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A European Success - combining a healthy population with wealth creation in Liverpool

Event supported by@nhsc_conference

#confed2014

Innovation and Health Connected

Presented by:

Dr Liz Mear Alan Welby Katherine SheerinChief Executive Executive Director Chief OfficerNWCAHSN Liverpool LEP Liverpool CCG

The NHS is a National Treasure

Survey by Channel 4 (Spring 2012):

What makes you proud to be British?

1. Our history

2. The NHS

3. Our armed forces

4. Royalty

Academic Health Science Networks

• 15 Academic Health Science Networks across England

• Licensed and mainly funded by NHS England

• Promoting innovation in healthcare

• Promoting and dissemination of innovation – from the UK and beyond

• Improving care across whole systems

• Creating wealth

The role of AHSNs

• Triple helix = linking together the NHS, academia, industryto spread innovation “at scale and pace”

• Easier access to the NHS for industry

• Residents benefit from treatments earlier, can contributeeconomically if they are well, and the nation benefits frominvestment.

Why?• “Britain had iPhone technology before Apple but … handed

our advantage to the competition”

• Many SMEs outsource evaluation of their health productsto other countries due to procurement and ‘red tape’ in theUK

• Approx 17 years to get a drug from ‘bench to bedside’

• 6 years lower than average life expectancy in our regionthan in other areas of the country

Partners across the region

North West Coast campaigns

• Reducing procurement barriers

• Using ‘intelligent data’ to plan future care services

• Developing a new model of care services

• Digital health solutions

• Medicines Safety

Unlocking data to drive innovation‘The NHS is one of our greatest assets and its

standardised system of data collection has the

potential to help transform healthcare and support new

discoveries and clinical research.’

Our local healthimprovement priorities

• Cancer

• Cardiac

• Stroke

• Children and maternal health

• Mental health

• Long-term conditions

Key Partners and Networks

• European partners

• Trusts and Foundation Trusts - 25

• Commissioners - 19

• Clinical Research Networks/ Strategic Clinical Networks

• Local Economic Partnerships

• Universities - 9

• Trade bodies e.g. ABPI. ABHI

• Healthwatch (es)

Our international role• Promoting the NHS and our providers –

Healthcare UK

• Importing healthcare business into the UK - UKTI

• Promoting the region and its benefits for industry – UKTI

• Grant funding for the region

• European reference site for Active and Healthy Ageing

• Disseminating good practice from European partners e.g. medicines management

Connected Health EcosystemsECHAlliance Connected Health Ecosystem – our launch 26 June

Patients at the centre of the Ecosystem as the users of connected health services.

Patients will help to drive the design and innovation in connected health services and in so doing take more control over their conditions for better health and quality of life.

Alan Welby

Executive Director

Liverpool LEP

Liverpool City Region LEP

“We will support the creation of Local Enterprise Partnerships – joint local

authority-business bodies brought forward by local authorities themselves to promote local economic development – to replace Regional

Development Agencies (RDAs).“

Coalition Programme For Govt. May 2010

Regional Development Agencies to Local Enterprise Partnerships

Liverpool City Region

£20 billion economy

1.6 million people

47,500 businesses

The LCR economy grew by 50% over the past decade.

LCR LEP• Membership model

• 450+ strong & fee-paying (including 3 NHS trusts)

• Private sector-led Board chaired by Robert Hough

• Plus political leaders representing the six Local Authority areas

• Main body which representing City Region at Government level

• Innovation Board – chaired by Sir Howard Newby (University of Liverpool)

• Executive team based at Princes Parade

LEP: What is it?

• A new collaborative public/private partnership at City Region level

• Endorsed and recognised by Central Government

• Greater access to UK Government

• Local Prioritisation and Endorsement of UK schemes eg Growing Places Fund, Regional Growth Fund, European Regional Development Fund

• Formal City Region endorsement & support of Key Growth Sectors

• Integration of private sector led Boards for each Growth Sector

• Complementary to existing structures

But….• Little direct UK Government funding

What we do

Strategic Objectives

• Accelerate the rate of economic growth and create jobs• stimulate investment• better coordinate public funds

Actions

• Grow existing businesses and support creation of new businesses

• Attract new investments to the City Region

• Change the business environment

• Support identified “Growth Sectors” in the City Region

Why are we working with the NHS?Growing our Life Sciences Sector• 92 Life Sciences companies

• Products and services in excess of £1.7 Billion

• Contributing over £300 GVA million into local economy

• Strong industrial focus

– Pharmaceutical and biopharmaceutical manufacturing

– Diagnostics

– Emerging SMEs – influenza / anti infective agents / neurological conditions

– Growing nutrition and Food Technology sector

• Multinational: Novartis, Eli Lilly & Co., BristolMyers Squibb, Terumo, Life Technologies, Nutricia, Nestle, Associates of Cape Cod International, Baxter Healthcare, Watson Pharmaceuticals and LGC

• Mid-sized companies: ProLab Diagnostics, Pharmapac, Mast Group Ltd

• Smaller growing companies: Biofortuna, RedX Pharma, Iota Nanosolutions, Vitaflo, Hydra Polymers.

Supporting Life SciencesCreating an first rate innovation ecosystem

Maximise interaction to drive economic growth:

• Businesses

– Knowledge institutions

– Finance People

Creating a competitive advantage for Liverpool

NHS is a key partner

• Increase speed of product to market

• Opportunity for Clinical trials

• Driving innovation into provision

Pipeline of Skills

– Life Sciences University Technical College

– Skills for growth agreements

Access to finance

– Spark Impact Biomedical Fund

Why are we working with the NHS?Future of local services• Ageing Population / Changing Population

• Reduction in Public Sector Spending

• Central Policy Push to Integrate Social Care & NHS

• Central Policy Push to Increase Tech in Health & Social Care

• Significant eHealth Global Market Growth

What does the state provide?

What does the market provide?

What does that mean for Liverpool City Region’s economy?

• Large public sector

• Opportunity and threat

• Can we get ahead of the curve ?

• Can we accelerate the growth of a Liverpool based provision economy?

• Can we export this?

How are we working with the NHS?1. LCR Innovation Plan

– Smart specialisation strategy to drive growth and jobs

– Key component to Local Growth plan

– Builds on key recent ERDF investment (Alder Hey / LHIB / LSTM)

– Framework for 2014-2020 ERDF spend and a prospectus to lever private and government funding / Horizon 2020

– Health and Well-being one of 4 key priority areas

– Delivery programmes: Precision Medicine

Mi Liverpool (+)

2. Health and Social Care Economy plan

– Joint approach to developing local market

– Working with CCGs and Local authorities

– Developing work programmes:

Workforce / Export / Technology / Networks

How are we working with the NHS?3. Inward investment programme

– Joint ASHN and LEP approach to attract life science companies to locate in the Liverpool City Region

– Promotional Campaign

– UK and overseas trade and investment activity

– A soft landing programme

4. Joint communication plan and interface with Industry

– Joint approach between LEP, AHSN, Liverpool Health Partners and C&M Strategic Clinical Network

– Single message to support industry

– Focus on technology development pipeline from concept through to commercialisation and to the clinic

– showcase the joint working

– Increase opportunities for inward investment

– Moving towards blending of budgets / joint action plan

Lessons being learntEnvironment for joint working is challenging but rewarding

• Variable geographies

• Need for better understanding of opportunities– Economic development

– Health sector

• Need for thought leadership but also quick wins

• Development of joint governance models

• Avoiding duplication of activity is crucial

• Manage “organisational pride and self-interest”

• Very busy and complex agenda – pick a manageable amount of activities

• Picking the right time to engage with private sector

• Invest in developing relationships

• Develop a joint language and branding

Lessons being learnt

Katherine Sheerin

Chief Officer

NHS Liverpool CCG

THE HEALTHY LIVERPOOL PROGRAMME

NHS Liverpool Clinical Commissioning Group

Liverpool CCG

498,000 Patients

18 Neighbourhoods

94 Practices

3 localities

1 Organisation

Context

• Poor Health Outcomes

• Growing Demand

• Congested Provider Landscape

• Estates changes and opportunities

• Local Authority cuts

• History in Europe

Strategic Outcome Ambitions by 2018/19

Characteristics of a Sustainable Health Economy

Fully engaged citizen

Wider Primary Care

Modern model of integration

Higher quality urgent and

emergency care

Highly Productive Elective Care

Concentration of specialist services in centres of excellence

Programmes

Mental Health

Healthy Ageing

Long Term Conditions

Children

Learning Disabilities

Cancer

People centred vision

Our ambition is to make person-centred, coordinated care and support for ‘Our Terry’ and others like him the norm over the next 5 years.

Diabetes

Milestones

Alchemy…

NW Coast Academic

Health Science Network

Healthy Liverpool

Programme

Local Enterprise Partnership (LEP)

Improved Health

Outcomes & Patient

Experience

More IndependentProgramme

• Partnership programme led by Liverpool CCG and jointly funded by the Technology Strategy Board under the ‘dallas’ (delivering assisted living lifestyles at scale) programme.

• Key aims:• Increase access to life enhancing technology by

improving knowledge and confidence of users and professionals.

• Put people in control of their care and health (self-care) through assistive tools & planning.

Community

Smart Economy

Technology

Innovation & Development

Key Programme Areas:

Co-design with industry:

© Copyright Philips Healthcare 2014

Community

Smart Economy

Technology

Innovation & Development

Key Programme Areas:

Technology enabling longer, healthier lives

A European Success - combining a healthy population with wealth creation in Liverpool

Event supported by@nhsc_conference

#confed2014

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