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NHS%20and%20HE:%20Collaboration%20for%20the%20Future%20NHS%20

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Title: NHS%20and%20HE:%20Collaboration%20for%20the%20Future%20NHS%20


1
NHS and HE Collaboration for the Future NHS
HE Conference 17 November 2011
UCL SCHOOL OF LIFE AND MEDICAL SCIENCES
  • Professor Sir John Tooke
  • UCL Vice Provost (Health)
  • Head of School of Life and Medical Sciences

2
NHS-HE Collaboration for the future
  • Track record and emerging threats
  • How do we retain global competitiveness
  • Key enablers

3
NHS-HE Collaboration for the future
  • Track record and emerging threats
  • How do we retain global competitiveness
  • Key enablers

4
UK performance in terms of citation impact
  • BIS citation analysis found UK attracts more
    citations per pound spent in overall RD than any
    other country.
  • Independent Thomson Reuters analysis found that
    UK scientific papers have greatest impact
    according to average number of citations.
  • When raw data is adjusted to norms in each field
    and year of publication, the UK performance
    surpasses even that of the US, moving from second
    to first rank in 2007.

Source E Marshall and J Travis, Science Vol.
334, 28 Oct 2011
5
Growing competition from BIC countries
Annual growth in publications 1996-2008
Annual growth in GDP spend on RD 1996-2007
Source Royal Society, Knowledge, networks and
nations, March 2011
6
Investment in France
  • French Initiative d'Excellence (Idex) 7.7
    billion (6.6 billion) invested in scheme to
    establish five to seven world class academic
    clusters.
  • Proposed "Sorbonne League" will require
    universities, grandes écoles and France's
    independent research organisations, to work
    together.
  • Universities of Bordeaux, Strasbourg and Paris
    Sciences et Lettres were selected earlier this
    year. The Second call for Idex members is under
    way.

7
Decline in Pharma
  • UK share of clinical trials (6 in 2000 ? 2 in
    2006)
  • Pfizer exit from UK
  • Scaling down of GSK presence

8
Decline in Pharma
  • Business model broken
  • Regulatory burden
  • Cost
  • Limited industrially facing joint endeavours

9
Financial pressures on Higher Education
Institutions and the NHS threaten our common
purpose
10
NHS-HE Collaboration for the future
  • Track record and emerging threats
  • How do we retain global competitiveness
  • Key enablers

11
How do we retain Global competitiveness in
biomedical science?
  • Harnessing the NHS as a Population laboratory
  • Inter-institutional collaboration

12
Academic Health Science Centre UCLPartners
  • Aims
  • Translation of biomedical research into
    population health gain
  • Service transformation - promotion of integrated
    health care across organisational divides
  • Development of leaders equipped to deliver change

13
UCL Partners Achievements 2010-11
  • Highlights include
  • Development of a new cross-sector model of care
    for acute stroke that has reduced mortality to
    below 10 in North Central London, against a 22
    national average.
  • Creation of a globally relevant RD programme in
    London to develop new treatments for brain
    cancer.
  • Development of Whittington Health, a single
    integrated care organisation spanning primary,
    community and hospital care, organised around the
    needs of patients and the local population.
  • Open Eyes. Extension of the application of a
    groundbreaking, clinically-driven electronic
    patient records which can be owned by the
    patient.

14
Gap 2
Gap 1
  • Gap 1 attended to by BRCs
  • Funding renewed in 2011
  • 165m over 5 years
  • Pursuing greater academic alignment
  • Gap 2 Translational agenda
  • Population Health
  • London Social Enterprise for Health Improvement
  • Lead Provider PGMET

15
Academic Health Science Systems as a National
Resource
  • Evidence into practice
  • Learning organisations
  • Service transformation and integration
  • PG Medical education and training

A variable concentration of biomedical science
expertise
16
Factors associated with high (academic and wider)
impact cardiovascular and stroke research
  • Basic biomedical science with clear clinical
    motivation
  • Collocation (basic in clinical setting)
  • Collaboration (local and international)
  • Engagement with practitioners and patients
  • Industry collaboration

Project Retrosight. RAND Europe 2011
17
  • Global competitiveness ? Scale
  • ? Collaboration / clustering

Londons AHSCs
15 Hospitals 4 Academic partners Extensive
community networks
Partners Healthcare (Harvard)
8 Hospitals 2 Academic partners 1
Rehabilitation network, 1 Home healthcare
network, 1 Medical Management Service
18
London-wide inter-institutional collaboration
  • The Francis Crick Institute
  • Imanova
  • Social Enterprise for Health Improvement

19
NHS-HE Collaboration for the future
  • Track record and emerging threats
  • How do we retain global competitiveness
  • Key enablers

20
Key enablers
  • Political will
  • Culture and leadership
  • Stream-lining governance
  • Bioresources
  • Informatics

21
Academy of Medical Sciences report
  • Report sets out new regulatory and governance
    pathway to increase speed at which healthcare
    innovations become available to patients, whilst
    eliminating unnecessary bureaucracy.
  • A fertile research environment is vital for the
    health and wealth of the UK. The current system
    of regulation is making it increasingly difficult
    to initiate health research in the UK and is
    preventing patients from participating in
    studies. This is ultimately denying patients
    early access to new drugs and hindering
    improvements to public health for the wider
    society.
  • Prof Sir Michael Rawlins FMedSci, Chair of the
    AMS Working Group

22
Informatics
  • Electronic health records
  • Integrated care and research
  • Bioresources
  • Access to published knowledge
  • Clinical decision making
  • Commissioning
  • Policy
  • Research
  • CPD

23
The Peter Hill review
  • Recommended continued collaboration between HE
    and NHS library services.
  • Collaboration in London needs to continue to
    develop.

24
Potential areas for collaboration
  • Consolidation of library holdings between NHS and
    HE
  • Common open access policy
  • Joint procurements (AHSS implications)
  • Digital innovations

25
Digital innovations
  • Informatics
  • personal access
  • coaching
  • remote sensing
  • data synthesis

The future of cellular telephony is to make
peoples lives better the most important way,
in my view, will be the opportunity to
revolutionize healthcare
Martin Cooper,
inventor of the mobile phone
26
Conclusions
  • NHS-HE collaboration is critical for our health
    service and economy
  • Harnessing information is the key enabler
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