1. Digital health and care involves applying new biological and scientific methods like sensors and wearables to collect health data. This data is then analyzed using medical intelligence to create clinical information that can be presented to users through smartphones and tablets. Citizens can then be engaged to change their health behaviors. 2. The aging population and rise in chronic diseases is creating challenges for health systems. Scotland's population over age 75 is projected to increase by 85% by 2039, equivalent to over 350,000 people. 3. Digital technologies are entering the health and care ecosystem and can help deliver care through telehealth, mobile health apps, analytics, and other areas. However, access to markets requires collaboration with groups like health boards and

1. 1
© Citrus Mind 2014-16
FROM GENOMES TO
SMARTPHONES:
ALL ABOUT THE TABLETS?

2. 2
© Citrus Mind 2014-16
Life
Sciences
Medical
Tech
Health
Delivery
Care
Wellnes
s
Primer: a health & care ecosystem
• New biological and scientific breakthroughs………
• are turned into new treatments and methods for treating
humans………..
• distributed through health systems, enabling hospitals & GPs to treat
patients………
• And a care system helps their transition to …………..
• Wellness – where people wish to remain for as long as possible
(although many will continue to require Care, more so as they age)

3. 3
© Citrus Mind 2014-16
Science Data
Validated
Informati
on
Users
(Citizens
)
So what is digital health & care?
Behaviou
r
Change
• Breakthrough biological, scientific & technology methods………
• Deploying sensors, wearables & “the cloud” to collect, store and
organise data……
• Applying analysis, algorithms & medical intelligence to create clinical
information…….
• Smartphones, tablets, & home technologies to present information to
eligible users…
• Citizens are engaged, incentivised & motivated to change their
behaviour………

4. © Citrus Mind 2014-16 4
+
Why is this important?
The epidemic of chronic disease +
the demographic time bomb

5. © Citrus Mind 2014-16
5
5.3m
5.5m
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
2014 2024 2039
5.7m
+3.1%
+6.6%
5.5m
5.3m
m
• Scotland’s forecast total
population growth over
the next 25 years is
unspectacular in global
terms
• The total world
population is forecast to
grow by almost 25%
through this same period
Forecast population growth, Scotland 2014-2039 (% change vs 2014) Source: National Records of Scotland
Projected Population of Scotland 2014-based http://www.nrscotland.gov.uk/
Scotland: population outlook

6. © Citrus Mind 2014-16 6
Age 0 – 15 Age 16 – 59 Age 60 – 74 Age 75+
2014: If Scotland had 100 people….
17
59
1
6
8

7. © Citrus Mind 2014-16 7
2039: Scotland future.…
16
52
17
14
Age 0 – 15 Age 16 – 59 Age 60 – 74 Age 75+
+ 85%
+
370,000

8. © Citrus Mind 2014-16 8
Paisley –
76,000
East Kilbride –
75,000
Cumbernauld-
52,000
Livingston - 56,000
Dunfermline -
51,000
Perth -
47,000
An extra 370,000 citizens age 75+ =
+
+
+
+
+
= 367,000!!!
The TOTAL
current
populations
of

9. © Citrus Mind 2014-16 9
Scotland’s big challenge is small…
in world terms

10. © Citrus Mind 2014-16
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
10.0
1950 1975 2000 2025 2050
World Population Growth 1950-2050f
World More Developed Regions Less Developed Regions
10
2.5 bn
9.3 bn
0.8 bn
1.2 bn
* - More Developed Regions = Europe, Northern America, Japan, Australia, New Zealand
Source: “World Population Ageing: 1950-2050 », United Nations Department of Economic and Social Affairs,
Population Division, 2002
World Population Growth forecast

11. © Citrus Mind 2014-16 11
11
15
(-1)
53
(-7)
18
(+2
)
14
(+6)
Age 0 – 15 Age 16 – 59 Age 60 – 74 Age 75+
+ 71%
+ 73
million
More Developed Regions of the World
2040 (vs 2015)
Source: United Nations Population Division,
DESA: World Population prospects: The
2015 Revision

12. © Citrus Mind 2014-16 12
An extra 73m citizens age 75+ =
+ +
Source: United Nations Population Division, DESA: World Population prospects: The 2015
Revision
Current TOTAL current population of ALL of these nations - combine

13. 13
© Citrus Mind 2014-16
Life
Sciences
Wellness
Digital
Medicine
Health
Delivery
Tech
Health & Care
Delivery
Telemedicine, Telehealth and Telecare: digital clinician-to-home comms, sensors
and wearablesmHealth: integrating personal consumer hardware (phones/apps,
wearables)
Analytics: Healthcare System OperationsGenomics
© Citrus Mind Ltd, 2014-16, Deloitte Report for Office of Life Sciences, September 2015; Tractica Report “ Home Health Techno
Digitised Health Systems: including patient- & health
system records
Home Health & Care
Technologies
Diagnostic
s
Stratified
Medicine
Data & Analytics
Digital technologies are entering the ecosystem

14. 14
© Citrus Mind 2014-16
Route #1
Civic
Scotland
Route #2
“Everywhere
Else”
© Citrus Mind 2014-16
Getting to market

15. 15
© Citrus Mind 2014-16
Direct
• Health Boards
• Local
Authorities
• Joint Boards
Indirect
• Tier 1 Suppliers
• Housing
Associations
• Third Sector
Innovation
Agents
•DH&CI
•Scottish Govt
CivTech team
•SHIL
© Citrus Mind 2014-16
Access to Route #1 – Civic Scotland

16. 16
© Citrus Mind 2014-16
Direct
• Consumers
(global)
• Health Insurers
• Employee Benefits
Providers
Developed Health &
Care Systems
• England
• European Union
• North America/
Australasia/Japan
Under-Developed
Health & Care
Systems
• China/India
• Other Developing
Countries
© Citrus Mind 2014-16
Access to Route #2 – The Rest of the World

17. © Citrus Mind 2014-16 17
Collaborate……and keep your options open!

18. © Citrus Mind 2014-16 18
And it’s not necessarily about
inventing brand new notes….
….it’s about assembling the
notes we’ve already got in
original ways

19. © Citrus Mind 2014-16
Support from Scotland’s Network
Integrator
19

20. © Citrus Mind 2014-16
Businesses that have…
• A product or service that can help us innovate in health and care
delivery
• “Good” commercial prospects
• Ambition, and the capability, to add to Scotland’s wider economic
development aspirations
• Digital skills, expertise and resources with potential applications
in the sector
So do you have / are you?
20

21. © Citrus Mind 2014-16
Join the
conversation..
21
http://dhcinnovate.co.u
DHCInnovation
#SDHCI
Ian Sibbald
Bill Grant