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Starting Up and Running Health Enterprise East Ltd

Starting Up and Running Health Enterprise East Ltd. A Case Study of a Limited Company Operating inside the National Health Service – and a Historical Perspective Masterclass March 12 th 2010 Professor Alan Barrell Chairman – Health Enterprise East Ltd. A Preview.

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Starting Up and Running Health Enterprise East Ltd

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  1. Starting Up and Running Health Enterprise East Ltd A Case Study of a Limited Company Operating inside the National Health Service – and a Historical Perspective Masterclass March 12th 2010 Professor Alan Barrell Chairman – Health Enterprise East Ltd

  2. A Preview • The Nations Health and the NHS- Dilemmas and Challenges • Health Services in the East of England • A bit of history – healthcare Innovation is NOT easy ! • Creativity and Innovation • Enterprise, Entrepreneurship and Enterprise Hubs • Health Enterprise East Ltd – Start Up, Progress and plans • Discussion and Debate

  3. Chairman of Health Enterprise East, also wearing other hats Chairman – NHS Regional Innovation Council

  4. Does our “Eye on the World” see much change?.... Our context….

  5. More Healthcare – Reduced Budgets Dilemma – Population and Ageing Innovation is Essential

  6. Crisis ?.......or Opportunity? 危机 Creativity and Innovation beat Despair any day! Call to action for Entrepreneurs

  7. We will halt the rise in obesity in children and then seek to reduce it What we have PLEDGED in Healthcare for the East of England - MISSION A better patient experience Improving people’s health Reducing unfairness in health We will deliver year on year improvements in patient experience We will ensure fewer people suffer from, or die prematurely from, heart disease, stroke and cancer 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 extend access guarantees to more of our services We will make our health service the safest in England We will ensure healthcare is as available to marginalised groups and looked after children as it is to the rest of us We will ensure that GP practices improve access and become more responsive to the needs of all patients We will improve the lives of those with long term conditions We will cut the number of smokers by 140,000 • We will ensure that NHS primary dental services are available locally to all who need them

  8. 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

  9. A new focus on our vision Engagement Analysis Ideas Leadership and Talent Innovation Quality Prevention Productivity

  10. Regional Innovation Fund £1.94M in 2009/10 • Long term conditions - priority for our QIPP agenda • 2009/10 RIF focused on Long Term Conditions innovations • Emerging priority areas: • Patient engagement and co-production • Personal health plans • Supported self care • Commissioning integrated pathways

  11. Compact with industry • Two way communications • Set out vision and needs of NHS • Learn about range of products and devices • Translating NHS Long Term Conditions needs to industry • ‘Founder member’ of Cambridge Network healthcare special interest group • Sponsored ‘ Partnership with NHS’ award from Eastern Region Biotech Initiative

  12. From a great man – Polymath – 600 years ago…. Starting our sense of History…. Is all this anything new ? Our challenges in context

  13. He gave us beauty as well as science A Giant amongst men….

  14. Leonardo….

  15. Leornado Da Vinci…. Chinese and Egyptian Discoveries and Practices have survived until today But the History of Medicine and Great Discoveries goes back much further….

  16. Great Innovations can meet even greater opposition Wash hands Classical work 1847 Ignatz Philip Semmelweis

  17. Adoption of the Semmelweiss Innovation – still not there TODAY !

  18. Streptococcus pyogenes

  19. “Chance favours only the prepared mind” Louis Pasteur Bacteria

  20. Joseph Lister and Antisepsis Transformational work….Revolutionised potential for Surgery and Medicine generally • Anaesthetics – Horace Wells • Antibiotics – Alexander Fleming

  21. What Alexander Fleming might have seen in 1928….and what doctors and technicians still see today…. A “failed” experiment – led to the discovery and development of Penicillin – and many more antibiotics…. Remember Louis Pasteur’s assertion – “Chance favours only the prepared mind….”

  22. Innovators and Entrepreneurs have often been great improvisers From old washing machines and car parts to….

  23. Willem Kolff’s first Drum Kidney Machine - 1942

  24. Innovation is a journey – not a destination…. From drum to coil….and it goes on..

  25. Sir Frederick Banting – Nobel Laureate – From Canada INSULIN ! He was 21 when he made the discovery ! Diabetes – major killer

  26. BioTechPharmaceuticalsDiagnosticsResearch/InfoToolsIndustrialBioTechPharmaceuticalsDiagnosticsResearch/InfoToolsIndustrial INFO TECHHardwareSoftwareCommunications GenomicsBioinformaticsProteomics BiosensorsBiochips BioelectronicsMicrofluidicsNanobiotechnologyDrug Delivery NanodevicesNanosensorsNanoelectronics NANO TECHElectricalStructuralBiomedicalEnergy & Environment Three Converging RevolutionsThree Pervasive Technology Platforms – looking at Diverse Science and Innovation and how Science can become Products and Practice

  27. 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

  28. Converging Technologies in MedTech BioTech I.C.T. Medical Technology Engineering Advanced Manufacturing Electronics

  29. Charactersitics of Regionsplanning to be Leaders in Sustainable Technological Development – including in Medical Sciences Knowledge Centers Entrepreneurs & Role Models Money Capital Markets Infrastructure Cluster Policy Presence of International Companies Networks Government Quality of Life Minds without Borders – Global Mindset

  30. From Idea to Reality – A New Enterprise - Free Standing – or in a Corporate Structure….

  31. MedTech – from Idea, to Innovation to Reality – needs Patient Capital ….

  32. 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

  33. Incubation and Implementation –MedTech – a world of….complexity

  34. But the Commercial Markets are BIG………and growing….

  35. Medical Companies, like all others, that fall behind and don’t compete may not survive….Competition encourages Investment in Innovation

  36. The Internet has REVOLUTIONISED Product Development and Innovation in many areas – including Healthcare Innovation happens mostly with USERS not SUPPLIERS

  37. And then….we have the Wireless Connection Revolution Will you have “Your GP in your Handset in the future ?”

  38. ENGINEERING ELECTRONICS & COMMUNICATIONS CHEMISTRY & MATERIALS MICROFABRICATION LIFE SCIENCES OPTICS, ACOUSTICS & PHOTONICS Integrated Technical Skill Base Visions of the future A Multidisciplinary Company

  39. 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 Intensive Care unit Monitoring Consumer Healthcare Solutions Operating room Monitoring Imaging Treatment Treatment Diagnostics Diagnostics Personal Healthcare Diagnosis Rehabilitation Remote monitoring Management Prevention Diagnostics Imaging Emergency Response Services Follow Up Pre-Hospital/Ambulance Monitoring “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.” Center for Disease Control and Prevention (CDC), US Government`

  40. How about some IMAGINATION ? – It seems necessary….

  41. Einstein on IMAGINATION…. “Imagination is more important than knowledge. Knowledge is limited. Imagination encircles the world” Albert Einstein 1879 - 1955

  42. Opportunities for Entrepreneurs -Healthcare needs them ! “You look at things and ask - why? but I dream of things that never were and ask - why not?” George Bernard Shaw A matter of MINDSET

  43. Against this history and background ….Health Enterprise East Ltd – facing the Challenges of Implementing Innovation – looking for more innovators and heroes • An NHS Innovation Hub part of the national NHS Innovations Network • A not for profit company limited by guarantee Five years old and going strong

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