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UK can grow. Rich diversity. Excellent industry. The worlds largest market. Bright ideas. Set up in Europe Sell to the world. Innovative vigorous R&D. In Digital Europe. 27 Member States 501M inhabitants GDP 2009 $16.5 trillion (Per capita $33,000). European Union.

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Uk can grow l.jpg
UK can grow

Rich diversity

Excellent industry

The worlds largest market

Bright ideas

Set up in EuropeSell to the world

Innovative vigorous R&D

In Digital Europe


European union l.jpg

27 Member States

501M inhabitants

GDP 2009 $16.5 trillion (Per capita $33,000)

European Union


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United Nations Population Division, World Population Prospects, 2004 Revision (Medium Variant, Shared Scaling)


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Health care : heading for crisis? Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Increasingly expensive care

    • Demanding & informed patients

  • Increasing elderly population

    • Relative decrease in resources (fewer taxpayers)

  • Fewer health care professionals

  • Health care as a (European) Human Right


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100 Prospects, 2004 Revision (Medium Variant, Shared Scaling)

100

95

90

94

94

93

92

80

84

81

77

76

70

73

72

72

66

66

60

65

64

59

59

56

50

54

47

40

30

32

27

20

21

20

18

10

11

8

3

0

SI

FI

IT

IE

IS

PL

LT

AT

EL

LV

SE

PT

FR

ES

CZ

LU

NL

EE

BE

SK

DE

CY

MT

HU

UK

DK

RO

NO

BG

EU27

  • USA: only 20-25% of practices use Computers

  • UK, Denmark, Estonia , Finland : 95% to 99%

  • EU eHealth market ~ €15 Billion, ~1.5 %Health expenditure


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Current issues Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Variable levels of success

  • Design & Usability

  • Clinical and Patient Governance

  • Acceptance & trust

  • Legal and Ethical clarity

  • Fragmentation & silos


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EU 2020 and the Digital Agenda Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020 widespread deployment of telemedicine services;

  • Propose a recommendation defining a minimum common set of patient data for interoperability of patient records to be accessed or exchanged electronically across Member States by 2012


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Long term R&D Prospects, 2004 Revision (Medium Variant, Shared Scaling)

Digital ‘Me’Paradigm shift

Policy & Deployment

eHealth Governance

Epsos – the European Patient Summary Interportal interchange

Renewing Health –Telemedicine

Achieving the DAE

Basic

research

Mid term R&D

Patient participation & guidance systems

Building EU info-structure under governance

Deployment

5 years

10 years

15 years

Time to results


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eHealth Governance Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Member States High level eHealth Governance

    • Stakeholder involvement

    • Cooperation at Operational, Strategic & High Political levels

    • Standards, semantics, identification, legal issues, trust and acceptance

  • Decision makers informed by operational projects

     Evidence based policy making


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Telemedicine Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Technologies and usefulness well established

  • Sustainable and accessible health care

  • Liability, financing, payment

    • New business models

  • Renewing health

    • Ongoing large scale European Pilot


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“First, put the patient at the centre” * Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Patient & carer interaction with social and health care

  • Patients contribute to their health

  • European Citizens’ establishment & mobility

  • Inter Mediation for interoperability

  • Open Inter-operable systems & standards

* As Berwick reminded the NHS


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First Steps: Interportal Interchange Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Bring together existing European Patient Portals

    • Compare and contrast successes and failures

    • Investigate sharing of records between systems

    • Provide mobile access

    • Explore ‘translation’

  • Prepare a large scale pilot

    • Platform for European Patient Centred Services


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United Kingdom eHealth Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Unique – NHS

    • Major large scale projects in all 4 systems

    • Compare and contrast

  • Unique – World leader through NpFit

    • Share the lessons learnt from difficulties and successes

    • Healthspace SCR is a precursor to European Patient services

  • Very Strong academia

  • Very Strong industry


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United Kingdom Role in Europe Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Lead & contribute

    • Values, Vision and Communication

    • Governance

    • Road mapping

    • Innovate in Pre Commercial Procurement

  • Very Strong academia

    • A leading role in Europe - The new Renaissance

    • Research (Information representation, EHR & VPH)

  • Very Strong industry


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Europe in the United Kingdom Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Funding for R&D and Deployment

  • The worlds most dynamic market

  • Learn from others

  • Clinical, industrial, governmental and academic synergy


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Be part of it Prospects, 2004 Revision (Medium Variant, Shared Scaling)

  • Send us your ideas at http://ec.europa.eu/information_society/digital-agenda/survey/


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Thank you! Prospects, 2004 Revision (Medium Variant, Shared Scaling)

Digital Agenda for Europe

http://ec.europa.eu/digital-agenda


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