The UK’s Digital Health Playbook – The ‘First 100’ Companies

Transcription

The UK’s DigitalHealth Playbook –The ‘First 100’CompaniesFebruary 2021

great.gov.uk The First 100 Digital Health ExportersForewordDigital Health is rightly seen as the answer to manyof the challenges facing global healthcare. Therole of digital technology in realising the dreamof accessible, affordable and sustainable care hasgrown across the entire range of health economiesin not only serving current needs but in building thebasis for the healthcare of the future: personalised,digital by default and truly patient centric.Dr Mike Short CBEChief Scientific AdviserDepartment for International TradeThe UK has long prided itself as being a hotbed of innovation and the British Government’s ongoinginvestment in growing our capabilities in areas such as AI and more broadly around Data Driven Healthcare,has further fuelled the creation of cutting edge, evidence-based solutions. Solutions which have the key tounlock global challenges, effectively.The ‘First 100’ is our answer to a related but slightly different question – how do we find the best of Britishtalent in Digital Health that’s ready to go global and link it with that ever expanding worldwide opportunity?Healthcare UK, part of the Department for International Trade, has invested significant effort to identify,engage with and showcase some of the UK’s leading talent, which will grow over time.The ‘First 100 companies’ were selected after a rigorous process based on a range of criteria includinghow committed they were to export and international expansion, the global uniqueness of their innovation,a track-record of working collaboratively with Healthcare UK, their responsiveness, and how well theyrepresent the UK journey and direction in digital health, particularly with the NHS. The list will be reviewedand maintained regularly and released formally twice a year.However, the picture of talent and innovation in the UK is a fast evolving one with new pioneers emergingdaily. We hope through the First 100, we will reach out to those who are not just leaders in their field but arewilling to find new frontiers to make an impact.For all enquiries, or for an introduction to one of the companies, or for any other information:Please contact us at healthcare.uk@trade.gov.uk or find out more at https://bit.ly/3tUkflK2

great.gov.uk The First 100 Digital Health ExportersCovid19 and Digital Health Unlocking Global HealthcareChallengesCollaborate With UsDigital Health means we can collect and analyse data to predict disease and intervenequicker. It means physicians have access to patient notes when they need them to makebetter decisions. It means patients can be seen by medical professionals without travelling.It means citizens can educate themselves on their health and wellness. It means we can usemachines to do basic tasks and free up skilled staff to do more caring. It means we can dofar more with less.Digital Health uses advances in computing power and data techniques to make healthcarebetter, safer, faster, more accurate and reach further. Without it, we simply don’t have theglobal workforce to cope with the demand especially with ageing populations, issues aroundaccess to care and the growth of non-communicable diseases like diabetes and cancer.It isn’t sustainable to let people get sick and then bring them in physically into expensivehospital facilities, to try to treat them.By then it is often too late. We need to move towards more virtual and remote careimmediately with better prediction. We must focus on prevention and encourageindependence, with more support for citizens to self-care.3

great.gov.uk The First 100 Digital Health ExportersThe coronavirus pandemic has made this even more apparentand stretched health systems to their limits, raising importantquestions including; How to model disease and track infection? How to inform a populace of what to do? How to mobilise staff and resources at scale? How to train staff at a distance? How to test, diagnose, treat and monitor patients remotely? How to relieve pressure and free capacity? H ow to keep patients out of hospital and encourage self-care,especially for those with existing conditions? How to succeed at transforming our services rapidly and safely? Why did we routinely see so many patients in person anyway? H ow do we ‘reset’ our methods of service deliveryand models of care?Digital Health is the answer to all these questions.I am delighted that HealthcareUK has developed this playbook forsome of the best British innovation indigital health and care. They have beeninstrumental in some incredibly excitingtechnology-based initiatives, which havesupported us through Covid and also thelargest transformation in Europe in boththe public and private sector. Many ofthese firms are working closely with ourNational Health Service (NHS) making ahuge difference to treatment, preventionand care across our whole population.They represent immense promiseand potential and many are alreadycollaborating on a global scale.Noel Gordon,Chair, Healthcare UK Advisory Board4

great.gov.uk The First 100 Digital Health ExportersOur teamDIT Digital Health SpecialistHealthcare UK (Department for International Trade)Hassan is Digital Health Specialist at Healthcare UK, offering subject matter expertise and connectionsfrom a sector perspective to DIT commercial teams in over 100 UK embassies as well as innovators,investors, Governments and health systems globally.His background is in frontline social work, NHS informatics and public health. He later co-founded HealthiQ - an award-winning agency focusing on real world evidence and health analytics and held CIO andChief Commercial Officer positions before its acquisition and his exit in 2019.He is a Director at Vita Healthcare, Strategy Lead at The Source Group, a mentor for the NHS InnovationAccelerator and holds an Honorary Research post at Imperial College London.Hassan Chaudhuryhassan.chaudhury@trade.gov.uk5

great.gov.uk The First 100 Digital Health ExportersOur teamDIT South Asia and Digital Healthcare LeadHealthcare UK (Department for International Trade)Madhukar leads Healthcare UK’s work in South Asia as well as being the global lead for Digital Health,responsible for supporting UK organisations in the health tech space win business in key marketsacross the world.He has conceptualised and implemented ground-breaking initiatives such as the Digital Healthdemonstrator in China, the Healthcare AI Catalyst in India and has led trade missions to anumber of markets including Brazil, UAE, China and India.Madhukar’s management consulting career has spanned advising the NHS on the assistive technologyprogramme, designing a new Telecare service for one of the largest pharmaceutical majors in the world,guiding the UK’s Department of Health and Social Care on the national business case for mobile workingin community services, and setting up a Telehealth venture in India. He is an MBA alumnus of theCranfield School of Management.Madhukar Bosemadhukar.bose@trade.gov.uk6

great.gov.uk The First 100 Digital Health ExportersThe UK digital health solutionsSelf-careTriage and Pre-AssessmentHow can we support citizens and patients tobetter look after themselves? To take charge oftheir own conditions and try to work on wellnessand prevention rather than cure, somethingincreasingly prized by public health systemsand insurers alike, often described as self-care.This includes patients seeking consultations,advice, or to better understand and managetheir health information. This involves betterhealth and patient outcomes, with the patientreceiving better care and experience. This levelof care offers empowerment for the person inmanaging their own care and puts less strain onthe health systems.Streamlining large groups of patients takestime and resource. This area explores the newtechnologies that can support patients to offerquicker, effective services, whilst optimising thecare the patient receives. How do we gather datato know what is going on at a system level?; orsignpost services better; stratify patients basedon risk more intelligently; and redirect precisely tothe most appropriate care setting. Can we avoidsending everyone via emergency departments?Our UK technologies support pre-assessment,for example in pre-operative settings, as well aswayfinding, streaming and redirection, particularlyin urgent and emergency settings.7

great.gov.uk The First 100 Digital Health ExportersThe UK digital health solutionsScreening and DiagnosticsThe demand for AI applications in medicalimaging is growing rapidly but it is challengingfor healthcare facilities to deploy AI applications.Every application is time consuming and requiressignificant IT and clinical resources to implement.But we know that early diagnosis and interventionimproves outcomes, saves lives and optimisesresources. Find out how our UK companies areimproving public health, surveillance, screeningprogrammes and diagnostics, particularly aspart of a long term strategy and also at the pointof care, rather than at a laboratory. The UKcompanies offer solutions to simplify this processand have been tried and tested in large populationsin NHS Hospitals. These companies provideregulatory approved screening and diagnosticsapplications that add clinical value.Remote Monitoringand TreatmentHow do you monitor patients remotely andmaintain the ability to act fast? These digitalapplications are interventions that are initiated bya physician and linked to a clinical care pathway.It differs from self-care solutions, which are drivenby the empowered citizen. These UK solutionsallow healthcare providers to reduce risk, cost,and readmissions and demands on your healthsystem, while improving the patient experience,by empowering teams to safely monitor, manageand engage patients at home. How can weprescribe apps known as Digital Therapeutics(DTx) for treatment remotely? And how do wemaintain a sense of compassion and communitywhile appreciating there is often stigma attachedto accepting these services and that peopledrop out regularly?8

great.gov.uk The First 100 Digital Health ExportersThe UK digital health solutionsSystem Efficiency& TransformationDeliver improvements in the quality of care,through the use of world-class digital technologiesand information. Experts share their learning andexperiences through the creation of blueprints toenable others to follow in their footsteps, as quicklyand effectively as possible. Some challenge areasinclude: how do we enable digital transformation?How to do we design healthcare infrastructure?how do we improve system effectiveness andbackend efficiency, for example bottleneckanalysis, patient flow and clinic rostering? Howdo we collect data into user-friendly systems?Our exceptional UK companies provide digitalsolutions to support transformation in allaspects of healthcare.Data and AnalysisHow do we share and make better use of the healthdata we have, both structured and unstructured,to make more intelligent and timely decisions?This area provides a selection of evidencebased solutions that have seen very successfuloutcomes for our UK healthcare providers, bothpublic and private.9

great.gov.uk The First 100 Digital Health ExportersThe UK digital health solutionsAugmented HealthcareProfessionalsCollaboration& CommunicationThese UK solutions have been supporting theNHS workforce and building future capability andcapacity in areas such as skills and knowledge.How can we augment our people? For example;automate routine tasks; support clinical teamsto carry out their roles more efficiently; supportnon-clinical and less qualified staff to take onmore of the burden of healthcare provision;and generally stretch our qualified teams todo more while avoiding burnout. How do weoffer medical education and training in scalabledigital environments?Technology can support getting critical informationand at the right time. Digital applications areachieving improved communication whether topatients or between staff themselves so they cancollaborate. In addition companies that want toengage workforces genuinely, for example improvetheir wellbeing or gain new ideas on qualityimprovement and safety, can use these models andtechnologies in their corporate environments.10

great.gov.uk The First 100 Digital Health ExportersThe UK digital health solutionsFuture TechHealthy AgeingThere are exciting new innovations in whatis becoming possible for healthtech, takingadvantage of major opportunities in healthcare.For example our UK companies are offeringgenomics for precision medicine, quantumcomputing, AR/VR, 3D printing and wearables.The UK’s Industrial Strategy identified GrandChallenges to put the UK at the forefront of theindustries of the future, ensuring that the UK takesadvantage of major global changes, improvingpeople’s lives and the country’s productivity. Theyincluded AI, data and ageing society. There aremany UK companies who offer solutions to supportthe health and well-being of populations, as theybecome older and more reliant on health systems.Ourproposalto youExamine what we’ve doneAdopt what feels right for youCollaborate with us11

great.gov.uk The First 100 Digital Health ExportersThe UK is a global leaderThe UK is a genuine global leader in developing brand new digitalhealth innovation and getting it to market, regulating it and thenfinally validating it at scale. It is one of the best places in theworld to start a digital health company, with unparalleled supportstructures for innovation.Companies that prosper in the UK are well-prepared to scaleabroad because they have succeeded in a challenging market andinvested in their innovation. Global firms often use the UK as alaunchpad into other markets, to find talent, test their ideas, getonto the radar of investors and to seek acquisition.Eco-systems full of institutions, incubators, programmesand partnerships blending data, digital and healthExceptionaltech talent poolavailableLegacy andculture of greattech transfer andspinoutsWorld-leading universities and medicalschools ready to partner in research,particularly within the Golden Triangleof London, Oxford and CambridgeHealth serviceresearchconnectedto real worlddeploymentThe NHS as aproving groundand unique set oftest-bedsReady accessto capitalinvestment andmentoringIncubators andacceleratorsoffering scaleup support forentrepreneursTransparentand stable legaland regulatoryenvironmentGenuine Government focus and drive for innovationdevelopment and funding via the Industrial Strategy andbodies like Innovate UK and NHSx AI LaboratoryRobust evidenceframeworks andstandardsAvailability ofhigh-quality datafor industry12

great.gov.uk The First 100 Digital Health ExportersThe First 100 UK Digital Health ExportersTreating and Monitoring remotelySelf-care and WellnessTriage & Pre-assessment13

great.gov.uk The First 100 Digital Health ExportersThe First 100 UK Digital Health ExportersScreening and DiagnosticsSystem Efficiency & TransformationData & Analysis14

great.gov.uk The First 100 Digital Health ExportersThe First 100 UK Digital Health ExportersAugmented Healthcare ProfessionalsCollaboration & CommunicationIWFuture TechThe UK companies were selected after a rigorous process, and were judged on a range of criteria including how committed they wereto export and international expansion, their responsiveness, their ethics and values, any track-record of working collaboratively withHealthcare UK, the global uniqueness of their innovation, and how well they represent the UK journey and direction in digital health,particularly with the NHS. This report will be updated twice a year. For those who wish to put forward a UK company for considerationplease email healthcare.uk@trade.gov.uk.Disclaimer These case studies summarise user and patient experiences with digital solutions along the relevant care pathway. Unless expressly stated otherwise, the apps and digital tools referenced are notsupplied, distributed or endorsed by NHSX, NHS England and NHS Improvement or the Department of Health and Social Care and such parties are not liable for any injury, loss or damage arising from their use.15

great.gov.uk The First 100 Digital Health ExportersAcadiantCompany Profile:Acadiant design custom software solutions to solve specific healthcare challenges using an innovativeplatform; secure, scalable, intuitive, compliant and interoperable. One of their solutions is SMART,the most comprehensive mortality analysis suite in the NHS. Another solution is Maternity Direct,a secure telemedicine chat app connecting pregnant women with midwifes to answer non-urgentqueries by text message.We work closely with healthcare professionals to understand their challenges and build future-proofsoftware that fits their needs, as well as providing a platform they enjoy using.Keywords:Software development, custom, secure, scalable, intuitive, compliant, interoperableCurrent operating countries:UKDetails:Category:Health Systems StrengtheningTreating & Monitoring Remotelywww.acadiant.com16

great.gov.uk The First 100 Digital Health ExportersAdviseincCompany Profile:Our mission is to identify significant financial benefits for the healthcare system by joining analytics withcommercial and clinical expertise.The applications we provide bring data to life across the NHS and its supply base. We partner this data withmarket knowledge and expertise to provide actionable intelligence and insight.Providing analytics and insight to hospitals and health systems to drive effective procurement and supplychain management.Keywords:Procurement, supply chain, analytics, benchmarking, catalogues, contracts, AI, big data, connectinghospitals, savings, cost reduction, value for moneyCurrent operating countries:UKDetails:Category:Data & Analyticswww.adviseinc.co.uk17

great.gov.uk The First 100 Digital Health ExportersAllocateCompany Profile:Allocate’s workforce technology is enabling the delivery of safe and effective care at optimal cost, byhelping organisations to have the right people in the right place at the right time. Alongside automatingsophisticated scheduling and ensuring accurate pay for staff that have complex pay rules, it is uniquein providing additional benefits to improve the safety of staffing given changing patient needs, themanagement of contingent workforce, and the engagement of staff through the dedicated app. It is used toplan the working lives of a million staff across all workforce groups including doctors, nurses, therapists, carestaff, operational staff and administrators.With 500 employees, including over 190 in research, development and product management functions. Over200 hospitals use our workforce software.Optima is workforce technology helping organisations plan, manage, engage and deploy staff safely andefficiently for better patient care.Keywords:Safe staffing, workforce gaps, workforce shortage, staff engagement, workforce planning, eRostering,schedules, rotas, capacity planning, learning and developmentCurrent operating countries:UK, Germany, Sweden, Denmark, AustraliaDetails:Category:Health Systems Strengtheningwww.allocatesoftware.com18

great.gov.uk The First 100 Digital Health ExportersAmpersand HealthCompany Profile:Ampersand is pioneering the development of behavioural and data-science driven digital therapeutics forpeople with long-term inflammatory conditions.Co-developed with patients, clinicians and academics, Ampersand’s intervention improves QoL andoutcomes; reduces hospital attendances by 50%; and is preferred to existing models of care by 85% ofpatients. We service 15,000 patients and 18 hospitals.Ampersand Health helps people with a range of long term conditions live happier, healthier lives.Keywords:Digital therapeutics, inflammatory conditions, gastrointestinal (GI), renal, rheumatoid, transformation, digitaltransformation, pathway transformation, data science, machine learning, behavioural scienceCurrent operating countries:UK, North AmericaDetails:Category:Treating & Monitoring RemotelyHealthy ageingwww.ampersandhealth.co.uk19

great.gov.uk The First 100 Digital Health ExportersAparitoCompany Profile:Hospital visits and clinic appointments are burdensome for patients. Digital biomarkers and patientgenerated data, captured and recorded directly from their own home, give a far better insight to diseaseseverity and real-world impact. Our flagship product Atom5 captures medication adherence, real-timesymptoms, patient reported outcomes, via text, photos, videos and voice along with wearable data.Giving researchers, physicians and health care professionals the insight needed to support their care andcommunicate back with them directly.Empowering patients with the tools to share their symptoms and disease severity, viatheir own smartphones.Keywords:Patient generated data, patient centred, connected patientCurrent operating countries:UK, GlobalDetails:Category:Treating & Monitoring RemotelyHealthy Ageingwww.aparito.com20

great.gov.uk The First 100 Digital Health ExportersAT MedicsCompany Profile:AT Group is one of the UK’s largest digital primary care provider to the NHS, led by a group of highperforming physicians and digital health experts.Our award-winning platform consists of three areas of expertise:1. An at-scale, multi-professional and world-class care delivery system2. Highly advanced and integrated health tech platform including our bespoke telehealth and real-time dataanalytics solutions3. Globally accredited training and education programmes for all grades of healthcare staffWe bring together the best of primary care delivery and management, tailor-made and integrated healthcaretechnology and accredited training and education. Our systems are used by 3.5 million NHS patients.Keywords:Digital platform, care system, care delivery model, data analytics, diagnostics, case finding, populationhealth, SOPs, advisory, consultancy, health tech, training, education, telehealth solutionCurrent operating countries:UKDetails:Category:Health Systems Strengtheningwww.transformthenhs.com21

great.gov.uk The First 100 Digital Health ExportersAxelaCompany Profile:cAir:ID combines artificial intelligence plus remote monitoring to manage the health and care needs of theindividual. We seamlessly integrate into other systems such as rostering and payroll, allowing real-timeflagging of issues to management teams. This data can be accessed on our web or mobile platform, by bothpatients and health professionals. cAir:ID encourages patients to be active in their own healthcare.With 1200 customers today, Axela Innovations is used in range of clients operations.The cAir:ID system provides a truly integrated electronic healthcare record for both healthcare professionalsand citizens with a solution that stores, manages, queries and retrieves, multiple data sources.Keywords:Connected care, AI, data, electronic care recordsCurrent operating countries:UKDetails:Category:Treating & Monitoring RemotelyHealthy Ageingwww.axelainnovations.co.uk22

great.gov.uk The First 100 Digital Health ExportersBabylonCompany Profile:Babylon’s mission is to put an accessible and affordable health service into the hands of every person onearth. Babylon uses a combination of cutting-edge AI technology and medical expertise to deliver digital-firstintegrated care covering primary and secondary care and chronic disease management.We have over 4.5 million members worldwide.Providing accessible and affordable care with digital-first patient-centric care that spans preventativehealthcare and curative sickcare.Keywords:Digital-first, AI, patient-centric, integrated careCurrent operating countries:UK, USA, Canada, Rwanda, Saudi Arabia, Malaysia, Indonesia, Hong KongDetails:Category:Self-care & WellnessTriage & Pre-assessmentwww.babylonhealth.com23

great.gov.uk The First 100 Digital Health ExportersBehold.aiCompany Profile:Behold.ai provides Artificial Intelligence solutions for the triage and diagnosis of radiological images. Utilisingcutting edge technology, behold.ai can instantly diagnose normal Chest X-Ray examinations, prioritisesuspected lung cancers and triage abnormal examinations. This adds capacity to radiology departments,reduces reporting times and improves patient outcomes.Behold.ai utilises state-of-the-art technology to provide healthcare providers with cutting edge ArtificialIntelligence diagnostic solutions.Keywords:AI in medical imaging/X-rays/CTs, instant diagnosis, additional radiology capacity, reduce backlog, lungcancer pathway, seamless integration, time-saving, cost-savingCurrent operating countries:UK, IndiaDetails:Category:Screening & Diagnosticswww.behold.ai24

great.gov.uk The First 100 Digital Health ExportersBJSSCompany Profile:We are a leading technology and engineering consultancy. As one of the largest technology providers tothe NHS, BJSS collaborates closely with its health and social care clients, designing, building and deployingtechnology and data solutions for healthcare professionals and citizens.Deploying over 250 people to support the health and social care across 30 projects in the UK and USA.We have built infrastructure which has saved the NHS over 100 million.Relying on flexibility, commitment to technical excellence, and an absolute focus on outcomes to enable usercentric technology.Keywords:Technology, engineering, customer experience, design, digital transformation, data and AI, strategy,consulting, cloud, platform, managed servicesCurrent operating countries:UK, USA, Portugal, SpainDetails:Category:Health Systems StrengtheningData & Analyticswww.bjss.com25

great.gov.uk The First 100 Digital Health ExportersBlackford Analysis LtdCompany Profile:The demand for AI applications in medical imaging is growing rapidly but it is challenging for healthcarefacilities to deploy AI applications. Every application is time consuming and requires significant IT andclinical resources to implement. Blackford’s approach simplifies the selection, procurement, deployment,administration and support of AI medical imaging applications. Blackford provide a single platform to quicklyaccess and manage a curated marketplace of regulatory approved medical imaging AI applications thatadd clinical value.Product is in use in over 700 radiology sites, representing approximately 20% of the US market.There is a significant opportunity to utilise AI applications in medical imaging departments – Blackford’sPlatform simplifies the deployment, management and use of those applications.Keywords:AI, radiology AI, medical imaging, radiology AI marketplace, curated marketplace, platform approachCurrent operating countries:UK, USA, Australia, New ZealandDetails:Category:Screening & Diagnosticswww.blackfordanalysis.com26

great.gov.uk The First 100 Digital Health ExportersBleepaCompany Profile:With over 18 years’ experience in the medical imaging sector globally, Feedback Medical is a specialisttechnology company providing innovative software and systems to benefit those working in the field ofmedical imaging. Parent company Feedback Medical is an AIM listed company in the UK.Bleepa is our flagship product which is a communications platform that allows clinicians to share, annotateand discuss medical grade images, through their personal devices. It provides healthcare professionals withthe tools needed to work safely and remotely.Through the secure exchange of medical grade images, Bleepa enables clinicians to collaborate whilstworking remotely, as they have the necessary information to inform clinical review. Bleepa provides aninstant-messaging platform, using an end-to-end encrypted service.Keywords:Medical imaging, remote working, mobile access, instant messagingCurrent operating countries:UKDetails:Category:Collaboration & Communicationwww.bleepa.com27

great.gov.uk The First 100 Digital Health ExportersBMJCompany Profile:As a global healthcare knowledge provider, BMJ publishes one of the world’s most cited general medicaljournals, The BMJ, and over 70 specialty journals. The company also offers digital professional developmentlearning modules and clinical decision support tools to help health professionals manage the assessment,diagnosis, treatment and management of patients to improve the quality of healthcare.BMJ has more than 5.5 million users worldwide: clinicians, nurses, students, academic institutions, hospitals,ministries of health, patients, commercial companies, governments and healthcare organisations. We publishin 14 languages and produce specialist publications for 19 countries, including the United States, India, Brazil,Australia, New Zealand, China, and the Middle East.BMJ has over 170 years experience supporting healthcare professionals to make better, moreinformed decisions.Keywords:Evidence based medicine, decision support, learning, professional development, patient centred, customerfocused, transparent, open, trusted, independent, quality improvement, point of care clinical decisionsupport, events, trainingCurrent operating countries:UK, China, India, Middle EastDetails:Category:Augmenting Healthcare Professionalswww.bmj.com/company28

great.gov.uk The First 100 Digital Health ExportersC the SignsCompany Profile:C the Signs is an award-winning clinical decision support tool founded by doctors. 1 in 6 deaths globally aredue to cancer, making cancer the second leading cause of death worldwide. On average, half of all patientsare diagnosed late, with majority dying from the disease. Yet if diagnosed early, over 80% would survive.The tool uses artificial intelligence mapped with the latest evidence to support healthcare professionalsto identify patients at risk of cancer at the earliest and most survivable stage of the disease. Covering theentire spectrum of cancer, C the Signs can identify which c

UK has developed this playbook for some of the best British innovation in digital health and care. They have been instrumental in some incredibly exciting technology-based initiatives, which have supported us through Covid and also the largest transformation