20 YEARS IN HEALTH TECH
money and the approach was made more systematic by putting reimbursement in place,” Davies asserts. Trickett agrees that sometimes “it does come back to funding” but adds there also needs to be a change in mindset, towards value-based procurement. “We need to move away from always looking at innovations as an additional cost, rather than the potential to change the way things are done – to improve productivity, efficiency, and outcomes in the future, such as reduced revisions, reduced length of stay or reducing the need for the patient to come into hospital in the first place. “This has implications for a better society; it is better for the patient, and better for the environment. However, the funding flow doesn’t recognise this. Sometimes, people know that the innovation can have a massive impact, but they just cannot work out how to get the money to pay for it. We need innovative strategic thinking among finance directors to support this. In the current NHS, where everyone is running to stand still, it is hard for people to find the headroom to drive this forward and get the technology adopted.”
Focus on prevention
In the past decade, there has been a lot of discussion around prevention and early
diagnosis, and the use of technologies for ‘out of hospital care’. So, has the moment finally come, post-pandemic? “We are certainly seeing more of this. It
hasn’t taken off yet, but we may be reaching a tipping point,” says Davies. “Previously, it was all about novel medicines coming though. One of the big-ticket items that the NHS is talking about is large-scale diagnostics for detecting early cancer. The fact that money is being spent on this, suggests a slight shift in priorities. It is early days, but it is promising. “
To support the focus on diagnostics and prevention, the ABHI is calling on the Government to increase its per capita spend on diagnosis, compared to other European nations, and to guarantee equity of access to tests – including scans – across all regions of the UK. “We have an opportunity to fundamentally change the way health and care are delivered if we have a shift towards prevention and remote management outside of the hospital,” Davies argues. “It is necessary, but it is also the right thing to
Mediplus TIVA Sets Dedicated infusion delivery systems
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THE QUEEN’S AWARDS FOR ENTERPRISE: INNOVATION 2017
*Nimmo AF, Absalom AR, Bagshaw O, et al. Guidelines for the safe practice of total intravenous anaesthesia (TIVA): joint guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia, 2018)
NOVEMBER 2022
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