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I N D EPEN D EN T P U B L I C AT I O N BY RACONTEUR.NET #0687 2 2 / 0 9/ 2 0 2 0 FUTURE OF HEALTHCARE 03 COMBATING THE COVID-19 BLACK HOLE 04 PUTTING SOCIAL CARE IN THE SPOTLIGHT 18 CHANGING ATTITUDES TO MENTAL HEALTH
I N D EPEN D EN T P U B L I C AT I O N BY RACONTEUR.NET #0000 00/00/2020 RACONTEUR.NET 03 FUTURE OF RESEARCH FUNDING HEALTHCARE Combating the COVID-19 black hole Distributed in Published in association with Our offer to NHS mental health Coronavirus is an all-consuming topic, both in terms of published research and funding. But opinion is split over whether it will reinvigorate healthcare spending or simply divert funds away from other needy causes services this autumn DISCLAIMER: Content in this publication should not be used as medical advice; please ensure you always seek the help of a qualified medical professional Contributors Nick Easen this condition,” says Dr Sabrina NurPhoto via Getty Images Germain, senior lecturer in medical Jon Axworthy Martin Barrow he coronavirus pandemic law at City, University of London. Journalist, specialising in health, tech, science Former health editor, news editor, foreign news editor T is like a black hole, con- There’s no doubt COVID-19 is put- Covid-19 has created huge uncertainty for mental health Read the latest and the future, with work and business news editor suming global health ting public health and spending, published in T3, Wareable at The Times, specialising resources and the concerted efforts or a lack of it, as well as healthcare services. This autumn, our fully managed online CBT therapy insights and The Ambient. in the NHS and social care. of countless medical profession- inequalities, firmly on the agenda service will have no minimum contract value and no from our data als around the globe. It’s threat- of countless politicians and deci- Nick Easen Rachel Jones science team Award-winning writer Journalist, editor and ening progress against other killer sion-makers globally. It could, financial commitment up front to enable any IAPT service www.iesohealth. and broadcaster, covering science biographer, with diseases, such as malaria, HIV therefore, have a positive effect on science, tech and work published in The and tuberculosis. In the UK, it has medical research funding for the to increase capacity, without committing budget. com/magazine business, and producing Guardian, New Statesman, had a significant impact on char- long term. content for BBC World WIRED and Scientific ity-funded medical research, not “I personally don't see a long-term News, CNN and Time. American. Ieso is one of the most trusted providers of online CBT to the NHS. Eight years to mention primary care or cancer dip in research for other conditions; Katrina Megget Ben Rossi treatments. The list is long. others may disagree,” says Adeyemi before Covid, Ieso pioneered the clinical science and technology to enable Healthcare journalist Former editorial director The outbreak has huge ramifica- at Chatham House. “Medical issues online therapy to match the quality of face-to-face therapy, and make CBT and former editor of at Vitesse Media and editor tions for the future of healthcare, have never had so many column PharmaTimes Magazine, of Information Age and accessible for patients, whatever their geography or availability. Now our with bylines in The Computer News Middle medical research budgets and the inches in newspapers, airtime on focus of funding. “What makes this television or feeds on social media. managed online CBT service helps more than 60 CCGs, in partnership with Telegraph and British East, writing for national Medical Journal. newspapers and business pandemic unprecedented is not the The health of any nation, and for service providers, to meet demand, reach more Step 2 and Step 3 patients publications. virus, but the response to it, which every generation, is now a daily con- and demonstrate excellent recovery rates. Chris Stokel-Walker is mostly driven by fear and panic versation. This attention could, in Technology and culture Heidi Vella that overestimates and overre- turn, give a shot in the arm to under- journalist and author, Energy and technology acts,” says Ade Adeyemi, who heads funded healthcare systems. We’d love to help you: with bylines in The New writer, with work up the global health fellowship at “Many people are now aware of the York Times, The Guardian published in consumer • manage surges in demand and Wired. and specialist magazines, Chatham House. importance of preventative care for including E&T Magazine “This is causing enormous harm reducing exposure to disease. The • improve outcomes for those treated online Abby Young-Powell and Global Data. and I think there will be a self- awareness of how vaccine devel- • enhance or establish self referral pathways and reach new patients Journalist covering social correction in early-2021. The med- rather than global solidarity and 23,000 papers had been published, opment occurs has increased and issues, education and • transition your own therapy service online, using our digital tools. tech, with bylines in The ical community, from fear of los- cross-border co-operation. It tends doubling every 20 days, according many approve of developing a vac- Guardian, The Independent ing all their funding to COVID- to divert the money of wealthier to one estimate. cine for COVID-19, for instance. and Positive News. 19, will start contextualising states towards strategies that keep “Going forward I expect we’ll see This has changed the conversation 63,000 NHS patients treated No waiting 91% patients would recommend the pandemic and giving a more the wealthy safe. Global health a tendency for grants to mention on vaccine acceptance in many balanced analysis.” challenges in poorer countries and COVID-19, similarly to how, in the parts of the United States,” says Dr The numbers to do with the COVID- their underlying socio-economic last few years, it’s been fashionable to Emmanuel Peprah, assistant profes- Get in touch with James de Bathe, 19 black hole are eye-popping. Around three quarters of malaria, determinants risk being ignored in the process,” says Jens Martens, mention machine-learning in every application for research on genet- sor at New York University School of Global Public Health. Director of Partnerships, by email: Publishing manager Sophie Freeman Head of production Hannah Smallman HIV and TB programmes in 106 coun- tries have been disrupted, according executive director at the Global Policy Forum. ics,” says Dr Doug Speed, assistant professor at the Aarhus Institute of COVID-19 has also shown what the healthcare profession is really capa- nhs@iesohealth.com Associate editor Design to a survey by the Global Fund. While in the UK, the Association of Medical “The World Health Organization and UNICEF have already warned Advanced Studies in Denmark. Medical research that shows a ble of. The pandemic has brought about a renewed and shared focus, Peter Archer Sara Gelfgren Kellie Jerrard Research Charities (AMRC) is report- of an alarming decline in the num- clear correlation between COVID-19 driving innovation, accelerating Deputy editor Harry Lewis-Irlam ing a £310-million shortfall in med- ber of children receiving life-saving infections and chronic conditions timelines for solutions, streamlin- Francesca Cassidy Celina Lucey ical research funding, which is a 41 vaccines around the world.” such as obesity and diabetes, both ing regulatory processes, with a sig- Colm McDermott per cent drop. At the same time, COVID-19 has of which impose a huge cost on the nificant increase in collaboration. Managing editor Samuele Motta “It will take over four years the potential to suck in medical NHS, are also likely to garner more There’s no going back. Benjamin Chiou Jack Woolrich for research spending to fully research funding among top insti- interest. In fact, obesity increases At the same time, the profile of Digital content executive Art director recover, but a decade to rebuild what tutions around the globe keen to the risk of dying of COVID-19 by invention has risen to new heights Taryn Brickner Joanna Bird will be lost in terms of capacity and receive fresh support. Already almost 50 per cent. with digital technology topping the capability. Many organisations are the pandemic has led to the big- “This is likely to lead to further list with more virtual health appoint- Design director concerned they will be unable to gest explosion of scientific litera- calls on the UK government to ments and home monitoring. Tim Whitlock fund future clinical trials and stud- ture ever. By early-June, more than fund more programmes to tackle “We’ve seen exponential innova- “Ieso enabled us “Really easy to ies,” says Nisha Tailor, director of tion during the first phase of the 80% policy at the AMRC. pandemic. The NHS has made a to meet our NHS access. Great that I Although this publication is funded through advertising and sponsorship, all editorial is without bias and sponsored features The potential global economic great leap forward in terms of digi- are clearly labelled. For an upcoming schedule, partnership recession caused by the pan- tal transformation,” says Germain. targets for the first could do therapy at inquiries or feedback, please call +44 (0)20 3877 3800 or email info@raconteur.net demic doesn’t bode well for med- ical research either. At the same of global healthcare stakeholders said “The pandemic may also lead to more spending on public health and time in history.” weekends.” Raconteur is a leading publisher of special-interest content and disruption to their HIV health service Ieso Digital Health Ltd time, global health efforts risk the NHS, but it is a sector that was research. Its publications and articles cover a wide range of topics, delivery was moderate to very high being securitised. This is where already underfunded and needed nhs@iesohealth.com including business, finance, sustainability, healthcare, lifestyle and technology. Raconteur special reports are published exclusively in health challenges such as the ongo- more support to meet the healthcare 0800 074 5560 The Times and The Sunday Times as well as online at raconteur.net ing pandemic are seen as existen- needs of the British public.” The information contained in this publication has been obtained tial security threats to be dealt with There’s also been a shift in mindset The Jeffreys Building 75% 66% from sources the Proprietors believe to be correct. However, along the same lines as terrorism or away from the real costs of health- Cowley Road no legal liability can be accepted for any errors. No part of this illegal immigration. Border closures care towards patient outcomes. The Cambridge said disruption to said disruption to publication may be reproduced without the prior consent of the Cambridgeshire and quarantine rules for travel are tuberculosis health tuberculosis health daily pandemic roll call of deaths Publisher. © Raconteur Media CB4 0DS part of this process. service delivery was service delivery was makes sure of that. Sad as it is, this IAPT lead “This leads to nationalistic moderate to very high moderate to very high could be a good thing. It reminds us NHS patient Registered in England and Wales no. 4063351 @raconteur /raconteur.net @raconteur_london approaches by individual nations Global Fund 2020 all of the real value of our health. raconteur.net /future-healthcare-2020-sep Ieso-TheTimes-Ad-v3.1.indd 1 Online CBT worked 18/09/2020 10:08 so well for me and
I N D EPEN D EN T P U B L I C AT I O N BY RACONTEUR.NET #0000 00/00/2020 RACONTEUR.NET 03 FUTURE OF RESEARCH FUNDING HEALTHCARE Combating the COVID-19 black hole Distributed in Published in association with Our offer to NHS mental health Coronavirus is an all-consuming topic, both in terms of published research and funding. But opinion is split over whether it will reinvigorate healthcare spending or simply divert funds away from other needy causes services this autumn DISCLAIMER: Content in this publication should not be used as medical advice; please ensure you always seek the help of a qualified medical professional Contributors Nick Easen this condition,” says Dr Sabrina NurPhoto via Getty Images Germain, senior lecturer in medical Jon Axworthy Martin Barrow he coronavirus pandemic law at City, University of London. Journalist, specialising in health, tech, science Former health editor, news editor, foreign news editor T is like a black hole, con- There’s no doubt COVID-19 is put- Covid-19 has created huge uncertainty for mental health Read the latest and the future, with work and business news editor suming global health ting public health and spending, published in T3, Wareable at The Times, specialising resources and the concerted efforts or a lack of it, as well as healthcare services. This autumn, our fully managed online CBT therapy insights and The Ambient. in the NHS and social care. of countless medical profession- inequalities, firmly on the agenda service will have no minimum contract value and no from our data als around the globe. It’s threat- of countless politicians and deci- Nick Easen Rachel Jones science team Award-winning writer Journalist, editor and ening progress against other killer sion-makers globally. It could, financial commitment up front to enable any IAPT service www.iesohealth. and broadcaster, covering science biographer, with diseases, such as malaria, HIV therefore, have a positive effect on science, tech and work published in The and tuberculosis. In the UK, it has medical research funding for the to increase capacity, without committing budget. com/magazine business, and producing Guardian, New Statesman, had a significant impact on char- long term. content for BBC World WIRED and Scientific ity-funded medical research, not “I personally don't see a long-term News, CNN and Time. American. Ieso is one of the most trusted providers of online CBT to the NHS. Eight years to mention primary care or cancer dip in research for other conditions; Katrina Megget Ben Rossi treatments. The list is long. others may disagree,” says Adeyemi before Covid, Ieso pioneered the clinical science and technology to enable Healthcare journalist Former editorial director The outbreak has huge ramifica- at Chatham House. “Medical issues online therapy to match the quality of face-to-face therapy, and make CBT and former editor of at Vitesse Media and editor tions for the future of healthcare, have never had so many column PharmaTimes Magazine, of Information Age and accessible for patients, whatever their geography or availability. Now our with bylines in The Computer News Middle medical research budgets and the inches in newspapers, airtime on focus of funding. “What makes this television or feeds on social media. managed online CBT service helps more than 60 CCGs, in partnership with Telegraph and British East, writing for national Medical Journal. newspapers and business pandemic unprecedented is not the The health of any nation, and for service providers, to meet demand, reach more Step 2 and Step 3 patients publications. virus, but the response to it, which every generation, is now a daily con- and demonstrate excellent recovery rates. Chris Stokel-Walker is mostly driven by fear and panic versation. This attention could, in Technology and culture Heidi Vella that overestimates and overre- turn, give a shot in the arm to under- journalist and author, Energy and technology acts,” says Ade Adeyemi, who heads funded healthcare systems. We’d love to help you: with bylines in The New writer, with work up the global health fellowship at “Many people are now aware of the York Times, The Guardian published in consumer • manage surges in demand and Wired. and specialist magazines, Chatham House. importance of preventative care for including E&T Magazine “This is causing enormous harm reducing exposure to disease. The • improve outcomes for those treated online Abby Young-Powell and Global Data. and I think there will be a self- awareness of how vaccine devel- • enhance or establish self referral pathways and reach new patients Journalist covering social correction in early-2021. The med- rather than global solidarity and 23,000 papers had been published, opment occurs has increased and issues, education and • transition your own therapy service online, using our digital tools. tech, with bylines in The ical community, from fear of los- cross-border co-operation. It tends doubling every 20 days, according many approve of developing a vac- Guardian, The Independent ing all their funding to COVID- to divert the money of wealthier to one estimate. cine for COVID-19, for instance. and Positive News. 19, will start contextualising states towards strategies that keep “Going forward I expect we’ll see This has changed the conversation 63,000 NHS patients treated No waiting 91% patients would recommend the pandemic and giving a more the wealthy safe. Global health a tendency for grants to mention on vaccine acceptance in many balanced analysis.” challenges in poorer countries and COVID-19, similarly to how, in the parts of the United States,” says Dr The numbers to do with the COVID- their underlying socio-economic last few years, it’s been fashionable to Emmanuel Peprah, assistant profes- Get in touch with James de Bathe, 19 black hole are eye-popping. Around three quarters of malaria, determinants risk being ignored in the process,” says Jens Martens, mention machine-learning in every application for research on genet- sor at New York University School of Global Public Health. Director of Partnerships, by email: Publishing manager Sophie Freeman Head of production Hannah Smallman HIV and TB programmes in 106 coun- tries have been disrupted, according executive director at the Global Policy Forum. ics,” says Dr Doug Speed, assistant professor at the Aarhus Institute of COVID-19 has also shown what the healthcare profession is really capa- nhs@iesohealth.com Associate editor Design to a survey by the Global Fund. While in the UK, the Association of Medical “The World Health Organization and UNICEF have already warned Advanced Studies in Denmark. Medical research that shows a ble of. The pandemic has brought about a renewed and shared focus, Peter Archer Sara Gelfgren Kellie Jerrard Research Charities (AMRC) is report- of an alarming decline in the num- clear correlation between COVID-19 driving innovation, accelerating Deputy editor Harry Lewis-Irlam ing a £310-million shortfall in med- ber of children receiving life-saving infections and chronic conditions timelines for solutions, streamlin- Francesca Cassidy Celina Lucey ical research funding, which is a 41 vaccines around the world.” such as obesity and diabetes, both ing regulatory processes, with a sig- Colm McDermott per cent drop. At the same time, COVID-19 has of which impose a huge cost on the nificant increase in collaboration. Managing editor Samuele Motta “It will take over four years the potential to suck in medical NHS, are also likely to garner more There’s no going back. Benjamin Chiou Jack Woolrich for research spending to fully research funding among top insti- interest. In fact, obesity increases At the same time, the profile of Digital content executive Art director recover, but a decade to rebuild what tutions around the globe keen to the risk of dying of COVID-19 by invention has risen to new heights Taryn Brickner Joanna Bird will be lost in terms of capacity and receive fresh support. Already almost 50 per cent. with digital technology topping the capability. Many organisations are the pandemic has led to the big- “This is likely to lead to further list with more virtual health appoint- Design director concerned they will be unable to gest explosion of scientific litera- calls on the UK government to ments and home monitoring. Tim Whitlock fund future clinical trials and stud- ture ever. By early-June, more than fund more programmes to tackle “We’ve seen exponential innova- “Ieso enabled us “Really easy to ies,” says Nisha Tailor, director of tion during the first phase of the 80% policy at the AMRC. pandemic. The NHS has made a to meet our NHS access. Great that I Although this publication is funded through advertising and sponsorship, all editorial is without bias and sponsored features The potential global economic great leap forward in terms of digi- are clearly labelled. For an upcoming schedule, partnership recession caused by the pan- tal transformation,” says Germain. targets for the first could do therapy at inquiries or feedback, please call +44 (0)20 3877 3800 or email info@raconteur.net demic doesn’t bode well for med- ical research either. At the same of global healthcare stakeholders said “The pandemic may also lead to more spending on public health and time in history.” weekends.” Raconteur is a leading publisher of special-interest content and disruption to their HIV health service Ieso Digital Health Ltd time, global health efforts risk the NHS, but it is a sector that was research. Its publications and articles cover a wide range of topics, delivery was moderate to very high being securitised. This is where already underfunded and needed nhs@iesohealth.com including business, finance, sustainability, healthcare, lifestyle and technology. Raconteur special reports are published exclusively in health challenges such as the ongo- more support to meet the healthcare 0800 074 5560 The Times and The Sunday Times as well as online at raconteur.net ing pandemic are seen as existen- needs of the British public.” The information contained in this publication has been obtained tial security threats to be dealt with There’s also been a shift in mindset The Jeffreys Building 75% 66% from sources the Proprietors believe to be correct. However, along the same lines as terrorism or away from the real costs of health- Cowley Road no legal liability can be accepted for any errors. No part of this illegal immigration. Border closures care towards patient outcomes. The Cambridge said disruption to said disruption to publication may be reproduced without the prior consent of the Cambridgeshire and quarantine rules for travel are tuberculosis health tuberculosis health daily pandemic roll call of deaths Publisher. © Raconteur Media CB4 0DS part of this process. service delivery was service delivery was makes sure of that. Sad as it is, this IAPT lead “This leads to nationalistic moderate to very high moderate to very high could be a good thing. It reminds us NHS patient Registered in England and Wales no. 4063351 @raconteur /raconteur.net @raconteur_london approaches by individual nations Global Fund 2020 all of the real value of our health. raconteur.net /future-healthcare-2020-sep Ieso-TheTimes-Ad-v3.1.indd 1 Online CBT worked 18/09/2020 10:08 so well for me and
04 F U T U RE O F H E A LT H C A RE RACONTEUR.NET 05 Commercial feature deepening skills shortage. Unison, the union, has called for an urgent Guy Smallman via Getty Images review of pay and conditions in the social care sector. Clinical teams need One of the lessons of the pan- demic has been the extent of mutual new pathways dependence between the NHS and social care. When the care sector and new ways of fails, the NHS is put under addi- working if we are to tional pressure and vice versa. The NHS Long Term Plan for Eng- deliver high-quality land, published last year, puts sig- proactive care to nificant emphasis on supporting more people in the community. But our patients in this this is only possible if people are new world willing to work in the health and social care sector, supported with the training and the technology they need. This is not just about how we look after people as they become older need to do their job. They provide and frailer, but about people of all reliable reminders, highlight con- ages who live with long-term condi- cerns and enable carers to monitor tions that require care and support. residents’ wellbeing. And it is about mental health as well Icon-driven apps that evidence as physical health. care at the point of care have been Technology can provide some of shown to save each carer up to an the answers. Since COVID-19, health- hour a day in paperwork. With care organisations have been moving almost 1.5 million people working in services online at a dramatic pace. social care, such additional capacity The most obvious impact has been would be transformational. to reduce the number of physical Better still, the insights generated visits to the GP and hospitals. But by digital systems can create an behind the scenes, digital tools have environment of constant improve- been used to bring different services ment by highlighting where pro- Patient outcomes together across primary care, com- vision needs to be developed, and munity services, hospital services identifying trends across all areas of purchased because they’re smart The key here is what the patient is and social care to work together to resident wellbeing from sleep, nour- capable. If deployed in the right way comfortable with. Personalised med- deliver joined-up care. ishment, hydration and medication they could save the NHS time and icine is becoming increasingly impor- will drive the future Innovative technologies have also to exercise and mental stimulation. money. Yet the procurement process tant. People are now more willing to enabled teamworking among much But technology alone will not is often based on the purchase of the participate in their own healthcare,” NHS staff applauding broader networks involving family provide all the solutions. Systemic electronic device itself, rather than on says Graeme Cameron, B. Braun’s key workers at North members, peers and local commu- change is needed. Dr Matt Kearney, reducing drug-delivery errors or time hospital care division manager. of healthtech Middlesex Hospital nities, allowing parents to moni- GP and programme director at UCL- saved searching for patient records,” “At the same time, we need to elim- in May 2020 tor their children’s health while at Partners, says: “Technology will says Oates. inate the inefficiencies that exist school or patients to create support be a key enabler, but clinical teams “The big challenge when it comes to between healthcare and patients. communities including their peers, will need new pathways and new evolving technology and innovation, is It has to be as efficient, as targeted SOCIAL CARE The future of the care sector is volunteers and friends. ways of working if we are to deliver how do you make sure it’s used prop- and as resourceful as it can be,” adds shrouded in uncertainty by repeated The coronavirus outbreak has high-quality proactive care to our erly and has an impact on patient out- Michael Parden, Aesculap division The coronavirus pandemic has been the biggest shock in Changing care delays to social care reforms, includ- highlighted how woefully inade- patients with long-term conditions comes, productivity and safety. We manager at B. Braun, which is on the ing the way in which it is funded. quate paper processes are for the in this new world.” need to convince the NHS to procure board of the Association of British Related to this are the financial care sector, particularly at a time Sally Warren, director of policy decades, bigger than the global economic crisis a decade on this basis. For that we must provide Healthtech industries. more evidence, more data in partner- The potential for healthtech is ago, and it’s had significant consequences problems of many of the private pro- when the risk is changing hour by at the King’s Fund health and care for good viders in the care sector. A number hour. By digitalising care-plan- think tank, concludes: “Too often, ship, so the full benefits are realised.” increasingly apparent in more areas, of the biggest care home companies ning processes and evidencing care politicians of all parties decided Beyond value-based procurement, for example with B. Braun’s digital reha- require financial reconstruction using mobile technology, provid- they couldn’t afford the political COVID-19 has also been a real driver bilitation support for knee and hip while many family-run businesses ers can make time efficiencies that capital and the financial cost of for supporting patients at home. It’s in patients. This uses a range of motion are struggling to stay afloat. empower carers. Not only can care social care reform. We can only hope the interests of the NHS and industry to sensors and a downloadable app for a While the NHS has experienced evidencing apps save carers time, the current crisis is showing they oronavirus has put the health “We cannot lose this momentum. covering most therapeutic areas, 95 deliver high-quality healthcare in more patient’s smartphone. It can track exer- significant staffing pressures, they also give them the tools they can’t afford not to.” C of the UK population firmly at There’s so much potential going for- per cent of which are manufactured by efficient settings beyond hospitals. cise, log pain and remain in contact with the issues in social care are even the top of everyone’s agenda. wards. Partnerships are key to this pro- the company. Clinical care in the community will be hospitals via a messaging function. greater and the outlook is a con- Daily statistics read out on the news cess. Through collaborative and con- For instance, take infusion pumps. critical going forwards, as will the inte- “We can monitor whether patients The importance of proper Martin Barrow cern. One measure of the workforce detailing the impact of the virus is tes- structive work alongside the NHS, we B. Braun sells thousands of smart gration of care systems. This involves are doing exercise to build up the 122,000 supply gap is the vacancy rate. This tament to the fact that patient out- can improve patient outcomes for the devices to the NHS. They are used to more joined-up and localised thinking muscle before treatment and whether health and social care has rose from 5.5 per cent in 2012-13 to comes now matter to us all. long term. Certainly, the healthtech deliver medicines to patients in hospi- involving the NHS and local authorities. they’re doing exercise after their oper- Response from the NHS has been industry has a significant part to play.” tals countrywide on a daily basis. These “Coronavirus is making things crystal ation. It is all done remotely and can never been felt more keenly, C are workers earned our admiration and gratitude 7.8 per cent in 2018-19. In London it was 9.3 per cent, making it the admirable; one of the world’s largest With the COVID crisis still lingering, can be connected to wireless networks clear: local data and local public health reduce the need for outpatient and but a lack of funding and for the way they responded to the coronavirus emergency, often region with the highest rate. The number of vacancies in social care healthcare providers has done its best dealing with the pandemic effectively. the NHS is under increasing pressure to do more, reduce healthcare ine- so they can be updated automatically with the latest software, input data into systems are more effective in deal- ing with outbreaks that are localised. community physiotherapy appoint- ments,” says Oates. severe shortage of skills are putting their own lives at risk to pro- in England is estimated to average vacancies in the adult social care workforce in England Its systems, people and organisations qualities, improve the quality of care electronic patient records and be cal- This is true of healthcare in general. “If we could do this for 10 or 15 per tect our loved ones. The pandemic 122,000 at any one time. have had a razor-sharp focus on tack- nationally, manage the pandemic and ibrated with medication error-reduc- It needs to be tailored and priorities cent of all knee replacements on a day- still holding the sector back laid out in stark relief just how crit- Staff shortages have been exacer- ling COVID-19. This has created a cata- ramp up planned care that has been tion libraries. set to deal with local needs, especially case basis, it would take pressure off ical social care is to communities, to bated by uncertainties over Brexit, lyst for change, accelerating the uptake curtailed. The healthtech sector has “At a generous estimate, only 30 where healthcare inequalities exist the rest of the NHS. It may only apply the economy and to the NHS. with many care workers in the UK of technology, use of data and collabo- stepped up during this time with the per cent are used in this way. They’re and need to be tackled,” says Chris to a small cohort of patients, but it can But the harsh reality is that work- originally from European Union ration across sectors. common purpose of supporting the Ibbotson, outpatient division manager have a significant impact on the overall ing in health and social care is still countries and unsure about their “In the last six months, the focus on NHS to deliver care. at B. Braun, a family-owned company, system. Looking to the future we can seen as unappealing. The care future status, which makes working clinical outcomes and excellence has “But we need to do more work as an active in the sector since 1839. achieve so much more.” 30.8% 24% sector entered the pandemic in a in health and social care even more been unprecedented. This has hap- industry to develop evidence on how For instance, there are more than difficult position, with acute staff precarious. pened at pace and at scale, with a much the NHS stands to gain by using 2.5 million people living with cancer shortages, poor working conditions, Measuring the full impact is dif- renewed focus on the patient. There’s existing or new technology effectively. in the UK, just over a quarter have low morale and a lack of invest- ficult because of the disruption also been a real readiness to change We have to take more responsibility. chemotherapy. Care at home is desir- Find out more about B. Braun at ment in buildings and technology. to travel caused by the pandemic, during this pandemic. A huge number Value-based procurement is coming able, especially for those over 75 who www.bbraun.co.uk The COVID-19 death toll in care but the sector remains sufficiently of stakeholders within the NHS want of age around the world. Far more can Through collaborative and struggle to travel for chemotherapy homes was shocking. The question alarmed to press the government to do things differently and be innova- be achieved by buying and implement- appointments. This accounts for more is whether the pandemic will bring for urgent clarification about what turnover rate of directly of the adult social care tive,” says David Oates, UK group man- ing healthtech based on outcomes, constructive work alongside than a third of all patients. employed staff in the adult workforce were on zero- stakeholders together with a new sense of urgency to address these will be done to ensure the elderly and vulnerable people are not left social care sector hours contracts aging director at B. Braun Medical Ltd, one of the world’s leading manufactur- rather than competing on the price of a product,” says Oates at B. Braun, the NHS, we can improve patient “It is possible with the right health- tech to deliver chemotherapy infu- deep-rooted issues. without good care because of the Skills for Care 2019 ers of healthcare solutions. which sells 5,000 different products outcomes for the long term sions at home and monitor patients.
04 F U T U RE O F H E A LT H C A RE RACONTEUR.NET 05 Commercial feature deepening skills shortage. Unison, the union, has called for an urgent Guy Smallman via Getty Images review of pay and conditions in the social care sector. Clinical teams need One of the lessons of the pan- demic has been the extent of mutual new pathways dependence between the NHS and social care. When the care sector and new ways of fails, the NHS is put under addi- working if we are to tional pressure and vice versa. The NHS Long Term Plan for Eng- deliver high-quality land, published last year, puts sig- proactive care to nificant emphasis on supporting more people in the community. But our patients in this this is only possible if people are new world willing to work in the health and social care sector, supported with the training and the technology they need. This is not just about how we look after people as they become older need to do their job. They provide and frailer, but about people of all reliable reminders, highlight con- ages who live with long-term condi- cerns and enable carers to monitor tions that require care and support. residents’ wellbeing. And it is about mental health as well Icon-driven apps that evidence as physical health. care at the point of care have been Technology can provide some of shown to save each carer up to an the answers. Since COVID-19, health- hour a day in paperwork. With care organisations have been moving almost 1.5 million people working in services online at a dramatic pace. social care, such additional capacity The most obvious impact has been would be transformational. to reduce the number of physical Better still, the insights generated visits to the GP and hospitals. But by digital systems can create an behind the scenes, digital tools have environment of constant improve- been used to bring different services ment by highlighting where pro- Patient outcomes together across primary care, com- vision needs to be developed, and munity services, hospital services identifying trends across all areas of purchased because they’re smart The key here is what the patient is and social care to work together to resident wellbeing from sleep, nour- capable. If deployed in the right way comfortable with. Personalised med- deliver joined-up care. ishment, hydration and medication they could save the NHS time and icine is becoming increasingly impor- will drive the future Innovative technologies have also to exercise and mental stimulation. money. Yet the procurement process tant. People are now more willing to enabled teamworking among much But technology alone will not is often based on the purchase of the participate in their own healthcare,” NHS staff applauding broader networks involving family provide all the solutions. Systemic electronic device itself, rather than on says Graeme Cameron, B. Braun’s key workers at North members, peers and local commu- change is needed. Dr Matt Kearney, reducing drug-delivery errors or time hospital care division manager. of healthtech Middlesex Hospital nities, allowing parents to moni- GP and programme director at UCL- saved searching for patient records,” “At the same time, we need to elim- in May 2020 tor their children’s health while at Partners, says: “Technology will says Oates. inate the inefficiencies that exist school or patients to create support be a key enabler, but clinical teams “The big challenge when it comes to between healthcare and patients. communities including their peers, will need new pathways and new evolving technology and innovation, is It has to be as efficient, as targeted SOCIAL CARE The future of the care sector is volunteers and friends. ways of working if we are to deliver how do you make sure it’s used prop- and as resourceful as it can be,” adds shrouded in uncertainty by repeated The coronavirus outbreak has high-quality proactive care to our erly and has an impact on patient out- Michael Parden, Aesculap division The coronavirus pandemic has been the biggest shock in Changing care delays to social care reforms, includ- highlighted how woefully inade- patients with long-term conditions comes, productivity and safety. We manager at B. Braun, which is on the ing the way in which it is funded. quate paper processes are for the in this new world.” need to convince the NHS to procure board of the Association of British Related to this are the financial care sector, particularly at a time Sally Warren, director of policy decades, bigger than the global economic crisis a decade on this basis. For that we must provide Healthtech industries. more evidence, more data in partner- The potential for healthtech is ago, and it’s had significant consequences problems of many of the private pro- when the risk is changing hour by at the King’s Fund health and care for good viders in the care sector. A number hour. By digitalising care-plan- think tank, concludes: “Too often, ship, so the full benefits are realised.” increasingly apparent in more areas, of the biggest care home companies ning processes and evidencing care politicians of all parties decided Beyond value-based procurement, for example with B. Braun’s digital reha- require financial reconstruction using mobile technology, provid- they couldn’t afford the political COVID-19 has also been a real driver bilitation support for knee and hip while many family-run businesses ers can make time efficiencies that capital and the financial cost of for supporting patients at home. It’s in patients. This uses a range of motion are struggling to stay afloat. empower carers. Not only can care social care reform. We can only hope the interests of the NHS and industry to sensors and a downloadable app for a While the NHS has experienced evidencing apps save carers time, the current crisis is showing they oronavirus has put the health “We cannot lose this momentum. covering most therapeutic areas, 95 deliver high-quality healthcare in more patient’s smartphone. It can track exer- significant staffing pressures, they also give them the tools they can’t afford not to.” C of the UK population firmly at There’s so much potential going for- per cent of which are manufactured by efficient settings beyond hospitals. cise, log pain and remain in contact with the issues in social care are even the top of everyone’s agenda. wards. Partnerships are key to this pro- the company. Clinical care in the community will be hospitals via a messaging function. greater and the outlook is a con- Daily statistics read out on the news cess. Through collaborative and con- For instance, take infusion pumps. critical going forwards, as will the inte- “We can monitor whether patients The importance of proper Martin Barrow cern. One measure of the workforce detailing the impact of the virus is tes- structive work alongside the NHS, we B. Braun sells thousands of smart gration of care systems. This involves are doing exercise to build up the 122,000 supply gap is the vacancy rate. This tament to the fact that patient out- can improve patient outcomes for the devices to the NHS. They are used to more joined-up and localised thinking muscle before treatment and whether health and social care has rose from 5.5 per cent in 2012-13 to comes now matter to us all. long term. Certainly, the healthtech deliver medicines to patients in hospi- involving the NHS and local authorities. they’re doing exercise after their oper- Response from the NHS has been industry has a significant part to play.” tals countrywide on a daily basis. These “Coronavirus is making things crystal ation. It is all done remotely and can never been felt more keenly, C are workers earned our admiration and gratitude 7.8 per cent in 2018-19. In London it was 9.3 per cent, making it the admirable; one of the world’s largest With the COVID crisis still lingering, can be connected to wireless networks clear: local data and local public health reduce the need for outpatient and but a lack of funding and for the way they responded to the coronavirus emergency, often region with the highest rate. The number of vacancies in social care healthcare providers has done its best dealing with the pandemic effectively. the NHS is under increasing pressure to do more, reduce healthcare ine- so they can be updated automatically with the latest software, input data into systems are more effective in deal- ing with outbreaks that are localised. community physiotherapy appoint- ments,” says Oates. severe shortage of skills are putting their own lives at risk to pro- in England is estimated to average vacancies in the adult social care workforce in England Its systems, people and organisations qualities, improve the quality of care electronic patient records and be cal- This is true of healthcare in general. “If we could do this for 10 or 15 per tect our loved ones. The pandemic 122,000 at any one time. have had a razor-sharp focus on tack- nationally, manage the pandemic and ibrated with medication error-reduc- It needs to be tailored and priorities cent of all knee replacements on a day- still holding the sector back laid out in stark relief just how crit- Staff shortages have been exacer- ling COVID-19. This has created a cata- ramp up planned care that has been tion libraries. set to deal with local needs, especially case basis, it would take pressure off ical social care is to communities, to bated by uncertainties over Brexit, lyst for change, accelerating the uptake curtailed. The healthtech sector has “At a generous estimate, only 30 where healthcare inequalities exist the rest of the NHS. It may only apply the economy and to the NHS. with many care workers in the UK of technology, use of data and collabo- stepped up during this time with the per cent are used in this way. They’re and need to be tackled,” says Chris to a small cohort of patients, but it can But the harsh reality is that work- originally from European Union ration across sectors. common purpose of supporting the Ibbotson, outpatient division manager have a significant impact on the overall ing in health and social care is still countries and unsure about their “In the last six months, the focus on NHS to deliver care. at B. Braun, a family-owned company, system. Looking to the future we can seen as unappealing. The care future status, which makes working clinical outcomes and excellence has “But we need to do more work as an active in the sector since 1839. achieve so much more.” 30.8% 24% sector entered the pandemic in a in health and social care even more been unprecedented. This has hap- industry to develop evidence on how For instance, there are more than difficult position, with acute staff precarious. pened at pace and at scale, with a much the NHS stands to gain by using 2.5 million people living with cancer shortages, poor working conditions, Measuring the full impact is dif- renewed focus on the patient. There’s existing or new technology effectively. in the UK, just over a quarter have low morale and a lack of invest- ficult because of the disruption also been a real readiness to change We have to take more responsibility. chemotherapy. Care at home is desir- Find out more about B. Braun at ment in buildings and technology. to travel caused by the pandemic, during this pandemic. A huge number Value-based procurement is coming able, especially for those over 75 who www.bbraun.co.uk The COVID-19 death toll in care but the sector remains sufficiently of stakeholders within the NHS want of age around the world. Far more can Through collaborative and struggle to travel for chemotherapy homes was shocking. The question alarmed to press the government to do things differently and be innova- be achieved by buying and implement- appointments. This accounts for more is whether the pandemic will bring for urgent clarification about what turnover rate of directly of the adult social care tive,” says David Oates, UK group man- ing healthtech based on outcomes, constructive work alongside than a third of all patients. employed staff in the adult workforce were on zero- stakeholders together with a new sense of urgency to address these will be done to ensure the elderly and vulnerable people are not left social care sector hours contracts aging director at B. Braun Medical Ltd, one of the world’s leading manufactur- rather than competing on the price of a product,” says Oates at B. Braun, the NHS, we can improve patient “It is possible with the right health- tech to deliver chemotherapy infu- deep-rooted issues. without good care because of the Skills for Care 2019 ers of healthcare solutions. which sells 5,000 different products outcomes for the long term sions at home and monitor patients.
06 F U T U RE O F H E A LT H C A RE RACONTEUR.NET 07 Commercial feature VACCINE anyaivanova/ Shutterstock Challenging ethics to find a vaccine HEALTHCARE SYSTEMS VACCINATION PREVENTATIVE HEALTH MEASURES British people are more poorly informed than their European neighbours about predisposition and genetic The pressure is on links to certain diseases. PanyaStudio/ Shutterstock to find a coronavirus vaccine and time is of the essence. A 36% controversial option, to intentionally 85% of UK people are satisfied with the 85% of Brits are in favour of of Brits admit they don’t know which diseases are favoured by predisposition and genetics – infect volunteers, How COVID has changed clinical trials country’s healthcare system – this puts the country in the middle compulsory vaccination, the sixth-highest national proportion the highest in the survey. could speed trials Coronavirus lockdowns forced Additionally, clinical trials of the pack among 12 European countries surveyed, ranked sixth. in the survey. STADA annual health report 2020 up, but it poses the world to stay at home. This have moved outside traditional also caused the pause and trial sites with a boom in significant risks to How to build a trusted postponement of thousands virtual trials, which use remote of clinical trials, with patient monitoring, teleconferencing those taking part enrolment in trials significantly and digital data collection down, by as much as 79 per cent tools, such as wearable pharma brand in April compared to the previous devices. Artificial intelligence year, according to Medidata. (AI) is also beginning to be But the lockdowns have also used in the recruitment spurred innovation in the process to identify patients sector. Traditional timelines, suitable for trials. for instance, are being busted The COVID-19 legacy will in a bid to get a coronavirus be a positive one, says STADA is celebrating its 125th birthday. But what does it take to vaccine to market through Graham Belgrave, senior vice greater collaboration between president, head of European create a globally respected brand? companies and different trial operations, at clinical research designs. In the United States, the organisation Advanced Clinical: collaborative project Operation “I believe the genie is out of Katrina Megget Warp Speed aims to deliver a the bottle and we will see an o go back to the foundation “Our guiding star is our purpose: caring To deliver on this commitment to vaccine by the end of the year by ever-increasing reliance on AI, T of STADA is to scroll through for people’s health as a trusted part- partnership in the broader healthcare running design, manufacturing on remote and virtual visits for the modern history of med- ner,” explains Goldschmidt. “This means context, STADA compiles an annual ore than 30 possible coro- and delivery operations in clinical trials.” This, he says, is icine. The year 1885 predates the dis- working closely with hospitals, pharma- Health Report which, in its 2020 edi- M navirus vaccines are in parallel rather than sequentially. likely to become the new norm. covery of aspirin or insulin. In Bavaria, cies, supply-chain partners and patients tion, is based on surveying more than clinical trials worldwide in Wilhelm Röntgen would take another to provide high-quality products.” 24,000 people across 12 European a bid to squeeze traditional time- decade to detect x-rays. In Vienna, Karl Regardless of whether it is supplying countries. The report provides insights lines and roll out a vaccination pro- Landsteiner identified the main blood high-quality prescription or consumer into health-related topics including gramme in the next six to twelve be supported. “We don’t need chal- it’s unethical to challenge somebody implementation. It could also open groups only at the turn of the century. health products, STADA focuses on vaccines, antibiotics, sex and death. COVID-19 TREATMENT VACCINE TRIALS BY T YPE months. But there are calls to speed lenge trials to beat COVID. We need and we’re in the middle of multiple, the door for more widespread use in “We have come a long way,” says Peter maximising the value offered to health- For example, the 2020 survey up the process further through the Number of coronavirus (COVID-19) clinical trials for drugs and vaccines worldwide as of September 18, 2020 them to beat it faster,” he says. large phase-three vaccine trials, so infectious diseases and future pan- Goldschmidt, chief executive of STADA. care professionals and patients as a revealed satisfaction with the national use of controversial human chal- “Faster means averting thousands I do not see the benefit compared demics, especially in the absence of “While we remain true to the values of trusted partner. For example, a novel healthcare system was highest in lenge trials where volunteers are Treatment 1,599 of deaths per day.” with the risk,” says Poland. rescue treatments. the forward-thinking chemists who ready-to-use formulation of a wide- Switzerland, Austria and Belgium (90 given an experimental vaccine, then But the World Health Organization Dr Michael Jarvis, associate pro- The problem though, says Eyal, founded STADA in Dresden back then, ly-used cancer drug gave physicians a per cent). On the current hot topic of deliberately exposed to the virus. COVID-19 complication support 918 remains undecided and other aca- fessor in immunology and virology is people are cagey about their sup- we are now truly global as one STADA.” safer and time-saving means of treat- compulsory vaccination, a key issue in Despite real safety risks and ethi- COVID-19 pneumonia 848 demics claim now is not the time. at the University of Plymouth, takes port. “Nobody wants to be first, lest A century-and-a-quarter later and ing multiple myeloma, saving the NHS the COVID era, in Spain and Finland cal concerns, there is a burgeoning Dr Gregory Poland, director of the a similar stance. “A bad experience the public and electorates punish STADA, known in the UK mainly as £6 million in the process. around nine in ten favour compulsory appetite for these trials. More than Severe COVID-19 721 Vaccine Research Group at the at the early stages of the vaccine them for it,” he says. Thornton & Ross, is active worldwide, Gold-standard treatments for vaccination, yet in Switzerland, Austria 36,000 people from more than 160 US-based Mayo Clinic, believes the development pathway could really But we may have no choice. trading in more than 120 countries, life-threatening diseases, such as and Russia around 30 per cent oppose countries have expressed a willing- Moderate COVID-19 575 claims about saving lives are false impact acceptance of an efficacious Officials in America have already with around 12,400 employees and cancer, osteoporosis and Parkinson’s, it. Telemedicine is growing in accept- ness to take part with 1 Day Sooner, Mild COVID-19 455 arguments. Even if a challenge trial COVID vaccine by the public,” he said challenge trials might be over €2.6 billion in annual sales. It’s a are key elements of STADA’s portfolio, ance, with seven in ten in Europe now an organisation that supports was conducted today, he says, peo- says. “I think this is a legitimate needed if natural infections decline moment to reflect. How, exactly, did especially as the company increas- open to examination via webcam. COVID-19 challenge trials. Exposure prophylaxis (PEP/PrEP) 316 ple would not be protected with a reason to wait.” and standard studies can’t deter- STADA grow from its roots in German ingly pushes into biosimilars, or There are some intriguing national The organisation published an coronavirus vaccine tomorrow. It Yet we are getting closer to COVID- mine efficacy. Ana Nicholls, health- pharmacy to become a global leader in equivalent versions of original bio- idiosyncrasies. A third of people in the open letter in July, urging prepa- Critical COVID-19 276 could take months just to find the 19 challenge trials. Both US and care analyst and managing edi- generics and consumer health? logical drugs. But the group, espe- UK have no idea which diseases are ration of such trials, which was COVID-19 vaccines 233 appropriate strain and dose for these European regulators say they will tor of the Industry Briefing at The cially Thornton & Ross in the UK, is affected by genes and 40 per cent of signed by more than 150 aca- trials, erasing the speed advantage. consider proposals, and pharmaceu- Economist Intelligence Unit, agrees also widely recognised for its popular Belgians categorically never talk about 9 out of 10 demics and experts, including 15 Healthy subjects 165 There is also no guarantee the tical company Johnson & Johnson this is a concern. “Some vaccine consumer healthcare products such sex. The results are vital in shaping Nobel laureates. results of challenge trials in low- says it is “evaluating the potential developers have had to chase cases as Covonia cough remedies, Hedrin public policy on healthcare. But the search for a vaccine suf- Asymptomatic COVID-19 99 risk healthy young adults would be benefit of human challenge trials”. around the world to set up and con- head-lice treatments and Oilatum “Being a trusted partner is at the heart fered a temporary setback in ear- Post-COVID syndrome 9 applicable to the elderly or those The US National Institute of Health duct trials. Some early trials were skin creams that enable people to of what STADA does,” Goldschmidt con- ly-September when an Oxford with underlying conditions. “To me, also recently announced the deci- abandoned altogether,” she says. treat their own ailments. cludes. “Both organically and through University trial with British drug- Unspecified 7 sion to explore the possibility of, and If we want a vaccine now or for a Thornton & Ross head Roger targeted alliances and acquisitions, maker AstraZeneca was paused prepare for, human challenge trials. future pandemic, challenge trials people in Spain and Finland favour Scarlett-Smith points out that offer- we continue to expand our high-qual- Pharma Intelligence 2020 after a volunteer suffered a possible Meanwhile, the Oxford University may be the only option, but balanc- compulsory vaccination, yet in ing patients and consumers innovative ity, affordable offering for healthcare serious adverse reaction, illustrat- group developing the frontrun- ing risk against the potential bene- Switzerland, Austria and Russia solutions, such as with its well-loved professionals and patients so we can ing the risks involved even without Challenge trials have been used insights into the virus, disease The first peer-reviewed paper call- ner coronavirus vaccine is under- fits is tricky. COVID-19 could shift around 30 per cent oppose it Zoflora disinfectants, is central to the deliver on our purpose of caring for deliberate exposure to COVID-19. in the past to test vaccines against progression and immunity. ing for coronavirus challenge tri- stood to be reviewing the technical the needle. company’s vision. “We do not try to people’s health as a trusted partner.” 55% Abie Rohrig, director of commu- flu, typhoid, cholera and malaria. A coronavirus vaccine would ben- als was published online in March aspects of how these studies could Rohrig at 1 Day Sooner is opti- do everything ourselves,” he acknowl- nications at 1 Day Sooner and chal- They can speed vaccine develop- efit from all this, particularly if in The Journal of Infectious Diseases. be undertaken. mistic, believing it’s likely a chal- edges. “Partnerships are essential to lenge trial volunteer, says his desire ment when low levels of virus cir- challenged in the low-risk group of Professor Nir Eyal, a senior bioethicist A cross-national survey of almost lenge trial will begin by the end our business model.” To find out more please visit to take part is for the good of human- culating in the population make healthy 18 to 30 year olds, where fatal and director of Rutgers University’s 6,000 people conducted by Eyal of the year. Tens of thousands of Working as a partner to healthcare www.stada.com and kind. “Since I am at a very low risk determining normal vaccine infection rates are estimated to be Center for Population-Level Bioethics Since I am at a very low risk and colleagues in July found 75 per young people have acknowledged systems is also essential to STADA’s www.thorntonross.com of death and hospitalisation from efficacy difficult. They can also 0.03 per cent. But, unlike malaria in the United States, was the lead cent preferred scientists to conduct the risks and still want to take vision. For instance, in the UK, Thornton COVID-19, I am more than willing compare the efficacy of differ- and typhoid, COVID-19 has no suffi- author and now a member of the 1 Day of death and hospitalisation challenge trials over standard tri- part, he says. “We hope others of Brits are worried about US & Ross is the NHS’s leading supplier of to take on the risk so that older and immunocompromised populations ent vaccines, highlighting which candidates should be advanced, cient rescue treatment should trial volunteers get sick and the SARS- Sooner advisory board. He says there are risks to volun- from COVID-19, I am more than als, even as respondents acknowl- edged the risks. The results may do not speak on our behalf as to which risks are justifiable for us to involvement in the NHS emollients, having donated more than 100,000 samples to NHS staff during can stay safe,” the 20 year old says. as well as providing important CoV-2 virus is still poorly understood. teers, but challenge trials should willing to take on the risk help remove a roadblock to their take,” Rohrig adds. STADA annual health report 2020 the current pandemic.
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