India and the UK: Partners in Healthcare 3
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India and the UK: Partners in healthcare 3 Creating world class hospital infrastructure 4 Since Healthcare UK was launched of medicines and treatment at an It aspires to provide an overview at the beginning of 2013, I have affordable price, which should be of what the NHS, UK industry Primary care: the foundation of healthcare 8 been privileged to visit India on a entirely free for a large percentage and academia as a whole can number of occasions to help develop of the population. To achieve this, practically offer to India in order Caring for older people 12 partnerships between Indian and UK the aim is to increase health sector to deliver high-quality care. It is public and private sector healthcare public expenditure from 1 to 2.5% already helping UK healthcare Developing the healthcare workforce 16 organisations. These partnerships of GDP. This is complemented by a organisations to work effectively are supported by our Secretary of rapidly growing private sector which with Indian national and state Delivering reform through digital health 22 State and the Indian Minister of accounts for more than 80% of total governments and a wide range Health and Family Welfare under healthcare spending in India. of local healthcare providers. The NHS and Healthcare UK 26 a Memorandum of Understanding between the UK Department of Many of the areas of focus for This short brochure summarises Health and the Indian Union Health the reforms such as improved the UK’s capabilities and innovative and Family Welfare Department. and accessible service delivery, approaches relevant to India, more effective public health including primary and elderly care Other UK organisations have interventions, better hospital provision, training and development signed MoUs with Indian private management, correspond with for healthcare professionals, and and public companies paving areas of expertise within the UK’s advances in hospital infrastructure the way for increased trade National Health Service (NHS) and and digital health. between our two countries. At the its commercial healthcare sector. launch of Healthcare UK in India I trust you will find this brochure in Chennai in December 2013, I Since the formation of the National of interest. I also hope it will was able, for example to sign a Health Service (NHS) in 1948, the UK encourage you to explore areas MoU with Jawaharlal Institute of has invested billions of pounds in for cooperation. Our professional Postgraduate Medical Education & constantly upgrading the quality advisors at the British High Research (JIPMER) in Pondicherry of healthcare for the people of Commissions throughout India which identified a number of Great Britain. The UK’s primary are at your service. areas for collaboration aimed at care system is internationally strengthening partnerships between renowned for providing the best Healthcare UK, on behalf of the our respective health systems. possible care of families in a British healthcare sector, is looking cost-effective way. What the NHS forward to the opportunity of India and the UK share many and its commercial partners offer building on our existing relationships goals. These include providing high is unique in both its quality and and agreements in India to create quality healthcare for all citizens, breadth, drawing on this long further value-added collaborations planning and delivering services experience of running of enduring mutual benefit. for the rapidly growing elderly the world’s largest integrated population, and adapting services health system. Now, through to manage the rising burden of Healthcare UK, state governments Howard Lyons, Dr T S Ravikumar, (Director of JIPMER) non-communicable diseases, and organisations in India are Managing Director, Healthcare UK and Howard Lyons, (Managing Director including diabetes, respiratory able to access the know-how of Healthcare UK) signing the agreement conditions, cancer and dementia. this investment has created witnessed by (l to r) Lord Kakkar (Professor of Surgery, University College London and The changing healthcare needs for the benefit of patients UK Business Ambassador for Healthcare), of our respective populations are and their families. Dr Prathap C Reddy, (Chairman and placing enormous demands on our Founder, Apollo Hospitals Group) and Mike The British Government signalled Nithavrianakis,( Deputy High Commissioner) health systems and infrastructure. its ambition to foster strong The healthcare reforms initiated international partnerships by by the Indian government seek to creating Healthcare UK, a joint expand the reach of health care initiative between UK Trade & and work towards the long term Investment, the Department of objective of establishing a system Health and the NHS in England. of Universal Health Coverage (UHC) Healthcare UK was established to in the country. This means that each link UK expertise with the healthcare individual would have assured requirements of countries around access to a defined essential range the world such as India. 4 India and the UK: 5 Partners in healthcare Developing world class hospital infrastructure Strategic service & Construction services and equipping business planning Working in a consultancy capacity, the UK’s UK expertise is ideally placed to help construction experts are able to bring to India India to map existing services and the benefit of their expertise in areas such infrastructure, forecast future health as decanting, modularisation and off- site needs of the population, design new construction, to improve the efficiency of models of care, develop business cases, construction and minimise costs. financial models, funding packages, masterplans and feasibility studies that In addition, the UK’s extensive medical will allow projects to be taken forward with equipment supply chain can provide confidence and enable resources to be everything needed to fit out a hospital, used most effectively to improve healthcare from scanners to surgical supplies for the people of India. and pharmaceuticals. Design services and Public Service improvement Private Partnerships (PPP) India’s desire to improve healthcare provision does not only mean building new hospitals The UK’s designers and project managers – there is much that can be achieved within have created outstanding and innovative existing hospitals. hospital buildings all over the world. Britain has also been at the forefront globally in The UK is well placed to help India drive up designing hospitals that are sustainable, the quality of both clinical care and hospital energy efficient and low carbon. management. The UK’s NHS hospitals and consultancy practices are able to provide The UK has led the world in the quality audits, improvement plans and development of PPP as a procurement education programmes that will mean route. With over 20 years’ experience, India will benefit from the UK’s unique India has stated that a priority for 2012- to develop new systems for meeting the our PPP specialists are able to assist with skills and experience. 2017 is to improve quality of healthcare rising demand for healthcare, whilst still developing and introducing PPP models to and central to this is the provision of being sensitive to existing structures hospital projects in India. PPP brings the Hospital management and operation hospitals and their efficient use. and models of care. benefits of private sector investment and By combining the skills and expertise of the expertise, improved efficiency and transfer It is recognised that the healthcare The UK has 65 years’ experience in planning UK’s private hospital, support services and NHS of risk from the public to the private sector. infrastructure in India is in need of and delivering healthcare services in the sectors, UK consortia can offer India hospital expansion and upgrading. At the same public sector. Through the development management and operation services that time, India’s health needs are changing. of consortia that will bring together the can deliver improved clinical, financial and Conditions that have traditionally been unique talents of the NHS, partnered with support service efficiency as well as higher common in the West, but not in India, are the outstanding skills of the private sector, quality clinical care for patients. increasing. Cancer, obesity, diabetes, heart the UK can apply all of its long history and disease and the growing elderly population experience to the benefit of Indian hospital in India are all placing great demands on owners, patients and staff. the existing healthcare infrastructure. British organisations have considered how India is seeking to achieve its goal they might support developments at the state of delivering high quality healthcare or municipal level, seeking Indian partner infrastructure in a planned and structured organisations for joint ventures. For example, way that responds to the evolving health in September 2013, Whittington Hospital signed needs of its population. India is looking to an MoU with Miott Hospital in Chennai to assist analyse and understand these new health in establishing an antenatal screening service needs to enable coordinated delivery of to help diagnose thalassemia in new-born world class hospitals, in the right locations. children, the first of its kind in India. The UK’s experience of integrating primary and secondary care and providing high quality hospitals is available to assist India 6 India and the UK: 7 Partners in healthcare UK organisations available to work with India Architects