International opportunities   for healthcare services,   research & innovation R. Bleddyn V Rees •  Non Executive Director...
1. Who am I?  Lawyer & Head of Healthcare at Wragge & Co LLP, an   international law firm. (NB separate Pharma & Life Sci...
2. What is the European Connected Health Alliance?                                           Europe s largest Connected   ...
Name of Speaker, Position
Name of Speaker, Position
3. What is Healthcare?                                WHO defines healthThe Northern Ireland            as a state of comp...
4. International Healthcare &Comparisons : What does good look like?                                           % of       ...
5. Drivers for International Opportunities  The beginning of a global healthcare sector/industry?  Increasing role of WH...
Name of Speaker, Position
A shared driver for people & society         from                  to       reactive             proactive     health mana...
Name of Speaker, Position
Name of Speaker, Position
Name of Speaker, Position
Name of Speaker, Position
Name of Speaker, Position
6. Middle East opportunities: Some examples      Privatisation of existing general hospitals, e.g. United Arab Emirates i...
Other Global examples:(1) Abu Dhabi a living laboratory…“Big enough to ma.er, small enough to manage…”: 2.4m popula:on, 18...
We’ve already established a range offeedback channelsWeqaya reports  • 110,000 individual reports sent to home addresses •...
We re seeing lots of innovation inmeasurement and behaviour changetechnology                 •  Opt‐out screening Measurin...
7. Other Global Examples(2)  Moorfields Eye Hospitals & Mobile PHF records in     Africa.(3)  Etisalat – access to records...
(4) Nike Fuel Band: Well being data &tracking                                                       Motivation            ...
7. Other Global Examples(5) Growth of new services for wellbeing         Hea!thrageous (www.healthrageous.com)         W...
(7) Our devices evolve towards the SoulMate                                 CPU                                 SPU       ...
(8) Heia Heia - Social WellnessEvery move counts,whatever the activitySocializing within ahealth related servicedrives up ...
8. What is a Connected Health Ecosystem?        Dictionary – a system involving the interactions between a community and i...
The Manchester Ecosystem       Health & Social Care                                                  Higher Educa:on Resea...
8. The ECH Alliance Manchester Ecosystem  Organised around the Manchester Academic Health Science Centre (MAHSC),   one o...
8. The ECH Alliance OuluHealth Ecosystem (Finland)                                 PaLents, Families,  CiLzens     Health ...
8. ECH Alliance Ecosystems – What are they all about?Developing existing networksFocusing on doing rather than just talkin...
8. ECH Alliance Ecosystems – What are they all about?Ecosystems: a driver for integration & economic development withHEALT...
9. Challenges  US Teaching Hospitals have very professional and formidable sales   skills.  US healthcare standards are ...
Name of Speaker, Position
A communication gap between healthcare pros and patients                                 “The patient is the most         ...
A potent service design combo                                              Aggregated meta data  Wearable sensing         ...
Name of Speaker, Position
10. ECH Alliance: How can you help us?   Become members! (www.echalliance.com)   Tell us about any ideas you have to imp...
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R bleddyn v rees international opportunities for healthcare services, research & innovation

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SEWAHSP Industry workshop, 10th January 2013, Cardiff

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R bleddyn v rees international opportunities for healthcare services, research & innovation

  1. 1. International opportunities for healthcare services, research & innovation R. Bleddyn V Rees •  Non Executive Director – European Connected Health Alliance •  Partner, Head of International Healthcare – Wragge & Co LLP10 January 2013 Presentation: South East Wales Academic Health Science Partnership
  2. 2. 1. Who am I?  Lawyer & Head of Healthcare at Wragge & Co LLP, an international law firm. (NB separate Pharma & Life Sciences team).  Seconded to Department of Health for 3.5 years as General Counsel of the Commercial Directorate.  Non-Executive Director of the European Connected Health Alliance & industry advisor for English AHS Network.  Advise the Departments of Health of 6 countries, NHS Commissioners, NHS Foundation Trusts, private health & social care businesses, local authorities, housing associations, charity & voluntary sector, Pharma, life sciences & technology business.  My home is in Cardiff.Name of Speaker, Position
  3. 3. 2. What is the European Connected Health Alliance? Europe s largest Connected Not for Profit Health Membership Company Organisation 1 2 Membership includes Departments of Health, Promotes the deployment of Hospitals, Care Homes, GP s, Connected Health (devices & Commissioners, services) at scale Universities & Industry 3 on commercial terms 4 Sets up Ecosystems to deploy Provides International Connected Health & transfer leadership best practice & solutions for the development of from region to region Connected Health – has 5 6 international Advisory panel Name of Speaker, Position
  4. 4. Name of Speaker, Position
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  6. 6. 3. What is Healthcare? WHO defines healthThe Northern Ireland as a state of completeSystem & Model physical, mental andIntegrated Health & social wellbeing and notSocial Care merely the absence of disease or infirmity. The Compton Circle of Care Name of Speaker, Position
  7. 7. 4. International Healthcare &Comparisons : What does good look like? % of Per capita Healthcare % of health government Infant Physicians Nurses expenditure costs as a costs paid Life Country revenue mortality per 1000 per 1000 on health percent of by expectancy spent on rate people people (USD) GDP government health US 7,290 16% 18.5 % 45.4 % 78.1 6.7 2.4 10.6 Norway 5,910 9% 17.9 % 83.6 % 80 3 3.8 16.2 Canada 3,895 10.1% 16.7 % 69.8 % 80.7 5 2.2 9 France 3,601 11% 14.2 % 79 % 81 4 3.4 7.7Germany 3,588 10.4% 17.6 % 76.9 % 79.8 3.8 3.5 9.9 Sweden 3,323 9.1% 13.6 % 81.7 % 81 2.5 3.6 10.8Australia 3,137 8.7% 17.7 % 67.7 % 81.4 4.2 2.8 9.7 UK 2,992 8.4% 15.8 % 81.7 % 79.1 4.8 2.5 10 Japan 2,581 8.1% 16.8 % 81.3 % 82.6 2.6 2.1 9.4 Source: OECD Health Data 2007Name of Speaker, Position
  8. 8. 5. Drivers for International Opportunities  The beginning of a global healthcare sector/industry?  Increasing role of WHO, UN and EU in healthcare?  The wealth of certain Middle East countries.  Disruptive technology & business models (Clayton Christensen).  The needs of the developing world, especially the absence of traditional health infrastructure (hospitals and primary care facilities) enabling disruptive technology.  The pump priming activities of the global telecommunications and technology industries.  NCDs & Aging population.Name of Speaker, Position
  9. 9. Name of Speaker, Position
  10. 10. A shared driver for people & society from to reactive proactive health management health managementName of Speaker, Position
  11. 11. Name of Speaker, Position
  12. 12. Name of Speaker, Position
  13. 13. Name of Speaker, Position
  14. 14. Name of Speaker, Position
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  16. 16. 6. Middle East opportunities: Some examples   Privatisation of existing general hospitals, e.g. United Arab Emirates initial management contracts for: - Johns Hopkins - Vamed - Cleveland Clinic - Bumrungrad   Outsourcing of the running of new hospitals, e.g. Saudi Airlines/Riydah & Royal College of Surgeons Ireland & Bahrain.   Partnering/JV arrangements for specialist services e.g. Guy s & St Thomas are bidding to set up and run a cancer hospital in Qatar.   Partnering to set up and run a new World Class Medical School for KUSTAR in Abu Dhabi.   Research & Development funding & programmes & endowments, e.g. Etisalat/ BT/Khalifa University Innovation Centre (EBTIC).   International private patients (including government programmes) treated in the UK.   Consulting services. Name of Speaker, Position
  17. 17. Other Global examples:(1) Abu Dhabi a living laboratory…“Big enough to ma.er, small enough to manage…”: 2.4m popula:on, 18,000 clinicians, 1,367 facili:es Highly strategic government with broad‐based popular trust (use of data) Extreme pace and depth of development, and environment broadly, and rapid health reform “Sufficient complexity” to be broadly applicable: Mul:ple payer – Mul:ple provider Rela:vely well‐resourced  Name of Speaker, Position
  18. 18. We’ve already established a range offeedback channelsWeqaya reports  • 110,000 individual reports sent to home addresses • Individual Weqaya Score and risk factors • Informa:on, basic ac:ons, brief message, separate informa:on booklet Weqaya Helpline (800 61116) • Booking appointments (SMS reminders and re‐call) • Answering Weqaya programme queries Weqaya website (BETA) • Access to Personal Data • Interac:ve, recommenda:ons based on risk level • Appointment booking op:on • Links to DMPs • Links and recommenda:ons for non‐health sector interven:ons • General informa:on on healthy living for Weqaya and general public  Name of Speaker, Position
  19. 19. We re seeing lots of innovation inmeasurement and behaviour changetechnology •  Opt‐out screening Measuring  •  Opt‐in data sharing health  •  Ubiquitous Weqaya Taking health  programme promo:ng  •  Disease Management ac:on  Programmes  •  Point of decision  prompts, e.g., Weqaya  label on healthy food  •  At home monitoring  •  Secure data sharing  Name of Speaker, Position
  20. 20. 7. Other Global Examples(2)  Moorfields Eye Hospitals & Mobile PHF records in Africa.(3)  Etisalat – access to records and midwifes via mobile for pregnant mothers in Africa.(4)  Nike Fuel Band – Wellbeing & retail.Name of Speaker, Position
  21. 21. (4) Nike Fuel Band: Well being data &tracking Motivation :Share with friends :Compete against friendsName of Speaker, Position
  22. 22. 7. Other Global Examples(5) Growth of new services for wellbeing   Hea!thrageous (www.healthrageous.com)   Wellocracy (building community around connected health for every day citizens)   Objective data in feedback loops and the use of motivational psychology   I can t eat fudge because I can t fudge my data   First e-book 8 January 2013   www.patientslikeme.com(6) Expert patients self managing long term conditions, keeping stable if not well and avoiding expensive admissions/hospital treatment.Name of Speaker, Position
  23. 23. (7) Our devices evolve towards the SoulMate CPU SPU SoulMate Smart Phone Liferecorder Name of Speaker, Position
  24. 24. (8) Heia Heia - Social WellnessEvery move counts,whatever the activitySocializing within ahealth related servicedrives up motivation Walking the dog is the 5th most popular activity in Finland Name of Speaker, Position
  25. 25. 8. What is a Connected Health Ecosystem? Dictionary – a system involving the interactions between a community and its non-living environment. Commissioners of Healthcare Commissioners of Social Care CONSUMERS PATIENTS PEOPLESecondary Community Primary Domiciliary Assisted Care Homes care care care US services Living services services Public Providers Industry University & Research Organisations   Health and social care providers •  Pharmaceutical   Technology devices, equipment and services •  ICT software (telecoms) equipment and services   Consumer healthcare products and services •  Research Name of Speaker, Position
  26. 26. The Manchester Ecosystem Health & Social Care Higher Educa:on Research Base  Commissioners Open Innovation Partnership Industry Health & Social Care Providers Technology Devices & Services  Public Providers ICT & Telecoms Private Providers Software Primary Community Assisted Care Secondary Pharma Care Care Living Home Care Integration Patients, Families, Services CitizensName of Speaker, Position
  27. 27. 8. The ECH Alliance Manchester Ecosystem  Organised around the Manchester Academic Health Science Centre (MAHSC), one of only 5 UK Department of Health approved partnerships between NHS Hospitals and the clinical teaching and Business schools of a University.  MAHSC comprises the 5 major Manchester hospitals (a mental health, cancer and 3 Tertiary District General Hospitals) and the Business School and clinical teaching schools (including medicine, nursing, optometry, pharmacy and dentistry) of Manchester University.  Includes Manchester Digital Development Agency, Greater Manchester Research Network and the University of Manchester mHealth Innovation Centre.  Includes GP practices (as providers) and GP s as Commissioners.  Includes Housing Associations connecting health and housing and social care.  Includes Local Authorities as the commissioners of social care.  Includes the ECHAlliance industry members who provide potential ideas, solutions and services. Name of Speaker, Position
  28. 28. 8. The ECH Alliance OuluHealth Ecosystem (Finland)  PaLents, Families,  CiLzens  Health & Social Care Providers  Business  Industry focus areas  Public Providers  Model  Wireless Health Monitoring  eg. remote diagnos:cs  Private Providers  Individualized  Healthcare  eg. assisted living, mental health  Genes and Lifestyle  Centre for Health and Technology  Oulu InnovaLon Alliance (OIA):   Oulu University, Oulu Univ. of Applied Sciences, City of Oulu, VTT &  Technopolis  5 OIA InnovaLon Centres, eg. CHT  Funding :  City of Oulu, Social and Health Ministry, Tekes, Sitra, EU, etc.  Name of Speaker, Position
  29. 29. 8. ECH Alliance Ecosystems – What are they all about?Developing existing networksFocusing on doing rather than just talkingConnect to the ECHAllianceinternational network Barcelona Name of Speaker, Position
  30. 30. 8. ECH Alliance Ecosystems – What are they all about?Ecosystems: a driver for integration & economic development withHEALTHCARE AS AN INVESTMENT NOT COST. Health & Social Care Services Education Research &Training Engine for investment growth and economic development Name of Speaker, Position
  31. 31. 9. Challenges  US Teaching Hospitals have very professional and formidable sales skills.  US healthcare standards are being adopted to train tomorrow s doctors.  NHS is late to global opportunities and a little arrogant  The NHS brand is not always an exemplar!  Culture, e.g. Middle East Sheria law, beaurocratic procurement process and obtaining payment!  Competition between NHS organisations abroad (cf Lord Darzi).  World class standards, comparative system reviews & management consultants.  Complexity of systems, laws and lack of transparency?  Clinical & Financial Evidence v risk management. Name of Speaker, Position
  32. 32. Name of Speaker, Position
  33. 33. A communication gap between healthcare pros and patients “The patient is the most underused resource in medicine” e-Patient David deBronkart Tim O’Reilly Name of Speaker, Position
  34. 34. A potent service design combo Aggregated meta data Wearable sensing Minimal presented in motivational personal input form Wellness transformationName of Speaker, Position
  35. 35. Name of Speaker, Position
  36. 36. 10. ECH Alliance: How can you help us?   Become members! (www.echalliance.com)   Tell us about any ideas you have to improve patient services.   Tell us about any solutions (devices or services) you would like to deploy in our Ecosystems.   Help us make our Ecosystems a success. Questions?bleddyn_rees@wragge.com www.wragge.com Name of Speaker, Position

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