Health systems worldwide are struggling to satisfy a growing demand and a rising tide of customer expectation. But new technologies are pushing knowledge access, self test and diagnosis toward the users. With developments in nan and bio-tech this is about to accelerate with a new range of sensors and treatment/repair options.

1. Future Health Care
...largely unseen, but on
the radar !
Peter Cochrane
ca-global.org
cochrane.org.uk
COCHRANE
a s s o c i a t e s
Wednesday, 14 March 12

2. Context, context! My
kingdom for Context!
With apologies to William Shakespear
Richard The Third Act 5, scene 4, 7–10
Wednesday, 14 March 12

3. The rules of the
game have changed...
Wednesday, 14 March 12

4. Healthcare worldwide
is struggling to cope...in
the future it will be
much worse...
Wednesday, 14 March 12

5. Solutions will be
technology driven and
come from the home
and local facilitues...
...only the timing is the
issue...
Wednesday, 14 March 12

6. A recent example...a
family member is
now suffering this
and can’t speak...
Wednesday, 14 March 12

7. The NHS supplied this...
But I thought we could
do a lot better with an
iPad and a Free
App...and I was right!
Wednesday, 14 March 12

8. We will be the last
generation to know
so little about our
health and the state
of our bodies...
Wednesday, 14 March 12

9. Home testing, diagnosis
and treatment will
(have to ?) grow...
Wednesday, 14 March 12

10. Much of it will be built
in...subliminal...and
those who elect to opt
out or ignore the data,
and warning signs / fail
to take action will die
early...
Wednesday, 14 March 12

11. Technology has moved
the centre of
gravity...and it won’t
stop...it will only
accelerate...and we have
to do much better than
just hanging on...
Wednesday, 14 March 12

12. And there is no going
back...
Wednesday, 14 March 12

13. This is the new norm,
the new stability...
Wednesday, 14 March 12

14. “It takes all the running
you can do, to keep in
the same place”
The Red Queen hypothesis, Alice in Wonderland: Lewis Carroll
Wednesday, 14 March 12

15. Networks of people and
things have changed
the way we see our
world, think and
act...with social nets
and distributed working
now centre stage...
Wednesday, 14 March 12

16. Users now call the
shots, with creativity,
problem solving and
innovation moving to
the edge...
Wednesday, 14 March 12

17. Old people, systems,
lawyers,managers,
companies, societies,
governments...are
finding it hard to cope,
and even harder to
change...
Wednesday, 14 March 12

18. The only human that
likes change...
...and even they cry and
scream thoughout the
process !
Wednesday, 14 March 12

19. Changing an established company !
“…can be almost impossible, and it is
generally far easier to build a new one”
Niccolò Machiavelli 1469 - 1527
Wednesday, 14 March 12

20. Changing an established company !
“…can be almost impossible, and it is
generally far easier to build a new one”
This is what you have
Niccolò Machiavelli 1469 - 1527
Wednesday, 14 March 12

21. Changing an established company !
“…can be almost impossible, and it is
generally far easier to build a new one”
This is what you need
have
Niccolò Machiavelli 1469 - 1527
Wednesday, 14 March 12

22. But giant leaps are risky!
Exciting - and very definitely
dangerous !!
Wednesday, 14 March 12

23. And yet some
companies seem to
get it right !
Wednesday, 14 March 12

24. How do they do it?
Wednesday, 14 March 12

25. By understanding...
What is available
What it can do now
What it will do in future
Wednesday, 14 March 12

26. By understanding
and satisfying
markets
Make it easy
Make it simple
Make it obvious
Make it convenient
Solve a problem
Satisfy a need
Deliver value
Wednesday, 14 March 12

27. By understanding &
s a t i s f y i n g
customers...
...which is now quite a
span !!
Wednesday, 14 March 12

28. Timing !
Has to be spot on
Wednesday, 14 March 12

29. During the reformation
eve r y t h i n g b e c a m e
stove-piped...initially
t h i s b ro u g h t h u g e
benefit, but it is now a
major inhibitor...
...there is only science...
Wednesday, 14 March 12

30. We really do have to start taking a much wider
perspective to see what must be done, when and by
what mechanisms...nothing is disconnected
anymore; the ecology, economy, technology and all of
life on this planet shares a mutual dependency...
Wednesday, 14 March 12

31. So what is the big future
opportunity !
The world of atoms and bits
is coming together...
Wednesday, 14 March 12

32. Sustainability cannot
be realised with old
technologies and old
industry models...
Wednesday, 14 March 12

33. Changing all the light
bulbs and tinkering at
the edges won’t cure
this problem..
Wednesday, 14 March 12

34. We have to stop
doing things like this
and find planet (and
people) friendly
alternatives...
Wednesday, 14 March 12

35. Underused video
conference is a sign of
the lack of network
bandwidth and
connectivity...
...it does not signify a
lack of need, demand,
or suitable technology !
Wednesday, 14 March 12

36. Tele-operations in
t h e N H S c i rc a
1992...
Wednesday, 14 March 12

37. And 20 years on it
is still seen as on
the leading edge...
Wednesday, 14 March 12

38. People are always the
ultimate road block to our
progress... the biggest risk
to success...and now we
are far slower to change
than our technology...
Wednesday, 14 March 12

39. Our future and that
of the planet lies in
the hands of new
technologies and new
models for industry
and society...
Wednesday, 14 March 12

40. So, whats on, and just
over the horizon ?
Wednesday, 14 March 12

41. It all hinges on the the next tech hot spot....
...and the next industrial revolution
Nano Bio
IT + AI
Wednesday, 14 March 12

42. It all hinges on the the next tech hot spot....
...and the next industrial revolution
Nano Bio
IT + AI
This is where all
the real action is
going to be
Wednesday, 14 March 12

43. Moving on from bulk
materials and the
destruction of
resources...
...3D printing is going
mainstream in industry... and
soon it will be in every office
and home
Wednesday, 14 March 12

44. It is revolutionising
the way we think of
design & production...
...enabling new ways to realize
c o m p l e x s t r u c t u re s , a n d
integrated components...
Wednesday, 14 March 12

45. In the extreme it will
change everything...
...and we have to think in terms
of shipping designs and not
goods...
Wednesday, 14 March 12

46. For those who don’t
see how 3D printers
will change the way
we live...
...how about a printed jaw and
other body parts...scaffolding
for bone growth and repair
where cure is impossible
Wednesday, 14 March 12

47. Vertrebal Disc 2002
Tissue Injection
Molding..
Trachea 2002
Wednesday, 14 March 12

48. Cranofacial Implants
2003
Wednesday, 14 March 12

49. Bridging the organic
and the biological to
create new materials
and capabilities...
Wednesday, 14 March 12

50. Programming materials
to form 3D objects of
predefined shape &
function...
Wednesday, 14 March 12

51. We can afford to have
a gene decode @
$600 & 0.5day...
...and within 5 years it
will be $10 and 10min...
Wednesday, 14 March 12

52. Nano-sensors and
decoding the genome
will change medicine
and care...
...whilst the decoding the
protein will lead to a new
chapter for the human
race...
Wednesday, 14 March 12

53. All the science we
need to make a tri-
corder is now
available...
...all that is left is the
engineering of a
product...
Wednesday, 14 March 12

54. Scanadu - NASA Research Park Moffett Field CA
Wednesday, 14 March 12

55. Total Body Scan -
bio samples to
storage
Continual
This all leads to an Monitoring
expectation of
technology assisted
Injury or Ill
personal survival... Health
Repair and
Regeneration
Wednesday, 14 March 12

56. And perhaps a
little fine tuning!
Wednesday, 14 March 12

57. But there is much
much more rapidly
approaching!
Wednesday, 14 March 12

58. We can now manipulate
individual atoms and
program cell by cell...
Wednesday, 14 March 12

59. And our machines are
designing machines...
Wednesday, 14 March 12

60. Still at an infantile stage - part magic - part
reality...mutating matter....
Wednesday, 14 March 12

61. Really interesting
exper iences this
year so far!
Wednesday, 14 March 12

62. A new breed, and a
new model operating
at the edge...
Wednesday, 14 March 12

63. A global network of
home bio-labs is now
producing useful results
and contributing to the
professional world...
...the happened before in
the 1940 - 2010 with
electronics, hi-fi, radio,
computer s , software ,
apps...
Wednesday, 14 March 12

64. And what of the
connected world
and mainstream ?
Wednesday, 14 March 12

65. For most professionals
the amount of data and
info is doubling in less
than 2 years !
Wednesday, 14 March 12

66. They can’t cope, but
the patients can...
Wednesday, 14 March 12

67. A solution is coming
from the direction of a
game show out of the
USA - Jeopardy...
Wednesday, 14 March 12

68. This application of AI is really powerful and will soon
be available via The Cloud...
Wednesday, 14 March 12

69. Life and death decisions
are a fact of life...
Wednesday, 14 March 12

70. To say the least this
poses some ver y
serious issues...
Wednesday, 14 March 12

71. And this is only the
beginning of a whole
new line of self
generating technology...
Wednesday, 14 March 12

72. The world is no longer
simple, linear and well
behaved....it never has
been...but now it really
shows...
Wednesday, 14 March 12

73. The complexities of
Mother Nature have
now been compounded
by those we have
engineered!
Wednesday, 14 March 12

74. Outcomes are very
often counterintuitive
and small things can
often have very big
consequences...
Wednesday, 14 March 12

75. Stress and mental illness
amongst the professional
classes is becoming an
epidemic!
Wednesday, 14 March 12

76. We are not going to get
any smarter and the
situation can only get
worse !
Wednesday, 14 March 12

77. We need help and there
is only one direction to
look !
Wednesday, 14 March 12

78. We need a different
perspective and new
ways of thinking...
Wednesday, 14 March 12

79. Computer modelling, scenario testing, risk
assessment, decision support...
Wednesday, 14 March 12

80. And there is so much more...
• Social nets use GPS to go real
• Machine to machine + robotics
• Telepresence for maintenance
• Logistics and RFID + tracking
• Vehicle and people tracking
• Appliance and device tracking
• Dynamic energy management
• Interactive books & newspapers
• Interactive media
• The death of radio,TV, print +++
Wednesday, 14 March 12

81. New economies
fuelled by data and
meta-data
Wednesday, 14 March 12

82. Where you are ?
New economies Where you have been ?
Where you are likely to be going to ?
fuelled by data and Who you have met ?
Who you are going to meet ?
meta-data Who you call ?
Who calls you ?
Who you TXT - IM - Link ?
All your contacts
All your urls
All you passwords
What you are doing now ?
What have you done in the past ?
What games you play ?
What apps you use ?
What music you listen to...?
What you watch...?
What you read...?
++++++++++
Wednesday, 14 March 12

83. Big government & big
companies ‘think big
centralized solutions’...
...and the almost always
fail...complexity kills !
Wednesday, 14 March 12

84. But local small scale
system almost always
do a far better job...
Wednesday, 14 March 12

85. Tagging for life
Wednesday, 14 March 12

86. Tagging for life
Cradle
Chunky
Limited to Pretty
Grave
technology
information Jewelry
Data
Chips and tags on and in everything
including goods, animals & people
Wednesday, 14 March 12

87. Challenges - My Big 3 !
Wednesday, 14 March 12

88. Artificial Intelligence
Bio/Nano Sensors
Manufactured Parts
Wednesday, 14 March 12

89. Life will be governed by
our data, but our
survival will be decided
by our MetaData...
Wednesday, 14 March 12

90. ca-global.org
cochrane.org.uk
Thank You
COCHRANE
a s s o c i a t e s
Wednesday, 14 March 12