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Making science work for health
Dr Mark Kroese
20 April 2023
Who we are
A policy think tank focused on genomics and related technologies and
how they can be used for better, more personalised healthcare.
Our vision
A society that makes the best possible use of advances in life sciences to
promote health and improve the prevention and treatment of disease by
making responsible changes in health policy and the organisation of
health systems
• Established in 1997
• Part of the University of Cambridge
• Funded by philanthropy, grants, and commissioned work
Our work: PHG led
• Genomics in mainstream
clinical pathways (2018)
• Polygenic risk scores for
cardiovascular disease
(2019)
• My Healthy Future (2019)
• Citizen generated data and
health (2020)
• Artificial intelligence for genomic
medicine (2020)
• Polygenic scores and clinical
utility (2020)
• Implementing polygenic scores
for cardiovascular disease into
NHS Health Checks (2021)
• Polygenic scores for cancer
(2022)
Our work: PHG led
Explainers (18)
Policy briefings (29)
Our work – PHG led
Podcasts (3)
Discussion papers (5)
Consultations (28)
Blogs (201)
Secretariat for the
All-Party Parliamentary
Group (APPG) on
Personalised Medicine
(2015-2020)
Our work: PHG led
Our work – UK commissioned / funded
• NHS England – The personalised
medicine technology landscape
(2018)
• PHE – Gastrointestinal bacteria
reference unit pathogen genomics
case study (2018)
• Wellcome Trust – Black Box
Medicine and transparency (2020)
Our work – UK commissioned / funded
• Information Commissioner’s Office –
GDPR and Data Protection Act on
Regulating Genomic Technologies in
Healthcare (2020)
• NHS Scotland – Clinical genomic
analysis evidence review (2020)
• AHSN Network – Genomic innovation:
technologies for personalised medicine
(2020)
• NIHR – Control of patient information
in the COVID-19 era (2021)
Our work – UK commissioned / funded
• NHS Scotland – International models of
service delivery for laboratory genomics
(2021)
• Genomics England – The ethical and legal
framework for a Genomics England and
Sano Genetics participant engagement
platform (2021)
• UKRI – ISCF Precision Medicine evaluation
(partner with SQW) (2021-23)
• DHSC – Polygenic scores: A
background paper for the Equity in
Medical Devices Independent Review
(2022)
• MHRA – Regulatory review of
synthetic health data (2023)
Our work – UK commissioned /funded
Our work – academic partners
• B-CAST – Breast Cancer Stratification:
understanding the determinants of risk
and prognosis of molecular subtypes (EU
funded)
• ExACT – European network staff eXchange
for integrating precision health in the
health Care sysTems (EU funded)
• Centre for Medical Ethics and Law – HKU
webinars
• PROPHET – A Personalized Prevention
Roadmap for the future healthcare (EU
funded)
• Da Vinci (THIS Institute) – Visual
identifiers in the care of people with
dementia – An ethical and legal
analysis
• DELTA (Innovate UK / ICSF) –
integrateD diagnostic solution for
EarLy deTection of oesophageal
cAncer)
• EXPRESS (NIHR) – Optimising EXome
PREnatal Sequencing Services
Our work – academic partners
FIND -the global alliance for diagnostics
• Next generation sequencing for SARS-CoV-2
/ COVID-19 (2020-21)
• SARS-CoV-2 variants of concern (2021)
• Next generation sequencing for viral
haemorrhagic fevers (2021)
• Sequencing for antimicrobial resistance
surveillance (2022)
• Near patient pathogen sequencing (2022)
Our work – international commissioned / funded
Our work – international commissioned / funded
• WYNG Foundation – policy briefings
• Health Action International – diagnostics to
address antimicrobial resistance (2023)
• University of Hong Kong – evaluation of Hong
Kong Genome Project
November 2020
November 2020
Example of impact
• RNA vaccines: an introduction policy briefing
– over 1 million views & 18,000 downloads
Example of impact
The PHG Foundation has produced a series of reports
which set out the potential applications of polygenic
scores for risk prediction in different contexts, as well as
outlining current gaps in the scientific evidence
“
”
Genome UK: 2022 to 2025 implementation plan for England
Department of Health and Social Care, December 2022
Next: increasing UK and international impact
• Developments in clinical genomics
• Pathogen genomics
• Polygenic scores
• Legal and regulatory analysis
• Ethical issues associated with
genomics and new technologies
• Host genomics in response to
infectious diseases
• Environmental human genomics
• How can we help you?
• What areas should we be investigating?
Please give us your suggestions and thoughts
What next?

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Makling science work for health

  • 1. Making science work for health Dr Mark Kroese 20 April 2023
  • 2. Who we are A policy think tank focused on genomics and related technologies and how they can be used for better, more personalised healthcare. Our vision A society that makes the best possible use of advances in life sciences to promote health and improve the prevention and treatment of disease by making responsible changes in health policy and the organisation of health systems • Established in 1997 • Part of the University of Cambridge • Funded by philanthropy, grants, and commissioned work
  • 3. Our work: PHG led • Genomics in mainstream clinical pathways (2018) • Polygenic risk scores for cardiovascular disease (2019) • My Healthy Future (2019)
  • 4. • Citizen generated data and health (2020) • Artificial intelligence for genomic medicine (2020) • Polygenic scores and clinical utility (2020) • Implementing polygenic scores for cardiovascular disease into NHS Health Checks (2021) • Polygenic scores for cancer (2022) Our work: PHG led
  • 5. Explainers (18) Policy briefings (29) Our work – PHG led Podcasts (3)
  • 6. Discussion papers (5) Consultations (28) Blogs (201) Secretariat for the All-Party Parliamentary Group (APPG) on Personalised Medicine (2015-2020) Our work: PHG led
  • 7. Our work – UK commissioned / funded • NHS England – The personalised medicine technology landscape (2018) • PHE – Gastrointestinal bacteria reference unit pathogen genomics case study (2018) • Wellcome Trust – Black Box Medicine and transparency (2020)
  • 8. Our work – UK commissioned / funded • Information Commissioner’s Office – GDPR and Data Protection Act on Regulating Genomic Technologies in Healthcare (2020) • NHS Scotland – Clinical genomic analysis evidence review (2020) • AHSN Network – Genomic innovation: technologies for personalised medicine (2020) • NIHR – Control of patient information in the COVID-19 era (2021)
  • 9. Our work – UK commissioned / funded • NHS Scotland – International models of service delivery for laboratory genomics (2021) • Genomics England – The ethical and legal framework for a Genomics England and Sano Genetics participant engagement platform (2021) • UKRI – ISCF Precision Medicine evaluation (partner with SQW) (2021-23)
  • 10. • DHSC – Polygenic scores: A background paper for the Equity in Medical Devices Independent Review (2022) • MHRA – Regulatory review of synthetic health data (2023) Our work – UK commissioned /funded
  • 11. Our work – academic partners • B-CAST – Breast Cancer Stratification: understanding the determinants of risk and prognosis of molecular subtypes (EU funded) • ExACT – European network staff eXchange for integrating precision health in the health Care sysTems (EU funded) • Centre for Medical Ethics and Law – HKU webinars • PROPHET – A Personalized Prevention Roadmap for the future healthcare (EU funded)
  • 12. • Da Vinci (THIS Institute) – Visual identifiers in the care of people with dementia – An ethical and legal analysis • DELTA (Innovate UK / ICSF) – integrateD diagnostic solution for EarLy deTection of oesophageal cAncer) • EXPRESS (NIHR) – Optimising EXome PREnatal Sequencing Services Our work – academic partners
  • 13. FIND -the global alliance for diagnostics • Next generation sequencing for SARS-CoV-2 / COVID-19 (2020-21) • SARS-CoV-2 variants of concern (2021) • Next generation sequencing for viral haemorrhagic fevers (2021) • Sequencing for antimicrobial resistance surveillance (2022) • Near patient pathogen sequencing (2022) Our work – international commissioned / funded
  • 14. Our work – international commissioned / funded • WYNG Foundation – policy briefings • Health Action International – diagnostics to address antimicrobial resistance (2023) • University of Hong Kong – evaluation of Hong Kong Genome Project
  • 15. November 2020 November 2020 Example of impact • RNA vaccines: an introduction policy briefing – over 1 million views & 18,000 downloads
  • 16. Example of impact The PHG Foundation has produced a series of reports which set out the potential applications of polygenic scores for risk prediction in different contexts, as well as outlining current gaps in the scientific evidence “ ” Genome UK: 2022 to 2025 implementation plan for England Department of Health and Social Care, December 2022
  • 17. Next: increasing UK and international impact • Developments in clinical genomics • Pathogen genomics • Polygenic scores • Legal and regulatory analysis • Ethical issues associated with genomics and new technologies • Host genomics in response to infectious diseases • Environmental human genomics
  • 18. • How can we help you? • What areas should we be investigating? Please give us your suggestions and thoughts What next?