Health Technologies – can they develop national wealth as well as population health?

1. Health Technologies – can they develop national wealth as well as population health? Professor TP Young, Chair of Healthcare Systems, School of Information Systems, Computing and Mathematics, Brunel University

2. Health and wealth • D Sarewitz (2011) Science agencies must bite the innovation bullet Nature 471:137 • MATCH: • Economic evaluation from the demand side • Now supply-side economics • Other contributions I’ve worked on: • http://www.youtube.com/watch?v=lyic_yo8Fas • Can Healthcare Create New Markets? (http://www.cumberland-initiative.org/2011/11/27/can-healthcare-create-new-markets/) • Talk of a ‘Health Sector’ in Government Circles • Pharma • Medical devices • Private provision • What else?

3. UK health and defence spending (£B)

4. US health and defense spending ($B) • R&D investment • Significant procurement • Cheap computers • Satnav for all • Ubiquitous displays • Mobile communications • The internet • Composite materials • Affordable air travel • Signal processing • Telemetry equipment

5. Health warning:i’m not an economist

6. Gross Value Added Industry GVA Employs UK plc ~£2,500 Bn (GDP) ~30 million Making cars ~£9 Bn ~146,000 Medical devices ~£2Bn ???? ~37,000 Pharma ~£7.5 Bn ~73,000 New Health? ~£90 Bn ? ~750,000 ? Sources: http://www.cogent-careers.com/industries/pharmaceutical (http://www.smmt.co.uk/2012/02/growing-automotive-sector-seeks-to-attract-brightest-talent/).   http://www.telegraph.co.uk/finance/jobs/8061047/Part-time-workers-make-up-nearly-a-third-of-UK-workforce.html www.bis.gov.uk/.../biscore/.../10-1333-manufacturing-in-the-UK-an-economic-analysis-of-the-sector.pdf

7. What could we conceive of at such scale?

8. applications data information people We’ll where is the information? radiology, pathology, decision support scheduling, booked admissions clinical support, etc records images statistics costs, etc guidelines flowcharts news bulletins information on disease Professionals Patients Well people And what are people trying to do with it? Telemedicine Course: Prof Terry Young

9. applications data information people What have we achieved? Industry is really interested in getting analytics in here These are We have really the only pieces tackled

10. information applications B data C A D other people The information-seeking worker continuum KEY: Healthcare information-seeker Avison D and Young T (2007) Time to rethink health care and ICT? Communications of the ACM, 50 (6); 69-74 Connell NAD and Young TP (2007) Evaluating healthcare information systems through an “enterprise” perspective Information and Management 44 (4): 433-444 Clinical Managerial

11. information applications B data C A D other people The local/national tension continuum KEY: Healthcare information-seeker National Avison D and Young T (2007) Time to rethink health care and ICT? Communications of the ACM, 50 (6); 69-74 Connell NAD and Young TP (2007) Evaluating healthcare information systems through an “enterprise” perspective Information and Management 44 (4): 433-444 Local

12. Interactive National Interpersonal Clinical Managerial Local And finally information continuum applications B Management data C A enterprise systems ‘Enterprise line’ Healthcare information-seeker D KEY: Avison D and Young T (2007) Time to rethink health care and ICT? Communications of the ACM, 50 (6); 69-74 Connell NAD and Young TP (2007) Evaluating healthcare information systems through an “enterprise” perspective Information and Management 44 (4): 433-444 other people

13. Knowledge access information continuum applications B Management data C A enterprise systems Interactive ‘Enterprise line’ Interpersonal Healthcare information-seeker D other people Slide 13

14. The knowledge access plane Enterprise systems Healthcare information-seeker Interpersonal communications management and synthesis Slide 14

15. What lies below the line? Healthcare information-seeker Interactive Interpersonal These really matter to healthcare because it is all about people • Dialogue capture • Diagnosis capture • Joint decision making • Joint planning • Natural language synthesis • Training support • To-database records • Comms management Slide 15

16. Is there more? Risk Management Prospectively Homework: Think up some more...

17. Conclusion Value in terms of cost and time A Health sector & its value to the economy } To society To industry

18. The CI proposal The Cumberland Initiative proposes a National Centre focussing on the service science of health and care

19. UK health and defence spending (£B) Can we get a whole new bang for our tax pounds, here?

20. MATCH Courses MATCH offers a variety of high quality courses. The courses are based on the MATCH Tools and Guides.These events are held in a number of locations across the UK. Understanding Device Users: from traditional methods to social mediaThis course will provide insights into user involvement in medical device development, the barriers relating to the quality and safety of devices, as well as an overview of strategies to overcoming these. 24th May Nottingham Crowne Plaza Sold to the NHS: making business decisions for new medical devicesThe course focuses on accessible methods to identify the commercial potential of medical devices. 8th June Nottingham Crowne Plaza