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 Quantified self • 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 Big Data Personal Genomics eHealth EMR EHR Health 2.0 Social Networking DIGITAL HEALTH AND CARE Medical Imaging Health and wellness Apps Gamification mHealth ‘Patients at the centre of care’ Health IT Sensors & Wearables Telehealth Telemedicine

5. SECTOR OVERVIEW

6. THE GLOBAL DIGITAL HEALTH MARKET IS EXPANDING RAPIDLY 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 Smartphone Users Worldwide Will Total 1.75 Billion in 2014 eMarketer.com, 2014 Monitoring services and applications (65%) Diagnostics (15%) By 2017, the largest markets for mobile health services will be Europe with 30% market share, jointly with Asia PwC, 2012 £13.7 billion #mhealth The worldwide mobile health revenue is expected to reach about £13.7 billion across all stakeholders – mobile operators, device vendors, healthcare providers and content/application players - by 2017. PwC, 2012 Treatment (10%) Healthcare Practitioner Support (5%) #Wearables #Genomics #eHealth #HealthIT #Apps Wellness (3%) The global market for wearable technology will rise to 210 million unit shipments and £18 billion in revenue by 2018 IHS, 2013 The health and wellness application market is expected to touch £12.3 billion by 2018 M2M, 2013 Extensive permeation of ICT creates endless potential for ehealth applications with an estimated market to reach £95.3 billion in 2015 GSMA, 2012 The personal genomics market will grow to £11.3 billion by 2018 Markets and Markets, 2014 The global health IT market is expected to reach £34 billion by 2017 Markets and Markets, 2013 #EHR, #PHR, #EPR The global market for electronic health records (EHR) is estimated to reach £13.3 billion by the end of 2015 Accenture, 2014

7. THE UK IS GEARING UP FOR THE DIGITAL HEALTH REVOLUTION • The UK offers digital health companies a range of opportunities to engage and unrivalled commercial advantages The UK NHS social care budget is approximately £17 billion and dominated by assistive technologies. The UK National Health Service (NHS)spent a budget of c£120 billion across the UK in 2013/14 The UK private healthcare market which is growing and estimated to reach £35 billion by 2015 e The UK has identified e-health as a growth area for the UK economy and has selected Big Dataas one of the Eight Great Technologies. The big data revolution will to grow a data-based healthcare economy in the UK through the creation of new products and services. Access to world class data Strong research, IP and world leading academic environment Innovation-focused communities Catapults to accelerate ideas to commercial success Gateway to Europe and the world Wide range of funding support and fiscal incentives Deep expertise and vibrant talent pool Active business and investment environment

8. MARKETOPPORTUNITY

9. 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 MULTI-SECTOR CONVERGENCE • Active web and social network usage • Reliable superfast fixed and mobile connectivity CONNECTED PEOPLE • Strong life sciences, creative, IT and electronics industries • Leading talent, academia and research • 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

10. 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. 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 The UK is currently the largest EU spender for telehealth “ 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 “ Several collaborative projects exist across the UK and the wider EU Northern Ireland already operates in an integrated health and care system with a SingleElectronic Care Recordfor every patient. The ‘Transforming Your care’ review paints the vision moving forward 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 Integrated Health and Care Wales already has a Digital Wales policy with several integrated service projects including Gwent Frailty Project, Wrexham Frailty Project and the Wyn Campaign England’s ‘Integrated Care and Support’ framework and future Care Act, sets out how local areas can use existing structures to further steps towards integration

11. WORLD CLASS DATA Dealing with over 1million patients every 36 hours and employing over 1.7million people, the NHS generates and manages vast amounts of data continuous since its inception in 1948. This presents a significant opportunity for companies to find innovative ways to take advantage of this data 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 Prescribing Analytics. Using open data to identify points at which we can optimise the healthcare system –Open Healthcare UK and Mastodon C Create a Research Centre focused on Big Data – UCL Elsevier Big Data Institute, UCL 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 Care.data, a new programme to develop established national datasets such as HES into a comprehensive source of data across the patient pathway. Active participation in networks to translate information into daily health and care practice – Greater Manchester AHSN and Hitachi Establish a Health Informatics centre – Farr Institute, UCL Develop a data analysis and R&D centre with an academic institution – Imperial College and Huawei Big data health research and offer patients better, safer and more personalised treatments – Li Ka Shing Centre for Health Information and Discovery, Oxford University UK Biobank is 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 CPRDin England, SAILin Wales, SHIPin Scotland and Honest Broker Servicein Northern Ireland Incubator for open data research and innovation – Open Data Institute

12. CONNECTED PEOPLE The UK is Joint top thirdfor fixed broadband subscriptions/ 100 worldwide 73% of the UK population access the internet every day

13. Tech City London Med City London Glasgow MULTI-SECTOR CONVERGENCE Regulation – ensuring safety and compliance for digital health solutions impacting on clinical decision making Sciences Standards– Information and interoperability standards both in the UK, EU and globally are key to success in digital health Industry voice – associations representing the companies interests to the government and helping members and the sector to grow Cardiff Thames Valley Cambridge Belfast West Midlands Manchester Creative Technology Gaming, Virtual reality App development Media Research – tap into a rich talent resource and ecosystem of developers, IT, data scientists, physicians from centres of excellence to understand digital health, big data, future trends and develop the future innovations in the sector UK Technology communities Security Software development As industries overlap, there is enormous potential for innovation and partnerships developing digital solutions for improved health and well-being for a healthcare market which represents approximately 10% of the economy as a whole Networks

14. EASE OF DOING BUSINESS

15. 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. £

16. 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 EPSRCto 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.

17. 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 Fundavailable 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.

18. RICH AND DIVERSE ECOSYSTEM

19. UK DIGITAL HEALTH ECOSYSTEM A snapshot of UK organisations participating in the developing a digital health ecosystem

20. 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