Starting Up and Running Health Enterprise East Ltd
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Transcript of Starting Up and Running Health Enterprise East Ltd
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Starting Up and Running Health Enterprise East Ltd
A Case Study of a Limited Company A Case Study of a Limited Company Operating inside the National Health Operating inside the National Health Service – and a Historical PerspectiveService – and a Historical Perspective
Masterclass March 12Masterclass March 12thth 2010 2010Professor Alan BarrellProfessor Alan Barrell
Chairman – Health Enterprise East LtdChairman – Health Enterprise East Ltd
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A Preview The Nations Health and the NHS- Dilemmas and The Nations Health and the NHS- Dilemmas and
ChallengesChallenges Health Services in the East of England Health Services in the East of England A bit of history – healthcare Innovation is NOT easy !A bit of history – healthcare Innovation is NOT easy ! Creativity and InnovationCreativity and Innovation Enterprise, Entrepreneurship and Enterprise HubsEnterprise, Entrepreneurship and Enterprise Hubs Health Enterprise East Ltd – Start Up, Progress and Health Enterprise East Ltd – Start Up, Progress and
plansplans Discussion and DebateDiscussion and Debate
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Chairman of Health Enterprise Chairman of Health Enterprise East, also wearing other hatsEast, also wearing other hats
Chairman – NHS Chairman – NHS Regional Regional
Innovation CouncilInnovation Council
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Does our “Eye on the World” see much change?.... change?.... Our context….Our context….
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Dilemma – Dilemma – Population Population and Ageingand Ageing
More More Healthcare Healthcare – Reduced – Reduced BudgetsBudgets
Innovation is Essential
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Crisis ?.......or Crisis ?.......or Opportunity?Opportunity?
危机
Creativity and Innovation beat Despair Creativity and Innovation beat Despair any day! Call to action for any day! Call to action for
EntrepreneursEntrepreneurs
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We will deliver year on year improvements in patient experience
We will extend access guarantees to more of our services
We will ensure that GP practices improve access and become more responsive to the needs of all patients
We will ensure that NHS primary dental services are available locally to all who need them
A better patient experience Improving people’s health
We will ensure fewer people suffer from, or die prematurely from, heart disease, stroke and cancer
We will make our health service the safest in England
We will improve the lives of those with long term conditions
Reducing unfairness in health
Working with our partners, we will reduce the differences in life expectancy between the poorest 20% of our communities and average in each PCT
We will ensure healthcare is as available to marginalised groups and looked after children as it is to the rest of us
We will cut the number of smokers by 140,000
We will halt the rise in obesity in children and then seek to reduce it
What we have PLEDGED in Healthcare for the What we have PLEDGED in Healthcare for the East of England - MISSIONEast of England - MISSION
The Ten Programme Boards • Staying Healthy
• Mental Health
• Maternity and Newborn
• Children's’ health
• Planned Care
• Acute Care
• Long Term Conditions
• Palliative and end of life care
• Patient safety
• Patient and carer experience
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A new focus on our vision
QualityQuality
PreventionPrevention
InnovationInnovation
ProductivityProductivity
EngagementEngagement
AnalysisAnalysis
IdeasIdeas
Leadership and Leadership and Talent Talent
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Regional Innovation Fund £1.94M in Regional Innovation Fund £1.94M in 2009/102009/10
Long term conditions - priority for our QIPP agenda
2009/10 RIF focused on Long Term Conditions innovations
Emerging priority areas: Patient engagement and co-productionPersonal health plansSupported self careCommissioning integrated pathways
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Compact with industry Two way communicationsTwo way communications
Set out vision and needs of NHSSet out vision and needs of NHSLearn about range of products and devicesLearn about range of products and devices
Translating NHS Long Term Conditions needs to Translating NHS Long Term Conditions needs to industryindustry
‘‘Founder member’ of Cambridge Network Founder member’ of Cambridge Network healthcare special interest grouphealthcare special interest group
Sponsored ‘ Partnership with NHS’ award from Sponsored ‘ Partnership with NHS’ award from Eastern Region Biotech InitiativeEastern Region Biotech Initiative
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From a great man – Polymath – 600 years ago…. Starting our sense of
History….
Our Our challenges challenges in contextin context
Is all this Is all this anything anything newnew ? ?
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He gave us He gave us beauty as beauty as
well as well as sciencescience
A Giant A Giant amongst amongst men….men….
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Leonardo….
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Leornado Da Vinci….
But the History of But the History of Medicine and Medicine and Great Discoveries Great Discoveries goes back much goes back much further….further….
Chinese and Chinese and Egyptian Egyptian Discoveries and Discoveries and Practices have Practices have survived until survived until todaytoday
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Great Innovations can meet even greater opposition
Ignatz Philip Ignatz Philip
SemmelweisSemmelweis
Wash handsWash hands
Classical workClassical work
18471847
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AdoptionAdoption of the Semmelweiss Innovation – still not there TODAY ! of the Semmelweiss Innovation – still not there TODAY !
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Streptococcus pyogenes
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“Chance favours only the prepared mind”
BacteriaBacteria Louis Louis PasteurPasteur
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Joseph Lister and Antisepsis
Transformational work….Revolutionised Transformational work….Revolutionised potential for Surgery and Medicine potential for Surgery and Medicine generallygenerally 1.1. Anaesthetics – Horace WellsAnaesthetics – Horace Wells
2.2. Antibiotics – Antibiotics – Alexander FlemingAlexander Fleming
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What Alexander Fleming might have seen in 1928….and what What Alexander Fleming might have seen in 1928….and what doctors and technicians still see today….doctors and technicians still see today….
Remember Louis Remember Louis Pasteur’s Pasteur’s assertion – assertion – ““Chance favours Chance favours only the prepared only the prepared mind….”mind….”
A “failed” A “failed” experiment – led to experiment – led to the discovery and the discovery and development of development of Penicillin – and Penicillin – and many more many more antibiotics….antibiotics….
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Innovators and Innovators and Entrepreneurs Entrepreneurs
have often been have often been great improvisersgreat improvisers
From old From old washing washing
machines and machines and car parts to….car parts to….
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Willem Kolff’s first Drum Kidney Machine - 1942Willem Kolff’s first Drum Kidney Machine - 1942
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Innovation is a Innovation is a journey – journey – notnot a a destination….destination….
From drum From drum to coil….and to coil….and it goes on..it goes on..
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Sir Frederick Banting – Nobel Laureate – From Canada
Diabetes – Diabetes – major killermajor killer
INSULIN ! He INSULIN ! He was 21 when he was 21 when he
made the made the discovery !discovery !
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Three Converging RevolutionsThree Pervasive Technology Platforms – looking at Diverse
Science and Innovation and how Science can become Products and Practice
BioTechPharmaceuticals
DiagnosticsResearch/Info
ToolsIndustrial
GenomicsBioinformatics
Proteomics
INFO TECHHardwareSoftware
Communications
NANO TECHElectricalStructural
BiomedicalEnergy & Environment
BiosensorsBiochipsBioelectronics
MicrofluidicsNanobiotechnology
Drug Delivery
NanodevicesNanosensors
Nanoelectronics
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Closeness of Learning, Research and Practical Application
“The Innovation Campus” – Cambridge is one BIG Innovation Campus !
R&D Education
Applications
Where open innovation, symbiosis, synergy and new companies can thrive
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Converging Technologies in MedTech
I.C.T.
BioTech
Advanced
Manufacturing
Engineering
Medical
Technology
Electronics
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Role Models
Infrastructure
Charactersitics of RegionsCharactersitics of Regions planning to be Leaders in planning to be Leaders in Sustainable Technological Development – including in Sustainable Technological Development – including in
Medical SciencesMedical Sciences
Knowledge Centers Entrepreneurs & Role Models Money Capital Markets Infrastructure Cluster Policy Presence of International
Companies Networks Government Quality of Life
MindsMinds without Borders – Global Global MindsetMindset
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From Idea to Reality – A New Enterprise - Free From Idea to Reality – A New Enterprise - Free Standing – or in a Corporate Structure….Standing – or in a Corporate Structure….
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MedTech – from Idea, to Innovation to Reality – needs
Patient CapitalPatient Capital ….
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Some Destinations on the JourneyPut your own timescale in….and - imagine
costs….££££
Ideas Plans
Designs Regulations
Multi-skilled teams More Plans and Approvals Prototyping and Validation
Manufacturing and Final Testing Clinical Acceptance and Validation Marketing and into use….REALITY!
Revenues, Profits, Returns, Patient Benefits
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Incubation and Implementation –MedTech – a world
of….complexitycomplexity
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But the Commercial Markets are BIG………and But the Commercial Markets are BIG………and growing….growing….
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Medical Companies, like all others, that fall behind and don’t compete may not survive….Competition encourages Investment in Innovation
40Innovation happens mostly with USERS not SUPPLIERS Innovation happens mostly with USERS not SUPPLIERS
The Internet has REVOLUTIONISED Product Development and The Internet has REVOLUTIONISED Product Development and Innovation in many areas – including HealthcareInnovation in many areas – including Healthcare
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And then….we And then….we have the Wireless have the Wireless Connection Connection RevolutionRevolution
Will you have Will you have “Your GP in “Your GP in your Handset in your Handset in the future ?”the future ?”
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Integrated Technical Skill Base
LIFE SCIENCES
CHEMISTRY & MATERIALS
MICROFABRICATION
OPTICS, ACOUSTICS & PHOTONICS
ELECTRONICS & COMMUNICATIONS
ENGINEERING
Visions of the future A Multidisciplinary CompanyVisions of the future A Multidisciplinary Company
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An example already there today - Philips is present across the entire care cycle
- extending healthcare from the hospital to the home-and moved its R & D to Cambridge in 2008
Diagnostics
Treatment
Follow Up
Operating roomMonitoring
Imaging
Intensive Care unitMonitoring
PersonalHealthcare
Remote monitoringDiagnostics
Imaging
Pre-Hospital/AmbulanceMonitoring
EmergencyResponseServices
Treatment
Diagnosis
Prevention
Rehabilitation
Management
Consumer HealthcareSolutions
Diagnostics
““The array of health services and care settings that address health promotion, disease prevention, and the diagnosis, treatment, The array of health services and care settings that address health promotion, disease prevention, and the diagnosis, treatment, management, and rehabilitation of a disease, injury, and/or disability.”management, and rehabilitation of a disease, injury, and/or disability.”Center for Disease Control and Prevention (CDC), US Government`Center for Disease Control and Prevention (CDC), US Government`
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How about some IMAGINATION ? – It IMAGINATION ? – It seems necessary….seems necessary….
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Einstein on IMAGINATION….
“Imagination is more important than knowledge. Knowledge is limited. Imagination encircles the world”
Albert Einstein 1879 - 1955
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“You look at things and ask -
why? but I dream of
things that never were and ask -
George Bernard ShawGeorge Bernard Shaw
why not?”
Opportunities for Entrepreneurs -Healthcare
needs them !
A matter of MINDSETA matter of MINDSET
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Against this history and background ….Health Enterprise East Ltd – facing the Challenges of Implementing Innovation – Implementing Innovation – looking for more looking for more
innovators and heroesinnovators and heroes
An NHS Innovation Hub part of An NHS Innovation Hub part of the national NHS Innovations the national NHS Innovations NetworkNetwork
A not for profit company A not for profit company limited by guaranteelimited by guarantee
Five years old and going Five years old and going strongstrong
51A TOP TEAM – Ready and Willing to help YOU realise OpportunitiesA TOP TEAM – Ready and Willing to help YOU realise Opportunities
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Health Enterprise East – Founded 2005
We provide advice, support and We provide advice, support and resources to turn the ideas of NHS resources to turn the ideas of NHS
staff into new products and staff into new products and servicesservices
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Health Enterprise EastHelps NHS staff to identify and evaluate
innovative new ideasProvides funding for filing of patents,
designs rights & other registerable IPDevelopment funding available to
progress new ideas Negotiates commercial deals on behalf
of staff and their Trusts
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Annual Innovation Competition
Open to all NHS staff in the Region
5 categories:- Medical Technology Software, IT and Computers Infection controlPrevention & wellbeingPublication & training aids
Celebratory Awards Dinner£20k prize moneySponsored by companies
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Medtech Services – Helping Company Access and Getting Innovative Systems
Evaluated – “Opening Doors”
Help companies access NHS Help companies access NHS expertiseexpertise
Source of revenue for NHS Source of revenue for NHS staffstaff
Expose NHS staff to the latest Expose NHS staff to the latest technological innovationstechnological innovations
Industry Experts and IT and Industry Experts and IT and Software Executives in TeamSoftware Executives in Team Dr Juan Roman, HEE Dr Juan Roman, HEE
Medtech Services ManagerMedtech Services Manager
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Working together to PUT Innovative Products and Services to work –
Some Issues for us allBalancing Process and Safety with InnovationBalancing Process and Safety with InnovationFinding and Exploiting Innovation – BarriersFinding and Exploiting Innovation – BarriersAdoption and DiffusionAdoption and DiffusionThe “Top Down” – “Bottom Up” DilemmasThe “Top Down” – “Bottom Up” DilemmasThe Minefield of Regulatory Standards and The Minefield of Regulatory Standards and
Harmonisation in the EC.Harmonisation in the EC.Leadership and Creating an Innovative MindsetLeadership and Creating an Innovative MindsetCare “Everywhere” – Home, Community, Care “Everywhere” – Home, Community,
Hospital, Work – and Hospital, Work – and need for connectivityneed for connectivity
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In In Pursuit of of Excellence ! Excellence !
““Excellence can be achieved, if we:Excellence can be achieved, if we:Care more than others think is wise,Care more than others think is wise,Risk more than others think is safe,Risk more than others think is safe,
Dream more than others think is practical,Dream more than others think is practical,Expect more than others think is possibleExpect more than others think is possible.”.”
Deborah Johnson-RossDeborah Johnson-Ross
Excellence in Medicine and Medical Technology is everyone’s dream and in the West our expectation