doctors and technologists) with the aim of analysing prescription pattern of these drugs worked with Mastodon C, a big data start up company incubated at the Open Data Institute They looked at the entire prescription dataset (over 37 million rows of data) and analysed how much money was spent in each area on more expensive drugs. It was found that on an average £ 27 m a month of potentially unnecessary expenditure on the two www. mastodonc. com www. nihr. ac. uk www. openhealthcare. org. uk proprietary statins took place in 2011 in the NHS in England. And savings of over £ 200 m could have been achieved for the NHS, had every doctor prescribed cheap statins Mastondon C are now going further ahead to identify similar potential savings in different prescription categories.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Patients. Like. Me helps UK-based patients find clinical trials that are right for them March 2013 Patients. Like. Me, a start-up founded by three MIT engineers, looked to the UK to establish its EU base. After winning the UKTI sponsored ‘Go For Gold’ competition, it obtained a broad based package of support including a roundtable discussion with senior leaders from the NHS. Patients. Like. Me is a patient network that helps improve lives and a real-time research platform that advances medicine. Through the network, patients connect with others who have the same disease or condition and track and share their own experiences. In the process, the generate data about the realworld nature of disease. www. patientslikeme. com Patients. Like. Me launched a new feature that helps UK-based patients find clinical trials that are right for them and helps organisations find paients who are right for their trial. The feature automatically matches up members of the website with every clinical trial they may be eligible for based on their conditions and locations. The app is now featured on the NHS choices health apps library
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: NHS Airedale Digital Health Centre Almost half of patients in Airedale avoid A&E using the telemedicine hub March 2013 Airedale Hospital Telehealth Hub is staffed 24 hours seven days a week, by highly skilled nurses who specialise in acute care. A consultant is also on hand if needed. The aim of the service is to care for patients closer to home whenever it is safe to do so. The patient’s GP is instantly informed and kept up-todate about any consultations which occur via the Telehealth Hub. Currently around 636 patients across Airedale Hospital’s catchment area are linked to the Telehealth www. airedale-trust. nhs. uk Hub including those with chronic heart failure, chronic obstructive pulmonary disease (COPD), diabetes. During the first six months of its operation, 204 calls were received to the Telehealth hub – and this is expected to increase considerably. Over half the calls were from chronic obstructive pulmonary disease (COPD) patients. And almost half of these patients avoided having to visit Accident and Emergency (A&E) service by dialling up the hub. Only 15 per cent of patients needed admission and in these cases the process was streamlined so that the person was taken directly to a ward. There were a further 94 consultations in clinics via video link throughout the region which saved patients from having to make that journey into hospital. The service has been recognised by our local commissioners who are supporting the service and funding the installation of telemedicine
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Greater Manchester Organisations and Hitachi “Thanks to the cooperation of the NHS and all related organisations in Manchester, we have been able to successfully take this positive leap forward, from planning projects over the past six months to entering this new phase of real action in the form of POCs” --Masaya Watanabe Vice President and Executive Officer of Hitachi, Ltd. , who is also the Chief Strategy Officer and Chief Innovation Officer of Hitachi’s Information and Telecommunication Systems Company The NHS organisations in Greater Manchester have agreed to start Proof of Concept (POC) projects with the Japanese technology giant Hitachi for planning and developing informatics technology to manage and improve patient care and population health in Greater Manchester The discussions between Hitachi and the NHS in Manchester have been supported by UK Trade and Investment (UKTI) and the Department of Health. Since 1 October 2013, two PC projects started in Salford, Greater Manchester. The first around developing a federated data platform to facilitate the collaboration of medical information in order to enable the provision of any number of new services that use the highest levels of privacy and security. The second project is around diabetes care in the form of lifestyle improvement enhancing a programme that is already being tested in Salford. The aim is to build upon the current programme, but making it more efficient, more effective and with more accessible information. The NHS and Hitachi will be working together as part of this project in developing an informatics platform that enables security and analytics technologies to deliver several new high quality healthcare services. www. gmahsn. org April 2013
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Cellnovo April 2013 Cellnovo, a Swansea born company, is a world leading innovator in Mobile Diabetes Management technology As the UK population lives longer, those diseases associated with an ageing population becoming more common. Already, diabetes medication alone accounts for 1 in 25 prescriptions and is responsible for 8. 4% of annual NHS expenditure on drugs, a 40% rise over the last five years. Digital technologies have a role to play, and there is an urgent need to develop the tools, products and services that can empower people to better understand manage their own health Cellnovo, a Swansea born company, is a world leading innovator in Mobile Diabetes Management technology. www. cellnovo. com The Cellnovo System is the world’s first Mobile Connected Diabetes Management System that comprises a wireless-connected tubeless micro pump (“patch-pump”), mobile touchscreen controller with an integrated blood glucose meter. The proprietary software provides intuitive operation, internet connectivity and real-time tracking. It is the first device of its kind designed to allow patients the freedom to enjoy a full lifestyle with the comfort that they can closely monitor blood glucose levels, insulin use, activity and diet. The on-line data management system displays real time clinical information also to Health Care Professionals and Caregivers The Cellnovo vision is that those who rely on medical devices should benefit from the same advances in technology to improve the care they receive and to make their lives easier. Cellnovo won the Medi. Wales Industry Innovation Award in 2013.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: DW-UK NHS Well Happy App The vast quantity of information about London wide support services for issues of mental health, sexual health and substance abuse were easily accessible March 2013 DW-UK were approached by NHS London to collate information on over 1, 000 local support services into one easy to use smartphone app for young people across issues of mental health, sexual health, drugs, alcohol and anti-smoking services. The app also needed to demystify these issues by breaking down difficult to understand terminology into easily accessible language and raise awareness by using available communication channels such as email and MMS to send out app content. DW-UK worked hard to define a highly usable mobile experience across Android and i. OS. The vast quantity of information about London wide support services for issues of mental health, sexual health and substance abuse were easily accessible. The App also offers the ability to network socially using either email or MMS messaging to send out E-Cards www. dw-uk. com illustrating mental health issues. The App use a CMS as the backend to allow easy content manipulation and updating without the need to re-submit either to their respective app stores. The App also integrated a custom third party web service which searches and displays available health services on a Google Map.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Data driving innovation in the UK Data Management Platform to improve understanding of mental health genetics and treatment Sept 2012 The National Centre for Mental Health in Wales has partnered with UK-based company IDBS to create a data management platform that will be used to improve the understanding of mental health genetics and treatment. The centre, hosted by Cardiff University, has established the Wales Mental Health Network which is recruiting 6, 000 volunteers over the next two years and will capture more than 300 clinical attributes for each person, including their medical history, family history, medication and therapy. The installation of IDBS’ platform will integrate clinical, biobanking and genetic data, providing a data management and analytics system for this and future studies. The platform will unify patient, sample www. idbs. com and genetic results ensuring consistent analysis across the varied and complex data sets involved
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Powys Health Board goes Digital Video conferencing for Powys patients under Digital Wales Scheme Dec 2012 Some patients in Powys will be able to speak to doctors via video and phone conferencing under the Digital Wales scheme to use new technology to improve healthcare. Mobile phone apps will also be available to support certain patients under the Digital Powys scheme. It is the first live project of Digital Wales, the Welsh government's strategy to improve public services. Among measures being introduced are video and phone conferences to reduce the need for patients to travel long distances for certain medical conditions. A computer mapping system to help doctors plan treatments more efficiently is also being rolled out. Patients with conditions like Asperger's Syndrome who have smart phones will be able to use apps to alert a support team if www. powysthb. wales. nhs. uk they feel particularly agitated. Public health messages will be accessible via social media. Powys Teaching Health Board is leading the initiative, in conjunction with private companies. The board's chair, Mel Evans, said: "This exciting project sees rural health and technology come together to address a range of issues, from patient transport to managing mental health, leading healthy lifestyles and preventing illness. “
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Invest-to-Save Fund Electronic tagging of hospital linen to help save £ 300, 000 a year with investment from the Investto-Save fund Jan 2014 Aneurin Bevan Health Board’s laundry service, based in Cwmbran, provides services to Aneurin Bevan, Cardiff and Vale, Powys and Velindre as well as a number of small contracts in NHS England. It processes 12 million pieces of linen a year and spends £ 390, 000 per annum replacing linen that isn’t returned. To help solve the problem, the health board is investing £ 353, 000 from the Welsh Government’s Investto-Save fund in a new Radio Frequency Identification (RFID) tagging system. This allows every item to be identified and facilitates accurate dispatch and collection, improved billing and assignment of responsibility for losses, thus reducing losses and expenditure on replacement linen, as well as assuring availability. This is expected to realise potential savings of £ 250, 000 -£ 300, 000 per annum by wales. gov. uk/topics/impr ovingservices/bettervfm/i 2 savefund the third year of operation. The Invest-to-Save Fund supports the introduction of new and/or proven ways of working that enable services to become more efficient, effective and sustainable. To date since 2009, over 68 projects have received investment from the Fund with a joint value of some £ 77 m. Supported projects are forecasting total annual savings of some £ 104 m within 5 years of commencing, with further recurrent savings thereafter.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Next generation broadband Wales Welsh Government and BT are working in partnership on the 'Superfast Cymru' programme to develop a nationwide superfast broadband infrastructure May 2013 Superfast Cymru will boost commercial roll-out to deliver high speed fibre broadband to 96% of homes and businesses in Wales by 2016. This is the largest partnership of its kind currently in the UK and a major infrastructure investment that will take around three years to complete. To introduce a high speed broadband infrastructure to rural areas on this scale is an immense engineering task - the programme will deploy around 3, 000 new fibre broadband cabinets to bring superfast broadband to Wales. Superfast Cymru is set to transform the broadband landscape in Wales and to promote economic growth and sustainable jobs in Wales. We have estimated that up to 2, 500 further full times jobs could be created throughout the Welsh economy over time. It will ensure we are at the forefront of the global digital economy and help to champion Wales as a great place to live, work, invest and visit. www. superfast-cymru. com
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Serious Games and Sexual Health The Serious Games Institute in partnership with health researchers and input from stakeholders developed PR: EPARe June 2013 A major priority for sex education policies in the UK is to eliminate incidences of sexual coercion during adolescence, and the negative physical and mental health outcomes associated with it. Engaging young people in such sensitive matters is often challenging but new attempts are being made to address them through video gaming. The Serious Games Institute in partnership with health researchers and input from stakeholders developed PR: EPARe, a game using many of the features in console games familiar to teenagers: high-quality 3 -D graphics, stylish characters, audio and scoring. The game is designed to support and be managed by teachers, allowing them to select the content, start and stop the game as appropriate and engage the students in group discussions around the issues it raises. www. seriousgamesinstitute. co. uk PR: EPARe is being trialled in secondary schools in the West Midlands, accompanied by an impact evaluation on sexual health education outcomes and behaviours. The intention is for the game not only to bring positive improvements against a range of indicators, but also inform a broader range of health education interventions based upon video games design.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Avatar Therapy Research ‘Computer-based system for avatar therapy’ project lead by Professor Julian Leff and funded by the National Institute for Health Research (NIHR) 2009 -2011 An example of how the Creative Industries are driving highly innovative medical interventions is the ‘Computer-based system for avatar therapy’ project lead by Professor Julian Leff and funded by the NIHR. This project is developing a computer-based therapy aimed at treating people with schizophrenia who suffer with persecutory auditory hallucinations despite drug treatment. The clinical insight for therapy was developed by Professor Leff who has worked with computer scientists based at UCL. They have combined two commercially available software packages from the video games industry with a specifically developed auditory system to produce an interactive media product which enables each patient to create an avatar of the entity (human or non-human) that they believe is talking to them. A therapist promotes a dialogue between the patient and the avatar in which the avatar progressively comes under the patient’s control. www. phon. ucl. ac. uk/pr oject/audhall/ The system has been highly successful in treating an initial group of patients, three of whom ceased to hear voices after many years of distress, and is currently undergoing further development with a larger clinical trial planned for 2013.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Know Your Own Health (KYOH) KYOH supports the open data agenda and is designed to be interoperable with other systems such as telehealth, patient records solutions and other open source applications. December 2010 KYOH was founded in 2010 by digital communications professionals, who already had considerable experience in delivering health education campaigns and change initiatives, and in using new technologies to engage patients and provide support for people to manage their health. They started KYOH recognising that there would be accelerating demand for their expertise brought on by the forthcoming NHS reforms, and a need to use digital design and technology to help people develop the skills to self-care and better able to manage their health. KYOH is two things: a system of support for patients and a smart business tool for health professionals, supplying valuable risk prediction data to clinicians. As such, it provides a single www. kyoh. org point-of-access to a unique combination of online patient engagement measurement tools and selfcare support services. This involves measuring people’s ability to self-manage, making sure people get the self-care support they need, measuring its impact and enabling the data can be used by other people to good effect – such as in the planning of services. Crucially, KYOH supports the open data agenda and is designed to be interoperable with other systems such as telehealth, patient records solutions and other open source applications.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Scotland NHS 24 ‘Living It Up’ Project ‘Living It Up’ £ 10 m digital health, care and wellbeing project provides tailored advice on improving and maintaining health, care and wellbeing 2012 Living it Up is a three year programme working with five local partnerships across Scotland aimed at empowering people to improve their health and well-being. Living it Up will deliver innovative and integrated health, care and wellbeing services, information and products via familiar technology enabling people to keep better connected with their communities and those they care for and receive care from. These technologies will include TV, mobile phone, games consoles, computers and tablets. The five partnership areas are - the Western Isles, Forth Valley, Lothian, Moray and Highland/Argyll & Bute. It is initially aimed at the over 50 s but will also be of benefit to people living with long term conditions, care givers and those who just want to keep healthy, happy and safe. The first phase will see an initial recruitment of 1500 people to act as 'test users' in the development of the project’s key services - Hidden Talents, Exchange, Keeping Connected and My Care. These key services are the result of extensive community engagement events and co-design workshops attended by members of the community, service providers, technology experts and innovators. www. livingitup. org. uk Ultimately the project aims to reach a community of 55, 000 in Scotland by 2015 and to deliver economic benefit to Scotland through creating opportunities for innovation. Living it Up is the Scottish element of the UK-wide dallas programme an is funded by a consortium led by the Scottish Government, Technology Strategy Board, Highlands and Islands Enterprise and Scottish Enterprise in partnership with other key stakeholders. NHS 24 has been appointed by the Scottish Government to provide overall leadership, coordination, programme management and financial governance for the project.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Syml. Connect collaborating with GP practices in Swansea Syml. Connect is piloting their hand held Care. Pad+ with four GP practices in Swansea who are using EMIS GP systems. This was made possible through the Innovation Panel organised by ehi 2 July 2013 Syml. Connect is piloting their hand held Care. Pad+ with four GP practices in Swansea who are using EMIS GP systems. This was made possible through the Innovation Panel organised by ehi 2 which Syml. Connect had sponsored and participated in November last year at Swansea University. The four Swansea GP practices using the EMIS GP system that signed up to pilot the Care. Pad+, allows GPs to download the patient information in the Care. Pad+ from their own system before leaving the practice for home visits. At the visits they can access the information in a secured and confidential surrounding allowing them to view information and input further data as per consultation. The data is then uploaded to the practice system seamlessly saving the GP duplication time. EMIS providers and their coordinator are supporting this beta phase trial. The Grove Medical Centre has involved a Community Nurse, Emma Lacey, who is responsible for regular symlconnect. co. uk visits to monitor several chronic conditions patients. Syml. Connect is working with the Community Nurse to explore how best to adjust the Care. Pad+ to the best possible efficiency for visiting clinicians in general. All the GPs and the practice managers are playing a valuable part in this beta trial phase by advising and suggesting functionalities that would make the Care. Pad+ more effective during the visits. Syml. Connect is working closely with them to develop and streamline the user interface to the best of their ability. The pilots are to run for at least four weeks in each practice.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: UCL and ELSEVIER Big Data Institute UCL and Elsevier establish the UCL Big Data Institute, a new collaboration to explore innovative ways to better serve needs of researchers through the exploration of new technologies and analytics as applied to scholarly content and data. December 2013 UCL and Elsevier, a world-leading provider of scientific, technical and medical information products and services, announced recently that they will establish the UCL Big Data Institute. It is a new collaboration to explore innovative ways to better serve needs of researchers through the exploration of new technologies and analytics as applied to scholarly content and data. Elsevier believes linking analytics and scientific content is one of the key enablers to better serve scientists and the company will fund research and studentships through the new Institute, offering exciting new opportunities to research the analysis, use and storage of big data. The new Institute will complement Elsevier’s recent acquisition of Mendeley, a company that operates a global research management and collaboration platform in the heart of east London’s tech start-up community, and Elsevier’s recent investment into building a London-based world-class web analytics group. www. ucl. ac. uk www. elsevier. com Elsevier will establish a Centre of Excellence within the web analytics group in connection with the Institute, co-staffed with UCL researchers looking at areas outlined earlier. This will offer employment as well as commercialisation activities in collaboration with UCL Business and UCL Consultants.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Largest mainstreamed telehealth service procurement in the UK 2011 TF 3 brings together the significant expertise of Tunstall, Fold and S 3 Group to form the largest deployers of telehealth and telecare services in the UK. The members are actively involved in over 70 dedicated telehealth initiatives and work closely with health and social care providers. The 2011 ‘Transforming Your Care’ review concluded that the case for patient care change was unquestionable and the key areas which were identified for development included: More diverse provision of services, delivered closer to home A focus on delivery of services through Integrated Care Partnerships Reconfiguration of the hospital network to ensure safe, resilient and quality services into the future Greater personal choice and control for patients Greater use of technology Increased involvement and role for the independent, voluntary and community sectors One outcome has been that Northern Ireland has adopted the largest mainstreamed telehealth service procurement in the UK, involving an £ 18 million remote tele-monitoring contract awarded in 2011 to TF 3 (a consortium of Tunstall, Fold. Housing and S 3). This scheme will support over 8, 000 patients with heart and respiratory conditions, diabetes and those who have suffered a stroke www. tf 3 consortium. com
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Digital Health Institute The Digital Health Institute (DHI) brings together Scotland’s health, care, third sector professionals, academia, industry partners and citizens The Digital Health Institute (DHI) brings together Scotland’s health, care, third sector professionals, academia, industry partners and citizens to work together for societal benefit and increase employment and profitability of companies in Scotland. The DHI, a Scottish Funding Council initiative, has a business model that uses agile demand-driven innovation; this enables the production and adoption of new products, services and processes in response to specific health and care demands and challenges. The innovation model of ’explore’, ’experience” and ’exploit’ enables: Demand to be identified, captured - and articulated driven by users and informed by health professionals, industry and academia: . Solutions to be Rapidly Prototyped to provide a realistic and compelling solutions. Commercialisation – to support and facilitate taking prototyped ideas to market and their deployment in Scotland globally. dhi-scotland. com Case 1: Working with Renfrew Council Social Care, DHI ran an Exploratory which brought together representatives from in adult and children’s social care services, Joint Improvement Team from the Scottish Government, Third Sector organisations and industry; two universities were also involved. It identified gaps and challenges in the delivery of social care and potential projects and collaborations. Case 2: The Troponin Study Phase 2 is a collaboration of a multinational equipment provider with NHS Grampian and Scottish Ambulance Service. The project aims to quantify the benefits of POCT (Point of Care Testing) and its impact on patients and care pathways. Phase 1 of the project tested the accuracy of test results using the portable Troponin analyser the results were inline with that required by clinicians.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Healthbox Europe supports entrepreneurs Founded by US incubator and venture capital firm Sandbox Industries, Healthbox supports healthcare entrepreneurs by providing early stage businesses with seed capital, business coaching and connections to organisations and individuals from across the healthcare spectrum, including private and public providers, healthbox. com investors, retailers, business experts and national health stakeholders Sandbox Industries recently launched Healthbox Europe, which invested £ 50, 000 in seven selected healthcare start-ups who moved from across Europe to London to participate in the programme “London was the obvious place for us to launch our first Healthbox programme outside of the United States given the world-renowned academic institutions, focus on improving health and growing technology community. ” Nina Nashif, CEO, Healthbox
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Simpleware University of Exeter uses Engineering and Physical Sciences Research Council (EPSRC) funding to set up modeling software company Simpleware, a company set-up to commercialise EPSRC-supported research at the University of Exeter, won The Queen’s Award for Enterprise in Innovation 2012 for its pioneering 3 D computer modeling software solutions. The company employs 19 staff, including many University of Exeter graduates, and has enjoyed an average 40% growth rate per annum over the last five years. Simpleware’s software has been successfully adopted in a wide range of healthcare-related projects in areas such as early stage diabetes detection, and is also used in engineering applications such as inspection, materials research and non-destructive testing. Over 85% of the company’s sales are export-based with customers ranging from international blue chip corporations to research institutes including high-profile organisations such as NASA, the US Naval Research Laboratory and Siemens as well as a wide range of universities world-wide. www. simpleware. com “The ability to generate robust and accurate numerical models from various sources of image data has started a revolution in the world of multi-physics simulation. The level of accuracy that is now possible is allowing us to more closely replicate what is happening in the real world. This is giving a new level of impact to the findings that are being generated in the projects we are partners with, and it is ultimately opening doors for the research to progress even further. ” Professor Philippe Young, Simpleware Founder
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Glaxo. Smith. Kline tests the effectiveness of pre-license medicine using real world data in Manchester The study is a collaboration between the pharmaceutical company Glaxo. Smith. Kline and North West e-Health (NWe. H), The University of Manchester, Salford Royal NHS Foundation Trust, NHS Salford’s local general practitioners, and local community pharmacists. The purpose of the Salford Lung Study is to test the safety and effectiveness of a new treatment for asthma and COPD, compared with standard medications used for these conditions. The study is sponsored by Glaxo. Smith. Kline (GSK). The initiative draws on Salford’s e-Health records infrastructure, a clinical information system that provides a single, integrated electronic patient record across primary and secondary care. This will ensure patients are closely monitored over the course of the study, yet with minimal intrusion into their everyday lives. Professor www. gsk. com/uk Martin Gibson, associate director of industry at the National Institute for Health Research Comprehensive Research Network, described the Salford Lung Study as “a major advance in the way we do clinical trials”. “This study is a first in the world, testing a pre-license medicine in a real world setting and is a tribute to the partnerships we’ve created together, our collaborators and the health care professionals and people of Salford. ” Dr David Leather, Medical Director of GSK’s respiratory Centre of Excellence. * This project highlights the role of the UK in using data to validate technology. The medical technology sector has a significant opportunity to benefit from this as a valuable tool.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Scottish Care Information Diabetes Collaboration use big data to drive integrated care to benefit patients with diabetes in Scotland University of Dundee’s Professor Andrew Morris also Chief Scientist at the Scottish Government Health Directorate set up The Scottish Care Information Diabetes Collaboration (SCI-DC) at NHS Tayside to provide a real-time, web-based IT solution for the whole of Scotland. Each Scottish patient with diabetes (n>270, 000) has a SCI-DC electronic record and data from all areas of healthcare (primary, secondary and tertiary care) are collected. This visionary use of “big data” has transformed the way diabetes is managed and treated in Scotland. Culminating in: An information-rich database containing a large number of patients that have agreed to take part in clinical www. scidiabetes. scot. nhs. uk research on diabetes, making patient recruitment into clinical trials very fast and successful. Improved clinical outcomes, the quality of care of patients with diabetes in Scotland with decreased amputation rates and decreasing rates of diabetic retinopathy.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: United For Health 2013 -2015 United For Health is overseen by the Clyde Valley and Ayrshire European Projects Steering Group, supported by the JIT and the Scottish Centre for Telehealth and Telecare. Both projects involve an element of match funding from 7 local health and care partnerships. United For Health is a Telehealthcare for Long Term Condition management project. The project brings together 30+ organisations from 13 European countries in a joint effort to deploy telehealth solutions for monitoring and management of long-term conditions, with a focus on COPD, diabetes and heart failure. Twelve regions will implement an already clinically validated telehealth service model for each of the three conditions to 13, 178 people (of which 7, 688 are from Scotland) and assess the impact (in particular) economic and organisational aspects. Scottish Role: Apart from deploying services in all three conditions, NHS 24 is the overall coordinator of the project, thus representing, managing and monitoring the project as a whole and on behalf of all partners. Primary objective: Improve and integrate health and social care for people with long term conditions using technology enables solutions. Secondary objectives: Enhance wellbeing; Empower people; Improve Sustainability and Value; Exchange learning and develop and embed good practices.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Smart. Care The Smart. Care programme links service provision across health, social care, family, informal carers and the voluntary sector. The aim is to utilise technology to support the health, care and wellbeing for the over 50 s with a specific focus on falls prevention and dementia care. 2013 -2016 Smart Care is overseen by the Clyde Valley and Ayrshire European Projects Steering Group, supported by the JIT and the Scottish Centre for Telehealth and Telecare. Both projects involve an element of match funding from the 7 local health and care partnerships involved. Smart. Care (integrated care supported by ICT) The project support the EIP on AHA action on integrated care. Smart. Care aims to improve health, care and wellbeing in communities by focusing on the role that ICT services and applications can play in the delivery of integrated care for falls prevention and management, i. e. integration of healthcare, social care and self-care. The project will unlock new services and value chains in active and healthy ageing and involve key stakeholders in the design and operational deployment of new care pathways and organisational models for integrated care. Role: Scotland is a 1 st wave pilot site in Smart. Care, ten pilot regions will start at different times during the project lifecycle, recognising that some regions are at a more mature stage than others and thus facilitating learning processes among the partners of the project. Scotland will include 6, 000 service users and 2, 000 carers across 7 local health and care partnerships. The project is coordinated by the Friuli. Venezia Giulia Region in Italy. Primary objective: Improve and integrate health and social care services falls management and prevention www. sctt. scot. nhs. uk using ICT. Secondary objectives: Enhance wellbeing; Empower people; Improve sustainability and value; Support economic growth; Exchange learning and develop and embed good practices.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Aridhia uses health informatics and analytics to improve chronic diseases Aridhia provides world-leading biomedical informatics and analytic solutions to support stratified medicine and translational research, which will enhance understanding, diagnosis, prevention and treatment of chronic diseases. Aridhia believes that the integration and application of patient, clinical and genomic data represents a powerful opportunity to support clinical care across healthcare sectors, provide patients with the ability to take a more active role in their own care and provide information at a population level about disease trends, risk factors, impact of treatment and informed public health programmes. Chronic diseases are the leading cause of mortality in the world, accounting for more deaths than all other www. aridhia. com diseases combined. Working in partnership with some of the world’s leading experts in chronic disease, global business technology services and big data analytics, their aim is to help healthcare providers manage these diseases and improve patient outcomes.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: European Connected Health (ECH) Alliance The European Connected Health Alliance (ECHAlliance) is an initiative designed to support and promote the wider adoption of healthcare and wellbeing (including sports and fitness) products, services, applications and innovation. In bringing together commercial, academic and healthcare stakeholders, ECHAlliance facilitates focused leadership for the development of ‘Connected and MHealth’ markets and practices across Europe and beyond. The scope includes the economic development of the full range of e. Health, EHR Tele. Care, Tele. Health Telemonitoring and MHealth sectors. www. echalliance. com ECHAlliance provides a unique partnership of organisations, companies and government bodies and will assist in the creation of “business” opportunities for our members. With its roots in Northern Ireland, this organisation is a leading player in shaping digital health implementations across numerous regional and country governments.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: ESRC Research Data Network Funded by the Economic and Social Research Council (ESRC) the launch of the UK's Administrative Data Research Network (ADRN) - a partnership between government departments, research funders, national statistical authorities, and the research community - has been recently announced. The Administrative Data Research Network (ADRN) consists of four Administrative Data Research Centres (ADRCs) - the ADRC for England led by the University of Southampton, the ADRC for Northern Ireland led by Queens University Belfast, www. esrc. ac. uk the ADRC for Scotland led by the University of Edinburgh, and the ADRC for Wales led by Swansea University - and the Administrative Data Service (ADS) led by the University of Essex. On the past June 2013 UK Government's Response to the Report of the Administrative Data Taskforce "Improving Access for Research and Policy" from December 2012, the UK Government supported the proposition that "the ADRCs should provide access to linked de-identified data for publically funded researchers and those from the third/voluntary sector". But since the UK Government also agreed with the recommendation that "private sector requests for access to the ADRC should be out of scope at this initial stage of development" fears may arise that private sector involvement will not be as fast as the Open Data and Big Data market demands.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Orion Health and Department of Health Northern Ireland has launched the country’s first electronic care record system with a £ 9 m, seven year contact with Orion Health in 2012 for a portal-based ECR. The target is for the portal to have 20, 000 users and will deliver a full integrated health care solution. www. orionhealth. com This ECR record is at the centre of health care delivery within Northern Ireland provides a single view on key health events and information for all Health & Social Care staff. Historically whenever a patient was treated , a record was kept, often in many different electronic systems such as A&E, laboratory, radiology and in numerous clinical information systems. Now the Electronic Care Record will enable the treating health care professional to access and cross-reference the information they need much more efficiently saving time for both patient and clinician.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: ESRC Research Data Network Funded by the Economic and Social Research Council (ESRC) the launch of the UK's Administrative Data Research Network (ADRN) - a partnership between government departments, research funders, national statistical authorities, and the research community - has been recently announced. The Administrative Data Research Network (ADRN) consists of four Administrative Data Research Centres (ADRCs) - the ADRC for England led by the University of Southampton, the ADRC for Northern Ireland led by Queens University Belfast, www. esrc. ac. uk the ADRC for Scotland led by the University of Edinburgh, and the ADRC for Wales led by Swansea University - and the Administrative Data Service (ADS) led by the University of Essex. On the past June 2013 UK Government's Response to the Report of the Administrative Data Taskforce "Improving Access for Research and Policy" from December 2012, the UK Government supported the proposition that "the ADRCs should provide access to linked de-identified data for publically funded researchers and those from the third/voluntary sector". But since the UK Government also agreed with the recommendation that "private sector requests for access to the ADRC should be out of scope at this initial stage of development" fears may arise that private sector involvement will not be as fast as the Open Data and Big Data market demands.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Yarra Software and Northern Health and Social Care Trust The Northern Health and Social Care Trust within Northern Ireland Yarra Software have recently signed a revenue sharing agreement in relation to a new ‘clinical intervention’ software, EPICS, (Electronic Pharmacist Intervention Clinical System) which was developed in conjunction with the School of Pharmacy at Queens University of Belfast. In hospitals it is the job of the clinical pharmacists to ensure the safe and effective use of medicines. The medicine may not be having the required effect, the patients may be taking too much or too little, there may be adverse side effects or two medicines may interact adversely. If pharmacists discover problems www. yarrasoftware. com with a patient’s treatment they carry out a ‘clinical intervention’ to ensure that therapy will be effective and free from adverse effects. The new bespoke EPICS software application has now automated the entire process of clinical intervention. Now, pharmacists carry their pocket PCs loaded with the software so they can quickly and easily record their clinical interventions on a continuous basis and the software automatically generates monthly reports. In addition these interventions can be incorporated into the Trust Incident Reporting system thereby facilitating detailed analysis and subsequent learning from key medication–related incidents.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: Glasgow School of Art Hospitalfoodie – redesigning the nutritional management for vulnerable older hospital patients The current system for food provision in hospitals is failing vulnerable elderly patients and previous approaches using isolated interventions have not found a solution to this problem. Using an interprofessional people-centred approach, a team of researchers from The Glasgow School of Art, and Newcastle and Reading Universities, have developed “Hospitalfoodie”, a prototype integrated food management and nutrition monitoring system. For this project, researchers worked alongside food scientists, dieticians, medical sociologists, ergonomists, computer scientists, technologists, key stakeholders and a “food family” (those concerned with nutritional management and food supply and delivery in hospital) as well as with older people representatives. The www. hospitalfoodie. com methodology established by The Glasgow School of Art was a participative, co-research and evidencebased co-design process, which iteratively developed new food service concepts closely involving the key stakeholders. As a result, the concept of “hospitalfoodie” emerged. This operates through touchscreens at patient’s bedside and engages all grades of staff in the process of providing adequate food and nutrition to elderly people in hospitals. The hospitalfoodie demonstration prototype was showcased to favourable response at a series of UK conferences and is being further developed for implementation. The participative people-centred co-design approach used by The Glasgow School of Art is an example of how novel design-led approaches help the NHS “think differently” about the delivery of healthcare services.
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Case: e. Redbook – UK’s first clinically validated Personal Child Health Record The health and well-being of children is of critical importance for our future. By improving the tools we use to monitor children's health, we reduce healthcare risks for generations. This, in turn, enables us to bring a halt to rising healthcare costs and improve the happiness and well-being of our society. Currently, every child in the UK has a paper-based Personal Child Health Record, informally known as the ‘Red Book. ’ This record contains general information about a child’s health, immunisations, growth and development. The e. Redbook is the digital version of the Red Book and provides parents and clinicians with the digital tools they need to effectively manage a child’s care. It is a leading example of an e. PCHR: an electronic Personal Child Health Record. For clinicians, the e. Redbook is an integrated digital health record, automatically flowing information recorded by health professionals into and from clinical systems. This dramatically reduces information rekeying and www. e. Redbook. org www. sitekit. net frees valuable time to care. Data entry of growth information is also easier to enter and much more accurate. For parents, the e. Redbook provides a whole system picture of a child’s care with information from health professionals from multiple agencies. It engages parents in the health of their child and increases their understanding of the child’s health and development. This is also beneficial to communication between health professionals and parents, which leads to better health outcomes. At present the e. Redbook is undergoing evaluation by Liverpool Community Health NHS Trust and South Warwickshire NHS Foundation Trust. The e. Redbook is a vital tool to improve health outcomes for generations to come and is expected to be a major contributor to a healthier, happier society.
APPENDIX
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL The new NHS Structure in England Following the Health and Social Care Act 2010, the NHS in England has undergone the biggest transformation in its 65 year history, using the vision that the “patient is at the centre of everything we do. ” 74
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL The new NHS Structure in England Who are they? What do they do? The CCGs will be overseen by the newly formed independent NHS Commissioning Board which will make sure that CCGs have the capacity and capability to commission services successfully and to meet their financial responsibilities The NHS Commissioning Board will also be responsible for directly commissioning: § Pharmacy services § General practice § Dentistry services § Specialist services (specialised services that are required by a limited number of people) There will be just over 200 consortia, each will have different and distinct characteristics. Each consortia will have an average budget of more than a £ 100 m and will together manage some £ 70 billion of NHS funds Made up of care providers, i. e acute trusts (mainly foundation), community services, mental health services NHS England Clinical Commissioning Groups (CCG) Contract Providers They will be commissioning or buying health and care services including: § Elective hospital care § Rehabilitation care § Urgent and emergency care § Most community health services § Mental health and learning disability services Provide care to patients and manage allocated budget CCGs are groups of GPs that have formed from April 2013, they will be responsible for designing local health services In England. They are managed by the NHS Commissioning Board. 75
GLOSSARY
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL UK DATA OPPORTUNITIES UK BIOBANK: UK Biobank recruited 500, 000 people aged 40 -69 years to build a health research resource for the next 30 years and more. It targets illnesses of mid to later life. UK Biobank is the most detailed study of its kind. It will follow people’s health over time to help scientists understand why some people get illnesses and others do not. PROSPECTIVE: UK Biobank can assess the full effects of a particular exposure (such as smoking) on all types of health outcome (such as cancer, vascular disease, lung disease, dementia) DETAILED: The wide range of questions, measures and samples at baseline allows good assessment of exposures, and outcome adjudication allows good disease classification BIG: Inclusion of large number of participants allows reliable assessment of the causes of a wide range of diseases, and of the combined impact of many different exposures HONEST BROKER SERVICE Within Northern Ireland the Honest Broker Service will enable the provision of anonymised, aggregated and in some cases pseudonymised health and social care data for research purposes NIHR BIORESOURCE To be scaled into a national cohort of healthy volunteers, patients and their relatives who wish to participate in clinical research. Volunteers provide clinical information and samples that enable recall to studies by genotype and phenotype and can help study sponsors stratify and select patients for trials. Industry opportunity - A ready resource for clinical trial recruitment informed by phenotyping and genotyping Industry ‘products’ – Services to perform specialised clinical trial feasibility and recruitment GENERATION SCOTLAND Generation Scotland aims to create more effective treatments based on gene knowledge to the medical, social and economic benefit of Scotland its people. GS is a bioresource of human biological samples available for medical research. It is a unique partnership between the Scottish University Medical Schools, the NHS in Scotland the people of Scotland. It is maintained by core funding from the Scottish Government and through collaborative research. Over 30, 000 people from across Scotland have helped Generation Scotland create a world class biomedical resource for research into a wide variety of diseases, such as heart disease, diabetes and mental health problems. 77
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL UK DATA OPPORTUNITIES GENOMICS ENGLAND: Project will sequence the whole genome of up to 100, 000 patients over the next five years HEALTH AND SOCIAL CARE INFORMATION CENTRE England’s central source of health and social care information for frontline decision makers Commitment involves the creation of a new leadership vehicle (Genomics England) to support a framework to introduce genomics and bioinformatics technologies that have the potential to improve patient care and generate significant economic value in the UK Industry opportunity - Information to enable improved healthcare decision making, tracking patient outcomes, and identification of efficiency savings Industry opportunity – Partnering with the UK to unlock the clinical and commercial potential of genomics UK/EU BIOINFORMATICS COLLABORATION The Biotechnology and Biological Sciences Research Council (BBSRC) supports health-relevant informatics via the European Bioinformatics Institute. CLINICAL PRACTICE RESEARCH DATALINK CPRD is the English NHS observational data and interventional research service, maximising the way anonymised NHS clinical data can be linked to support research, clinical trial feasibility and protocol optimisation. Industry opportunity: Clinical trial feasibility, interventional or observational studies, post-market surveillance Industry ‘products’: Clinical trial feasibility tool, license to data, or specific data pull, sample collection and linkage to electronic data Industry ‘products’ – Data packs, reports, statistics, audits, quality indicators, data linkage service, patient reported outcomes Part of the European Molecular Biology Laboratory (EMBL-EBI) £ 75 m funding has been provided to support a new facility for biological data-storage to support life sciences research and its translation at the Institute This will deliver a new technical hub (Hinxton, Cambridge) which will coordinate the European ELIXIR network 78
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL UK DATA OPPORTUNITIES CARE. DATA: Care. data is the new modern data service for healthcare in England. It builds on existing established national datasets such as Hospital Episode Statistics (HES), a world-class data warehouse containing details of all hospital activity in England. Care. data will develop into comprehensive source of data across the patient pathway, linking data from secondary and primary care and aims to supply timely, accurate information to citizens, clinicians and commissioners about NHS care (i. e. , a modern data service) Data will be linked for patients across the entire continuum of health and social care Industry opportunity – A powerful data resource of patients nationwide along their entire continuum of health and social care data HOSPITAL EPISODE STATISTICS The national statistical data warehouse for England of the care provided by NHS hospitals and for NHS hospital patients treated elsewhere. HES is a unique data source, whose strength lies in the richness of detail at patient level. HES includes data on hospital admissions, outpatient appointments and A&E attendances for all NHS trusts in England. They cover activity at acute hospitals, primary care trusts and mental health trusts. HES also includes information about private patients treated in NHS hospitals, patients who were resident outside of England care delivered by treatment centres (including those in the independent sector) funded by the NHS. This data is collected during a patient’s time being cared for in hospital and is collected and submitted to enable hospitals to be paid for the care they deliver. HES data is created to enable secondary use of this administrative data. HES is the data source for a wide range of healthcare analysis used by a wide variety of people including the NHS, government, regulators, academic researchers, the media and members of the public. 79
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL DEFINITIONS DIGITAL HEALTH Paul Sonnier (Popper and Company) has defined Digital Health in his Linked. In Digital Health Group as follows : “Digital health is the convergence of the digital revolution with health. In addition to medicine and healthcare, digital health encompasses consumer-focussed sports, fitness and wellness solutions, which can be considered preventive medicine. As enumerated by Dr Eric Topal in his book “The Creative Destruction of Medicine: how the Digital Revolution Will Create Better Health Care” there are eight super-convergence elements (annotations are mine) comprising Digital Health: wireless sensors and devices, genomics, social networking, mobile connectivity and bandwidth, imaging, health information systems, the internet and computing power and the data universe. An alternative definition from the recently formed Digital Health Institute in Scotland is: “ Digital Health is an upcoming discipline that involves the use of information and communication technologies to help address the health problems and challenges we all face. Digital Health, in the form of mobile technology, social media and sensor technology already helps us to reduce inefficiencies in healthcare delivery, improve access, reduce costs, increase quality, and make medicine more personalized and precise. These digital capabilities, now more than ever, need to be focused on changing how we use and interact with technology, to empower people to be equal partners in the design and delivery of their own Health & Care services. ” CONNECTED HEALTH The ECHAlliance promotes the term “Connected Health” as the umbrella description covering digital health, e. Health, m. Health, telecare, telehealth and telemedicine. In the US “Connected Health” has emerged with the three aims of improving access, efficiency and quality of healthcare. Arguably “e. Health” and “m. Health” labels indicate how slow healthcare is in adapting to these new technologies and communication tools because in the financial services sector no one today talks about “e. Banking” just banking. In financial services the enabling technology and communication tools have just become a part of the services provided. Healthcare needs to catch up. EHEALTH WHO has adopted the following broad definitions of e. Health: “e. Health is the use of information and communication technologies (ICT) for health” (Global Observatory for e. Health – a WHO initiative); and “ the overarching term for the range of tools based on information and communication technologies used to assist and enhance the prevention, diagnosis, treatment, monitoring and management of health and lifestyle”. Geysenbach (Journal of Medical Internet Research 2001: 3(2): E 20) has said “e. Health characterises a technical development, but also a state of mind, a way of thinking, an attitude and commitment for networked, global thinking, to improve healthcare locally, regionally, and worldwide by using information and communication technology”. 80
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL DEFINITIONS TELEMEDICINE WHO has adopted the following broad definition of telemedicine: “The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities”. The distinction between telehealth and telemedicine is that a telemedicine service is the provision of a regulated healthcare service (so where a doctor/patient relationship exists and is regulated by health laws in the applicable country) but where the health professional and patient are not in the same location. TELECARE & TELEHEALTH The NHS’s Whole System Demonstrator: An Overview of Telecare and Telehealth defined telecare as using: “A combination of alarms, sensors and other equipment to help people live independently”. Accordingly, telecare involves services to people in their own homes which might alert changes to them or call centres. Care homes and Housing Associations in the UK have been using these types of services for many years and examples include personal alarms, fall detectors, temperature, gas and carbon monoxide detectors. These services are social care, not strictly regulated healthcare/medical services. The Whole System Demonstrator defined telehealth as using: “equipment to monitor people’s health in their own home”. In contrast to telecare services, telehealth services covers the remote monitoring of physiological data such as blood sugars, blood pressure, heart rate, stress levels or lung function by such devices as pulse oximeters, spirometers and glucometers. Some commentators have interpreted this definition as being limited to the capture and transmission of this health data to a healthcare professional (for subsequent diagnosis or consultations (remotely or otherwise) with a patient. ) MHEALTH WHO has not adopted a definition for m. Health. The 2010 m. Health Summit of the Foundation for the National Institutes of Health defined m. Health as: “The delivery of healthcare services via mobile communication devices”. The US Department of Health and Human Services defines m. Health on its website as “the use of mobile and wireless devices to improve health outcomes, healthcare services and health research”. Some commentators emphasise mobile devices and technologies to make it clear it is not simply about the mobile phone (voice services). 81
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL DEFINITIONS HEALTH AND WELLBEING The Health and Social Care Act 2012 establishes health and wellbeing boards as a forum where key leaders from the health BOARDS and care system work together to improve the health and wellbeing of their local population and reduce health inequalities. Health and wellbeing board members will collaborate to understand their local community's needs, agree priorities and encourage commissioners to work in a more joined-up way. As a result, patients and the public should experience more joined-up services from the NHS and local councils in the future ACADEMIC HEALTH SCIENCE NETWORKS AHSNs present a unique opportunity to pull together the adoption and spread of innovation with clinical research and trials, informatics, education, and healthcare delivery. They will develop solutions to healthcare problems and get existing solutions spread more quickly by building strong relationships with their regional scientific and academic communities and industry. The AHSNs provide an important mechanism for achieving a step-change in the way the NHS translates research, innovation and best practice into effective and cost-effective treatments and services for patients CLINICAL England – 211 clinical commissioning groups (CCGs) commission health services from National Health Service (NHS), third COMMISSIONING GROUPS sector and independent sector providers. The majority of services are provided by NHS. Social care assessments carried out by social workers (free); occupational therapists and physiotherapists employed by local authorities; personal care provided largely by private agencies commissioned by local authorities. Community care is highly developed, with frequent co-location of community care staff in GP practices Wales – There is no internal market for social care, regional health boards set strategies; no commissioning/provider split N. Ireland – 1 health and social care board and 5 local commissioning groups with care delivered through 5 health and social care trusts and 1 ambulance trust Scotland – Current provision of healthcare is the responsibility of 14 geographically-based local NHS Boards and a number of National Special Health Boards WHOLE SYSTEMS DEMONSTRATOR PROGRAMME The WSD programme was launched in May 2008. It is the largest randomised control trial of telehealth and telecare in the world, involving 6191 patients and 238 GP practices across three sites, Newham, Kent and Cornwall. 3, 030 people with one of three conditions (diabetes, heart failure and COPD) were included in the telehealth trial. For the telecare element of the trial people were selected using the Fair Access to Care Services criteria. The early indications show that if used correctly telehealth can deliver a 15% reduction in A&E visits, a 20% reduction in emergency admissions, a 14% reduction in elective admissions, a 14% reduction in bed days and an 8% reduction in tariff costs. More strikingly they also demonstrate a 45% reduction in mortality rates. 82
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL The UK life science and healthcare opportunity: Globally Competitive The UK is committed to building an integrated health economy and offers a powerful combination of: 1. 2. 3. World-class science, universities, facilities, and principal investigators Established industrial R&D, manufacturing and supply chain Translational research infrastructure and clinical networks supported by key opinion leaders 4. Quality, efficient R&D and product validation 5. A firm commitment to partner with industry 6. A National Health Service with more than 60 million patients 7. Unrivalled, clinically-coded health data and bioresources 8. Globally renowned research charities 9. A supportive business environment and incentives for R&D and business growth 10. A platform for global growth – with excellent connectivity to the rest of the world 83
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL Providing Access to Drive Healthcare Innovation: Active Partnership Between Academia, Industry, and the NHS § Industry can leverage the UK as an innovation partner to develop an evidence base, supporting market access, uptake and diffusion in the UK and around the world IN NORTHERN IRELAND: IN SCOTLAND: • Connected Health and Prosperity Action Plan ensures cross-sectorial support for R&D and technology adoption • Academic Health Sciences Collaboration facilitates partnerships between universities and health boards • Invest Northern Ireland, the region’s business development agency, provides a single access point for industry investment interest. • Health Sciences Scotland is a single industry access point for investing in health and life sciences in Scotland, supported by Scottish Development International and Scottish Enterprise IN WALES: IN ENGLAND: • Academic Health Science Collaboration maximises links between health boards, trusts, universities and industry • Biomedical Research Centres and Units link universities and NHS trusts • The Welsh Government gives you easy access to key decision-makers and private sector specialists, to help fast-track your investment. • Health Research Wales provides industry with a one stop shop for information and support. It is a portal for industry to access NHS Wales and supports in the set up and management of commercial research studies. • Academic Health Science Centres open up routes to market • Academic Health Science Networks will work with industry and drive adoption across the NHS in England 84
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL How UKTI can help you work with and establish new connections in the UK Our practical help and advice is free and confidential UKTI’s professional trade and industry advisers operate in the UK alongside a global network of experts based in all British diplomatic offices overseas. § Links with centres of excellence (e. g. universities) § Information on tax, regulatory and business planning issues § Information on financial incentives if applicable § Information on staff recruitment § Site and Property search assistance § Building key contacts – we can provide introductions to service providers, local, regional and national government and trade organisations. § Aftercare through on-going support § Maximising your global potential – Once you are established in the UK, we can help your company to take advantage of new business opportunities and branch out to new locations – both in the UK and overseas. 85
UNLOCK YOUR GLOBAL BUSINESS POTENTIAL The UK Prospectus: A new approach to promoting UK health science excellence § § § New UKTI team – the Life Science Investment Organisation (LSIO) Combines private-sector expertise with Government teams Charged with x 10 Translating benefits of the UK’s Life Science Strategy and capabilities for business x 20 Creating focused messaging matching UK strengths x 10 x 20 x 30 with global business needs x 30 Catalysing and empowering the UK Life Science community to work with international business UK Life Sciences Digital Health Proposition February 2014 86
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