Unlock Your Global Business Potential
The UK digital health and care opportunity
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EASE OF
DOING
BUSINESS
SECTOR
OVERVIEW
MARKET
OPPORTUNITY
RICH AND
DIVERSE
ECOSYSTEM
MARKET
SUCCESS
CLICK TO TURN THE PAGE
DIGITAL
HEALTH
AND CARE
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
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:
Wireless
Sensors
DIGITAL HEALTH
AND CARE
High performance
Computing,
Cloud computing
Information
Systems
Social
Networking
‘Patients at the
centre of care’
Mobile connectivity
Internet and
broadband
Big Data, Open Data
•
Integrate solutions around the patient
•
Widespread use of technology
•
Electronic health records to become norm
•
National standards throughout the health
and care sector
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
•
•
Strong life sciences,
creative, IT and
electronics industries
Leading talent, academia
and research
•
Partner with the world’s
leading academic and
research institutions
•
Access talent from industry
across multiple strong UK
sectors
Moving towards an
Integrated Health
and Care System
•
•
Active web and social
network usage
Reliable superfast fixed
and mobile connectivity
•
Connect with a web, mobile and
tech active consumer base
•
Leverage UK-wide advanced
connectivity capabilities
SECTOR OVERVIEW
SECTOR OVERVIEW
The global mobile health
market will grow 32%
CAGR to reach £35.7bn 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
£35.7bn 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 mark
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
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. SaaS is the largest segment of the cloud computing
services market, accounting for 73% of the market’s revenues 2010
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.
SECTOR OVERVIEW
Internet of Things and Machine to Machine
IoT & M2M 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.
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
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.
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.
£128bn
NHS
www
The UK National Health
Service (NHS) spent
approximately £128 billion
across the UK in 2011-12
£35bn
Private
The UK private
healthcare market which
is growing and estimated to
reach £35 billion by 2015
£23bn
The £23bn UK social care
market, dominated by
assistive technologies, is set
to grow to £6 billion in 2020.
Social
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.
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 £20bn 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?
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
•
•
Strong life sciences,
creative, IT and
electronics industries
Leading talent, academia
and research
•
Partner with the world’s
leading academic and
research institutions
•
Access talent from industry
across multiple strong UK
sectors
Moving towards an
Integrated Health
and Care System
•
•
Active web and social
network usage
Reliable superfast fixed
and mobile connectivity
•
Connect with a web, mobile and
tech active consumer base
•
Leverage UK-wide advanced
connectivity capabilities
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 eHealth and care
strategy to provide an overarching strategy for addressing all aspects of eHealth 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.
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.
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 and 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
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.
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 how 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
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 and 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
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
WORLD CLASS DATA
The global market
for Big Data was
£6bn in 2012 but is
expected to soar to
£30bn 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
between businesses, entrepreneurs, universities and researchers, government and civil society to unlock
theodi.org
enterprise and social value from the vast amount of Open Public Sector Data now being made accessible.
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
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 2Mbps. 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.
MULTISECTOR CONVERGENCE
Life Sciences
The UK has a share of around 5% of the global export market for creative goods. The
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, 3D 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
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 £50bn
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.
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
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
Funding for business
growth (in England and the
to 20% by April 2015.
Devolved Administrations)
RICH AND DIVERSE
ECOSYSTEM
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 £6M FUND
Digital Health in a hospital setting: will open at end of April 2014, worth approximately: £6m, with an aim to
support the rapid movement of patients through the hospital setting using digital health technologies
In 2014/15, the £200m 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 £1bn 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.
INDIRECT FUNDING OPPORTUNITIES
The UK has many funding opportunities companies can tap into through partnerships with NHS providers, commissioners.
£260m
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 ePrescribing and eReferral systems
Wales £40m ‘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
£50m Intermediate Care Fund available in
2014/15 to encourage integrated working
between health, local authorities and
housing.
The NHS England £3.8bn 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
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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
(WelshGov/BT)
Serious Games and Sexual
Health
Avatar Therapy Research
Know Your Own Health
Living It Up project
SymlConnect
Healthbox Europe
Glasgow School of Art
eRedbook
University of
Exeter/Simpleware
Scottish Care Information
Diabetes Collaboration
Aridhia
SmartCare
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
TF3 Consortium
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 £1.6m 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.
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.
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 £25m 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,"
Case: Open data identifies possible prescription savings
Open data identifies
£200m potential
prescription savings
April 2012
In 2011-12, the NHS in England spent more than £400m 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 £27m 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 £200m 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.
Case: PatientsLikeMe
PatientsLikeMe helps
UK-based patients find
clinical trials that are
right for them
March 2013
PatientsLikeMe, 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.
PatientsLikeMe 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
PatientsLikeMe 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
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-to-
date about any consultations which occur via the Telehealth Hub.
Currently around 636 patients across Airedale Hospital’s catchment area are linked to the Telehealth
Hub including those with chronic heart failure, chronic obstructive pulmonary disease (COPD), diabetes.
www.airedale-trust.nhs.uk
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
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
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 and 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 MediWales Industry Innovation Award in 2013.
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 iOS. 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.
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
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.“
Case: Invest-to-Save Fund
Electronic tagging of
hospital linen to help save
£300,000 a year with
investment from the
Invest-to-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
2savefund
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 £77m. Supported projects are forecasting
total annual savings of some £104m within 5 years of commencing, with further recurrent savings
thereafter.
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
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.
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 the 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.
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
point-of-access to a unique combination of online patient engagement measurement tools and self-
www.kyoh.org
care 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.
Case: Scotland NHS 24 ‘Living It Up’ Project
‘Living It Up’ £10m
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 50s 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.
Ultimately the project aims to reach a community of 55, 000 in Scotland by 2015 and to deliver economic
www.livingitup.org.uk
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.
Case: SymlConnect collaborating with GP practices in Swansea
SymlConnect is piloting
their hand held CarePad+
with four GP practices in
Swansea who are
using EMIS GP systems.
This was made possible
through the Innovation
Panel organised by ehi2
July 2013
SymlConnect is piloting their hand held CarePad+ with four GP practices in Swansea who are using EMIS
GP systems. This was made possible through the Innovation Panel organised by ehi2 which
SymlConnect 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 CarePad+, allows
GPs to download the patient information in the CarePad+ 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. SymlConnect is working with the Community Nurse
to explore how best to adjust the CarePad+ 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 CarePad+ more effective during the visits. SymlConnect 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.
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.
Case: Largest mainstreamed telehealth service procurement in the UK 2011
TF3 brings together the
significant expertise of
Tunstall, Fold and S3
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 TF3
(a consortium of Tunstall, FoldHousing and S3). This scheme will support over 8,000 patients with heart
and respiratory conditions, diabetes and those who have suffered a stroke
www.tf3consortium.com
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 and 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.
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
Case: Simpleware
University of Exeter
uses Engineering and
Physical Sciences
Research Council
(EPSRC) funding to
set up modeling
software company
Simpleware
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 3D 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
Case: GlaxoSmithKline
GlaxoSmithKline tests
the effectiveness of
pre-license medicine
using real world data
in Manchester
The study is a collaboration between the pharmaceutical company GlaxoSmithKline and North West e-Health
(NWeH), 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 GlaxoSmithKline (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.
Case: Scottish Care Information Diabetes Collaboration
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.
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.
Case: SmartCare
The SmartCare
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
50s 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.
SmartCare (integrated care supported by ICT)
The project support the EIP on AHA action on integrated care. SmartCare 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 1st wave pilot site in SmartCare, 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 FriuliVenezia 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.
Case: Aridhia
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.
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 eHealth, EHR TeleCare, TeleHealth
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.
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.
Case: Orion Health and Department of Health
Northern Ireland has launched the country’s first electronic care record system with a £9m, 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 and 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.
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.
Case: Yarra Software and Northern Health and Social Care Trust
The Northern Health and Social Care Trust within Northern Ireland and 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 the 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.
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 inter-
professional 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.
Case: eRedbook
eRedbook – 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 eRedbook 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 ePCHR: an
electronic Personal Child Health Record.
For clinicians, the eRedbook is an integrated digital health record, automatically flowing information recorded
by health professionals into and from clinical systems. This dramatically reduces information rekeying and
frees valuable time to care. Data entry of growth information is also easier to enter and much more accurate.
www.eRedbook.org
www.sitekit.net
For parents, the eRedbook 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 eRedbook is undergoing evaluation by Liverpool Community Health NHS Trust and South
Warwickshire NHS Foundation Trust. The eRedbook 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
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.”
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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 £100m 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
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 and 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 and 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.
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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
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
UK/EU BIOINFORMATICS COLLABORATION
The Biotechnology and Biological Sciences Research Council
(BBSRC) supports health-relevant informatics via the European
Bioinformatics Institute.
Part of the European Molecular Biology Laboratory (EMBL-EBI)
£75m 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
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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 and
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
DEFINITIONS
DIGITAL HEALTH
Paul Sonnier (Popper and Company) has defined Digital Health in his LinkedIn 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, eHealth, mHealth,
telecare, telehealth and telemedicine. In the US “Connected Health” has emerged with the three aims of improving access,
efficiency and quality of healthcare. Arguably “eHealth” and “mHealth” 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 “eBanking” 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 eHealth:
“eHealth is the use of information and communication technologies (ICT) for
health” (Global Observatory for eHealth – 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):E20) has said
“eHealth 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
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 mHealth. The 2010 mHealth Summit of the Foundation for the National Institutes of
Health defined mHealth as:
“The delivery of healthcare services via mobile communication devices”.
The US Department of Health and Human Services defines mHealth 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
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.
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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
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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
•
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
•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.
84
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
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
x10 Translating
benefits of the UK’s Life Science Strategy
and capabilities for business
x20 Creating focused messaging matching UK strengths
with global business needs
x30 Catalysing and empowering the UK
Life Science community to work with international business
UK Life Sciences Digital Health Proposition
February 2014
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