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 Operating
  inside the National Health Service and a
  Historical Perspective
• Masterclass March 12th 2010
• Professor Alan Barrell
• Chairman Health Enterprise East Ltd

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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

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Chairman of Health Enterprise East, also wearing
other hats
Chairman NHS Regional Innovation Council
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Does our Eye on the World see much change?....
Our context.
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More Healthcare Reduced Budgets
Dilemma Population and Ageing
Innovation is Essential
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Crisis ?.......or Opportunity?

• ??

Creativity and Innovation beat Despair any day!
Call to action for Entrepreneurs
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What we have PLEDGED in Healthcare for the East
of England - MISSION
A better patient experience
Improving peoples 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
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• 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

Engagement Analysis Ideas Leadership and Talent
Quality
Innovation

Prevention
Productivity
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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

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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

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From a great man Polymath 600 years ago.
Starting our sense of History.
Is all this anything new ?
Our challenges in context
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He gave us beauty as well as science
A Giant amongst men.
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Leonardo.
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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.
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Great Innovations can meet even greater opposition
Wash hands Classical work 1847
Ignatz Philip Semmelweis
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Adoption of the Semmelweiss Innovation still
not there TODAY !
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Streptococcus pyogenes
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Chance favours only the prepared mind
Louis Pasteur
Bacteria
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Joseph Lister and Antisepsis
Transformational work.Revolutionised potential
for Surgery and Medicine generally

1. Anaesthetics Horace Wells

1. Antibiotics Alexander Fleming

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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 Pasteurs assertion Chance
favours only the prepared mind.
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Innovators and Entrepreneurs have often been
great improvisers
From old washing machines and car parts to.
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Willem Kolffs first Drum Kidney Machine - 1942
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Innovation is a journey not a destination.
From drum to coil.and it goes on..
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Sir Frederick Banting Nobel Laureate From
Canada
INSULIN ! He was 21 when he made the discovery !
Diabetes major killer
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Three Converging RevolutionsThree Pervasive
Technology Platforms looking at Diverse Science
and Innovation and how Science can become
Products and Practice
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Closeness of Learning, Research and Practical
ApplicationThe Innovation Campus Cambridge
is one BIG Innovation Campus !
RD
Education
Applications
Where open innovation, symbiosis, synergy and new
companies can thrive
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Converging Technologies in MedTech

BioTech
I.C.T.
Medical Technology
Engineering
Advanced Manufacturing
Electronics
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Charactersitics of Regions planning 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

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From Idea to Reality A New Enterprise - Free
Standing or in a Corporate Structure.
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MedTech from Idea, to Innovation to Reality
needs Patient 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.complexity
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But the Commercial Markets are BIGand growing.
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Medical Companies, like all others, that fall
behind and dont compete may not
survive.Competition encourages Investment in
Innovation
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The Internet has REVOLUTIONISED Product
Development and Innovation in many areas
including Healthcare
Innovation happens mostly with USERS not
SUPPLIERS
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And then.we have the Wireless Connection
Revolution
Will you have Your GP in your Handset in the
future ?
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Integrated Technical Skill Base
Visions 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
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
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How about some IMAGINATION ? It 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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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
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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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A TOP TEAM Ready and Willing to help YOU
realise Opportunities
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Health Enterprise East Founded 2005
We provide advice, support and resources to turn
the ideas of NHS staff into new products and
services
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Health Enterprise East

• Helps NHS staff to identify and evaluate
  innovative new ideas
• Provides funding for filing of patents, designs
  rights other registerable IP
• Development 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 control
• Prevention wellbeing
• Publication training aids
• Celebratory Awards Dinner
• 20k prize money
• Sponsored by companies

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Medtech Services Helping Company Access and
Getting Innovative Systems Evaluated Opening
Doors

• Help companies access NHS expertise
• Source of revenue for NHS staff
• Expose NHS staff to the latest technological
  innovations
• Industry Experts and IT and Software Executives
  in Team

Dr Juan Roman, HEE Medtech Services Manager
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Working together to PUT Innovative Products and
Services to work Some Issues for us all

• Balancing Process and Safety with Innovation
• Finding and Exploiting Innovation Barriers
• Adoption and Diffusion
• The Top Down Bottom Up Dilemmas
• The Minefield of Regulatory Standards and
  Harmonisation in the EC.
• Leadership and Creating an Innovative Mindset
• Care Everywhere Home, Community, Hospital,
  Work and need for connectivity

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In Pursuit of Excellence !

• Excellence can be achieved, if weCare more
  than others think is wise,Risk more than others
  think is safe,Dream more than others think is
  practical,Expect more than others think is
  possible.
• Deborah Johnson-Ross
• Excellence in Medicine and Medical Technology is
  everyones dream and in the West our expectation