West Midlands NHS Innovations Conference 2006

1. West Midlands NHS Innovations Conference 2006 ‘sharing innovation for healthcare’

2. Welcome and Introduction Alan Wenban-Smith Chairman MidTECH

3. Conference Aim To bring together key stakeholders involved in taking NHS innovations from idea to application • Share experiences & best practice • Identify challenges & opportunities • Celebrate success • Create contacts

4. Some different perspectives … • Chief Executive’s view – Mark Goldman • Innovation Hub view – David Gleaves • Innovator’s view – Monica Spiteri • Industry view – Matthew Harte • Investor’s view – Terry Swainbank • Panel discussion

5. Who is MidTECH? • Top down: • MidTECH is the NHS Innovations ‘hub’ for the West Midlands • Our job is to help Trusts to identify and manage innovations arising from their work • We provide expertise and resources • Bottom up: • Innovation is a bottom-up process • We have a regional membership • We are there for all NHS Trusts in the region

6. What is MidTECH for? • Improving health care by making good use of new ideas • Realising potential income for NHS, Trusts and inventors • Generating employment in the national and regional economies

7. MidTECH Strategy • Membership • NHS Trusts in the West Midlands • Members’ service entitlement menu • ‘Pay as you go’ also available • Resources • Core funding: for sustainable capability • Exploitation funds: for investment in projects • Operation • Not for profit: commercial income ploughed back • Grow regional ownership, reduce central dependency

8. Innovation Medical schools Industrial research Idea for a new product or service Industry NHS NHS Trusts Companies Staff ideas Know how Collaborative Development Project MidTECH Medilink WM • Specific agreement • Development Plan • Partner Responsibilities • Costs & Risks • IP arrangements • Benefits • Commercialisation Plan Supply Manufacture and marketing (NHS & wider) NHS Procurement Process New product or service in use The MidTECH approach • Includes: • clinical trials • access to staff • know how • Includes: • prototyping • design • manufacture

9. New NHS New Business Opportunities Dr Mark Goldman Chief Executive

10. The NHS • Conceived in 1948 after the 2nd World War • “Healthcare free at the point of delivery according to need” • The envy of the world

12. The changing face of healthcare • Diversity of provision • Care in the community • Self help • Choice

13. Structure of the NHS Secretary of State Monitor Department of Health Private Sector Strategic Health Authority 28 Primary Care Trusts 298 Foundation Trusts Acute Hospitals 31 206

16. How can you help? Understand us and our problems Bring us solutions but respect our culture Recognise our achievements

17. What’s in it for YOU? • Growing market • Recession proof • Global marketing opportunity • Under developed product ranges • Wide product requirements • New approaches to healthcare

18. The opportunity • £15 billion non pay expenditure • Massive Health Spend 10% GDP by 2008 • Local Trusts • University Hospital Birmingham £300m • Heartlands and Solihull £240m • Manchester United £230m • Spend on equipment alone approximately 28%

19. Markets New New market Existing product New market New product eg innovation Markets Existing market Existing product eg business as usual, Choice Existing market New product eg new model of healthcare Existing Existing New Products

20. Potential areas for development Low Tech Opportunities • Cleaning materials • Disposable plastics/drapes/clothes • Manual handling equipment • Protective clothing • Wheelchairs/trolleys/stretchers • Tagging and security devices • Anti bacterial support • Furnishings, packaging

21. Complex products • Communication • Instrumentation • Software solutions • Implantable devices • Drug delivery systems • Lab equipment

22. Medipark

23. Purpose of the Medipark • Enhance research • Attract other organisations • Attract funding • Enhance reputation of HEFT • Recruitment and retention of the best people • Support regeneration • Jobs • businesses

24. Infection Control – Working Together with Industry

25. MRSA • Methicillin Resistant Staphylococcus Aureus • 30% people carry the germ • SA and MRSA not risk to healthy • 40% SA cases resistant to meth and antibiotics • The Chief Medical Officer report Winning Ways – working together to reduce Healthcare Associated Infection in England • Everyone has a role to play - nurses, doctors, cleaners, patients, visitors

26. Research • Hygieia – SkinSure barrier cream • Bioquell • 2 hour MRSA rapid test • Surface coatings

27. Practical application • Hand gel dispensers • Coated bags and aprons • Disposable bags • Cleaning systems • Voice activated alerts • Patient tagging • Telemetry

28. Learning together – the Initial experience Initial – a cleaning company Initial – hygiene solutions Initial – public health education Initial – a partner in healthcare

29. Centre of excellence National and international interest

30. Conclusion Healthcare needs innovation and new products to deliver a new agenda Healthcare is a global business opportunity

31. NHS Innovations in the West MidlandsA perspective from the NHS innovations hub David Gleaves Director MidTECH

32. Ingredients for a successful Innovations Hub • Accessible to regional NHS • Capability & Capacity • Networked

33. MidTECH Plan 2004-5: Establish baseline capability & client base 2005-6: Demonstrate capability; grow client base & networks 2006-7+: Enhanced capability & delivery

34. 2005-6 Client Base • Client base of 33 NHS bodies • Increase of 100% on 2004-5 • 66% of total

35. √ Acute Trusts √ √ √ PCT’s √ √ √ √ √ √ √ √ √ √ Coverage – Birmingham & the Black Country

36. √ √ √ √ √ Acute Trusts √ √ √ √ √ PCT’s √ √ Coverage – Shropshire & Staffordshire

37. √ √ √ Acute Trusts √ √ √ √ √ PCT’s √ √ √ √ √ √ √ Coverage – West Midlands South

38. 2005-6 Delivery • Over 90 Innovations registered • 60% increase on 2004-5 • 10 Patents, designs & trademarks • 3 times the number for 2004-5 • First NHS-University agreement • 6 more in pipeline • 20 development projects • 2 licence deals

39. 2005-6 Networks • Working relationships: • Medilink West Midlands • HealthTech (WMG) • CHID • Regional design & prototype community • Stakeholder relationships: • DH, DTI, AWM, regional University sector

40. 2006-7 DeliveryMeeting clients’ growing needs • Working in partnership with Trusts to deliver their commercialisation plans • Joint ventures, spin-out companies, science parks • Developing regional differentiators • Capability mapping • Focus on design & prototyping • Promoting regional NHS innovation • Conference • Competition • Surgeries • Local events

41. 2006-7 & beyond • Capability • Marketing & Communications • NHS Designer (unique to UK NHS) • “Embedded” innovation “champions” • Plan to recruit senior innovation manager • Forming as CLG in March 2006 • Secured 3-years further DTI support

42. Networks & Partnerships • Working with AWM & partners to deliver regional economic strategy • Improve industrial links through co-location with Medilink West Midlands • Develop regional NHS VC network • Improve links with NHS National Institute for Innovation & Improvement, HPC, CEP, etc.

43. An Innovator’s Perspective Monica Spiteri Professor in Respiratory Medicine University Hospital of North Staffordshire

44. Society has changed dramatically • The Public expects and demands scientific and engineering advances. • Immediate and rapid new solutions, new gadgets and new systems. • Improvement in quality of life and, • Aspiration to ‘Dr Who-like’ immortality

45. Public Needs drive NHS Strategy • To enhance public health and well-being, the NHS has • To improve service delivery and patient access. • To invest in and deliver technological and pharmacological innovations.

46. What price to pay for innovation? A delicate interplay • NHS resources not bottomless. • Which innovations, devices or drugs, are ‘essential’ vs merely ‘nice-to-have’. • Patient benefit vs costs of scientific progress. • Safe clinically effective vs rapid development, commercialisation, implementation.

47. Recent NHS Initiatives Healthcare Industries Task Force (2003) • Joint venture, NHS and Industry • Explored common grounds of working - • To stimulate/promote NHS innovation. • To facilitate commercial realisation. • To speed up implementation of target discovery into the clinical arena.

48. HITF actions - Crucial and timely • Medical device evaluation service • NHS Innovation Centre and hub • NHS regional procurement • Building R&D capacity – UK Clinical Research Collaboration • Training &Education

49. “Best Research for Best Health” • NHS Science and Innovation Investment Framework, 2006 • A National Institute for Health Research • A Faculty • Academic Medical Centres • Expanded Funding streams and Technology Platforms • New Innovation funds

50. NHS NEW FUNDING SCHEMES • Responsive funds – for applied and practice based research in areas important to front-line staff • Programmes of applied research – allocated competitively to NHS trusts for areas of high priority to the NHS • Challenge fund for innovation - to encourage well-managed risk-taking and innovation in the NHS • RISC (Research for Innovation, Speculation and Creativity) awards - to ensure that new and radical ideas can be developed and tested.