By Joop Tanis, Director of MedTech Consulting at Health Tech Enterprise
Originally published by Healthcare Global
What makes a successful partnership between the tech industry and a public health system?
The COVID-19 pandemic showed how the tech sector can benefit the UK’s National Health Service (NHS), one of the largest public health systems in the world. For many, this has been a long time coming, as projects to bring technology into the NHS have been and gone over the last 20 years.
The need for the NHS to collaborate with the tech sector has always existed. A lot of research happens within the NHS, but a lot of the technology solutions are developed by industry. Arguably, technology has always played a part in the development of healthcare but in the past 20 or so years, there has been a greater recognition that this partnership is mutually beneficial.
Solutions developed during the pandemic made this increasingly obvious. Some of the testing and vaccination technologies have required industry to step up and really work very fast to develop these new ideas. But for me it’s almost more interesting how we, as a healthcare delivery system, recognise that you can actually make quite rapid changes if you need to, that dramatically change the way we deliver care.
HTE deliver programmes such as the Clinical Innovators Network and the MedTech NAVIGATOR Innovation Grants. These help to identify unmet clinical or organisational needs in healthcare, and provide a platform for small businesses and startups to respond to those needs, by developing innovative new products and services. The Innovation Grants are designed to help small businesses gain access to medical or other necessary expertise during the product development phase.
“Having access to clinicians, researchers and other key stakeholders in the public sector is an essential part of successfully developing and commercialising new products and services for the health and care market” explains our CEO Dr Anne Blackwood.
Anne says that the NHS has a much more open relationship with technology providers now compared to when HTE was founded in 2004. “This has accelerated during the pandemic, where the NHS and industry came together to solve problems, whether it was accessing teleconference technology for remote consultations or responding to the shortage of ventilator technology. The rapid adaptability of the NHS to the coronavirus pandemic shows what can be achieved in a time of national crisis.”
“The interesting challenge now, as we emerge from this latest wave, is how do we make the changes ‘stick’ in terms of adoption of new technologies once the crisis is over” she adds.
The pandemic has created additional challenges that will likely endure once the worst of the crisis is over. There are around 4.7 million patients waiting for treatment that has been delayed as a result of COVID-19. Is there an opportunity for the tech sector to tackle these issues? “Innovations and technologies that can support greater efficiencies in care, reduce the backlog on waiting lists, continue to support and monitor patients at home, and free up clinical time are all needed, and industry can help the NHS recover here”.
Examples include the grant recently awarded to Tekihealth Solutions Ltd, to help fund the development of a telemedicine device aimed at combatting the effects of COVID-19 among care home residents. Their hand-held device, which connects to a lightweight wireless router, has been designed to help care home residents who may have been struggling to access virtual doctors appointments due to poor IT infrastructure. Another grant has been given to a rehabilitation device called SoftPower, aimed at the elderly and partially able individuals whose ability to exercise has been affected by the pandemic.
Start-ups such as these are “engines of creativity and innovation”. “Like much of the public sector, I think the NHS has previously over-looked start-ups. Concern over lack of evidence when it comes to new technologies, and lack of a track record of delivering created a more risk-averse culture.”
“I am hopeful that procurement channels will remain open to start-ups after this phase, and that hospital trusts will recognise that within the communities that they sit there is a wealth of creativity and innovation that they can tap into right on their doorstep.”
What makes a successful collaboration?
For the NHS and tech sector to work effectively together they need to understand each other’s worlds. HTE works for that reason. We offer insight into the other side’s world. For the NHS, that means we understand intellectual property, how to identify whether something is unique, whether it’s practical in terms of development and production, and whether it would be value for money. From a clinical innovators’ point of view, we can shine a light on what commercialisation, product development, and a successful rollout would look like.
It’s also important that creators understand that in isolation, their product has no impact. When I talk to technology innovators, they are quite rightly very enthusiastic about what their product or new technology can do, that’s what they’re passionate about and I completely understand that. But often the person using the product is not that interested in the technology, all they’re interested in is whether it helps them deliver better care, more efficiently.
As well as genuinely solving a problem, tech must be something that can be adopted into clinical practice.
This is where health economics come in, crucial to ensuring the maximum benefits are gained from the new product or service. If you’re developing a product that would make a real difference but is simply unaffordable, you need to adjust the specification or the production so that when you get to the point of sale, it will actually have commercial viability.
Another key area is how the technology is rolled out. You need to understand the environment in which it needs to be adopted. We do a number of product evaluations where we look at a product being adopted by an organisation and what the learning points are, how it changes clinical practice and also how it changes operational practice.
In 2019 the NHS Long Term Plan was published, setting out the priorities for the health services over the following ten years. A key part of this is the digitisation of services. “Supporting integration of health and care services is critical” Anne says. “We saw the benefits of trusts collaborating across larger geographies during COVID-19, but vertical integration is desperately needed too and digital technologies can be the enabler here. Also, AI technologies to stratify and case find in the community will enable the prevention and early-diagnosis of diseases, saving lives as well as NHS time and resources.”
We believe that there has never been a better time for healthcare innovation. History tells us that we very quickly go back to our old ways, simply because the need to do something differently has gone away. We were definitely running out of runway to match what was expected of us to what we could afford, and what we could deliver within the capacity of the current workforce and infrastructure. This last year has really focused us on that, and moved us along in terms of the willingness to make changes. We should use the time we have right now to transform more permanently the way we deliver things.