Unlock Your Global Business Potential The UK digital health and care opportunity

1. Click to begin • Unlock Your Global Business Potential • The UK digital health and care opportunity

2. CLICK TO TURN THE PAGE DIGITALHEALTHAND CARE MARKET OPPORTUNITY SECTOR OVERVIEW EASE OF DOING BUSINESS RICH AND DIVERSE ECOSYSTEM MARKET SUCCESS

3. UK’s DIGITAL HEALTH AND CARE OFFER You can get in touch with the UKTI Life Science Investment Organisation • The UK Government recognised the need to provide better support for overseas business • UK Trade & Investment has established the Life Science Investment Organisation (LSIO), the LSIO is here to help your business navigate the opportunity to partner with and invest in the UK and to connect you to wider UK life science community • For further details on the LSIO and the UK life sciences offer for industry, visit: www.ukti.gov.uk/lifesciences • Contact: chike.eduputa@ukti-invest.com

4. DIGITAL HEALTH AND CARE – MULTI-SECTOR CONVERGENCE • The impact technology can have in healthcare is profound and transformative. • The UK’s digital ambitions for the health service are to: • Integrate solutions around the patient • Widespread use of technology • Electronic health records to become norm • National standards throughout the health and care sector Imaging Genomics Information Systems DIGITAL HEALTH AND CARE Social Networking Wireless Sensors Mobile connectivity ‘Patients at the centre of care’ High performance Computing, Cloud computing Internet and broadband Big Data, Open Data

5. UK’s DIGITAL HEALTH AND CARE OFFER • Unlock the power of data through advanced analytics • Smarter use of data to inform decision making and create value WORLD CLASS DATA • Open and big data • Diverse patient level dataset • Shift towards cloud computing Moving towards an Integrated Health and Care System MULTISECTOR CONVERGENCE • Active web and social network usage • Reliable superfast fixed and mobile connectivity • Strong life sciences, creative, IT and electronics industries • Leading talent, academia and research CONNECTED PEOPLE • Partner with the world’s leading academic and research institutions • Access talent from industry across multiple strong UK sectors • Connect with a web, mobile and tech active consumer base • Leverage UK-wide advanced connectivity capabilities

6. SECTOR OVERVIEW

7. SECTOR OVERVIEW The global digital health and care market is expanding rapidly. Now is the time for companies to actively participate in this growing and diversifying market The global mobile health market will grow 32% CAGR to reach £35.7bn by 2020 + £35.7bn by 2020 Growing £ With a variety of initiatives and an early adopter population, the UK offers the ease to enter and participate in the UK and EU digital health and care marketplace The UK will continue to dominate the EU Telehealth market with a high degree of e-health initiatives making a mark across the UK Highest EU Telehealth market revenue Active

8. SECTOR OVERVIEW Healthcare analytics market The market shows a double-digit growth due to factors like the emergence of big data and increasing number of technologies. Outside the U.S., Europe is the second largest, well-established and lucrative market for healthcare analytics. Real time location systems market Technology - Presently, active RFID and Wi-Fi based Real-Time Location Systems solutions are driving the growth of the market; however, new technologies such as UWB and Zigbee are estimated to have a promising future in all the industry verticals. Clinical decision support system market The global clinical decision support system market is estimated to cross $550 million by 2018, at a CAGR of close to 10.0% between 2013 and 2018. The emergence of the cloud computing mode of delivery Cloud computing market The global cloud computing market is expected to grow from $37.8 billion in 2010 to $121.1 billion in 2015 at a CAGR of 26.2% from 2010 to 2015. SaaS is the largest segment of the cloud computing services market, accounting for 73% of the market’s revenues 2010

9. SECTOR OVERVIEW Mobile phone and smartphone market The total global mobile phone and smartphone market is expected to be worth $341.4 billion by 2015 while smartphone revenue will account for 75.8% of the overall mobile handset revenue at $258.9 billion in the same year Medical sensors market in healthcare The field of wireless sensor networking is one of the major focus areas among novel and upcoming fields of research and the latest hot-topic in the field of sensors. bio sensors can be termed as the biggest game-changers for sensors market in healthcare applications in the past two decades, as it can be undoubtedly said that the current huge market size worth approximately $8 billion in 2012 is attained through bio sensors. Bio sensors alone contribute more than 60% of the total revenue Wearable electronics market The market was worth $2.7 billion in revenue in 2012 and is expected to reach $8.3 billion in 2018, growing at an estimated CAGR of 17.71% from 2013 to 2018. The global market’s volume is expected to reach 134.27 million units by 2018, growing at a CAGR of 30.36% for the five year period of 2013 to 2018.

10. SECTOR OVERVIEW Internet of Things and Machine to Machine IoT & M2M communication market in 2011 was worth $44.0 billion, and is expected to grow $290.0 billion by 2017. It is expected to have an increasing CAGR of 30.1% from 2012 to 2017. Europe, APAC, and North America regions are emerging market, whereas in Latin America and Middle East & Africa regions considered a high growth in the markets. In 2011, Europe accounted for about 30.0% of the global revenue, and is expected to grow at a CAGR of 27.4% from 2012 to 2017 Medical sensors market in healthcare The field of wireless sensor networking is one of the major focus areas among novel and upcoming fields of research and the latest hot-topic in the field of sensors. bio sensors can be termed as the biggest game-changers for sensors market in healthcare applications in the past two decades, as it can be undoubtedly said that the current huge market size worth approximately $8 billion in 2012 is attained through bio sensors. Bio sensors alone contribute more than 60% of the total revenue Healthcare and medical simulation market The market was valued at $790.1 million in 2012 and is poised to grow at a CAGR of 19.6% in the forecast period to reach $1930.5 million by 2017.

11. SECTOR OVERVIEW Healthcare IT market The provider market for healthcare IT is the fastest-growing market with the highest revenue generated from the applications of clinical information systems, such as integrated solutions of EHR, CVIS, CDSS, PACS, CPOE, and RIS. The global market is estimated to grow at a CAGR of 7.0% to reach $56.7 billion by 2017 Mobile health apps market The connected medical devices market contributes the maximum share (~85%) to the mhealthcare solutions market; whereas paid healthcare apps market is expected to grow at the highest CAGR (33.8%) during the forecast period. The global connected devices market is estimated at $5.3 billion in 2013 and is poised to reach $16.4 billion by 2018 at a CAGR of more than 25.0% Wireless health market The global market is valued at $23.8 billion in 2013 and is expected to reach $59.7 billion by 2018, at an estimated CAGR of 20.2% from 2013 to 2018

12. SECTOR OVERVIEW Health information exchange market The global Healthcare Information Exchange market was valued at an estimated $558 million in 2013 and is expected to grow at a CAGR of 9.5% in the next five years Security Analytics market Global Market to grow from $1.96 billion in 2013 to $3.22 billion in 2018. This represents a compound annual growth rate (CAGR) of 10.4% from 2013 to 2018 Business Intelligence market The global Business Intelligence market is estimated to reach $20.81 billion in 2018 from $13.98 billion in 2013, at an estimated Compound Annual Growth Rate (CAGR) of 8.28% during the same period of five years Healthcare IT Integration market The market is expected to grow at a CAGR of 9.6% in the forecast period, to reach $2,745.9 million by 2018 from $1,737.3 million in 2013.

13. SECTOR OVERVIEW • The UK is gearing up for growth in the digital health and care market and is already offering companies interested a range of opportunities to engage. The UK National Health Service (NHS) spent approximately £128 billion across the UK in 2011-12 £128bn The £23bnUK social care market, dominated by assistive technologies, is set to grow to £6 billion in 2020. The UK private healthcare market which is growing and estimated to reach £35 billion by 2015 NHS £35bn The UK has identified e-health as a growth area for the UK economy and has selected Big Data as one of the Eight Great Technologies. The aim here is to use the big data revolution to grow a data-based healthcare economy in the UK through the creation of new products and services. www Private The UK is a nation of early adopters where consumers are keen to engage with new technologies and get involved in the digital health and care revolution. Treating almost 1 million patients a day from diverse ethnicities (for example, London with over 200 different nationalities living there), the NHS is the largest unified healthcare system in the world. £23bn >80% of patients that would like to view medical records online, use an online GP appointment booking service and services that let them ask a clinician a question. Social

14. SECTOR CHALLENGES • Demand for health and care is rising • Ageing population • People with long term conditions • Cost of providing health and care is not sustainable • Quality, Innovation, Productivity, Prevention (QIPP) challenge to identify £20bn efficiency savings by 2015 The increase in LTCs has created an opportunity to apply new digital solutions across a range of application areas for example, telehealth, wellness and fitness technologies Access to electronic health records, greater collaboration and efficiency in patient management are part of the drive to meet the challenge. How can your organisation help to achieve this target?

15. SECTOR OPPORTUNITIES • The UK digital health and care environment offers unrivalled commercial advantages • Access to a world class open data • Access a world leading academic and research environment • The gateway into UK and Europe health and care markets • A large supply of highly skilled and well-trained employees • A highly cost effective environment for R&D investment and product testing • A proven business and investment environment • Wide range of funding support for SMEs • A robust system of protecting intellectual property • A wide range of fiscal incentives to support innovation • Access to a wide range of healthcare stakeholders

16. MARKETOPPORTUNITY

17. Unlock the power of data through advanced analytics • Smarter use of data to inform decision making and create value WORLD CLASS DATA UK DIGITAL HEALTH AND CARE OFFER • Open and big data • Diverse patient level dataset • Shift towards cloud computing Moving towards an Integrated Health and Care System MULTISECTOR CONVERGENCE • Active web and social network usage • Reliable superfast fixed and mobile connectivity • Strong life sciences, creative, IT and electronics industries • Leading talent, academia and research CONNECTED PEOPLE • Partner with the world’s leading academic and research institutions • Access talent from industry across multiple strong UK sectors • Connect with a web, mobile and tech active consumer base • Leverage UK-wide advanced connectivity capabilities

18. POLICIES The UK has recognised and is actively responding to the shift towards digital health and care Participation – supporting patients and the public to take more control of their health and care. NHS Mandate “By March 2015, everyone who wants it will be able to get online access to their GP record, as well as book appointments with their GP and order repeat prescriptions online.” Transparency – the safe sharing of data and information between clinicians and with patients “ “ DIGITAL CHALLENGE England’s Secretary of State for Health has set a digital challenge to the NHS to become paperless by 2018, making it the most modern digital health and care service in the world England’s ‘Making sure health and social care services work together’ policy sets out a shared vision for integrated care and support to become the norm in the next five years. Person-centred coordinated care and support is identified as critical to improving outcomes for individuals who use health and social care services. The Scottish government’s 2020 vision highlights patient-centred care, with care being provided to the highest standards at home or in the community enabled through technology. UK policies on digital health and care Northern Ireland operates a Connected Health Ecosystem and is developing a region wide eHealth and care strategy to provide an overarching strategy for addressing all aspects of eHealth and care. The Welsh Government recognises the growing evidence and move towards integrating health and social care services with a specific commitment in Sustainable Social Services. The Digital Wales policy launched in January 2014 maps out a brighter digital future for wales including delivering digital skills, improved online public services, better infrastructure and enhanced mobile coverage.

19. REGULATION Self-regulation – Trade associations like the ABHI, ABPI and the TSA have codes of practice available to both members and non-members First of its kind worldwide, the TSA Integrated Code of Practice is a national quality framework which providers of telehealth and telecare services can be accredited. The code has been written to respond to the challenges of an evolving health and social care system, and in support of national frameworks and priorities. ABHI sees ethical compliance as a key subject for the medical technology industry, particularly as a means to safeguard the important relationships that companies have with healthcare professionals with whom they work closely in developing and improving medical devices. For many companies this is a new area and ABHI is keen to provide a structure for companies to work towards the highest standards of behaviour both as organisations and by their staff. The Prescription Medicines Code of Practice Authority (PMCPA) is responsible for administering the ABPI Code of Practice for the pharmaceutical industry at arm's length of the ABPI itself. The code regulates the advertising of medicines for prescription to health professionals and administrative staff. It also covers information about prescription only medicines made available to the general public.

20. STANDARDS The Information Standard is a certification programme, supported by NHS England, for any organisation producing evidence-based health and/or care information for the public. This programme enables people to quickly identify reliable sources of high quality, evidence-based information through the use of an easily recognised quality mark. This helps people to make more informed healthcare decisions for themselves and their families.Organisations who join the programme are making a clear commitment to improving the experience of their patients and users by providing high quality, evidence-based information by default.It is also possible to join The Information Standard either as individual department or as a whole organisation, and the process is simpler and more straightforward than ever before. INFORMATION Roadmap of ITU E-health standardisation – ITU-approved H.800-H.899 standard for E-health multimedia services and applications Recommendation ITU-T H.810 defines the Continua Design Guidelines (CDG) which contains specifications to ensure the interoperability of devices used for applications monitoring personal health. It also contains additional design guidelines for interoperability that further clarifies these specifications by reducing the options in the underlying standard or specification, or by adding a feature missing in the underlying standard or specification. These guidelines focus on the following interfaces: TAN-IF, PAN-IF, LAN-IF, WAN-IF and HRN-IF INTEROPERABILITY NHS England and the Health and Social Care Information Centre signed a healthcare IT memorandum of understanding with the US Department for Health and Social Services focusing on sharing common values around healthcare informatics improving access for small and medium-sized enterprises and identifying alignments across existing UK and US repositories

21. MOVING TOWARDS AN INTEGRATED HEALTH AND CARE SYSTEM The UK government has made strong commitments to move to a fully integrated health and care system enabled through technology. The vision for the Department of Health is an information revolution where people have access to the right information they need. The UK is currently the largest EU spender for telehealth Scotland’sNational Telehealth and Telecare Delivery Plan to 2015,sets out the vision and direction for how the use of technology will be integrated into service development and delivery. Significant milestones include a world’s first national telehealth strategy in 2010 and developments in the technology infrastructure, education and training till 2015. A single integrated Scottish Centre for Telehealth and Telecare (SCTT) embedded within NHS 24 (NHS 24 provides comprehensive health information and self care advice to the people of Scotland) and a National Telehealth and Telecare Advisory Board (NTTAB) will inform and drive the strategic direction on telehealth and telecare. Northern Ireland is unique within the UK in that health and social services are already integrated, so providing a unified patient engagement approach. It already has a single Electronic Care Record for every patientwhich pulls together key details about patient care from existing systems and makes them available to authorized staff wherever the patient is located, ensuring that their information is available, as needed, by those looking after them. The European Commission has awarded Northern Ireland 3 star Reference Site status as part of its European Innovative Partnership on Active and Healthy Aging. Northern Ireland is now seen independently, as a forerunner in Europe in bringing about a higher quality of health and social care for the older population. In 2011 a review of the provision of health and social care services within Northern Ireland was undertaken under the banner of ‘Transforming Your Care’ digital health provision was identified as a key strand moving forward. Wales already has integrated service projects underway that place the citizen at the core of service design, planning and delivery. Examples of these projects include: Gwent Frailty Project funded by Invest-to-Save bid, Wrexham Frailty Project funded by the Strategic Continuing Health Care resources and the Wyn Campaign also funded by the Invest-to-Save bid.

22. MOVING TOWARDS AN INTEGRATED HEALTH AND CARE SYSTEM • Several national programmes across the UK aim to address the challenge of integrating health and social care through telehealth and telecare. Some programmes include: DALLAS (Delivering Assisted Living Lifestyles At Scale) £37.3 million investment is being made in the UK-wide DALLAS programme. DALLAS is establishing communities totalling 169,000 people by June 2015 across the UK. These communities will show how independent living technologies, services and systems can be used to promote wellbeing, and provide integrated top quality health and care, enabling people to live independently. ALIP (Assisted Living Innovation Platform), is a project delivering a wide ranging programme to enable the ageing population and those with long-term health conditions to live with greater independence. The3 million lives programme, now referred to as Technology Enabled Care Services under the new leadership of NHS England has created 4 Rapid Design Groups around the following topic areas: Improving information governance, Developing commissioning skills and capability, Improving procurement levers and frameworks and Developing measurements and metrics. NHS England is looking to match the 14 Integrated Care Pioneers to companies providing technology enabled services to support these Pioneer sites in their ambitions

23. WORLD CLASS DATA The NHS generates and manages large amounts of data and companies are already finding innovative ways to take advantage of this data opportunity and create value. Smarter use of information to inform decision making and create value across UK/Europe Engage with and access a large and diverse data set Extract information through data analysis Health & Social Care Information Centre (HSCIC) is England’s central source of health and social care information that manages Hospital Episodes Statistics (HES) patient level data Access care.data, a new programme to develop established national datasets such as HES into a comprehensive source of data across the patient pathway. Prescribing Analytics. Using open data to identify points at which we can optimise the healthcare system – Open Healthcare UK and Mastodon C Active participation in networks to translate information into daily health and care practice – Greater Manchester AHSN and Hitachi Create a Research Centre focused on Big Data – UCL Big Data Institute, UCL and Elsevier Develop a data analysis and R&D centre with an academic institution – Imperial College and Huawei UK Biobankis a detailed study that is building a resource able to track people’s health over the next 30 years Anonymised, aggregated and in some cases pseudonymised health and social care programmes such as CPRD in England, SAIL in Wales, SHIP in Scotland and Honest Broker Service in Northern Ireland

24. WORLD CLASS DATA A huge variety of organisations, charities, government departments are looking to create value from the UK’s world class data, when will you?

25. WORLD CLASS DATA • The global market for Big Data was £6bn in 2012 but is expected to soar to £30bn in 2015 • Source: Frost & Sullivan • 85% of Fortune 500 companies are expected to implement Big Data analytics in next 2 years with widespread adoption of big data analytics by 2017. • Across the UK, research partnerships into Big Data are growing to explore innovative ways to better serve needs through the exploration of new technologies and analytics as applied to scholarly content and data. • Examples include the Big Data Institute at the Li KaShing Centre for Health Information and Discovery, at the University of Oxford, UCL Big Data Institute and the Farr Health Informatics Research Institute • The UK is leading the world on open data. In 2010, data.gov.uk and the open government license were created with an ambition to make UK Government data available for public and commercial use in a consistent manner. • The UK has put Open Data at the heart of his agenda for government and has launched the Open Data Institute (ODI) to foster collaboration between businesses. • The ODI, a world’s first, set up by Sir Tim Berners-Lee and Prof. Nigel Shadbolt will be collaborating between businesses, entrepreneurs, universities and researchers, government and civil society to unlock enterprise and social value from the vast amount of Open Public Sector Data now being made accessible. UK is a trendsetter for open data, with its own Open Data Institute theodi.org

26. CONNECTED PEOPLE + 75% >50% of the UK population go online for health information of the UK population use the internet to self diagnose Access Connect In the future, we should be… Accessing, managing and sharing health and care records online Sharing reviews, experiences and creating social health networks Offering better reporting, improved referrals, linked appointments and enhanced service management

27. CONNECTED PEOPLE Joint top third for fixed broadband subscriptions/ 100 worldwide • UK domestic Broadband • The UK government has set out a clear objective that the UK is to have the best superfast broadband network in Europe by 2015. This means that virtually all homes will have access to a minimum level of service of 2Mbps. To accomplish this, two technologies will make up the bulk of the infrastructure with fibre deeper into the network being the main technology and wireless technologies, both fixed and mobile, having an important role in serving rural areas. The ultimate aim is to extend mobile services to 99 per cent of the UK population • UK commercial Broadband • The UK has a deregulated telecommunications market and many competitive suppliers of services. Most data communication is via fibre optic links with some backhaul using microwave links for specific applications. As a result businesses can lease services on existing lines or commission private services to most areas of the UK. 73% of the UK population access the internet every day

28. MULTISECTOR CONVERGENCE Life Sciences • The UK has a share of around 5% of the global export market for creative goods. The value of services exported by the Creative Industries was £15.5 billion in 2011, 8.0 per cent of total UK service exports. • At the overlap of the creative and healthcare industries in the UK, there is enormous potential for innovation, improved well-being and developing products and services for a healthcare market which represents approximately 10% of the economy as a whole. • Despite the size of the healthcare sector, very few digital media businesses are addressing these creative challenges and commercial opportunities. • There is world-class expertise in such fields as software engineering, ICT, interactive and interface design, 3D animation, user-centred design, games development, special effects, script writing, music composition and television production. ICT Electronics At the overlap of the creative and healthcare industries in the UK, there is enormous potential for innovation Creative Some ICT clusters include… Tech City (London) - digital, creative & tech Cambridge - hardware / networks / digital health Brighton - gaming, animation, apps Thames Valley – software Bristol – animation Manchester - media, animation, apps Glasgow/Edinburgh - software, creative Dundee – gaming Belfast – security West Midlands - software, gaming

29. MULTISECTOR CONVERGENCE Life Sciences • The UK life science industry is the third largest contributor to economic growth in the UK with more than 4,000 companies, accounting for 165,000 UK jobs and an annual turnover of over £50bn • The Medical Research Council (MRC) ehealth research centres aim to undertake research that links health records with other forms of routinely collected data. • The Babraham Research Campus handles, stores and interprets large volumes of data which offer fast and efficient access to large biological data sets • The Association of the British Pharmaceutical Industry (ABPI) is calling for a cross-sector response across healthcare, academia and the pharmaceutical industry to navigate and harness the potential of ‘big data’ to improve patient care and maximise the opportunities for investment in the UK. ABPI’s newly launched big data roadmap is a four-point plan to direct progress over the next four years. ICT Electronics Creative

30. MULTISECTOR CONVERGENCE Life Sciences • The UK has a long history of innovation in Electronics and IT. Today, world leading businesses in processor core technology, mixed signal devices, sensors, and lighting operate in the UK. • The UK has one of the largest ICT markets in Europe with a focus on new technology and design and a sophisticated consumer base. UK consumers are early adopters of new technologies and design making the UK market an excellent ‘test bed’ for ICT companies. • The UK also has the strongest ICT skills in Europe and the highest number of ICT graduates in the whole of Western Europe. • UK has 4 of the Top 10 universities worldwide. With some of the world’s best trained data scientists, the UK continues to attract talent from the rest of the EU (e.g. Tech City community) • Some mechanisms to attract talent include Silicon milkroundabout, Internships and Digital Apprenticeships subsidised by UK Government ICT Electronics UK is the second strongest nation on IP protection globally Creative

31. EASE OF DOING BUSINESS

32. FISCAL INCENTIVES • The UK’s business environment favours innovation-oriented businesses by providing the support to nurture pioneering companies through catalysing their innovation and achieving commercial success. This commercial environment combined with the increased access to health care data is redefining the UK as the go-to place to establish digital health and care companies. £ Patent Box Funding for business growth (in England and the Devolved Administrations) R&D tax credits Small and medium sized enterprises (SMEs) are entitled to tax relief at 225%; for every £1 spent on R&D in the UK, £2.25 can be put against the company’s corporation tax liability. For larger companies, tax relief is at 130%. Patent Box which reduces corporation tax on profits from UK patents to 10%. Low corporation tax rate currently at 21% and dropping to 20% by April 2015. £

33. RICH AND DIVERSE ECOSYSTEM

34. DIRECT FUNDING OPPORTUNITIES The UK has many funding opportunities available to inward investors as well as UK based organisations to support technology development. The government and NHS are investing £1 billion in technology over the next 3 years. • Technology Strategy Board (TSB) funding programmes The Digital Economy Research Hubs use a £12 million fund in flexible funding from EPSRC to explore how technology can transform lives. The Engineering and Physical Sciences Research Council (EPSRC) is the UK’s main agency for funding research in engineering and the physical sciences. EPSRC invests around £800 million a year in research and postgraduate training, to help the nation handle the next generation of technological change In 2014/15, the £200m Small Business Research Initiative (SBRI) connects public sector challenges with innovative ideas from industry, supporting companies to generate economic growth and enabling improvement in achieving government objectives.  IC tomorrow is a test bed for Digital Innovators to experiment and ascertain the commercial feasibility of their idea. Catapult is a technology and innovation programme where the very best of the UK's businesses, scientists and engineers can work side by side, transforming ideas into new products and services to generate economic growth through £1bn of private and public sector investment DIGITAL HEALTH IN A HOSPITAL SETTING £6M FUND Digital Health in a hospital setting: will open at end of April 2014, worth approximately: £6m, with an aim to support the rapid movement of patients through the hospital setting using digital health technologies £180 million Biomedical Catalyst is a joint TSB and Medical Research Council programme that offers funding to innovative businesses who are small and medium-sized enterprises (SMEs), and researchers looking to work either individually or in collaboration to develop solutions to healthcare challenges. Launchpads provide funding for business innovation that aims to support the development and strengthening of clusters of small and medium sized high-tech companies in specific theme areas and geographical locations. Collaborative research and development (R&D) encourages businesses and researchers to work together on innovative projects in strategically important areas of science, engineering and technology – from which successful new products, processes and services can emerge, contributing to business and economic growth.

35. INDIRECT FUNDING OPPORTUNITIES The UK has many funding opportunities companies can tap into through partnerships with NHS providers, commissioners. • Safe Wards, Safer Hospitals Fund is available to NHS Trusts, including Foundation Trusts, to support the rapid progression from paper-based systems for patient notes and prescriptions to integrated digital care records (IDCRs) and the development of ePrescribing and eReferral systems £260m Professor Sir Bruce Keogh, Medical Director of NHS England said: “This new fund will help patients get better and safer care by giving doctors access to the right information when they need it most.” Wales £40m ‘Invest to Save’ fund to support the introduction of new or proven ways of working Regional Collaboration fund announced in Oct 2012 to encourage regional collaboration also has proposals for additional work streams into 2014 £50m Intermediate Care Fund available in 2014/15 to encourage integrated working between health, local authorities and housing. The NHS England £3.8bn Better Care Fund (formerly the Integration Transformation Fund) was announced in the June 2013 spending round, to ensure a transformation in integrated health and social care. The Better Care Fund (BCF) is a single pooled budget to support health and social care services to work more closely together in local areas.

36. MARKET SUCCESS • FDI CASE STUDIES • Patientslikeme • Greater Manchester organisations/Hitachi • UCL Big Data Institute (UCL/Elsevier) • Digital Health Institute Scotland • Greater Manchester Organisations/GSK • TF3 Consortium • UK CASE STUDIES • Clinical Digital Maturity Index • NHS Choices • Open Data Institute • NHS Airedale Digital Health Centre • Cellnovo • DW-UK NHS Well Happy app • IDBS driving innovation in the UK • Powys Health Board goes Digital • Invest-to-Save Fund • Superfast Cymru (WelshGov/BT) • Serious Games and Sexual Health • Avatar Therapy Research • Know Your Own Health • Living It Up project • SymlConnect • Healthbox Europe • Glasgow School of Art • eRedbook • University of Exeter/Simpleware • Scottish Care Information Diabetes Collaboration • Aridhia • SmartCare • United For Health • Yarra/Northern Health and Social Care Trust • ESRC Administrative Data Research Network • Orion Health

37. Case: Clinical Digital Maturity Index Nov 2013 CDMI is an important step to realising NHS England’s Digital Vision • NHS Hospitals needed to better understand how investing in and effectively using information technology can improve patient safety outcomes. • EHI Intelligence partnered with NHS England to develop the Clinical Digital Maturity Index (CDMI), a benchmarking tool free to all NHS organisations.  • The CDMI delivers on NHS England’s commitment in ‘Putting Patients First: The NHS England Business Plan 2013/14 – 2015/16 to drive the move to digital records, prescribing and referrals by March 2015. • CDMI, which is based on EHI’s existing tool and uses information obtained directly from NHS Trusts, to provide the learning and information • The CDMI, completely free to all NHS organisations saving the NHS about £1.6m can be viewed as an important step in realising NHS England’s Digital Vision • CDMI will be putting insight into hands of clinicians, senior managers and boards, to enable them review and identify best practice. www.ehi.co.uk www.england.nhs.uk

38. Case: NHS Choices April 2014 NHS Choices Syndication Programme • NHS Choices is the UK’s biggest and most trusted source of information about health and lifestyle. • The service, with about 40 million visits a month, includes more than 20,000 regularly updated articles, more than 1,000 videos, over 120 health tools and more than 50 postcode-search directories enabling visitors to find, choose, compare and comment on health services across England. • Each month, around 10 million people access NHS Choices content via more than 400 partner websites, applications and other internet connected devices, including over 200 NHS organisations, local authorities, and commercial companies. • Our free syndication programme allows partners to embed NHS Choices content and multimedia within their websites, negating the need for in-house development or external signposting. www.nhs.uk

39. Case: First UK Healthcare Cloud April 2012 SCC, NHS Informatics Merseyside and Mersey Care Trust partnership to deliver cloud solutions • Informatics Merseyside is hoping to deliver a minimum 15% saving on IT spend for its customers after signing a framework agreement with cloud computing provider SCC. • Customers of the health informatics service include Aintree University Hospitals and Liverpool Heart and Chest NHS foundation trusts and Liverpool Clinical Commissioning Group • It was costly to maintain 14 local data centres across the Informatics Merseyside patch, and the need to cut budgets while providing transparency about costs had been a driver for change. • The new model means organisations pay only for the storage space they use. Business cases for projects so far are showing a minimum reduction in IT costs of 15% when services are moved to the cloud. •  Informatics Merseyside also wanted a flexible infrastructure that could be adapted quickly, in line with customer innovations. • In July 2011, SCC committed to build a G-Cloud platform, which is a framework agreement available for the public sector, although the Liverpool deal was done outside of the G-Cloud framework. The company also invested £25m in a data centre. • The recently released NHS information strategy says cloud technology offers "new opportunities.“ “Hospitals no longer need to buy and maintain expensive servers on site, with systems suppliers offering cheaper web-based storage and software solutions," www.imerseyside.nhs.uk www.scc.com/

40. Case: Open data identifies possible prescription savings April 2012 Open data identifies £200m potential prescription savings • In 2011-12, the NHS in England spent more than £400m on statins, a class of drugs used to prevent cardiovascular problems, out of a total drug budget of £12.7 billion • Open Healthcare UK (a consortium of NHS doctors and technologists) with the aim of analysing prescription pattern of these drugs worked with Mastodon C, a big data start up company incubated at the Open Data Institute • They looked at the entire prescription dataset (over 37 million rows of data) and analysed how much money was spent in each area on more expensive drugs. • It was found that on an average £27m a month of potentially unnecessary expenditure on the two proprietary statins took place in 2011 in the NHS in England. And savings of over £200m could have been achieved for the NHS, had every doctor prescribed cheap statins • Mastondon C are now going further ahead to identify similar potential savings in different prescription categories. www.mastodonc.com www.nihr.ac.uk www.openhealthcare.org.uk

41. Case: PatientsLikeMe March 2013 PatientsLikeMe helps UK-based patients find clinical trials that are right for them • PatientsLikeMe, a start-up founded by three MIT engineers, looked to the UK to establish its EU base. After winning the UKTI sponsored ‘Go For Gold’ competition, it obtained a broad based package of support including a roundtable discussion with senior leaders from the NHS. • PatientsLikeMe is a patient network that helps improve lives and a real-time research platform that advances medicine. Through the network, patients connect with others who have the same disease or condition and track and share their own experiences. In the process, the generate data about the real-world nature of disease. • PatientsLikeMe launched a new feature that helps UK-based patients find clinical trials that are right for them and helps organisations find paients who are right for their trial. The feature automatically matches up members of the website with every clinical trial they may be eligible for based on their conditions and locations. The app is now featured on the NHS choices health apps library www.patientslikeme.com

42. Case: NHS Airedale Digital Health Centre March 2013 Almost half of patients in Airedale avoid A&E using the telemedicine hub • Airedale Hospital Telehealth Hub is staffed 24 hours seven days a week, by highly skilled nurses who specialise in acute care. A consultant is also on hand if needed. The aim of the service is to care for • patients closer to home whenever it is safe to do so. The patient’s GP is instantly informed and kept up-to-date about any consultations which occur via the Telehealth Hub. • Currently around 636 patients across Airedale Hospital’s catchment area are linked to the Telehealth • Hub including those with chronic heart failure, chronic obstructive pulmonary disease (COPD), diabetes. • During the first six months of its operation, 204 calls were received to the Telehealth hub – and this is expected to increase considerably. Over half the calls were from chronic obstructive pulmonary disease • (COPD) patients. And almost half of these patients avoided having to visit Accident and Emergency • (A&E) service by dialling up the hub. Only 15 per cent of patients needed admission and in these • cases the process was streamlined so that the person was taken directly to a ward. • There were a further 94 consultations in clinics via video link throughout the region which saved patients from having to make that journey into hospital. • The service has been recognised by our local commissioners who are supporting the service and funding the installation of telemedicine www.airedale-trust.nhs.uk

43. Case: Greater Manchester Organisations and Hitachi April 2013 “Thanks to the cooperation of the NHS and all related organisations in Manchester, we have been able to successfully take this positive leap forward, from planning projects over the past six months to entering this new phase of real action in the form of POCs” --- Masaya Watanabe Vice President and Executive Officer of Hitachi, Ltd., who is also the Chief Strategy Officer and Chief Innovation Officer of Hitachi’s Information and Telecommunication Systems Company • The NHS organisations in Greater Manchester have agreed to start Proof of Concept (POC) projects with the Japanese technology giant Hitachi for planning and developing informatics technology to manage and improve patient care and population health in Greater Manchester • The discussions between Hitachi and the NHS in Manchester have been supported by UK Trade and Investment (UKTI) and the Department of Health. • Since 1 October 2013, two PC projects started in Salford, Greater Manchester. The first around developing a federated data platform to facilitate the collaboration of medical information in order to enable the provision of any number of new services that use the highest levels of privacy and security. • The second project is around diabetes care in the form of lifestyle improvement enhancing a programme that is already being tested in Salford. The aim is to build upon the current programme, but making it more efficient, more effective and with more accessible information. • The NHS and Hitachi will be working together as part of this project in developing an informatics platform that enables security and analytics technologies to deliver several new high quality healthcare services. www.gmahsn.org

44. Case: Cellnovo April 2013 Cellnovo, a Swansea born company, is a world leading innovator in Mobile Diabetes Management technology • As the UK population lives longer, those diseases associated with an ageing population becoming more common. Already, diabetes medication alone accounts for 1 in 25 prescriptions and is responsible for 8.4% of annual NHS expenditure on drugs, a 40% rise over the last five years. Digital technologies have a role to play, and there is an urgent need to develop the tools, products and services that can empower people to better understand and manage their own health • Cellnovo, a Swansea born company, is a world leading innovator in Mobile Diabetes Management technology. • The Cellnovo System is the world’s first Mobile Connected Diabetes Management System that comprises a wireless-connected tubeless micro pump (“patch-pump”), mobile touchscreen controller with an integrated blood glucose meter. The proprietary software provides intuitive operation, internet connectivity and real-time tracking. • It is the first device of its kind designed to allow patients the freedom to enjoy a full lifestyle with the comfort that they can closely monitor blood glucose levels, insulin use, activity and diet. • The on-line data management system displays real time clinical information also to Health Care Professionals and Caregivers  • The Cellnovo vision is that those who rely on medical devices should benefit from the same advances in technology to improve the care they receive and to make their lives easier. • Cellnovo won the MediWales Industry Innovation Award in 2013. www.cellnovo.com

45. Case: DW-UK NHS Well Happy App March 2013 The vast quantity of information about London wide support services for issues of mental health, sexual health and substance abuse were easily accessible • DW-UK were approached by NHS London to collate information on over 1,000 local support services into one easy to use smartphone app for young people across issues of mental health, sexual health, drugs, alcohol and anti-smoking services. • The app also needed to demystify these issues by breaking down difficult to understand terminology into easily accessible language and raise awareness by using available communication channels such as email and MMS to send out app content. • DW-UK worked hard to define a highly usable mobile experience across Android and iOS. The vast quantity of information about London wide support services for issues of mental health, sexual health and substance abuse were easily accessible. • The App also offers the ability to network socially using either email or MMS messaging to send out E-Cards illustrating mental health issues. The App use a CMS as the backend to allow easy content manipulation and updating without the need to re-submit either to their respective app stores. • The App also integrated a custom third party web service which searches and displays available health services on a Google Map. www.dw-uk.com

46. Case: Data driving innovation in the UK Sept 2012 Data Management Platform to improve understanding of mental health genetics and treatment • The National Centre for Mental Health in Wales has partnered with UK-based company IDBS to create a data management platform that will be used to improve the understanding of mental health genetics and treatment. • The centre, hosted by Cardiff University, has established the Wales Mental Health Network which is recruiting 6,000 volunteers over the next two years and will capture more than 300 clinical attributes for each person, including their medical history, family history, medication and therapy. • The installation of IDBS’ platform will integrate clinical, biobanking and genetic data, providing a data management and analytics system for this and future studies. The platform will unify patient, sample and genetic results ensuring consistent analysis across the varied and complex data sets involved www.idbs.com

47. Case: Powys Health Board goes Digital Dec 2012 Video conferencing for Powys patients under Digital Wales Scheme • Some patients in Powys will be able to speak to doctors via video and phone conferencing under the Digital Wales scheme to use new technology to improve healthcare. Mobile phone apps will also be available to support certain patients under the Digital Powys scheme. • It is the first live project of Digital Wales, the Welsh government's strategy to improve public services. • Among measures being introduced are video and phone conferences to reduce the need for patients to travel long distances for certain medical conditions. A computer mapping system to help doctors plan treatments more efficiently is also being rolled out. Patients with conditions like Asperger's Syndrome who have smart phones will be able to use apps to alert a support team if they feel particularly agitated. Public health messages will be accessible via social media. • Powys Teaching Health Board is leading the initiative, in conjunction with private companies. • The board's chair, Mel Evans, said: "This exciting project sees rural health and technology come together to address a range of issues, from patient transport to managing mental health, leading healthy lifestyles and preventing illness.“ www.powysthb.wales.nhs.uk

48. Case: Invest-to-Save Fund Jan 2014 Electronic tagging of hospital linen to help save £300,000 a year with investment from the Invest-to-Save fund • Aneurin Bevan Health Board’s laundry service, based in Cwmbran, provides services to Aneurin Bevan, Cardiff and Vale, Powys and Velindre as well as a number of small contracts in NHS England. It processes 12 million pieces of linen a year and spends £390,000 per annum replacing linen that isn’t returned. • To help solve the problem, the health board is investing £353,000 from the Welsh Government’s Invest-to-Save fund in a new Radio Frequency Identification (RFID) tagging system. This allows every item to be identified and facilitates accurate dispatch and collection, improved billing and assignment of responsibility for losses, thus reducing losses and expenditure on replacement linen, as well as assuring availability. This is expected to realise potential savings of £250,000-£300,000 per annum by the third year of operation. • The Invest-to-Save Fund supports the introduction of new and/or proven ways of working that enable services to become more efficient, effective and sustainable. To date since 2009, over 68 projects have received investment from the Fund with a joint value of some £77m. Supported projects are forecasting total annual savings of some £104m within 5 years of commencing, with further recurrent savings thereafter. wales.gov.uk/topics/improvingservices/bettervfm/i2savefund

49. Case: Next generation broadband Wales May 2013 Welsh Government and BT are working in partnership on the 'Superfast Cymru' programme to develop a nationwide superfast broadband infrastructure • Superfast Cymru will boost commercial roll-out to deliver high speed fibre broadband to 96% of homes and businesses in Wales by 2016. • This is the largest partnership of its kind currently in the UK and a major infrastructure investment that will take around three years to complete. To introduce a high speed broadband infrastructure to rural areas on this scale is an immense engineering task - the programme will deploy around 3,000 new fibre broadband cabinets to bring superfast broadband to Wales. • Superfast Cymru is set to transform the broadband landscape in Wales and to promote economic growth and sustainable jobs in Wales. We have estimated that up to 2,500 further full times jobs could be created throughout the Welsh economy over time. It will ensure we are at the forefront of the global digital economy and help to champion Wales as a great place to live, work, invest and visit. www.superfast-cymru.com

50. Case: Serious Games and Sexual Health June 2013 The Serious Games Institute in partnership with health researchers and input from stakeholders developed PR:EPARe • A major priority for sex education policies in the UK is to eliminate incidences of sexual coercion during adolescence, and the negative physical and mental health outcomes associated with it. Engaging young people in such sensitive matters is often challenging but new attempts are being made to address them through video gaming. • The Serious Games Institute in partnership with health researchers and input from stakeholders developed PR:EPARe, a game using many of the features in console games familiar to teenagers: high-quality 3-D graphics, stylish characters, audio and scoring. The game is designed to support and be managed by teachers, allowing them to select the content, start and stop the game as appropriate and engage the students in group discussions around the issues it raises. • PR:EPARe is being trialled in secondary schools in the West Midlands, accompanied by an impact evaluation on sexual health education outcomes and behaviours. The intention is for the game not only to bring positive improvements against a range of indicators, but also inform a broader range of health education interventions based upon video games design. www.seriousgamesinstitute.co.uk