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                                              FUTURE OF
                                             HEALTHCARE
                                            03 COMBATING  THE
                                               COVID-19 BLACK HOLE 04 PUTTING  SOCIAL CARE
                                                                      IN THE SPOTLIGHT       18   CHANGING ATTITUDES
                                                                                                  TO MENTAL HEALTH
FUTURE OF HEALTHCARE 18 - Accord-healthcare.com
I N D EPEN D EN T P U B L I C AT I O N BY                                                                                   RACONTEUR.NET      #0000   00/00/2020                                                                                                                                                                                                                                                  RACONTEUR.NET              03

                                                                                                                                                                        FUTURE OF                                                                         RESEARCH FUNDING

                                                                                                                                                                        HEALTHCARE
                                                                                                                                                                                                                                                        Combating the
                                                                                                                                                                                                                                                        COVID-19 black hole
                                                                                                                                                                        Distributed in

                                                                                                                                                                        Published in association with

                               Our offer to NHS mental health                                                                                                                                                                                           Coronavirus is an all-consuming topic, both in terms of published research and
                                                                                                                                                                                                                                                        funding. But opinion is split over whether it will reinvigorate healthcare spending
                                                                                                                                                                                                                                                        or simply divert funds away from other needy causes

                               services this autumn
                                                                                                                                                                        DISCLAIMER: Content in this publication should not be used as medical advice;
                                                                                                                                                                        please ensure you always seek the help of a qualified medical professional

                                                                                                                                                                        Contributors                                                                    Nick Easen                                                                                                                                          this condition,” says Dr Sabrina

                                                                                                                                                                                                                                                                                                                                                                                NurPhoto via Getty Images
                                                                                                                                                                                                                                                                                                                                                                                                            Germain, senior lecturer in medical
                                                                                                                                                                        Jon Axworthy                             Martin Barrow                                    he coronavirus pandemic                                                                                                                   law at City, University of London.
                                                                                                                                                                        Journalist, specialising
                                                                                                                                                                        in health, tech, science
                                                                                                                                                                                                                 Former health editor, news
                                                                                                                                                                                                                 editor, foreign news editor              T       is like a black hole, con-                                                                                                                  There’s no doubt COVID-19 is put-
                                Covid-19 has created huge uncertainty for mental health                                      Read the latest                            and the future, with work                and business news editor                         suming      global   health                                                                                                               ting public health and spending,
                                                                                                                                                                        published in T3, Wareable                at The Times, specialising             resources and the concerted efforts                                                                                                                 or a lack of it, as well as healthcare
                                services. This autumn, our fully managed online CBT                                         therapy insights                            and The Ambient.                         in the NHS and social care.            of countless medical profession-                                                                                                                    inequalities, firmly on the agenda
                                service will have no minimum contract value and no                                           from our data                                                                                                              als around the globe. It’s threat-                                                                                                                  of countless politicians and deci-
                                                                                                                                                                        Nick Easen                               Rachel Jones
                                                                                                                              science team                              Award-winning writer                     Journalist, editor and
                                                                                                                                                                                                                                                        ening progress against other killer                                                                                                                 sion-makers globally. It could,
                                financial commitment up front to enable any IAPT service                                    www.iesohealth.                             and broadcaster, covering                science biographer, with               diseases, such as malaria, HIV                                                                                                                      therefore, have a positive effect on
                                                                                                                                                                        science, tech and                        work published in The                  and tuberculosis. In the UK, it has                                                                                                                 medical research funding for the
                                to increase capacity, without committing budget.                                             com/magazine                               business, and producing                  Guardian, New Statesman,               had a significant impact on char-                                                                                                                   long term.
                                                                                                                                                                        content for BBC World                    WIRED and Scientific                   ity-funded medical research, not                                                                                                                      “I personally don't see a long-term
                                                                                                                                                                        News, CNN and Time.                      American.
                                Ieso is one of the most trusted providers of online CBT to the NHS. Eight years                                                                                                                                         to mention primary care or cancer                                                                                                                   dip in research for other conditions;
                                                                                                                                                                        Katrina Megget                           Ben Rossi                              treatments. The list is long.                                                                                                                       others may disagree,” says Adeyemi
                                before Covid, Ieso pioneered the clinical science and technology to enable                                                              Healthcare journalist                    Former editorial director                The outbreak has huge ramifica-                                                                                                                   at Chatham House. “Medical issues
                                online therapy to match the quality of face-to-face therapy, and make CBT                                                               and former editor of                     at Vitesse Media and editor            tions for the future of healthcare,                                                                                                                 have never had so many column
                                                                                                                                                                        PharmaTimes Magazine,                    of Information Age and
                                accessible for patients, whatever their geography or availability. Now our                                                              with bylines in The                      Computer News Middle
                                                                                                                                                                                                                                                        medical research budgets and the                                                                                                                    inches in newspapers, airtime on
                                                                                                                                                                                                                                                        focus of funding. “What makes this                                                                                                                  television or feeds on social media.
                                managed online CBT service helps more than 60 CCGs, in partnership with                                                                 Telegraph and British                    East, writing for national
                                                                                                                                                                        Medical Journal.                         newspapers and business                pandemic unprecedented is not the                                                                                                                   The health of any nation, and for
                                service providers, to meet demand, reach more Step 2 and Step 3 patients                                                                                                         publications.                          virus, but the response to it, which                                                                                                                every generation, is now a daily con-
                                and demonstrate excellent recovery rates.                                                                                               Chris Stokel-Walker                                                             is mostly driven by fear and panic                                                                                                                  versation. This attention could, in
                                                                                                                                                                        Technology and culture                   Heidi Vella                            that overestimates and overre-                                                                                                                      turn, give a shot in the arm to under-
                                                                                                                                                                        journalist and author,                   Energy and technology
                                                                                                                                                                                                                                                        acts,” says Ade Adeyemi, who heads                                                                                                                  funded healthcare systems.
                                We’d love to help you:                                                                                                                  with bylines in The New                  writer, with work
                                                                                                                                                                                                                                                        up the global health fellowship at                                                                                                                    “Many people are now aware of the
                                                                                                                                                                        York Times, The Guardian                 published in consumer
                                •     manage surges in demand                                                                                                           and Wired.                               and specialist magazines,              Chatham House.                                                                                                                                      importance of preventative care for
                                                                                                                                                                                                                 including E&T Magazine                   “This is causing enormous harm                                                                                                                    reducing exposure to disease. The
                                •     improve outcomes for those treated online                                                                                         Abby Young-Powell                        and Global Data.                       and I think there will be a self-                                                                                                                   awareness of how vaccine devel-
                                •     enhance or establish self referral pathways and reach new patients                                                                Journalist covering social
                                                                                                                                                                                                                                                        correction in early-2021. The med-       rather than global solidarity and        23,000 papers had been published,                                 opment occurs has increased and
                                                                                                                                                                        issues, education and
                                •     transition your own therapy service online, using our digital tools.                                                              tech, with bylines in The                                                       ical community, from fear of los-        cross-border co-operation. It tends      doubling every 20 days, according                                 many approve of developing a vac-
                                                                                                                                                                        Guardian, The Independent                                                       ing all their funding to COVID-          to divert the money of wealthier         to one estimate.                                                  cine for COVID-19, for instance.
                                                                                                                                                                        and Positive News.                                                              19, will start contextualising           states towards strategies that keep        “Going forward I expect we’ll see                               This has changed the conversation
                                    63,000 NHS patients treated      No waiting    91% patients would recommend
                                                                                                                                                                                                                                                        the pandemic and giving a more           the wealthy safe. Global health          a tendency for grants to mention                                  on vaccine acceptance in many
                                                                                                                                                                                                                                                        balanced analysis.”                      challenges in poorer countries and       COVID-19, similarly to how, in the                                parts of the United States,” says Dr
                                                                                                                                                                                                                                                          The numbers to do with the COVID-      their underlying socio-economic          last few years, it’s been fashionable to                          Emmanuel Peprah, assistant profes-

                                Get in touch with James de Bathe,                                                                                                                                                                                       19 black hole are eye-popping.
                                                                                                                                                                                                                                                        Around three quarters of malaria,
                                                                                                                                                                                                                                                                                                 determinants risk being ignored
                                                                                                                                                                                                                                                                                                 in the process,” says Jens Martens,
                                                                                                                                                                                                                                                                                                                                          mention machine-learning in every
                                                                                                                                                                                                                                                                                                                                          application for research on genet-
                                                                                                                                                                                                                                                                                                                                                                                                            sor at New York University School of
                                                                                                                                                                                                                                                                                                                                                                                                            Global Public Health.

                                Director of Partnerships, by email:                                                                                                     Publishing manager
                                                                                                                                                                        Sophie Freeman
                                                                                                                                                                                                                 Head of production
                                                                                                                                                                                                                 Hannah Smallman
                                                                                                                                                                                                                                                        HIV and TB programmes in 106 coun-
                                                                                                                                                                                                                                                        tries have been disrupted, according
                                                                                                                                                                                                                                                                                                 executive director at the Global
                                                                                                                                                                                                                                                                                                 Policy Forum.
                                                                                                                                                                                                                                                                                                                                          ics,” says Dr Doug Speed, assistant
                                                                                                                                                                                                                                                                                                                                          professor at the Aarhus Institute of
                                                                                                                                                                                                                                                                                                                                                                                                              COVID-19 has also shown what the
                                                                                                                                                                                                                                                                                                                                                                                                            healthcare profession is really capa-

                                nhs@iesohealth.com                                                                                                                      Associate editor                         Design
                                                                                                                                                                                                                                                        to a survey by the Global Fund. While
                                                                                                                                                                                                                                                        in the UK, the Association of Medical
                                                                                                                                                                                                                                                                                                   “The World Health Organization
                                                                                                                                                                                                                                                                                                 and UNICEF have already warned
                                                                                                                                                                                                                                                                                                                                          Advanced Studies in Denmark.
                                                                                                                                                                                                                                                                                                                                            Medical research that shows a
                                                                                                                                                                                                                                                                                                                                                                                                            ble of. The pandemic has brought
                                                                                                                                                                                                                                                                                                                                                                                                            about a renewed and shared focus,
                                                                                                                                                                        Peter Archer                             Sara Gelfgren
                                                                                                                                                                                                                 Kellie Jerrard                         Research Charities (AMRC) is report-     of an alarming decline in the num-       clear correlation between COVID-19                                driving innovation, accelerating
                                                                                                                                                                        Deputy editor                            Harry Lewis-Irlam                      ing a £310-million shortfall in med-     ber of children receiving life-saving    infections and chronic conditions                                 timelines for solutions, streamlin-
                                                                                                                                                                        Francesca Cassidy                        Celina Lucey                           ical research funding, which is a 41     vaccines around the world.”              such as obesity and diabetes, both                                ing regulatory processes, with a sig-
                                                                                                                                                                                                                 Colm McDermott                         per cent drop.                             At the same time, COVID-19 has         of which impose a huge cost on the                                nificant increase in collaboration.
                                                                                                                                                                        Managing editor                          Samuele Motta                            “It will take over four years          the potential to suck in medical         NHS, are also likely to garner more                               There’s no going back.
                                                                                                                                                                        Benjamin Chiou                           Jack Woolrich                          for research spending to fully           research funding among top insti-        interest. In fact, obesity increases                                At the same time, the profile of
                                                                                                                                                                        Digital content executive                Art director
                                                                                                                                                                                                                                                        recover, but a decade to rebuild what    tutions around the globe keen to         the risk of dying of COVID-19 by                                  invention has risen to new heights
                                                                                                                                                                        Taryn Brickner                           Joanna Bird                            will be lost in terms of capacity and    receive fresh support. Already           almost 50 per cent.                                               with digital technology topping the
                                                                                                                                                                                                                                                        capability. Many organisations are       the pandemic has led to the big-           “This is likely to lead to further                              list with more virtual health appoint-
                                                                                                                                                                                                                 Design director                        concerned they will be unable to         gest explosion of scientific litera-     calls on the UK government to                                     ments and home monitoring.
                                                                                                                                                                                                                 Tim Whitlock                           fund future clinical trials and stud-    ture ever. By early-June, more than      fund more programmes to tackle                                      “We’ve seen exponential innova-
                                      “Ieso enabled us                                      “Really easy to                                                                                                                                             ies,” says Nisha Tailor, director of                                                                                                                tion during the first phase of the

                                                                                                                                                                                                                                                                                                 80%
                                                                                                                                                                                                                                                        policy at the AMRC.                                                                                                                                 pandemic. The NHS has made a
                                      to meet our NHS                                     access. Great that I
                                                                                                                                                                        Although this publication is funded through advertising and
                                                                                                                                                                        sponsorship, all editorial is without bias and sponsored features                 The potential global economic                                                                                                                     great leap forward in terms of digi-
                                                                                                                                                                        are clearly labelled. For an upcoming schedule, partnership                     recession caused by the pan-                                                                                                                        tal transformation,” says Germain.
                                     targets for the first                                could do therapy at                                                           inquiries or feedback, please call +44 (0)20 3877 3800 or
                                                                                                                                                                        email info@raconteur.net
                                                                                                                                                                                                                                                        demic doesn’t bode well for med-
                                                                                                                                                                                                                                                        ical research either. At the same                                      of global healthcare stakeholders said
                                                                                                                                                                                                                                                                                                                                                                                                            “The pandemic may also lead to
                                                                                                                                                                                                                                                                                                                                                                                                            more spending on public health and

                                       time in history.”                                     weekends.”                                                                 Raconteur is a leading publisher of special-interest content and                                                                                       disruption to their HIV health service
                                                                                                                  Ieso Digital Health Ltd                                                                                                               time, global health efforts risk                                                                                                                    the NHS, but it is a sector that was
                                                                                                                                                                        research. Its publications and articles cover a wide range of topics,                                                                                  delivery was moderate to very high
                                                                                                                                                                                                                                                        being securitised. This is where                                                                                                                    already underfunded and needed
                                                                                                                  nhs@iesohealth.com                                    including business, finance, sustainability, healthcare, lifestyle and
                                                                                                                                                                        technology. Raconteur special reports are published exclusively in              health challenges such as the ongo-                                                                                                                 more support to meet the healthcare
                                                                                                                  0800 074 5560
                                                                                                                                                                        The Times and The Sunday Times as well as online at raconteur.net               ing pandemic are seen as existen-                                                                                                                   needs of the British public.”
                                                                                                                                                                        The information contained in this publication has been obtained                 tial security threats to be dealt with                                                                                                                There’s also been a shift in mindset
                                                                                                                  The Jeffreys Building

                                                                                                                                                                                                                                                                                                 75%                                      66%
                                                                                                                                                                        from sources the Proprietors believe to be correct. However,                    along the same lines as terrorism or                                                                                                                away from the real costs of health-
                                                                                                                  Cowley Road
                                                                                                                                                                        no legal liability can be accepted for any errors. No part of this              illegal immigration. Border closures                                                                                                                care towards patient outcomes. The
                                                                                                                  Cambridge                                                                                                                                                                                       said disruption to                         said disruption to
                                                                                                                                                                        publication may be reproduced without the prior consent of the
                                                                                                                  Cambridgeshire                                                                                                                        and quarantine rules for travel are                       tuberculosis health                        tuberculosis health                            daily pandemic roll call of deaths
                                                                                                                                                                        Publisher. © Raconteur Media
                                                                                                                  CB4 0DS                                                                                                                               part of this process.                                     service delivery was                       service delivery was                           makes sure of that. Sad as it is, this

                                             IAPT lead                                                                                                                                                                                                    “This leads to nationalistic                            moderate to very high                      moderate to very high                          could be a good thing. It reminds us
                                                                                                NHS patient       Registered in England and Wales no. 4063351               @raconteur          /raconteur.net             @raconteur_london            approaches by individual nations                                                                            Global Fund 2020                        all of the real value of our health.

                                                                                                                                                                         raconteur.net                    /future-healthcare-2020-sep

    Ieso-TheTimes-Ad-v3.1.indd 1
                                                                                             Online CBT worked                                       18/09/2020 10:08

                                                                                             so well for me and
FUTURE OF HEALTHCARE 18 - Accord-healthcare.com
I N D EPEN D EN T P U B L I C AT I O N BY                                                                                   RACONTEUR.NET      #0000   00/00/2020                                                                                                                                                                                                                                                  RACONTEUR.NET              03

                                                                                                                                                                        FUTURE OF                                                                         RESEARCH FUNDING

                                                                                                                                                                        HEALTHCARE
                                                                                                                                                                                                                                                        Combating the
                                                                                                                                                                                                                                                        COVID-19 black hole
                                                                                                                                                                        Distributed in

                                                                                                                                                                        Published in association with

                               Our offer to NHS mental health                                                                                                                                                                                           Coronavirus is an all-consuming topic, both in terms of published research and
                                                                                                                                                                                                                                                        funding. But opinion is split over whether it will reinvigorate healthcare spending
                                                                                                                                                                                                                                                        or simply divert funds away from other needy causes

                               services this autumn
                                                                                                                                                                        DISCLAIMER: Content in this publication should not be used as medical advice;
                                                                                                                                                                        please ensure you always seek the help of a qualified medical professional

                                                                                                                                                                        Contributors                                                                    Nick Easen                                                                                                                                          this condition,” says Dr Sabrina

                                                                                                                                                                                                                                                                                                                                                                                NurPhoto via Getty Images
                                                                                                                                                                                                                                                                                                                                                                                                            Germain, senior lecturer in medical
                                                                                                                                                                        Jon Axworthy                             Martin Barrow                                    he coronavirus pandemic                                                                                                                   law at City, University of London.
                                                                                                                                                                        Journalist, specialising
                                                                                                                                                                        in health, tech, science
                                                                                                                                                                                                                 Former health editor, news
                                                                                                                                                                                                                 editor, foreign news editor              T       is like a black hole, con-                                                                                                                  There’s no doubt COVID-19 is put-
                                Covid-19 has created huge uncertainty for mental health                                      Read the latest                            and the future, with work                and business news editor                         suming      global   health                                                                                                               ting public health and spending,
                                                                                                                                                                        published in T3, Wareable                at The Times, specialising             resources and the concerted efforts                                                                                                                 or a lack of it, as well as healthcare
                                services. This autumn, our fully managed online CBT                                         therapy insights                            and The Ambient.                         in the NHS and social care.            of countless medical profession-                                                                                                                    inequalities, firmly on the agenda
                                service will have no minimum contract value and no                                           from our data                                                                                                              als around the globe. It’s threat-                                                                                                                  of countless politicians and deci-
                                                                                                                                                                        Nick Easen                               Rachel Jones
                                                                                                                              science team                              Award-winning writer                     Journalist, editor and
                                                                                                                                                                                                                                                        ening progress against other killer                                                                                                                 sion-makers globally. It could,
                                financial commitment up front to enable any IAPT service                                    www.iesohealth.                             and broadcaster, covering                science biographer, with               diseases, such as malaria, HIV                                                                                                                      therefore, have a positive effect on
                                                                                                                                                                        science, tech and                        work published in The                  and tuberculosis. In the UK, it has                                                                                                                 medical research funding for the
                                to increase capacity, without committing budget.                                             com/magazine                               business, and producing                  Guardian, New Statesman,               had a significant impact on char-                                                                                                                   long term.
                                                                                                                                                                        content for BBC World                    WIRED and Scientific                   ity-funded medical research, not                                                                                                                      “I personally don't see a long-term
                                                                                                                                                                        News, CNN and Time.                      American.
                                Ieso is one of the most trusted providers of online CBT to the NHS. Eight years                                                                                                                                         to mention primary care or cancer                                                                                                                   dip in research for other conditions;
                                                                                                                                                                        Katrina Megget                           Ben Rossi                              treatments. The list is long.                                                                                                                       others may disagree,” says Adeyemi
                                before Covid, Ieso pioneered the clinical science and technology to enable                                                              Healthcare journalist                    Former editorial director                The outbreak has huge ramifica-                                                                                                                   at Chatham House. “Medical issues
                                online therapy to match the quality of face-to-face therapy, and make CBT                                                               and former editor of                     at Vitesse Media and editor            tions for the future of healthcare,                                                                                                                 have never had so many column
                                                                                                                                                                        PharmaTimes Magazine,                    of Information Age and
                                accessible for patients, whatever their geography or availability. Now our                                                              with bylines in The                      Computer News Middle
                                                                                                                                                                                                                                                        medical research budgets and the                                                                                                                    inches in newspapers, airtime on
                                                                                                                                                                                                                                                        focus of funding. “What makes this                                                                                                                  television or feeds on social media.
                                managed online CBT service helps more than 60 CCGs, in partnership with                                                                 Telegraph and British                    East, writing for national
                                                                                                                                                                        Medical Journal.                         newspapers and business                pandemic unprecedented is not the                                                                                                                   The health of any nation, and for
                                service providers, to meet demand, reach more Step 2 and Step 3 patients                                                                                                         publications.                          virus, but the response to it, which                                                                                                                every generation, is now a daily con-
                                and demonstrate excellent recovery rates.                                                                                               Chris Stokel-Walker                                                             is mostly driven by fear and panic                                                                                                                  versation. This attention could, in
                                                                                                                                                                        Technology and culture                   Heidi Vella                            that overestimates and overre-                                                                                                                      turn, give a shot in the arm to under-
                                                                                                                                                                        journalist and author,                   Energy and technology
                                                                                                                                                                                                                                                        acts,” says Ade Adeyemi, who heads                                                                                                                  funded healthcare systems.
                                We’d love to help you:                                                                                                                  with bylines in The New                  writer, with work
                                                                                                                                                                                                                                                        up the global health fellowship at                                                                                                                    “Many people are now aware of the
                                                                                                                                                                        York Times, The Guardian                 published in consumer
                                •     manage surges in demand                                                                                                           and Wired.                               and specialist magazines,              Chatham House.                                                                                                                                      importance of preventative care for
                                                                                                                                                                                                                 including E&T Magazine                   “This is causing enormous harm                                                                                                                    reducing exposure to disease. The
                                •     improve outcomes for those treated online                                                                                         Abby Young-Powell                        and Global Data.                       and I think there will be a self-                                                                                                                   awareness of how vaccine devel-
                                •     enhance or establish self referral pathways and reach new patients                                                                Journalist covering social
                                                                                                                                                                                                                                                        correction in early-2021. The med-       rather than global solidarity and        23,000 papers had been published,                                 opment occurs has increased and
                                                                                                                                                                        issues, education and
                                •     transition your own therapy service online, using our digital tools.                                                              tech, with bylines in The                                                       ical community, from fear of los-        cross-border co-operation. It tends      doubling every 20 days, according                                 many approve of developing a vac-
                                                                                                                                                                        Guardian, The Independent                                                       ing all their funding to COVID-          to divert the money of wealthier         to one estimate.                                                  cine for COVID-19, for instance.
                                                                                                                                                                        and Positive News.                                                              19, will start contextualising           states towards strategies that keep        “Going forward I expect we’ll see                               This has changed the conversation
                                    63,000 NHS patients treated      No waiting    91% patients would recommend
                                                                                                                                                                                                                                                        the pandemic and giving a more           the wealthy safe. Global health          a tendency for grants to mention                                  on vaccine acceptance in many
                                                                                                                                                                                                                                                        balanced analysis.”                      challenges in poorer countries and       COVID-19, similarly to how, in the                                parts of the United States,” says Dr
                                                                                                                                                                                                                                                          The numbers to do with the COVID-      their underlying socio-economic          last few years, it’s been fashionable to                          Emmanuel Peprah, assistant profes-

                                Get in touch with James de Bathe,                                                                                                                                                                                       19 black hole are eye-popping.
                                                                                                                                                                                                                                                        Around three quarters of malaria,
                                                                                                                                                                                                                                                                                                 determinants risk being ignored
                                                                                                                                                                                                                                                                                                 in the process,” says Jens Martens,
                                                                                                                                                                                                                                                                                                                                          mention machine-learning in every
                                                                                                                                                                                                                                                                                                                                          application for research on genet-
                                                                                                                                                                                                                                                                                                                                                                                                            sor at New York University School of
                                                                                                                                                                                                                                                                                                                                                                                                            Global Public Health.

                                Director of Partnerships, by email:                                                                                                     Publishing manager
                                                                                                                                                                        Sophie Freeman
                                                                                                                                                                                                                 Head of production
                                                                                                                                                                                                                 Hannah Smallman
                                                                                                                                                                                                                                                        HIV and TB programmes in 106 coun-
                                                                                                                                                                                                                                                        tries have been disrupted, according
                                                                                                                                                                                                                                                                                                 executive director at the Global
                                                                                                                                                                                                                                                                                                 Policy Forum.
                                                                                                                                                                                                                                                                                                                                          ics,” says Dr Doug Speed, assistant
                                                                                                                                                                                                                                                                                                                                          professor at the Aarhus Institute of
                                                                                                                                                                                                                                                                                                                                                                                                              COVID-19 has also shown what the
                                                                                                                                                                                                                                                                                                                                                                                                            healthcare profession is really capa-

                                nhs@iesohealth.com                                                                                                                      Associate editor                         Design
                                                                                                                                                                                                                                                        to a survey by the Global Fund. While
                                                                                                                                                                                                                                                        in the UK, the Association of Medical
                                                                                                                                                                                                                                                                                                   “The World Health Organization
                                                                                                                                                                                                                                                                                                 and UNICEF have already warned
                                                                                                                                                                                                                                                                                                                                          Advanced Studies in Denmark.
                                                                                                                                                                                                                                                                                                                                            Medical research that shows a
                                                                                                                                                                                                                                                                                                                                                                                                            ble of. The pandemic has brought
                                                                                                                                                                                                                                                                                                                                                                                                            about a renewed and shared focus,
                                                                                                                                                                        Peter Archer                             Sara Gelfgren
                                                                                                                                                                                                                 Kellie Jerrard                         Research Charities (AMRC) is report-     of an alarming decline in the num-       clear correlation between COVID-19                                driving innovation, accelerating
                                                                                                                                                                        Deputy editor                            Harry Lewis-Irlam                      ing a £310-million shortfall in med-     ber of children receiving life-saving    infections and chronic conditions                                 timelines for solutions, streamlin-
                                                                                                                                                                        Francesca Cassidy                        Celina Lucey                           ical research funding, which is a 41     vaccines around the world.”              such as obesity and diabetes, both                                ing regulatory processes, with a sig-
                                                                                                                                                                                                                 Colm McDermott                         per cent drop.                             At the same time, COVID-19 has         of which impose a huge cost on the                                nificant increase in collaboration.
                                                                                                                                                                        Managing editor                          Samuele Motta                            “It will take over four years          the potential to suck in medical         NHS, are also likely to garner more                               There’s no going back.
                                                                                                                                                                        Benjamin Chiou                           Jack Woolrich                          for research spending to fully           research funding among top insti-        interest. In fact, obesity increases                                At the same time, the profile of
                                                                                                                                                                        Digital content executive                Art director
                                                                                                                                                                                                                                                        recover, but a decade to rebuild what    tutions around the globe keen to         the risk of dying of COVID-19 by                                  invention has risen to new heights
                                                                                                                                                                        Taryn Brickner                           Joanna Bird                            will be lost in terms of capacity and    receive fresh support. Already           almost 50 per cent.                                               with digital technology topping the
                                                                                                                                                                                                                                                        capability. Many organisations are       the pandemic has led to the big-           “This is likely to lead to further                              list with more virtual health appoint-
                                                                                                                                                                                                                 Design director                        concerned they will be unable to         gest explosion of scientific litera-     calls on the UK government to                                     ments and home monitoring.
                                                                                                                                                                                                                 Tim Whitlock                           fund future clinical trials and stud-    ture ever. By early-June, more than      fund more programmes to tackle                                      “We’ve seen exponential innova-
                                      “Ieso enabled us                                      “Really easy to                                                                                                                                             ies,” says Nisha Tailor, director of                                                                                                                tion during the first phase of the

                                                                                                                                                                                                                                                                                                 80%
                                                                                                                                                                                                                                                        policy at the AMRC.                                                                                                                                 pandemic. The NHS has made a
                                      to meet our NHS                                     access. Great that I
                                                                                                                                                                        Although this publication is funded through advertising and
                                                                                                                                                                        sponsorship, all editorial is without bias and sponsored features                 The potential global economic                                                                                                                     great leap forward in terms of digi-
                                                                                                                                                                        are clearly labelled. For an upcoming schedule, partnership                     recession caused by the pan-                                                                                                                        tal transformation,” says Germain.
                                     targets for the first                                could do therapy at                                                           inquiries or feedback, please call +44 (0)20 3877 3800 or
                                                                                                                                                                        email info@raconteur.net
                                                                                                                                                                                                                                                        demic doesn’t bode well for med-
                                                                                                                                                                                                                                                        ical research either. At the same                                      of global healthcare stakeholders said
                                                                                                                                                                                                                                                                                                                                                                                                            “The pandemic may also lead to
                                                                                                                                                                                                                                                                                                                                                                                                            more spending on public health and

                                       time in history.”                                     weekends.”                                                                 Raconteur is a leading publisher of special-interest content and                                                                                       disruption to their HIV health service
                                                                                                                  Ieso Digital Health Ltd                                                                                                               time, global health efforts risk                                                                                                                    the NHS, but it is a sector that was
                                                                                                                                                                        research. Its publications and articles cover a wide range of topics,                                                                                  delivery was moderate to very high
                                                                                                                                                                                                                                                        being securitised. This is where                                                                                                                    already underfunded and needed
                                                                                                                  nhs@iesohealth.com                                    including business, finance, sustainability, healthcare, lifestyle and
                                                                                                                                                                        technology. Raconteur special reports are published exclusively in              health challenges such as the ongo-                                                                                                                 more support to meet the healthcare
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                                                                                                                                                                        The Times and The Sunday Times as well as online at raconteur.net               ing pandemic are seen as existen-                                                                                                                   needs of the British public.”
                                                                                                                                                                        The information contained in this publication has been obtained                 tial security threats to be dealt with                                                                                                                There’s also been a shift in mindset
                                                                                                                  The Jeffreys Building

                                                                                                                                                                                                                                                                                                 75%                                      66%
                                                                                                                                                                        from sources the Proprietors believe to be correct. However,                    along the same lines as terrorism or                                                                                                                away from the real costs of health-
                                                                                                                  Cowley Road
                                                                                                                                                                        no legal liability can be accepted for any errors. No part of this              illegal immigration. Border closures                                                                                                                care towards patient outcomes. The
                                                                                                                  Cambridge                                                                                                                                                                                       said disruption to                         said disruption to
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                                                                                                                  Cambridgeshire                                                                                                                        and quarantine rules for travel are                       tuberculosis health                        tuberculosis health                            daily pandemic roll call of deaths
                                                                                                                                                                        Publisher. © Raconteur Media
                                                                                                                  CB4 0DS                                                                                                                               part of this process.                                     service delivery was                       service delivery was                           makes sure of that. Sad as it is, this

                                             IAPT lead                                                                                                                                                                                                    “This leads to nationalistic                            moderate to very high                      moderate to very high                          could be a good thing. It reminds us
                                                                                                NHS patient       Registered in England and Wales no. 4063351               @raconteur          /raconteur.net             @raconteur_london            approaches by individual nations                                                                            Global Fund 2020                        all of the real value of our health.

                                                                                                                                                                         raconteur.net                    /future-healthcare-2020-sep

    Ieso-TheTimes-Ad-v3.1.indd 1
                                                                                             Online CBT worked                                       18/09/2020 10:08

                                                                                             so well for me and
FUTURE OF HEALTHCARE 18 - Accord-healthcare.com
04    F U T U RE O F H E A LT H C A RE                                                                                                                                                                                                                                                                                                                                                                                                RACONTEUR.NET                05
                                                                                                                                                                                                                                                                                                                                                      Commercial feature
                                                                                                                                                      deepening skills shortage. Unison,
                                                                                                                                                      the union, has called for an urgent

                                                                                                                      Guy Smallman via Getty Images
                                                                                                                                                      review of pay and conditions in the
                                                                                                                                                      social care sector.                     Clinical teams need
                                                                                                                                                        One of the lessons of the pan-
                                                                                                                                                      demic has been the extent of mutual     new pathways
                                                                                                                                                      dependence between the NHS and
                                                                                                                                                      social care. When the care sector
                                                                                                                                                                                              and new ways of
                                                                                                                                                      fails, the NHS is put under addi-       working if we are to
                                                                                                                                                      tional pressure and vice versa.
                                                                                                                                                        The NHS Long Term Plan for Eng-
                                                                                                                                                                                              deliver high-quality
                                                                                                                                                      land, published last year, puts sig-    proactive care to
                                                                                                                                                      nificant emphasis on supporting
                                                                                                                                                      more people in the community. But       our patients in this
                                                                                                                                                      this is only possible if people are     new world
                                                                                                                                                      willing to work in the health and
                                                                                                                                                      social care sector, supported with
                                                                                                                                                      the training and the technology
                                                                                                                                                      they need.
                                                                                                                                                        This is not just about how we look
                                                                                                                                                      after people as they become older       need to do their job. They provide
                                                                                                                                                      and frailer, but about people of all    reliable reminders, highlight con-
                                                                                                                                                      ages who live with long-term condi-     cerns and enable carers to monitor
                                                                                                                                                      tions that require care and support.    residents’ wellbeing.
                                                                                                                                                      And it is about mental health as well     Icon-driven apps that evidence
                                                                                                                                                      as physical health.                     care at the point of care have been
                                                                                                                                                        Technology can provide some of        shown to save each carer up to an
                                                                                                                                                      the answers. Since COVID-19, health-    hour a day in paperwork. With
                                                                                                                                                      care organisations have been moving     almost 1.5 million people working in
                                                                                                                                                      services online at a dramatic pace.     social care, such additional capacity
                                                                                                                                                      The most obvious impact has been        would be transformational.
                                                                                                                                                      to reduce the number of physical          Better still, the insights generated
                                                                                                                                                      visits to the GP and hospitals. But     by digital systems can create an
                                                                                                                                                      behind the scenes, digital tools have   environment of constant improve-
                                                                                                                                                      been used to bring different services   ment by highlighting where pro-

                                                                                                                                                                                                                                             Patient outcomes
                                                                                                                                                      together across primary care, com-      vision needs to be developed, and
                                                                                                                                                      munity services, hospital services      identifying trends across all areas of                                                                                                                                             purchased because they’re smart              The key here is what the patient is
                                                                                                                                                      and social care to work together to     resident wellbeing from sleep, nour-                                                                                                                                               capable. If deployed in the right way        comfortable with. Personalised med-
                                                                                                                                                      deliver joined-up care.                 ishment, hydration and medication                                                                                                                                                  they could save the NHS time and             icine is becoming increasingly impor-

                                                                                                                                                                                                                                             will drive the future
                                                                                                                                                        Innovative technologies have also     to exercise and mental stimulation.                                                                                                                                                money. Yet the procurement process           tant. People are now more willing to
                                                                                                                                                      enabled teamworking among much            But technology alone will not                                                                                                                                                    is often based on the purchase of the        participate in their own healthcare,”
                                                                                                   NHS staff applauding                               broader networks involving family       provide all the solutions. Systemic                                                                                                                                                electronic device itself, rather than on     says Graeme Cameron, B. Braun’s
                                                                                                   key workers at North                               members, peers and local commu-         change is needed. Dr Matt Kearney,                                                                                                                                                 reducing drug-delivery errors or time        hospital care division manager.

                                                                                                                                                                                                                                             of healthtech
                                                                                                   Middlesex Hospital                                 nities, allowing parents to moni-       GP and programme director at UCL-                                                                                                                                                  saved searching for patient records,”          “At the same time, we need to elim-
                                                                                                   in May 2020
                                                                                                                                                      tor their children’s health while at    Partners, says: “Technology will                                                                                                                                                   says Oates.                                  inate the inefficiencies that exist
                                                                                                                                                      school or patients to create support    be a key enabler, but clinical teams                                                                                                                                                 “The big challenge when it comes to        between healthcare and patients.
                                                                                                                                                      communities including their peers,      will need new pathways and new                                                                                                                                                     evolving technology and innovation, is       It has to be as efficient, as targeted
 SOCIAL CARE                                                                         The future of the care sector is                                 volunteers and friends.                 ways of working if we are to deliver                                                                                                                                               how do you make sure it’s used prop-         and as resourceful as it can be,” adds
                                                                                   shrouded in uncertainty by repeated                                  The coronavirus outbreak has          high-quality proactive care to our                                                                                                                                                 erly and has an impact on patient out-       Michael Parden, Aesculap division
                                                                                                                                                                                                                                             The coronavirus pandemic has been the biggest shock in

Changing care
                                                                                   delays to social care reforms, includ-                             highlighted how woefully inade-         patients with long-term conditions                                                                                                                                                 comes, productivity and safety. We           manager at B. Braun, which is on the
                                                                                   ing the way in which it is funded.                                 quate paper processes are for the       in this new world.”                                                                                                                                                                need to convince the NHS to procure          board of the Association of British
                                                                                   Related to this are the financial                                  care sector, particularly at a time       Sally Warren, director of policy             decades, bigger than the global economic crisis a decade                                                                            on this basis. For that we must provide      Healthtech industries.
                                                                                                                                                                                                                                                                                                                                                                                 more evidence, more data in partner-           The potential for healthtech is
                                                                                                                                                                                                                                             ago, and it’s had significant consequences
                                                                                   problems of many of the private pro-                               when the risk is changing hour by       at the King’s Fund health and care

for good
                                                                                   viders in the care sector. A number                                hour. By digitalising care-plan-        think tank, concludes: “Too often,                                                                                                                                                 ship, so the full benefits are realised.”    increasingly apparent in more areas,
                                                                                   of the biggest care home companies                                 ning processes and evidencing care      politicians of all parties decided                                                                                                                                                   Beyond value-based procurement,            for example with B. Braun’s digital reha-
                                                                                   require financial reconstruction                                   using mobile technology, provid-        they couldn’t afford the political                                                                                                                                                 COVID-19 has also been a real driver         bilitation support for knee and hip
                                                                                   while many family-run businesses                                   ers can make time efficiencies that     capital and the financial cost of                                                                                                                                                  for supporting patients at home. It’s in     patients. This uses a range of motion
                                                                                   are struggling to stay afloat.                                     empower carers. Not only can care       social care reform. We can only hope                                                                                                                                               the interests of the NHS and industry to     sensors and a downloadable app for a
                                                                                     While the NHS has experienced                                    evidencing apps save carers time,       the current crisis is showing they                        oronavirus has put the health      “We cannot lose this momentum.            covering most therapeutic areas, 95         deliver high-quality healthcare in more      patient’s smartphone. It can track exer-
                                                                                   significant    staffing    pressures,                              they also give them the tools they      can’t afford not to.”                            C        of the UK population firmly at   There’s so much potential going for-        per cent of which are manufactured by       efficient settings beyond hospitals.         cise, log pain and remain in contact with
                                                                                   the issues in social care are even                                                                                                                                   the top of everyone’s agenda.    wards. Partnerships are key to this pro-    the company.                                Clinical care in the community will be       hospitals via a messaging function.
                                                                                   greater and the outlook is a con-                                                                                                                         Daily statistics read out on the news       cess. Through collaborative and con-          For instance, take infusion pumps.        critical going forwards, as will the inte-     “We can monitor whether patients
The importance of proper                 Martin Barrow                             cern. One measure of the workforce                                                                                                                        detailing the impact of the virus is tes-   structive work alongside the NHS, we        B. Braun sells thousands of smart           gration of care systems. This involves       are doing exercise to build up the

                                                                                                                                                                           122,000
                                                                                   supply gap is the vacancy rate. This                                                                                                                      tament to the fact that patient out-        can improve patient outcomes for the        devices to the NHS. They are used to        more joined-up and localised thinking        muscle before treatment and whether
health and social care has                                                         rose from 5.5 per cent in 2012-13 to                                                                                                                      comes now matter to us all.                 long term. Certainly, the healthtech        deliver medicines to patients in hospi-     involving the NHS and local authorities.     they’re doing exercise after their oper-
                                                                                                                                                                                                                                               Response from the NHS has been            industry has a significant part to play.”   tals countrywide on a daily basis. These      “Coronavirus is making things crystal      ation. It is all done remotely and can
never been felt more keenly,               C
                                                   are workers earned our
                                                   admiration and gratitude
                                                                                   7.8 per cent in 2018-19. In London
                                                                                   it was 9.3 per cent, making it the                                                                                                                        admirable; one of the world’s largest         With the COVID crisis still lingering,    can be connected to wireless networks       clear: local data and local public health    reduce the need for outpatient and
but a lack of funding and                          for the way they responded
                                         to the coronavirus emergency, often
                                                                                   region with the highest rate. The
                                                                                   number of vacancies in social care
                                                                                                                                                                                                                                             healthcare providers has done its best
                                                                                                                                                                                                                                             dealing with the pandemic effectively.
                                                                                                                                                                                                                                                                                         the NHS is under increasing pressure
                                                                                                                                                                                                                                                                                         to do more, reduce healthcare ine-
                                                                                                                                                                                                                                                                                                                                     so they can be updated automatically
                                                                                                                                                                                                                                                                                                                                     with the latest software, input data into
                                                                                                                                                                                                                                                                                                                                                                                 systems are more effective in deal-
                                                                                                                                                                                                                                                                                                                                                                                 ing with outbreaks that are localised.
                                                                                                                                                                                                                                                                                                                                                                                                                              community physiotherapy appoint-
                                                                                                                                                                                                                                                                                                                                                                                                                              ments,” says Oates.
severe shortage of skills are            putting their own lives at risk to pro-   in England is estimated to average                                                                         vacancies in the adult social
                                                                                                                                                                                              care workforce in England
                                                                                                                                                                                                                                             Its systems, people and organisations       qualities, improve the quality of care      electronic patient records and be cal-      This is true of healthcare in general.         “If we could do this for 10 or 15 per
                                         tect our loved ones. The pandemic         122,000 at any one time.                                                                                                                                  have had a razor-sharp focus on tack-       nationally, manage the pandemic and         ibrated with medication error-reduc-        It needs to be tailored and priorities       cent of all knee replacements on a day-
still holding the sector back            laid out in stark relief just how crit-     Staff shortages have been exacer-                                                                                                                       ling COVID-19. This has created a cata-     ramp up planned care that has been          tion libraries.                             set to deal with local needs, especially     case basis, it would take pressure off
                                         ical social care is to communities, to    bated by uncertainties over Brexit,                                                                                                                       lyst for change, accelerating the uptake    curtailed. The healthtech sector has          “At a generous estimate, only 30          where healthcare inequalities exist          the rest of the NHS. It may only apply
                                         the economy and to the NHS.               with many care workers in the UK                                                                                                                          of technology, use of data and collabo-     stepped up during this time with the        per cent are used in this way. They’re      and need to be tackled,” says Chris          to a small cohort of patients, but it can
                                           But the harsh reality is that work-     originally from European Union                                                                                                                            ration across sectors.                      common purpose of supporting the                                                        Ibbotson, outpatient division manager        have a significant impact on the overall
                                         ing in health and social care is still    countries and unsure about their                                                                                                                            “In the last six months, the focus on     NHS to deliver care.                                                                    at B. Braun, a family-owned company,         system. Looking to the future we can
                                         seen as unappealing. The care             future status, which makes working                                                                                                                        clinical outcomes and excellence has          “But we need to do more work as an                                                    active in the sector since 1839.             achieve so much more.”

                                                                                                                                                      30.8% 24%
                                         sector entered the pandemic in a          in health and social care even more                                                                                                                       been unprecedented. This has hap-           industry to develop evidence on how                                                       For instance, there are more than
                                         difficult position, with acute staff      precarious.                                                                                                                                               pened at pace and at scale, with a          much the NHS stands to gain by using                                                    2.5 million people living with cancer
                                         shortages, poor working conditions,         Measuring the full impact is dif-                                                                                                                       renewed focus on the patient. There’s       existing or new technology effectively.                                                 in the UK, just over a quarter have
                                         low morale and a lack of invest-          ficult because of the disruption                                                                                                                          also been a real readiness to change        We have to take more responsibility.                                                    chemotherapy. Care at home is desir-         Find out more about B. Braun at
                                         ment in buildings and technology.         to travel caused by the pandemic,                                                                                                                         during this pandemic. A huge number         Value-based procurement is coming                                                       able, especially for those over 75 who       www.bbraun.co.uk
                                         The COVID-19 death toll in care           but the sector remains sufficiently                                                                                                                       of stakeholders within the NHS want         of age around the world. Far more can       Through collaborative and                   struggle to travel for chemotherapy
                                         homes was shocking. The question          alarmed to press the government                                                                                                                           to do things differently and be innova-     be achieved by buying and implement-                                                    appointments. This accounts for more
                                         is whether the pandemic will bring        for urgent clarification about what
                                                                                                                                                      turnover rate of directly               of the adult social care
                                                                                                                                                                                                                                             tive,” says David Oates, UK group man-      ing healthtech based on outcomes,           constructive work alongside                 than a third of all patients.
                                                                                                                                                      employed staff in the adult             workforce were on zero-
                                         stakeholders together with a new
                                         sense of urgency to address these
                                                                                   will be done to ensure the elderly
                                                                                   and vulnerable people are not left
                                                                                                                                                      social care sector                      hours contracts
                                                                                                                                                                                                                                             aging director at B. Braun Medical Ltd,
                                                                                                                                                                                                                                             one of the world’s leading manufactur-
                                                                                                                                                                                                                                                                                         rather than competing on the price
                                                                                                                                                                                                                                                                                         of a product,” says Oates at B. Braun,
                                                                                                                                                                                                                                                                                                                                     the NHS, we can improve patient               “It is possible with the right health-
                                                                                                                                                                                                                                                                                                                                                                                 tech to deliver chemotherapy infu-
                                         deep-rooted issues.                       without good care because of the                                                                                                   Skills for Care 2019   ers of healthcare solutions.                which sells 5,000 different products        outcomes for the long term                  sions at home and monitor patients.
FUTURE OF HEALTHCARE 18 - Accord-healthcare.com
04    F U T U RE O F H E A LT H C A RE                                                                                                                                                                                                                                                                                                                                                                                                RACONTEUR.NET                05
                                                                                                                                                                                                                                                                                                                                                      Commercial feature
                                                                                                                                                      deepening skills shortage. Unison,
                                                                                                                                                      the union, has called for an urgent

                                                                                                                      Guy Smallman via Getty Images
                                                                                                                                                      review of pay and conditions in the
                                                                                                                                                      social care sector.                     Clinical teams need
                                                                                                                                                        One of the lessons of the pan-
                                                                                                                                                      demic has been the extent of mutual     new pathways
                                                                                                                                                      dependence between the NHS and
                                                                                                                                                      social care. When the care sector
                                                                                                                                                                                              and new ways of
                                                                                                                                                      fails, the NHS is put under addi-       working if we are to
                                                                                                                                                      tional pressure and vice versa.
                                                                                                                                                        The NHS Long Term Plan for Eng-
                                                                                                                                                                                              deliver high-quality
                                                                                                                                                      land, published last year, puts sig-    proactive care to
                                                                                                                                                      nificant emphasis on supporting
                                                                                                                                                      more people in the community. But       our patients in this
                                                                                                                                                      this is only possible if people are     new world
                                                                                                                                                      willing to work in the health and
                                                                                                                                                      social care sector, supported with
                                                                                                                                                      the training and the technology
                                                                                                                                                      they need.
                                                                                                                                                        This is not just about how we look
                                                                                                                                                      after people as they become older       need to do their job. They provide
                                                                                                                                                      and frailer, but about people of all    reliable reminders, highlight con-
                                                                                                                                                      ages who live with long-term condi-     cerns and enable carers to monitor
                                                                                                                                                      tions that require care and support.    residents’ wellbeing.
                                                                                                                                                      And it is about mental health as well     Icon-driven apps that evidence
                                                                                                                                                      as physical health.                     care at the point of care have been
                                                                                                                                                        Technology can provide some of        shown to save each carer up to an
                                                                                                                                                      the answers. Since COVID-19, health-    hour a day in paperwork. With
                                                                                                                                                      care organisations have been moving     almost 1.5 million people working in
                                                                                                                                                      services online at a dramatic pace.     social care, such additional capacity
                                                                                                                                                      The most obvious impact has been        would be transformational.
                                                                                                                                                      to reduce the number of physical          Better still, the insights generated
                                                                                                                                                      visits to the GP and hospitals. But     by digital systems can create an
                                                                                                                                                      behind the scenes, digital tools have   environment of constant improve-
                                                                                                                                                      been used to bring different services   ment by highlighting where pro-

                                                                                                                                                                                                                                             Patient outcomes
                                                                                                                                                      together across primary care, com-      vision needs to be developed, and
                                                                                                                                                      munity services, hospital services      identifying trends across all areas of                                                                                                                                             purchased because they’re smart              The key here is what the patient is
                                                                                                                                                      and social care to work together to     resident wellbeing from sleep, nour-                                                                                                                                               capable. If deployed in the right way        comfortable with. Personalised med-
                                                                                                                                                      deliver joined-up care.                 ishment, hydration and medication                                                                                                                                                  they could save the NHS time and             icine is becoming increasingly impor-

                                                                                                                                                                                                                                             will drive the future
                                                                                                                                                        Innovative technologies have also     to exercise and mental stimulation.                                                                                                                                                money. Yet the procurement process           tant. People are now more willing to
                                                                                                                                                      enabled teamworking among much            But technology alone will not                                                                                                                                                    is often based on the purchase of the        participate in their own healthcare,”
                                                                                                   NHS staff applauding                               broader networks involving family       provide all the solutions. Systemic                                                                                                                                                electronic device itself, rather than on     says Graeme Cameron, B. Braun’s
                                                                                                   key workers at North                               members, peers and local commu-         change is needed. Dr Matt Kearney,                                                                                                                                                 reducing drug-delivery errors or time        hospital care division manager.

                                                                                                                                                                                                                                             of healthtech
                                                                                                   Middlesex Hospital                                 nities, allowing parents to moni-       GP and programme director at UCL-                                                                                                                                                  saved searching for patient records,”          “At the same time, we need to elim-
                                                                                                   in May 2020
                                                                                                                                                      tor their children’s health while at    Partners, says: “Technology will                                                                                                                                                   says Oates.                                  inate the inefficiencies that exist
                                                                                                                                                      school or patients to create support    be a key enabler, but clinical teams                                                                                                                                                 “The big challenge when it comes to        between healthcare and patients.
                                                                                                                                                      communities including their peers,      will need new pathways and new                                                                                                                                                     evolving technology and innovation, is       It has to be as efficient, as targeted
 SOCIAL CARE                                                                         The future of the care sector is                                 volunteers and friends.                 ways of working if we are to deliver                                                                                                                                               how do you make sure it’s used prop-         and as resourceful as it can be,” adds
                                                                                   shrouded in uncertainty by repeated                                  The coronavirus outbreak has          high-quality proactive care to our                                                                                                                                                 erly and has an impact on patient out-       Michael Parden, Aesculap division
                                                                                                                                                                                                                                             The coronavirus pandemic has been the biggest shock in

Changing care
                                                                                   delays to social care reforms, includ-                             highlighted how woefully inade-         patients with long-term conditions                                                                                                                                                 comes, productivity and safety. We           manager at B. Braun, which is on the
                                                                                   ing the way in which it is funded.                                 quate paper processes are for the       in this new world.”                                                                                                                                                                need to convince the NHS to procure          board of the Association of British
                                                                                   Related to this are the financial                                  care sector, particularly at a time       Sally Warren, director of policy             decades, bigger than the global economic crisis a decade                                                                            on this basis. For that we must provide      Healthtech industries.
                                                                                                                                                                                                                                                                                                                                                                                 more evidence, more data in partner-           The potential for healthtech is
                                                                                                                                                                                                                                             ago, and it’s had significant consequences
                                                                                   problems of many of the private pro-                               when the risk is changing hour by       at the King’s Fund health and care

for good
                                                                                   viders in the care sector. A number                                hour. By digitalising care-plan-        think tank, concludes: “Too often,                                                                                                                                                 ship, so the full benefits are realised.”    increasingly apparent in more areas,
                                                                                   of the biggest care home companies                                 ning processes and evidencing care      politicians of all parties decided                                                                                                                                                   Beyond value-based procurement,            for example with B. Braun’s digital reha-
                                                                                   require financial reconstruction                                   using mobile technology, provid-        they couldn’t afford the political                                                                                                                                                 COVID-19 has also been a real driver         bilitation support for knee and hip
                                                                                   while many family-run businesses                                   ers can make time efficiencies that     capital and the financial cost of                                                                                                                                                  for supporting patients at home. It’s in     patients. This uses a range of motion
                                                                                   are struggling to stay afloat.                                     empower carers. Not only can care       social care reform. We can only hope                                                                                                                                               the interests of the NHS and industry to     sensors and a downloadable app for a
                                                                                     While the NHS has experienced                                    evidencing apps save carers time,       the current crisis is showing they                        oronavirus has put the health      “We cannot lose this momentum.            covering most therapeutic areas, 95         deliver high-quality healthcare in more      patient’s smartphone. It can track exer-
                                                                                   significant    staffing    pressures,                              they also give them the tools they      can’t afford not to.”                            C        of the UK population firmly at   There’s so much potential going for-        per cent of which are manufactured by       efficient settings beyond hospitals.         cise, log pain and remain in contact with
                                                                                   the issues in social care are even                                                                                                                                   the top of everyone’s agenda.    wards. Partnerships are key to this pro-    the company.                                Clinical care in the community will be       hospitals via a messaging function.
                                                                                   greater and the outlook is a con-                                                                                                                         Daily statistics read out on the news       cess. Through collaborative and con-          For instance, take infusion pumps.        critical going forwards, as will the inte-     “We can monitor whether patients
The importance of proper                 Martin Barrow                             cern. One measure of the workforce                                                                                                                        detailing the impact of the virus is tes-   structive work alongside the NHS, we        B. Braun sells thousands of smart           gration of care systems. This involves       are doing exercise to build up the

                                                                                                                                                                           122,000
                                                                                   supply gap is the vacancy rate. This                                                                                                                      tament to the fact that patient out-        can improve patient outcomes for the        devices to the NHS. They are used to        more joined-up and localised thinking        muscle before treatment and whether
health and social care has                                                         rose from 5.5 per cent in 2012-13 to                                                                                                                      comes now matter to us all.                 long term. Certainly, the healthtech        deliver medicines to patients in hospi-     involving the NHS and local authorities.     they’re doing exercise after their oper-
                                                                                                                                                                                                                                               Response from the NHS has been            industry has a significant part to play.”   tals countrywide on a daily basis. These      “Coronavirus is making things crystal      ation. It is all done remotely and can
never been felt more keenly,               C
                                                   are workers earned our
                                                   admiration and gratitude
                                                                                   7.8 per cent in 2018-19. In London
                                                                                   it was 9.3 per cent, making it the                                                                                                                        admirable; one of the world’s largest         With the COVID crisis still lingering,    can be connected to wireless networks       clear: local data and local public health    reduce the need for outpatient and
but a lack of funding and                          for the way they responded
                                         to the coronavirus emergency, often
                                                                                   region with the highest rate. The
                                                                                   number of vacancies in social care
                                                                                                                                                                                                                                             healthcare providers has done its best
                                                                                                                                                                                                                                             dealing with the pandemic effectively.
                                                                                                                                                                                                                                                                                         the NHS is under increasing pressure
                                                                                                                                                                                                                                                                                         to do more, reduce healthcare ine-
                                                                                                                                                                                                                                                                                                                                     so they can be updated automatically
                                                                                                                                                                                                                                                                                                                                     with the latest software, input data into
                                                                                                                                                                                                                                                                                                                                                                                 systems are more effective in deal-
                                                                                                                                                                                                                                                                                                                                                                                 ing with outbreaks that are localised.
                                                                                                                                                                                                                                                                                                                                                                                                                              community physiotherapy appoint-
                                                                                                                                                                                                                                                                                                                                                                                                                              ments,” says Oates.
severe shortage of skills are            putting their own lives at risk to pro-   in England is estimated to average                                                                         vacancies in the adult social
                                                                                                                                                                                              care workforce in England
                                                                                                                                                                                                                                             Its systems, people and organisations       qualities, improve the quality of care      electronic patient records and be cal-      This is true of healthcare in general.         “If we could do this for 10 or 15 per
                                         tect our loved ones. The pandemic         122,000 at any one time.                                                                                                                                  have had a razor-sharp focus on tack-       nationally, manage the pandemic and         ibrated with medication error-reduc-        It needs to be tailored and priorities       cent of all knee replacements on a day-
still holding the sector back            laid out in stark relief just how crit-     Staff shortages have been exacer-                                                                                                                       ling COVID-19. This has created a cata-     ramp up planned care that has been          tion libraries.                             set to deal with local needs, especially     case basis, it would take pressure off
                                         ical social care is to communities, to    bated by uncertainties over Brexit,                                                                                                                       lyst for change, accelerating the uptake    curtailed. The healthtech sector has          “At a generous estimate, only 30          where healthcare inequalities exist          the rest of the NHS. It may only apply
                                         the economy and to the NHS.               with many care workers in the UK                                                                                                                          of technology, use of data and collabo-     stepped up during this time with the        per cent are used in this way. They’re      and need to be tackled,” says Chris          to a small cohort of patients, but it can
                                           But the harsh reality is that work-     originally from European Union                                                                                                                            ration across sectors.                      common purpose of supporting the                                                        Ibbotson, outpatient division manager        have a significant impact on the overall
                                         ing in health and social care is still    countries and unsure about their                                                                                                                            “In the last six months, the focus on     NHS to deliver care.                                                                    at B. Braun, a family-owned company,         system. Looking to the future we can
                                         seen as unappealing. The care             future status, which makes working                                                                                                                        clinical outcomes and excellence has          “But we need to do more work as an                                                    active in the sector since 1839.             achieve so much more.”

                                                                                                                                                      30.8% 24%
                                         sector entered the pandemic in a          in health and social care even more                                                                                                                       been unprecedented. This has hap-           industry to develop evidence on how                                                       For instance, there are more than
                                         difficult position, with acute staff      precarious.                                                                                                                                               pened at pace and at scale, with a          much the NHS stands to gain by using                                                    2.5 million people living with cancer
                                         shortages, poor working conditions,         Measuring the full impact is dif-                                                                                                                       renewed focus on the patient. There’s       existing or new technology effectively.                                                 in the UK, just over a quarter have
                                         low morale and a lack of invest-          ficult because of the disruption                                                                                                                          also been a real readiness to change        We have to take more responsibility.                                                    chemotherapy. Care at home is desir-         Find out more about B. Braun at
                                         ment in buildings and technology.         to travel caused by the pandemic,                                                                                                                         during this pandemic. A huge number         Value-based procurement is coming                                                       able, especially for those over 75 who       www.bbraun.co.uk
                                         The COVID-19 death toll in care           but the sector remains sufficiently                                                                                                                       of stakeholders within the NHS want         of age around the world. Far more can       Through collaborative and                   struggle to travel for chemotherapy
                                         homes was shocking. The question          alarmed to press the government                                                                                                                           to do things differently and be innova-     be achieved by buying and implement-                                                    appointments. This accounts for more
                                         is whether the pandemic will bring        for urgent clarification about what
                                                                                                                                                      turnover rate of directly               of the adult social care
                                                                                                                                                                                                                                             tive,” says David Oates, UK group man-      ing healthtech based on outcomes,           constructive work alongside                 than a third of all patients.
                                                                                                                                                      employed staff in the adult             workforce were on zero-
                                         stakeholders together with a new
                                         sense of urgency to address these
                                                                                   will be done to ensure the elderly
                                                                                   and vulnerable people are not left
                                                                                                                                                      social care sector                      hours contracts
                                                                                                                                                                                                                                             aging director at B. Braun Medical Ltd,
                                                                                                                                                                                                                                             one of the world’s leading manufactur-
                                                                                                                                                                                                                                                                                         rather than competing on the price
                                                                                                                                                                                                                                                                                         of a product,” says Oates at B. Braun,
                                                                                                                                                                                                                                                                                                                                     the NHS, we can improve patient               “It is possible with the right health-
                                                                                                                                                                                                                                                                                                                                                                                 tech to deliver chemotherapy infu-
                                         deep-rooted issues.                       without good care because of the                                                                                                   Skills for Care 2019   ers of healthcare solutions.                which sells 5,000 different products        outcomes for the long term                  sions at home and monitor patients.
FUTURE OF HEALTHCARE 18 - Accord-healthcare.com
06         F U T U RE O F H E A LT H C A RE                                                                                                                                                                                                                                                                                                                                                                                                                           RACONTEUR.NET                   07
                                                                                                                                                                                                                                                                                                                                                                                                                      Commercial feature
   VACCINE

                                                                                                                                                                                                                                                                                                                                        anyaivanova/ Shutterstock
Challenging ethics to find a vaccine
                                                                                                                                                                                                                                                                                                                                                                       HEALTHCARE SYSTEMS                          VACCINATION                                   PREVENTATIVE HEALTH
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 MEASURES

                                                                                                                                                                                                                                                                                                                                                                                                                                                                 British people are more
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 poorly informed than their
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 European neighbours about
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 predisposition and genetic
The pressure is on                                                                                                                                                                                                                                                                                                                                                                                                                                               links to certain diseases.

                                                                                                                                                                                                                            PanyaStudio/ Shutterstock
to find a coronavirus
vaccine and time
is of the essence. A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 36%
controversial option,
to intentionally
                                                                                                                                                                                                                                                                                                                                                                       85%
                                                                                                                                                                                                                                                                                                                                                                        of UK people are satisfied with the
                                                                                                                                                                                                                                                                                                                                                                                                                   85%
                                                                                                                                                                                                                                                                                                                                                                                                                   of Brits are in favour of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 of Brits admit they don’t know
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 which diseases are favoured by
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 predisposition and genetics –
infect volunteers,                                                                                                                                                                                                                                          How COVID has changed clinical trials
                                                                                                                                                                                                                                                                                                                                                                        country’s healthcare system – this
                                                                                                                                                                                                                                                                                                                                                                        puts the country in the middle
                                                                                                                                                                                                                                                                                                                                                                                                                   compulsory vaccination, the
                                                                                                                                                                                                                                                                                                                                                                                                                   sixth-highest national proportion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 the highest in the survey.

could speed trials                                                                                                                                                                                                                                         Coronavirus lockdowns forced             Additionally, clinical trials
                                                                                                                                                                                                                                                                                                                                                                        of the pack among 12 European
                                                                                                                                                                                                                                                                                                                                                                        countries surveyed, ranked sixth.
                                                                                                                                                                                                                                                                                                                                                                                                                   in the survey.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    STADA annual health report 2020

up, but it poses                                                                                                                                                                                                                                           the world to stay at home. This        have moved outside traditional
                                                                                                                                                                                                                                                           also caused the pause and              trial sites with a boom in
significant risks to

                                                                                                                                                                                                                                                                                                                                                                    How to build a trusted
                                                                                                                                                                                                                                                           postponement of thousands              virtual trials, which use remote
                                                                                                                                                                                                                                                           of clinical trials, with patient       monitoring, teleconferencing
those taking part                                                                                                                                                                                                                                          enrolment in trials significantly      and digital data collection
                                                                                                                                                                                                                                                           down, by as much as 79 per cent        tools, such as wearable

                                                                                                                                                                                                                                                                                                                                                                    pharma brand
                                                                                                                                                                                                                                                           in April compared to the previous      devices. Artificial intelligence
                                                                                                                                                                                                                                                           year, according to Medidata.           (AI) is also beginning to be
                                                                                                                                                                                                                                                             But the lockdowns have also          used in the recruitment
                                                                                                                                                                                                                                                           spurred innovation in the              process to identify patients
                                                                                                                                                                                                                                                           sector. Traditional timelines,         suitable for trials.
                                                                                                                                                                                                                                                           for instance, are being busted           The COVID-19 legacy will
                                                                                                                                                                                                                                                           in a bid to get a coronavirus          be a positive one, says                                           STADA is celebrating its 125th birthday. But what does it take to
                                                                                                                                                                                                                                                           vaccine to market through              Graham Belgrave, senior vice
                                                                                                                                                                                                                                                           greater collaboration between          president, head of European                                       create a globally respected brand?
                                                                                                                                                                                                                                                           companies and different trial          operations, at clinical research
                                                                                                                                                                                                                                                           designs. In the United States, the     organisation Advanced Clinical:
                                                                                                                                                                                                                                                           collaborative project Operation        “I believe the genie is out of
Katrina Megget                                                                                                                                                                                                                                             Warp Speed aims to deliver a           the bottle and we will see an                                               o go back to the foundation          “Our guiding star is our purpose: caring     To deliver on this commitment to
                                                                                                                                                                                                                                                           vaccine by the end of the year by      ever-increasing reliance on AI,                                      T      of STADA is to scroll through     for people’s health as a trusted part-        partnership in the broader healthcare
                                                                                                                                                                                                                                                           running design, manufacturing          on remote and virtual visits for                                            the modern history of med-        ner,” explains Goldschmidt. “This means       context, STADA compiles an annual
         ore than 30 possible coro-                                                                                                                                                                                                                        and delivery operations in             clinical trials.” This, he says, is                               icine. The year 1885 predates the dis-      working closely with hospitals, pharma-       Health Report which, in its 2020 edi-
  M      navirus vaccines are in                                                                                                                                                                                                                           parallel rather than sequentially.     likely to become the new norm.                                    covery of aspirin or insulin. In Bavaria,   cies, supply-chain partners and patients      tion, is based on surveying more than
         clinical trials worldwide in                                                                                                                                                                                                                                                                                                                               Wilhelm Röntgen would take another          to provide high-quality products.”            24,000 people across 12 European
a bid to squeeze traditional time-                                                                                                                                                                                                                                                                                                                                  decade to detect x-rays. In Vienna, Karl       Regardless of whether it is supplying      countries. The report provides insights
lines and roll out a vaccination pro-                                                                                                                                                                                                                                                                                                                               Landsteiner identified the main blood       high-quality prescription or consumer         into health-related topics including
gramme in the next six to twelve                                                                                                                                                           be supported. “We don’t need chal-                           it’s unethical to challenge somebody      implementation. It could also open                                groups only at the turn of the century.     health products, STADA focuses on             vaccines, antibiotics, sex and death.
                                              COVID-19 TREATMENT VACCINE TRIALS BY T YPE
months. But there are calls to speed                                                                                                                                                       lenge trials to beat COVID. We need                          and we’re in the middle of multiple,      the door for more widespread use in                                 “We have come a long way,” says Peter     maximising the value offered to health-         For example, the 2020 survey
up the process further through the            Number of coronavirus (COVID-19) clinical trials for drugs and vaccines worldwide as of September 18, 2020                                   them to beat it faster,” he says.                            large phase-three vaccine trials, so      infectious diseases and future pan-                               Goldschmidt, chief executive of STADA.      care professionals and patients as a          revealed satisfaction with the national
use of controversial human chal-                                                                                                                                                           “Faster means averting thousands                             I do not see the benefit compared         demics, especially in the absence of                              “While we remain true to the values of      trusted partner. For example, a novel         healthcare system was highest in
lenge trials where volunteers are             Treatment                                                                                                         1,599                      of deaths per day.”                                          with the risk,” says Poland.              rescue treatments.                                                the forward-thinking chemists who           ready-to-use formulation of a wide-           Switzerland, Austria and Belgium (90
given an experimental vaccine, then                                                                                                                                                          But the World Health Organization                            Dr Michael Jarvis, associate pro-         The problem though, says Eyal,                                  founded STADA in Dresden back then,         ly-used cancer drug gave physicians a         per cent). On the current hot topic of
deliberately exposed to the virus.
                                              COVID-19 complication support                                                                                        918                     remains undecided and other aca-                             fessor in immunology and virology         is people are cagey about their sup-                              we are now truly global as one STADA.”      safer and time-saving means of treat-         compulsory vaccination, a key issue in
  Despite real safety risks and ethi-         COVID-19 pneumonia                                                                                                   848                     demics claim now is not the time.                            at the University of Plymouth, takes      port. “Nobody wants to be first, lest                               A century-and-a-quarter later and         ing multiple myeloma, saving the NHS          the COVID era, in Spain and Finland
cal concerns, there is a burgeoning                                                                                                                                                        Dr Gregory Poland, director of the                           a similar stance. “A bad experience       the public and electorates punish                                 STADA, known in the UK mainly as            £6 million in the process.                    around nine in ten favour compulsory
appetite for these trials. More than          Severe COVID-19                                                                                                      721                     Vaccine Research Group at the                                at the early stages of the vaccine        them for it,” he says.                                            Thornton & Ross, is active worldwide,          Gold-standard        treatments      for   vaccination, yet in Switzerland, Austria
36,000 people from more than 160                                                                                                                                                           US-based Mayo Clinic, believes the                           development pathway could really            But we may have no choice.                                      trading in more than 120 countries,         life-threatening diseases, such as            and Russia around 30 per cent oppose
countries have expressed a willing-
                                              Moderate COVID-19                                                                                                    575                     claims about saving lives are false                          impact acceptance of an efficacious       Officials in America have already                                 with around 12,400 employees and            cancer, osteoporosis and Parkinson’s,         it. Telemedicine is growing in accept-
ness to take part with 1 Day Sooner,          Mild COVID-19                                                                                                        455                     arguments. Even if a challenge trial                         COVID vaccine by the public,” he          said challenge trials might be                                    over €2.6 billion in annual sales. It’s a   are key elements of STADA’s portfolio,        ance, with seven in ten in Europe now
an organisation that supports                                                                                                                                                              was conducted today, he says, peo-                           says. “I think this is a legitimate       needed if natural infections decline                              moment to reflect. How, exactly, did        especially as the company increas-            open to examination via webcam.
COVID-19 challenge trials.                    Exposure prophylaxis (PEP/PrEP)                                                                                      316                     ple would not be protected with a                            reason to wait.”                          and standard studies can’t deter-                                 STADA grow from its roots in German         ingly pushes into biosimilars, or               There are some intriguing national
  The organisation published an                                                                                                                                                            coronavirus vaccine tomorrow. It                               Yet we are getting closer to COVID-     mine efficacy. Ana Nicholls, health-                              pharmacy to become a global leader in       equivalent versions of original bio-          idiosyncrasies. A third of people in the
open letter in July, urging prepa-
                                              Critical COVID-19                                                                                                    276                     could take months just to find the                           19 challenge trials. Both US and          care analyst and managing edi-                                    generics and consumer health?               logical drugs. But the group, espe-           UK have no idea which diseases are
ration of such trials, which was              COVID-19 vaccines                                                                                                    233                     appropriate strain and dose for these                        European regulators say they will         tor of the Industry Briefing at The                                                                           cially Thornton & Ross in the UK, is          affected by genes and 40 per cent of
signed by more than 150 aca-                                                                                                                                                               trials, erasing the speed advantage.                         consider proposals, and pharmaceu-        Economist Intelligence Unit, agrees                                                                           also widely recognised for its popular        Belgians categorically never talk about

                                                                                                                                                                                                                                                                                                                                                                    9 out of 10
demics and experts, including 15              Healthy subjects                                                                                                     165                       There is also no guarantee the                             tical company Johnson & Johnson           this is a concern. “Some vaccine                                                                              consumer healthcare products such             sex. The results are vital in shaping
Nobel laureates.                                                                                                                                                                           results of challenge trials in low-                          says it is “evaluating the potential      developers have had to chase cases                                                                            as Covonia cough remedies, Hedrin             public policy on healthcare.
  But the search for a vaccine suf-
                                              Asymptomatic COVID-19                                                                                                99                      risk healthy young adults would be                           benefit of human challenge trials”.       around the world to set up and con-                                                                           head-lice treatments and Oilatum                “Being a trusted partner is at the heart
fered a temporary setback in ear-             Post-COVID syndrome                                                                                                  9                       applicable to the elderly or those                           The US National Institute of Health       duct trials. Some early trials were                                                                           skin creams that enable people to             of what STADA does,” Goldschmidt con-
ly-September when an Oxford                                                                                                                                                                with underlying conditions. “To me,                          also recently announced the deci-         abandoned altogether,” she says.                                                                              treat their own ailments.                     cludes. “Both organically and through
University trial with British drug-           Unspecified                                                                                                          7                                                                                    sion to explore the possibility of, and     If we want a vaccine now or for a                                                                              Thornton & Ross head Roger                 targeted alliances and acquisitions,
maker AstraZeneca was paused                                                                                                                                                                                                                            prepare for, human challenge trials.      future pandemic, challenge trials                                 people in Spain and Finland favour          Scarlett-Smith points out that offer-         we continue to expand our high-qual-
                                                                                                                                                      Pharma Intelligence 2020
after a volunteer suffered a possible                                                                                                                                                                                                                     Meanwhile, the Oxford University        may be the only option, but balanc-                               compulsory vaccination, yet in              ing patients and consumers innovative         ity, affordable offering for healthcare
serious adverse reaction, illustrat-                                                                                                                                                                                                                    group developing the frontrun-            ing risk against the potential bene-                              Switzerland, Austria and Russia             solutions, such as with its well-loved        professionals and patients so we can
ing the risks involved even without             Challenge trials have been used        insights into the virus, disease            The first peer-reviewed paper call-                                                                                  ner coronavirus vaccine is under-         fits is tricky. COVID-19 could shift                              around 30 per cent oppose it                Zoflora disinfectants, is central to the      deliver on our purpose of caring for
deliberate exposure to COVID-19.              in the past to test vaccines against     progression and immunity.                 ing for coronavirus challenge tri-                                                                                     stood to be reviewing the technical       the needle.                                                                                                   company’s vision. “We do not try to           people’s health as a trusted partner.”

                                                                                                                                                                                                                                                                                                                                                                    55%
  Abie Rohrig, director of commu-             flu, typhoid, cholera and malaria.         A coronavirus vaccine would ben-        als was published online in March                                                                                      aspects of how these studies could          Rohrig at 1 Day Sooner is opti-                                                                             do everything ourselves,” he acknowl-
nications at 1 Day Sooner and chal-           They can speed vaccine develop-          efit from all this, particularly if       in The Journal of Infectious Diseases.                                                                                 be undertaken.                            mistic, believing it’s likely a chal-                                                                         edges. “Partnerships are essential to
lenge trial volunteer, says his desire        ment when low levels of virus cir-       challenged in the low-risk group of       Professor Nir Eyal, a senior bioethicist                                                                                 A cross-national survey of almost       lenge trial will begin by the end                                                                             our business model.”                          To find out more please visit
to take part is for the good of human-        culating in the population make          healthy 18 to 30 year olds, where fatal   and director of Rutgers University’s                                                                                   6,000 people conducted by Eyal            of the year. Tens of thousands of                                                                                Working as a partner to healthcare         www.stada.com and
kind. “Since I am at a very low risk          determining      normal      vaccine     infection rates are estimated to be       Center for Population-Level Bioethics           Since I am at a very low risk                                          and colleagues in July found 75 per       young people have acknowledged                                                                                systems is also essential to STADA’s          www.thorntonross.com
of death and hospitalisation from             efficacy difficult. They can also        0.03 per cent. But, unlike malaria        in the United States, was the lead                                                                                     cent preferred scientists to conduct      the risks and still want to take                                                                              vision. For instance, in the UK, Thornton
COVID-19, I am more than willing              compare the efficacy of differ-          and typhoid, COVID-19 has no suffi-       author and now a member of the 1 Day            of death and hospitalisation                                           challenge trials over standard tri-       part, he says. “We hope others                                    of Brits are worried about US               & Ross is the NHS’s leading supplier of
to take on the risk so that older and
immunocompromised populations
                                              ent vaccines, highlighting which
                                              candidates should be advanced,
                                                                                       cient rescue treatment should trial
                                                                                       volunteers get sick and the SARS-
                                                                                                                                 Sooner advisory board.
                                                                                                                                   He says there are risks to volun-
                                                                                                                                                                                 from COVID-19, I am more than                                          als, even as respondents acknowl-
                                                                                                                                                                                                                                                        edged the risks. The results may
                                                                                                                                                                                                                                                                                                  do not speak on our behalf as to
                                                                                                                                                                                                                                                                                                  which risks are justifiable for us to
                                                                                                                                                                                                                                                                                                                                                                    involvement in the NHS                      emollients, having donated more than
                                                                                                                                                                                                                                                                                                                                                                                                                100,000 samples to NHS staff during
can stay safe,” the 20 year old says.         as well as providing important           CoV-2 virus is still poorly understood.   teers, but challenge trials should              willing to take on the risk                                            help remove a roadblock to their          take,” Rohrig adds.                                               STADA annual health report 2020             the current pandemic.
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