India and the UK: Partners in healthcare 3

Creating world class infrastructure 4 Since Healthcare UK was launched of 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 : 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 & 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 . 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 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 Infrastructure BDP partnerships in action Foster + Partners Murphy Phillips University Hospitals Steffian Bradley Architects Birmingham, NHS Foundation Swanke Hayden Connell Architects Trust, Queen Elizabeth Hospital: TFP Ryder A new acute hospital designed for innovative care by BDP Consultant Engineers Arup Queen Elizabeth Hospital, an BDP came up with a design Gleeds acute NHS teaching hospital in which made use of a 10-metre Mott MacDonald Birmingham, UK needed a new fall across the site to achieve the 1,200 bed building which was adjacencies between clinical Consultancy designed to deliver the hospital’s departments vital to delivering Boultbee & Co model of innovative care the Trust’s model of care. The existing hospital was kept fully KPMG the construction had to take operational by splitting the new place within the existing PA Consulting construction into zones tied to hospital campus without PwC the building programme. disruption to clinical services EY state-of-the-art constructional Integrating all services into techniques and materials were the same facility has enabled Contractors required to ensure it was built care to be delivered precisely 3DiFM on time and to budget when and where it is required, as well as promoting clinical Health Planning UK interdisciplinary design care innovation. ArcHealth practice BDP, one of the country’s Capita Symons leading designers of healthcare facilities, was commissioned as Fusion Health master planner, architect, interior Strategic Healthcare Planning designer, landscape architect and S & V Consultants acoustic consultant of the hospital. Hospital Management www.bdp.com Orient Asian Partners

National Health Service Queen Elizabeth Hampshire Hospitals NHS Foundation Trust Hospital Birmingham John Radcliffe Hospital Image: Courtesy Kings College Hospital NHS Foundation Trust of BDP North West London Hospitals NHS Trust Portsmouth Hospitals NHS Trust Whittington Hospital 8 India and the UK: 9 Partners in healthcare

Clinical Pathways

Health Governance Primary care: the foundation of healthcare Promotion Regulation Design/ Accreditation Development A strong primary care system is the basis comparatively well served populations Outcome of effective and accessible healthcare and the poorer states remain. There are Measures Digital Master and helps to reduce demands on precious major needs for recruitment, training and Healthcare Planning Clinical Needs hospital resources, especially as the leadership of the primary care workforce Clinical Assessment Information prevalence of non-communicable, and for making better use of the Health Systems Project Finance long term conditions increases. Management Information System. The Management Twelfth Five Year Plan aims to strengthen this The Following the successes of the National Rural Telehealth/ B system under a combined National Health Integration u mHealth al i and the National Urban Health Missions, Mission, especially in urban areas which have with Hospital c lt Services i E many states in India have a strong basis traditionally had less adequate primary care. n n Facilities i Commissioning on which to build. This includes Primary l v This will include contracting services from C i r and Community Healthcare Centres (PHCs o the private and NGO sector as for example,

n and CHCs) and Health Sub-Centres, mobile has been done in Arunachal Pradesh. Public m

Health medical units and emergency ambulance e

n services. Major programmes are run out of A recent study by Healthcare UK together

t the centres including health promotion and with the UK’s Department for International Primary disease prevention, maternal and antenatal Development (DfID) and the Government

care, non-communicable diseases, HIV/ of Tamil Nadu showed how the UK’s 65

AIDS and AYUSH (traditional ). State years experience in primary care could Care

insurance systems ensure poorer people help take India’s primary care to the next

have access to secondary and tertiary care. stage of its development. A series of 22 P Workforce e t propositions have been developed covering o Facilities Planning n However there is still some way to go to planning, staff training and development, p e Management l m achieve the outcomes of a developed e e the management of patient care and g country. Substantial inequalities in outcomes a infrastructure development. an and patient satisfaction between the M Change Training/ Management Information Process Education Systems Improvement

Incentive Performance Planning Management

Performance Management

Primary care The primary care systems for the 21st century Co-ordinates the care of the many people are built on the foundations of: with multiple, complex health needs. multi-disciplinary teams of healthcare Delivers care closer to people, professionals trained for family medicine increasing convenience, especially in areas remote from hospitals. suitable facilities and infrastructure, integrating digital healthcare, to provide Is a first point of contact for patients to a range of access options and support facilitate the early detection of illness, dispersed populations and thereby improves outcomes. clinical pathways for consistent and Provides a long-term perspective to support effective care, with referral processes disease prevention and healthy lifestyles. for specialist consultations

Provides more cost-effective treatment for information systems including electronic minor illnesses and injuries than hospitals. patient records to optimise clinical activity 10 India and the UK: 11 Partners in healthcare

Primary care in the UK Primary Care Services The UK is known around the world for the Brit Health Care quality of its primary care. Access for all Pathfinder Healthcare Developments is a central tenet of the NHS. The General Primary care development Practitioner (the family doctor) and their Emergency Services partnerships in action team is the most commonly used access London Ambulance Service NHS Trust point into the NHS. Primary care in the UK South East Coast Ambulance Service NHS Trust is the central part of an integrated and UK Specialist Ambulance Service Primary care training in India: comprehensive system which provides BMJ Masterclasses for GPs continuity and co-ordination whilst acting Medicines Management as the gatekeeper for access to specialist Keele Centre of Medicine Optimisation Launched in 2006, BMJ directly with the speakers. The hospital care. Medicines Management Solutions Masterclasses are a series of Masterclass consisted of three interactive and case-based sessions on cardiology, respiratory Over the past decade, primary care in Training and Education educational courses. BMJ medicine and paediatrics. The the UK has been transformed into an UK Universities Masterclasses support busy doctors speakers were all leading UK internationally leading, multi-disciplinary Royal College of GPs through a series of face-to-face doctors and each session lasted model to improve accessibility, patient BMJ India educational events. Developed by for one hour, including time for outcomes and sustainability. Primary Portsmouth Hospitals NHS Trust a team of clinical editors, these questions. Continuing medical care services are developed and delivered courses help general practitioners, education isn’t mandatory in India. through partnership between the NHS and A4E physicians and healthcare However, attracting 1500 Indian GPs a wide range of companies with expertise CareShield professionals keep up to date with to participate in the Masterclass across the healthcare spectrum. Management and Leadership Training the latest evidence, new guidelines demonstrated that sharing UK Ashridge Business School and best practice in important expertise under the auspices of a UK organisations available Health Services Management Centre, clinical areas to improve patient respected organisation, such as to work with India University of Birmingham outcomes. the BMJ Group, is a type of education NHS Leadership Academy valued in a primary care setting Health Planning In June 2011, the first BMJ in India. S&V Consultants Ltd Information and Information Technology Masterclass for GPs in India Strategic Healthcare Planning The Phoenix Partnership (TPP) took place when an audience of Another Masterclass was held Skills for Health Boomerang Consultancy approximately 1500 participated jointly with Indian Medical Centre for Workforce Intelligence The Health and Social Care Information in a video-conference meeting. Association (Maharashtra Centre (HSCIC) The Masterclass was broadcast Chapter) in April 2013 in the area Public Health Tunstall from London to Mumbai and from of diagnosis and management of UK Preventive Medicine Medvivo there to over 40 centres around chest pain. It was webcast to two India simultaneously. Some centres cities in India and was attended by Public Health England Docobo had two way communications, approximately 500 doctors. NHS Choices Safe Patient Systems enabling participants to interact Infrastructure “ International comparisons 3DiFM www.masterclass.bmj.com between industrialized Guildhouse countries suggest that the Healthcare Outcomes and Standards populations of countries with COBIC Solutions Ltd National Institute for Health higher ratings of “primary care and Care Excellence (NICE) orientation” experience better Patient Opinion healthcare outcomes and QHA Trent Accreditation UK incur lower healthcare costs Staff Rostering than populations of countries Advanced Health & Care Systems with lower degrees of primary care orientation” 12 India and the UK: 13 Partners in healthcare

Caring for older people

Due to an increase in life expectancy, India’s Whilst families continue to care for their An integrated offer elders, The Maintenance and Welfare of elderly population will grow substantially in The UK’s expertise and experience Parents and Senior Citizens Act, 2007 will be the coming years, with studies estimating offers an integrated approach to implemented effectively and tribunals will over 12% of the population being over 60 creating high quality services for be set up so that elderly parents, unable to by 2025, up from 9% currently and touching the older person and their family. 20% by 2050. India already has the second maintain themselves, are not abandoned largest older population in the world. and neglected. States are expected to set up homes with facilities in With an increasing proportion of working- every district for senior citizens who cannot age people finding it difficult to support be cared for by a family. their ageing relatives, planning for practical solutions to providing care outside the The Plan envisages the establishment by States family is increasingly important. of old age homes for indigent senior citizens with integrated multi-facility centres of varying India’s Twelfth Five Year Plan (2012- 2017) capacity (25, 60 and 120) in 640 districts. Healthy designs proposed the formulation of a new National Policy on Senior Citizens which will focus on the There is a growing realisation amongst family as the main care giver whilst recognising urban households that many families are the need for better access to homecare and no longer equipped to take care of their healthcare for older people. The Integrated older relatives. This has seen the beginnings Programme for Older People which funds of new private developments aimed at Staff trained Flexible and NGOs to provide day and residential care for supporting older people to live well into and engaged safe care some people is being expanded along with old age, overcoming the historical stigma training for caregivers though three Regional associated with such facilities. Resource and Training Centres. Importantly, the Indian government has relaxed some of the restrictions on foreign Quality services investors and service providers in this sector so for the that elderly care services can expand faster. older person The UK has a well-established and regulated housing, care and health industries designed to meet the needs of people as they approach retirement and live to an Technology Efficient space old age. The NHS and the UK private sector enabled and equipment has experience and expertise to meet the care needs of people as they become more dependant and the health needs of people suffering from dementia, diabetes, respiratory and heart disease Responsive and orthopaedic problems. hotel services

As well as a range of specially designed housing for older people, UK operators are able to meet the care and treatment needs of people as they get older, in areas ranging from the prevention of ill health all the way though self-care, diagnosis, treatment, rehabilitation, home care and end of life care. 14 India and the UK: 15 Partners in healthcare

Planning and programme delivery Service provision UK organisations available The UK has experience in countries around UK service providers from the NHS and the to work with India the world in creating care services for older private and social enterprise sectors excel in: people, ranging from cancer care, dementia Planning and Programme Delivery Staff Development services and health promotion programmes, advice, advocacy and health education EC Harris MSI Group covering: programmes Strategic Healthcare Planning BMJ Gleeds The National Gold Standards Framework designing and planning both whole systems domiciliary and residential care (GSF) Centre for End of Life Care and individual health and care services Skills for Health community and hospital treatment Centre for Workforce Intelligence CareShield managing their implementation Affinity Training Service Providers - primary, community Somerset College defining the workforce, the staff roles As well as their service operating skills, and hospital treatment Grantham College and competences required to provide for example in running homes, UK Central and North West London older people’s care providers are able to: NHS Trust Ashridge Business School South London and Maudsley Health Services Management Centre, organising staff recruitment bring integrated pathways for the NHS Trust University of Birmingham management of conditions such as Medway Community Healthcare NHS Leadership Academy diabetes or dementia Staffing and staff development BUPA UK hospitals, universities, colleges and professional practice and research Shaw Healthcare training companies have a wide range exchange Affinity Care Management Hallmark of certificated programmes to train the Care Homes professionals and support staff needed Care Visions at Home to care for older people. Quality management systems One of the foundations for quality The UK has some of the most advanced improvement in older people’s care in the leadership and management frameworks UK is the data that is available from case and programmes that can be adapted for records. This is used for managing care, treatment and referral to neighbouring the leadership of Indian nursing homes, Caring for older people facilities. The UK systems can be adapted and hospitals. partnerships in action to the Indian context, along with case management systems and training. Development of a community beds linked to rehabilitation The UK can provide skills in developing hospital including a centre of services, co-ordinated out-patient and using: excellence for stroke care - care and a general practitioner South Petherton Community SHP worked with the Trust to ensure quality and outcomes frameworks Hospital, Somerset: that the proposed design solution Strategic Healthcare Planning delivered the operational and quality assurance and accreditation systems clinical requirements in a manner which would enable the Trust to practice guidelines Strategic Healthcare Planning (SHP) provide the clinical activities within advised Somerset Primary Care budget whilst enhancing access decision support for practitioners Trust from the very early planning and choice for the population of stage of the state-of-the-art South South Somerset. consumer satisfaction feedback systems Petherton Community Hospital, articulating the clinical brief for the range of services required and The UK’s regulators ensure services developing the functional content and professionals meet basic standards. and schedule of accommodation This experience can also be adapted for needed to deliver these. Indian use. South Petherton Community Hospital The UK has over two decades of experience of is a centre of excellence for stroke purchasing of older people’s care and health and neurological care with inpatient www.shp-uk.com services by both the Government and insurers which it can bring to the Indian market. 16 India and the UK: 17 Partners in healthcare

Developing the healthcare workforce

One of the main healthcare challenges for Given its wide range of capabilities and India outlined in Twelfth Five Year Plan is the international experience, the UK healthcare development of the skill and know-how of the education and training sector is very well healthcare workforce. placed to work with India to meet the challenges of developing the healthcare Huge gaps however, remain in training workforce for the future in both the state capacity for all categories of health and private sectors. personnel. A large expansion of medical schools, nursing colleges is considered The UK is home to 4 of the world’s top 10 necessary. In addition, a massive effort will universities for clinical, pre-clinical be made to recruit and train paramedical and health subjects and it can offer: and community level health workers primary, nurse and allied health India estimates it requires at least 765,000 professionals training more nurses by 2017 to bring the total up to 1.5 million. It also needs an additional 157,000 specialist short course continuing doctors and 110,000 professionals trained in professional development (CPD) training Traditional Medicine (AYUSH). and assessment in areas such as surgery, elderly care and non-communicable India is seeking to overcome these diseases including diabetes challenges by: OXFORD research expertise and collaboration setting up 6 major institutes and upgrading 13 medical colleges hospital management and governance

72 state government medical colleges quality assurance and accreditation CAMBRIDGE are strengthening their capacity for linked to international benchmarking postgraduate training. A further massive leadership and management training expansion is expected over the next and development five years English language training IMPERIAL upgrading existing district hospitals and community healthcare centres into knowledge centres, where medical, nursing and paramedical teaching COLLEGE and refresher courses can be held side-by-side with patient care

establishing Centres of Excellence for nursing and allied health sciences and LONDON for paramedical education in every state continuing initiatives to upgrade and strengthen the existing nursing UNIVERSITY schools into colleges of nursing COLLEGE LONDON 18 India and the UK: 19 Partners in healthcare

UK universities and NHS trusts: assisting our partners to meet their healthcare needs Recognised as one of the world leaders in healthcare education, the UK is very well placed to assist India to meet its goals for healthcare education, training and development.

Specialist education in a large range of areas: health promotion

care of the elderly Developing the healthcare workforce primary care partnerships in action public health rehabilitation Continuing Professional chronic conditions (diabetes, cancer, Development Programmes stroke, dementia) in India: The University mindfulness of Northampton health optimisation dietetics The University of Northampton has Areas of activity include: consultancy services for public a long history of collaboration and private organisations with Indian institutions to a CPD programme for Indian support training and continuing doctors in diabetic foot care Healthcare education and research professional development (CPD). with the support of leading opportunities for a wide range of healthcare diabetologists in Mumbai and professionals, for example: The university has an institutional Chennai. This will be delivered nurses partnership with the University of in India by podiatry staff from Madras and Northampton’s School Northampton. GPs of Health has a Memorandum occupational therapists of Understanding with DY Patil a modular MSc in advanced dieticians University in Mumbai. Through occupational therapy delivered in physiotherapists these partnerships, the University India by faculty from Northampton. of Northampton is contributing to podiatrists postgraduate programmes for sports and exercise therapists Indian healthcare professionals.

A bespoke service to ensure that the type of provision is suitable for purpose: degree programmes short courses online learning, research and evaluation www.northampton.ac.uk train the trainers 20 India and the UK: 21 Partners in healthcare

UK organisations available to work Education and training providers with India A wide range of UK healthcare education and A broad range of UK organisations are keen training providers are interested in further to assist India to increase its healthcare developing their training, education and capacity and skills via a range of research work with India and these include: partnership models including: Universities of York, Sheffield Hallam, direct collaboration staff exchanges Bradford and Wolverhampton train the trainer British Acupuncture Council knowledge transfer schemes BMJ India blended learning solutions to include online and face-to-face training Health services Management Centre, University of Birmingham

Medical Royal Colleges working with NHS Leadership Academy local partners in India Ashridge (leadership and management) Royal College of Surgeons of England (RCS) Skills for Health (workforce planning Royal College of Obstetricians and skills development) and Gynaecologists (RCOG) NHS Foundation Trusts Royal Colleges of General Practitioners Academic Health Science Networks (AHSN) (RCGP) Other Medical Royal Colleges including: Royal College of Physicians Royal Colleges of Anaesthetists (RCOA), Royal College of Pathology (RC Path) Royal College of Nursing (RCN) Bespoke private training providers 22 India and the UK: 23 Partners in healthcare

This would enable assessment of performance and help in allocating resources to facilities as well as improving patient care. The UK’s digital health community can make a significant and positive impact in this collaboration.

Aspects of digital health important to India include:

A national patient identifier, to make it possible to identify patient records across electronic health records systems at a national or state level.

High-quality, interoperable, primary care systems to support the current healthcare developments in India.

Systems capable of handling referrals from community healthcare centres to hospitals and throughout the health system.

The capability for population-level analytics to enable governments at different levels to monitor the incidence of epidemics and the level of demand for different services.

Enabling care in the community and at home, to deal with the rapid increase in chronic disease and dementia. Delivering reform through digital health Over the last 30 years, information technology Digital health is rightly viewed as a key has played a key role in the improvement of enabler for the achievement of India’s the quality of care provided in the NHS and it healthcare plans. Providing both universal continues to do so. The UK has world-leading and high-quality care are ambitions which expertise in three areas of digital health: both India and the UK share. Central systems and services: “UK physicians stand out Digital health opens up new and cost systems and services which exist at effective ways for patients to access a national or regional level to facilitate compared to physicians healthcare. It supports comprehensive the entire digital health ecosystem. from other countries for data collection to enable better patient receiving information about management and sophisticated analysis Local systems and services: of the health needs of the population and systems and services which operate at their performance. The how they change over time.. the point of care, for example primary vast majority of UK doctors care records The opportunity for collaboration within reported that they received digital health is significant for both countries. Personal care solutions: and reviewed physicians The Twelfth Five year Plan aims to develop solutions and services which are used by a robust and effective Health Management individual patients as part of the increasing performance information” Information System which, in the best case trend towards self-care in a mobile- The Commonwealth Fund, 2012 scenario, tracks every health encounter. internet world. 24 India and the UK: 25 Partners in healthcare

UK organisations available to work with India BT Health YourMD Yecco Digital health partnerships in action New Level Health University of Coventry Enhancing district nursing Medvivo services through centralised Sitekit electronic records in Seetok County Durham, UK: TPP Ltd Safe Patient Systems Keele University Centre for Medicine Optimisation TPP’s SystmOne is a centralised with other district nurses in clinical system which allows the large and mostly rural patient information to be shared area. Exchanging information electronically across healthcare electronically supports organisations in real time. It is face-to-face and telephone currently used in over 5,000 NHS communication to ensure all organisations in the UK by more the necessary information is than 200,000 staff. available to the healthcare staff at the time they require it. County Durham district nurses in the UK have been using SystmOne is proving invaluable SystmOne for more than 4 years. in this rural area as information added to the patient’s notes can District nurses have found that be read immediately by other moving from paper records to healthcare professionals involved an electronic system has made in the care of that patient, their communications with local whether for a routine visit or out- primary health centres seamless, of-hours care. It has improved faster and more efficient than caseload management for the ever before. The system has also district nurses as well as joint supports better communications planning and delivering care.

www.ttp-uk.com 26 India and the UK: 27 Partners in healthcare

The NHS in England:

delivers 300m family doctor consultations per year

conducts over 6m day case procedures per year

The UK has over

The National Health Service Healthcare UK With an international reputation for Drawing on UKTI’s network of professional excellence, the National Health Service advisors in more than 100 countries, 130 healthcare Public Private Partnership (PPP) projects. (NHS) is at the forefront of healthcare Healthcare UK works with governments delivery, research and training. and healthcare providers around the world to co-develop healthcare solutions The UK is home to The NHS works in collaboration with reflecting specific needs and priorities. commercial healthcare companies and academia to develop innovative, integrated, Healthcare UK facilitates: high-quality and cost-effective systems of care. Uniquely, the UK’s commercial major government-to-government out of engagement on behalf of the UK 10 healthcare sector has in-depth experience 4 of working in partnership with the NHS in health industry, bringing together the of the world’s top 10 universities for clinical, pre-clinical planning and delivering facilities, clinical NHS and commercial sector to work and health subjects, with the University of Oxford in first services and deploying new technologies. in collaboration to deliver substantial place globally, followed by Cambridge, Imperial College programmes of healthcare provision, London and University College London The NHS is the world’s largest integrated implementation and improvement health system and one of the most For further information and to discuss how efficient healthcare providers globally, partnerships between individual Healthcare UK could assist you, contact: treating 1 million patients every 36 hours. healthcare organisations and NHS providers, commercial companies Healthcare UK and national agencies to create tailored The UK spends 9.3% of GDP on health, Call: +44 (0) 207 215 5000 around half of the USA’s expenditure. programmes for healthcare services Email: [email protected] Web: www.gov.uk/healthcareuk The Commonwealth Fund rated the NHS professional exchange programmes as the best system in terms of efficiency, and the delivery of education and effective care and cost-related training for healthcare professionals UK Trade & Investment India problems in comparison with the Call: +91 (11) 2419 2100 healthcare systems of six other Email: [email protected] countries (Australia, Canada, Germany, Web: www.gov.uk/world/India Netherlands, New Zealand and USA).

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