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Review of 2013 Foreword 4 Review of 2013: Middle East 6 Review of 2013: 8 The year in pictures 10 Review of 2013: 12 Review of 2013: Brazil 14 Review of 2013: UK 15 The UK healthcare sector 16 UK healthcare expertise 18 4 5

An excellent first year for Healthcare Over the past year, Healthcare UK has During 2013, Healthcare UK supported UK with significant contributions from established itself as the bridge between 24 major events across the Middle East, many quarters. British healthcare organisations, China, India, Brazil and several other governments and providers around countries. Already, UK organisations Twelve months which started with the the world who are planning significant have signed contracts to collaborate launch at Arab Health in January when healthcare developments. The range internationally, sharing expertise to enable over 250 companies exhibited and 20 of activities highlighted in this report partners to achieve their objectives for their organisations participated in a mission illustrates the progress which has been own healthcare system. Examples include: led by Earl Howe and Lord ended made to create a clear route into UK with the Prime Minister’s Special Trade capabilities for overseas partners King’s College Hospital has an Envoy for Healthcare, the Rt Hon Kenneth and to promote all the components – agreement with to train Clarke QC MP, heading a delegation the NHS, commercial companies and nurses bridging from diploma to of 50 representatives of healthcare academic institutions – which constitute graduate level. organisations to five cities in China. the world-renowned UK health service. The Oxford Fertility Unit and NMC In 2012, the UK Government signalled The UK healthcare sector can contribute Healthcare of the UAE have established its ambition to foster strong partnerships widely to the development of healthcare a joint venture to provide medical between British organisations and systems which span: care and training across the UAE. healthcare providers around the world by establishing Healthcare UK, a joint initiative developing and delivering primary, In China, BT Health is implementing its between the Department of Health, NHS secondary and tertiary care and public IT platform for managing electronic England and UK Trade & Investment. health programmes care records, electronic prescription processing, and support for online In the summer, the potent image of the designing, building, commissioning appointment booking. NHS logo at the 2012 Olympic and operating healthcare facilities Also, Healthcare UK has signed a range of Games Opening Ceremony had attracted and infrastructure Memoranda of Understanding with overseas attention around the world and stimulated institutions, including China’s International considerable interest in what the UK might training and education of doctors, Health Exchange & Cooperation Centre have to offer. nurses, managers, allied health professionals and support workers (IHECC) in Beijing and the Jawaharlal Institute of Postgraduate Medical Education With increasing healthcare demands digital health, including telehealth, and Research (JIPMER) in India, which and the need to meet the aspirations of mobile health, e-health, informatics cement the commitment to collaborate their citizens, many overseas countries and information technology for mutual benefit. have bold programmes of healthcare reform and development. This has created health system development across This report highlights the many events, a strong appetite for collaborations with whole systems or within large partnerships and collaborations which British healthcare institutions and industries. healthcare institutions have developed during 2013 and hope What the UK has to offer is unique in terms you will find it a stimulating insight into of both its quality and breadth, drawing on how Healthcare UK can assist your 65 years’ experience of running the world’s organisation, whether you are based largest integrated national health system. in the UK or overseas.

Howard Lyons What the UK has to Managing Director, Healthcare UK offer is unique in terms of both its quality and breadth, drawing on 65 years’ experience 6 7 Review of 2013: Middle East September October Health ministers from the Gulf Cooperation Jordan Council visit the UK and sign a Memorandum Leeds Teaching Hospitals NHS Trust and of Understanding with TPP Ltd to explore the King Hussein Cancer Center, Amman, the development and implementation of a Jordan signed a formal Memorandum world class electronic patient record system of Understanding on 31 October 2013, across the Gulf States. having been first introduced by the UKTI team in Jordan in November 2012. Saudi Arabia May 3rd meeting of the Joint Ministerial This sealed a partnership which will see Committee for Healthcare Cooperation, held some of Leeds’ pioneering expertise UAE in London. MP was joined by: and innovations in cancer treatment Healthcare event is held during the state shared and developed in the Middle East. visit to the UK by the President of the UAE. Dr Mohammed Al Yemeni, Deputy The event, attended by HH Sheikh Abdullah Minister for Planning and Health Linda Pollard, Chair of the Leeds Minister for Foreign Affairs, was hosted Economics Teaching Hospitals NHS Trust (LTH), which by Lord Darzi at the Hamlyn Centre for includes Leeds Cancer Centre, signed the Robotics at Imperial College London. Dr. Mohammed Zamakhshary, Memorandum of Understanding with HRH Assistant Deputy Minister for Planning Princess Ghida of Jordan, the Chair of the UK/UAE Business Council establish a and Training King Hussein Cancer Center (KHCC). This healthcare working group, which will report signing was part of the British Business to the Business Council, jointly chaired Dr. Mohammed Basulaiman, Assistant Pavilion activities during the 9th World by Lord Darzi and H.E. Raja Easa Al Gurg, Deputy Minister for Primary Healthcare Islamic Economic Forum, held in Managing Director, Al Gurg Group. London on 30-31 October. HE Sheikh Nasser Al Mutawa, Co-Chair TPP sign a Memorandum of the Saudi British Joint Business Council December of Understanding with January June the GCC Health Council UAE Saudi Arabia Oman UAE, Oman, Kuwait TPP founder & CEO Frank Healthcare UK is launched during 11 companies participate in seminars Hester with Professor Dr Ahmed Al Saidi, the Omani Minister Visit by NHS Trusts and UK companies Tawfik Khoja, GCC Health Arab Health in Dubai by: in Riyadh and Jeddah covering hospital Council Chair. of Health, visits the UK. to Kuwait , Abu Dhabi and Oman, led development from pre-design planning by Earl Howe. Earl Howe, Parliamentary Under to delivering total patient care. Secretary of State for Health Kuwait Second meeting of the Kuwait – UK Joint Lord Darzi, Hamlyn Professor of Surgery Steering Group takes place, attended by at Imperial College London and UK Dr Qais Al Duwairi Under Secretary for Business Ambassador for Healthcare Health and Dr Ahmed Al Saleh from the Ministry of Health, Kuwait and Professor Howard Lyons, Managing Director Andrew Morris, Chief Scientific Officer of Healthcare UK for Scotland.

120 guests, representing 10 countries, Dr Mohammad Al-Haifi, Minister of Health, participate in the seminar Kuwait visits London. “New perspectives for international partnerships – collaborations through July Memorandum of Healthcare UK” and had the opportunity Understanding between Leeds Teaching Hospitals to discuss healthcare issues with a panel UAE NHS Trust (LTH) and King Hussein Cancer Center of distinguished speakers. Abu Dhabi Health Services Company (KHCC) (SEHA) visit the UK to discuss medical The signing ceremony. Saudi Arabia education and training. Seated (L to R): Linda Pollard, HRH Princess Ghida Talal 2nd meeting of the Joint Ministerial of Jordan. Standing (L to R): Committee for Healthcare Cooperation is Howard Lyons (Healthcare August UK), Dr Geoff Hall (LTH), held in Riyadh. Dr Mohammed Al Yemeni Baroness Morris (UK Business Deputy Minister for Planning and Health UAE Ambassador for Jordan), David Berridge (LTH), Peter Economics chaired with Anna Soubry MP, Visit to the UK by the Health Authority Millet, (HM Ambassador to Parliamentary Under Secretary of State Jordan), Dr Asem Mansour of Abu Dhabi and Mubadala to discuss (KHCC), Zaid Bitar (KHCC), for Public Health representing the UK. genomics and personalised medicine. Foluke Ajayi, (LTH) 8 9 Review of 2013: China

March 5 UK speakers contributed and Sylvia Howard Lyons, Managing Director of Pan of the Beijing United Family Healthcare UK and DG Gao Weizhong, Mission to Zhejiang Province with Hospital joined the panel discussion. Director General of IHECC sign 15 companies led by Howard Lyons, a Memorandum of Understanding Managing Director, Healthcare UK 16 British companies exhibit in the between the two organisations. and Dr Andrew Vallance-Owen, UK pavilion under the Healthcare Specialist Medical Advisor, Healthcare UK. is GREAT banner. The Prime Minister’s visit to China The Prime Minister and Health Secretary, April December Jeremy Hunt witness agreements being Senior Chinese leaders are Senior delegates from Zhejiang Provincial sealed in China, during the Prime Minister’s welcomed to the Healthcare A healthcare summit on the theme is GREAT Pavilion at the Health Bureau, hospitals in the region three-day visit to the country in December. China Health Forum. of ‘‘UK-China Strategic Partners and other healthcare organisations visit in Healthcare’’ is hosted by the healthcare facilities during their week- Sinophi Healthcare signs contracts for Rt Hon Jeremy Hunt MP, UK Secretary long stay in the UK. hospital management and hospital of State for Health. Howard Lyons and DG Gao Weizhong sign investment worth £120 million. These the Memorandum of include a joint venture with Huai’an First May Leaders and specialists from both Chinese Understanding witnessed People’s Hospital, one of the biggest 12 British companies participate in the and British healthcare sectors participate by (left to right) Andrew Key, Minister & Deputy Head of hospitals in Jiangsu Province in East Hospital Build Infrastructure China Expo, and share the latest information on Mission, the British Embassy China, and an agreement to build a Nanjing. Sinophi and Huai’an First People’s healthcare policies, digital health, elderly Beijing, the Rt Hon Jeremy Hunt MP, Secretary of State 1,000 bed oncology hospital. Hospital sign a cooperation agreement. care and delivering high quality services. for Health, and Ms Li Bin, Collaborative opportunities between Minister of the National Health and Family Planning Heythorp Healthcare signs a the UK and China were explored. Commission (NHFPC). June Memorandum of Understanding with Shanghai Fudan University Support Jiangsu Far East (Yadong). This is for Services make a week-long visit to the UK. a joint venture to develop a flagship, mixed use healthcare facility which July will include elderly nursing, specialist dementia services and care training. CITIC Trust, a branch of 3rd biggest State Owned Enterprise, visits the UK. Healthcare UK signs a Memorandum of Understanding with the CITIC August Trust and Circle Partnership to unlock The first major Healthcare UK event in commercial deals for UK companies China, “Working in Partnership with the NHS in areas such as primary care services, – From UK to China” is held at the China integrated care and education and Health Forum. training.

Chaired by Brian Gallagher, Commercial IXICO signs a Memorandum of Counsellor and Director of Trade & Understanding with the Beijing Union Investment for China, the seminar Medical and Pharmaceutical General attracted over 100 senior Chinese Corporation. They will work together to decision makers. DG Gao Weizhong, support dementia diagnosis, advance Director General of the International public understanding of dementia Health Exchange & Cooperation Centre and evaluate new treatments. (IHECC), was the keynote speaker. The year in pictures

< John Myatt (Serco Health) addresses the Healthcare UK launch seminar in Dubai

^ The Rt Hon Ken Clarke QC MP. Minister without < Portfolio and the Howard Lyons (Managing Prime Minister's Trade Director, Healthcare UK) Envoy in conversation welcomes DG Gao with guests at the Dr T S Ravikumar, (Director Weizhong, Director General < Healthcare UK of JIPMER) and Howard of the International Health Lord Kakkar, Professor of launch in Brazil Lyons, (Managing Director Exchange & Cooperation Surgery, University College of Healthcare UK) signing Centre to the UK pavilion London and UK Business the agreement witnessed at the China Health Forum Ambassador addresses by (l to r) Lord Kakkar, the Healthcare UK launch Dr Prathap C Reddy, < in India “Advancing UK: Indo (Chairman and Founder, The Healthcare UK pavilion – British Collaboration” Apollo Hospitals Group) and at the NHS Innovation Expo Mike Nithavrianakis, (Deputy High Commissioner)

< ^ Earl Howe, Parliamentary The UK pavilion “Healthcare Under Secretary of State is GREAT” at the China for Health at the launch Health Forum of Healthcare UK in Dubai

< < Earl Howe and Lord Darzi The Rt Hon Jeremy Hunt welcome guests from the MP, Secretary of State for region to the Healthcare UK Health, Ms Li Bin, Minister launch in Dubai, including of the National Health Dr Ahmed Al Saidi, Minister and Family Planning of Health, Oman Commission (NHFPC) and Mr Ma Xiaowei, Vice Minister of the NHFPC and distinguished guests at the “UK: China: Strategic Partners in Healthcare” healthcare summit 12 13 Review of 2013: India January June Anna Soubry MP, Parliamentary Under Senior officials from the India Ministry Secretary for Public Health inaugurates of Health and Family Welfare visit the UK. Indo-UK Diabetes conference. 600 delegates attend the 2-day September interactive event. Professor Lord Kakkar, Professor of Surgery, University College London February and UK Business Ambassador for The Prime Minister’s visit to India Healthcare hosts a week of healthcare India-UK Summit talks are held in New activities which see the formal launch Delhi on 19 February 2013 during the of Healthcare UK at the “Advancing UK: official visit to India of the Prime Minister, Indo-British Collaboration” seminar and: the Rt Hon , MP. Mr Cameron met with the Indian Prime Minister a healthcare trade mission Dr Manmohan Singh. a roundtable on human resource The leaders welcomed the proposals development in India by UK providers to support primary the 2-day Indo-UK Oncology Summit healthcare training in line with the where delegates from the UK and objectives of various Government of India India discussed the latest oncology schemes/initiatives, encouraging further research and highlighted areas where initiatives to follow the new pilot in , collaboration would be beneficial. an initial scoping study in and nursing and midwifery training in coordination with national nursing centres. Memorandum of Understanding between JIPMER and Healthcare UK The first meeting of the UK and India At the launch of Healthcare UK, Jawaharlal Health Departments takes place in Delhi Institute of Postgraduate Medical and a workshop is held over two days as Education & Research (JIPMER), based part of the Memorandum of Understanding in Pondicherry, and Healthcare UK sign between the two governments. a partnership agreement spanning healthcare training and research. The April agreement will boost the opportunities Publication of a joint Healthcare UK for the UK’s Royal Colleges, universities and Department for International and training organisations to develop Development report on the study on partnerships with one of India’s largest primary care in Tamil Nadu and the medical schools. JIPMER trains doctors, possibilities for collaboration with the UK. nurses and allied health professionals.

The Prime Minister the Rt Hon David Cameron, MP A primary care workshop is held in Tamil and Dr Manmohan Singh, May Prime Minister of India. 17 organisations participate in a trade Nadu with the Department of Health and mission to and Chennai led by Family Welfare and interested UK companies. the Rt Hon Ken Clarke QC MP, Minister without Portfolio and the Prime Minister’s November Trade Envoy. Mission and conference in Chandigarh.

Mr Clarke addresses the ‘Indo-UK conference on collaboration in healthcare’ organised by the Confederation of Indian Industry (CII) during the mission. 14 15 Review of 2013: Brazil Review of 2013: UK

May Healthcare UK runs many activities within NHS Innovation Expo the UK to assist British organisations to UK Health Week is held in Brazil. July Healthcare UK has a major presence at expand their business overseas. A delegation from the Brazilian Army the NHS Innovation Expo and introduces Launch of Healthcare UK in Private Finance Team visit the UK. the organisation to the NHS, other public The UK healthcare sector has a wide range Latin America bodies and private companies. of organisations and stakeholders, many Healthcare UK is launched formally October of which Healthcare UK has worked with in Latin America by the Rt Hon Ken Clarke June The Rt Hon Ken Clarke QC MP visits Rio during the year, including: QC MP, Minister without Portfolio and the Janeiro and Sao Paulo on a trade mission. Follow-up on the WHO/ITU mobile health Prime Minister’s Trade Envoy. The event is Academic Health Science Networks initiative focuses on the nature of the attended by 40 healthcare leaders and Workshop at the British Consulate in NHS and UK Government’s involvement a further 200 guests attend a networking Academy of Medical Royal Colleges Rio de Janeiro on emergency medical in the project. reception for the healthcare and medical British Expertise services for the 2016 Olympic Games. technology organisations participating at The Confederation of British Industry November Hospitalar. In addition: Council of Deans of Health November Over 60 organisations attend the “Doing 12 organisations join a trade mission Eduardo Campos, Governor of Business in China” seminar, hosted by focused on public private partnerships Pernambuco, Brazil, visits the UK. Health Education England the Rt Hon Ken Clarke QC MP at the (PPP) National Institute for Health House of Commons. December and Care Excellence 10 companies participate in a CHECK – the China Healthcare Education Andrew Vallance-Owen, Specialist Medical National Pathology Programme medical technology trade mission Consortium UK is established by 10 UK Advisor, Healthcare UK, speaks at the Brazil NHS Business Services universities who have joined together Healthcare Conference in Florianopolis. 23 companies exhibit at Hospitalar NHS Confederation so that any collaborative healthcare NHS England opportunity from China can be met Mr Clarke addresses the Royal NHS Leadership Academy effectively. College of Surgeons at their bi-annual Public Health England conference in Brazil Organisations interested in developing Universities UK opportunities in China participate in groups focused on elderly care, February digital health, training and education 25 companies attend a seminar on the and hospital infrastructure. opportunities in Public Private Partnerships in Brazil hosted by the Rt Hon Ken Clarke December QC MP at the House of Commons. Consortia addressing elderly care, digital health, training and education March and hospital infrastructure have follow-

Industry, academia and Government up meetings to define the approach to representatives meet to discuss the presenting UK capabilities in China. potential for the UK to play a leading role in a new WHO/ITU initiative to run mobile health pilots in 8 countries.

The Rt Hon Ken Clarke QC MP addresses UK Consul General for São Paulo, John Doddrell, members of the Medical Royal Colleges welcomes delegates to at a meeting of the Academy of Medical the Healthcare UK launch in Brazil. Royal Colleges International Forum. 16 17 The UK healthcare sector

In the (NHS), The National Health Service The NHS in England: Healthcare UK the UK has the world’s largest integrated With an international reputation for Drawing on UKTI’s network of professional health system, which works in partnership delivers excellence, the NHS is at the forefront advisors in more than 100 countries, with industry to deliver cost effective, high of healthcare delivery, research Healthcare UK works with governments quality care to the UK’s population, free at and training. and healthcare providers around the the point of need. world to co-develop healthcare solutions The NHS works in collaboration with reflecting specific needs and priorities. It has world-leading expertise across commercial healthcare companies Healthcare UK facilitates: clinical disciplines and in the wide array 300m and academia to develop innovative, family doctor consultations per year of industries involved in the planning, integrated, high-quality and cost- major government-to-government development and delivery of healthcare effective systems of care. Uniquely, conducts over engagement on behalf of the UK health services. It is home to many institutions the UK’s commercial healthcare sector industry, bringing together the NHS whose names are synonymous with clinical has in-depth experience of working in and commercial sector to work in and research excellence. The outstanding partnership with the NHS in planning collaboration to deliver substantial quality of medical education and training and delivering facilities, clinical services programmes of healthcare provision, is internationally renowned, producing top and deploying new technologies. implementation and improvement class professionals and researchers. 6m day case procedures per year The NHS is one of the most efficient partnerships between individual healthcare providers globally, treating The UK has over healthcare organisations and NHS 1 million patients every 36 hours providers, commercial companies and national agencies to create tailored The UK spends 9.4% of GDP on health, programmes for healthcare services around half of the USA’s expenditure professional exchange programmes The Commonwealth Fund rated the 130 and the delivery of education and healthcare Public Private Partnership (PPP) projects. NHS as the best system in terms of training for healthcare professionals efficiency, effective care and cost- It is an acknowledged world leader in PPP related problems in comparison with The UK is home to the healthcare systems of six other Healthcare UK works in conjunction with countries (Australia, Canada, , the Department of Health (DH) and NHS Netherlands, New Zealand and USA) out England to help develop the UK public health sector’s capability to operate 4 of 10 internationally. It is responsible for: supporting the DH/NHS England to of the world’s top 10 universities for clinical, pre-clinical and health subjects, with the University of Oxford in first develop commercial opportunities place globally, followed by Cambridge, Imperial College internationally, both as part of a London and University College London consortia focused on large scale projects requiring a wide range of participants as well as smaller, standalone opportunities

supporting the DH/NHS to operate philanthropically internationally 18 19 UK healthcare expertise

Primary care Health system development Primary care in the UK is recognised Through developing and operating the as a world-leading service. It is based NHS for more than 65 years, the UK has on a high quality, multi-disciplinary the know-how to partner with governments model designed to improve accessibility, and providers to support the design sustainability and clinical outcomes, and development of innovative, cost- which is of great interest to many effective and evidence-based models emerging economies and countries of healthcare delivery. seeking to create sustainable healthcare. The UK has a reputation for delivering high- Education and training impact changes in healthcare delivery The UK has an internationally renowned in areas such as day surgery and rapid education and training system for doctors, access to diagnostic procedures. nurses and allied health professionals. It is home to 4 of the top 10 universities for Public private partnerships medical training. Training and education (PPPs) is a key priority of the health authorities in The UK was the first country in the world each of Healthcare UK’s priority markets. to develop the concept of PPPs for public service projects. Through partnership with Infrastructure the private sector, PPPs enable the delivery UK companies are at the forefront of of efficient, cost-effective and measurable financing, design, build, and operation public services within modern facilities of healthcare facilities. The UK is a pioneer whilst minimising financial risk. in the design of advanced facilities and the integration of communications and information systems.

Digital health The UK is a global leader in delivering healthcare and healthcare reform through information technology. The UK’s in-depth Priority Countries expertise includes design and delivery of national and local electronic health for 2013-14 records, the adoption of patient-centric China, including Hong Kong care driven by telehealth and telecare, Brazil the development of effective healthcare For further information and to discuss how India IT policies and standards, the creation of Healthcare UK could assist you, contact: Kuwait powerful population health analytics and Saudi Arabia the ability to manage a complex supply Healthcare UK chain while delivering regional and national Oman digital healthcare programmes. Call: +44 (0) 207 215 5000 Libya Email: [email protected] Turkey Web: www.gov.uk/healthcareuk

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Published January 2014 by UK Trade & Investment © Crown Copyright. URN: UKTI/13/1301