Corporate slide master Recommendations on Health & Wealth in Wales Ifan Evans Deputy Director Healthcare Innovation Welsh Government 1
What are these recommendations for? The Board s purpose is to: assist in accelerating the pace of innovation relevant to health and social care The Workstream s purpose is to advise on: Translational research and technology transfer Procurement, adoption and diffusion Digital health and technology Industry engagement New models of delivery 2
3 Why we need to accelerate innovation in healthcare:
The funding gap only gets bigger with time For Wales this equates to at least an extra 3+ Billion 4
The gap is mostly due to big external factors Funding pressure on hospitals in England ( Bn) 68 Additional spending due to pay increases 63 Additional spending due to rising probability of admission for chronic conditions Projected spending due to population growth 58 53 48 43 Population (additional 6bn) 38 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 2021/22 Year 5
Chronic conditions - lifestyle, demography Lifestyle and demographic challenges are more acute in Wales 6
How are other healthcare systems addressing this? Academic Health Science Networks AHSNs are established explicitly to catalyse the identification, adoption and spread of innovation throughout the NHS, but also to contribute to economic growth. 7
8 The recommendations take a system approach:
Why a system approach? Networks need a shared understanding, so: Simplify the system Provide clear points of entry Map relationships Reduce duplication and complexity Delivery must focus on purpose and accountability, so: Separate assets from activity Describe functions - who does what Small teams doing one thing really well Stick with the overall vision But quickly address things that don t work 9
10 Why a system approach?
11 Theme 1: Connectivity, Data, Digital
Theme 1: Connectivity, Data, Digital Big data is critical to innovation in healthcare: E-health data at population level Service and performance data at system level Digital data also drives healthcare improvement: Integration and shared access across healthcare Patient and public engagement, wellness, selfmanaged care Detailed, real time and predictive management information Wales is good at data integration and management, and has an appropriate scale and structure. 12
13 Theme 2: Major innovation is disruptive, external
Theme 2: Major innovation is disruptive, external Big organisations find these important things difficult: Risk capital (financial or personal) Agile innovation and minimum viable product Opportunism and speculative/risk development Informal collaboration, including with users Sustained persistent focus at pace But we must innovate, so we need to work with others and create space to do so: Establish appropriate structures/vehicles Engage with business and academic partners Robustly maximise public value and protect the public interest 14
Recommendations: Statement on improving health and wealth Joined up delivery across public sector Research funding aligned to potential for impact Invest in e-health data to population level Improve service and performance data Technology adoption gateway Digital healthcare gateway Healthcare technology innovation fund Centres linking service delivery to knowledge transfer Vehicle to own innovation subsidiaries New initiatives brought together with existing ones as a single health and wealth system 15
Closing quotes... A WITTY SAYING PROVES NOTHING 16
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