Innovation in European healthcare â what can Sweden learn? - LIF

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How the annual NHS budget is spend NHS revenue ~ £100 billion Expenditure of NHS bodies ~ £88 billion Centrally managed budgets ~ £10 billion PCT opening allocations £80 billion SHA Allocations & Running Costs £1.4 billion NHS Litigation Authority £1.1 billion R&D £0.9 billion Dentistry £2.3 billion Training Funds £4.8 billion Connecting for Health £1.1 billion EEA Medical Costs £0.6 billion 134
NHS-funded primary care is provided in various ways – with GP’s as the primary point of contact • The first point of contact for general medical needs is usually self-employed GPs and their practices, typically entering into contractual engagements with PCTs, although GPs may also be employed directly by alternative providers (e.g. commercial sector). • Community health services, NHS Direct, NHS walk-in centres, dentists, opticians and pharmacists are part of NHS primary care services. The primary care system also plays a gatekeeping role in determining access to more specialized, often hospital-based, acute health care services. • A small private sector exists alongside the NHS, funded through private insurance, direct payments from patients, or publicly funded payments by PCT. • In addition to secondary care, a range of more specialized tertiary services are also provided by NHS trusts and deal with more complex or rare conditions. • Social care is the statutory responsibility of 152 councils with adult social services responsibilities (known as CASSRs). • The mental health care system is a mix of primary care and community-based services supported by specialist inpatient care. 135
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Innovation in European healthcare -
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Introduction If it was up to the NI
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GDP per capita 2011, thUSD Annual G
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Import Technology uptake Export End
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Venture capital flight away from li
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Issues in Sweden: clinical research
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Issues in Sweden: communication and
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Issues in Sweden: reimbursement for
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Summary - the innovation challenges
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InDex Pharmaceuticals InDex Pharmac
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Addressable Patient Population in E
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What conclusions can be drawn from
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Elekta has established a model for
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The five European countries 27
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German healthcare system • German
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Role of important Government and Of
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Role of important Government and Of
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Germany needs more healthcare for t
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37 DRG was developed in the US in t
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The base rate varied during the con
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There are public, private for profi
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Financing System of the German SHI
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Central Changes in the German healt
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Innovations in the German Health Ca
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Cost of Pharmaceuticals and Medical
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Three steps for Integration of New
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NUB Process in the German DRG Syste
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Innovative drugs in the outpatient
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Implementation and use of innovativ
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Innovations in the outpatient secto
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Implementation and use of innovatio
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New possibility of testing potentia
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Structural Innovations in the Inpat
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Structural Innovations in the Outpa
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During the last ten years two centr
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France The healthcare system in Fra
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Financing of the French health care
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The French medical device industry
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The French Medical Devices Market:
Page 83 and 84: The average time necessary to get a
Page 85 and 86: Shortening the reimbursement proces
Page 87 and 88: A successful solution to provide ad
Page 89 and 90: 2. Pharmaceuticals 89
Page 91 and 92: Hospitals carry out more and more o
Page 93 and 94: ATU System: Off label use Exemption
Page 95 and 96: 3. Financial incentives and reimbur
Page 97 and 98: The evaluation of new products by t
Page 99 and 100: Some particularly expensive drugs a
Page 101 and 102: In hospitals, expensive and innovat
Page 103 and 104: The impact of T2A on innovation Act
Page 105 and 106: The Support for Innovative and Cost
Page 107 and 108: Financing innovation through the Pu
Page 109 and 110: 8 clusters specialised in the healt
Page 111 and 112: Medical Devices’ Patenting: less
Page 113 and 114: The example of the SAAT Conectus Al
Page 115 and 116: The UK The healthcare in the UK is
Page 117 and 118: The NHS is underpinned by a set of
Page 119 and 120: Today the PCTs are the main purchas
Page 121 and 122: Prior to the Health and Social Care
Page 123 and 124: Primary Care Trusts (PCTs) have pla
Page 125 and 126: The new national level bodies overs
Page 127 and 128: The NHS, must deliver efficiency sa
Page 129 and 130: PbR was first introduced in 2005/06
Page 131 and 132: The design of HRG4 reflects a signi
Page 133: PbR is being incrementally reformed
Page 137 and 138: The Quality of Outcomes Framework (
Page 139 and 140: The Health and Social Care Act (201
Page 141 and 142: The United Kingdom is a major produ
Page 143 and 144: £m Healthcare industries are clust
Page 145 and 146: Several bodies aim to improve the k
Page 147 and 148: National Institute for Health and C
Page 149 and 150: Overview of key NICE assessment pro
Page 151 and 152: NHS National Technology Adoption Ce
Page 153 and 154: “Innovation” has central place
Page 155 and 156: Bodies to support innovation in hea
Page 157 and 158: The UK is a world-leader in life-sc
Page 159 and 160: There still exists large regional v
Page 161 and 162: UK rankings and usage as a percenta
Page 163 and 164: Multiple structural layers within N
Page 165 and 166: NHS lacks control mechanism for imp
Page 167 and 168: Short-term budget-cycles often are
Page 169 and 170: Actions described by respondents du
Page 171 and 172: Actions described by respondents du
Page 173 and 174: Actions deriving from the review
Page 175 and 176: The following measures were suggest
Page 177 and 178: The planned compliance regime is ge
Page 179 and 180: Actions to incentivise innovation t
Page 181 and 182: NICE’s HTA process: NICE’s stan
Page 183 and 184: The implementation of NICE guidelin
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Implementation: A recommended proce
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The NHS Technology Adoption Centre
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The Government has invested a recor
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The Government’s funding has also
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Case 2: AstraZeneca and NIHR Cancer
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The NIHR has also established Healt
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As part of the Government’s Life
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All applications for the Biomedical
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NOCRI has worked together with MRC
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Academic Health Science Centres (AH
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What can Sweden learn from the UK?
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Facts - the proportions of Danish h
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The Danish healthcare system is pri
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Public-private investments in R & D
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The Danish healthcare industry is a
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Public investments in the future st
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The public renewal fund is meant to
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With the responsibility for adminis
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Organisational chart - the capital
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The Innovation environments invest
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Overall the innovation environments
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Sara established a successful busin
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Infrastructure for Innovation - The
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The networks consist of 22 innovati
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The overall Danish Innovation infra
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The new market maturing-fund will h
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The new Danish Innovation strategy
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Subsidy for new outpatient medicame
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The evaluation and assessment of ne
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Cost reduction in expensive hospita
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The public procurement of Medtech -
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Innovative public procurement of Me
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What can Sweden learn from Denmark?
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The Netherlands are spending more o
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Health insurers are allowed to make
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Financial flows in the Dutch health
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Impact of the reform on providers
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Impact of the reform on patients/in
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Impact of the reform The Dutch heal
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Innovations in the Dutch healthcare
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The reimbursement system should all
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Summary and conclusions 277
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There is a correlation between a co
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Conclusions - what can Sweden learn
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Two general recommendations and one
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Innovation in European healthcare â what can Sweden learn? - LIF

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