A presentation looking at the long term future of healthcare and the ethical questions that surround the delivery of population health in a technology enabled 21st Century

1. Scope & purpose of report
Themes we will cover:
• Intro + background
• Healthcare landscape
• New healthtech revolution
• Power of Gods vs human & societal
wellbeing
• Royal Free Charity – Beyond the Fog
report
• Holistic health & integrated health
system
• Societal & ethical questions
• Discussion
Coronavirus
Long Term
Conditions

2. Scope & purpose of report
The Challenge: Healthcare spend is 10% of GDP + rising ~ 4% per year
1. Rise in Chronic disease
(Lifestyle related)
• Obesity (26%)
• Diabetes (5.5%)
• Heart disease (4.4%)
• Cancer
• Mental health
2. Aging populations
• Longer life spans
• Changing demographic mix
3. Rise in medical costs
• Medical technology
• New treatments
Around 70% of NHS costs are due to preventable Long Term Conditions
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3. Scope & purpose of report
What causes ill health and early mortality?
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4. What is health?
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5. Scope & purpose of report
"State of complete
physical, mental, and
social well being, and
not merely the absence
of disease or infirmity.“
World Health Organisation
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6. Scope & purpose of report
Complications &
Opportunities
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7. Scope & purpose of reportWe are standing at the dawn of the greatest
breakthroughs in science and medicine in human history
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8. Scope & purpose of report
Ancient wisdom saw health as holistic harmony
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9. Scope & purpose of report
Paradox of Scientific Progress
We are pushing forward our
understanding of ourselves into ever
more fragmented silos of knowledge
and specialisms…....
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10. Scope & purpose of reportHow do make sure we see the human?
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11. Scope & purpose of report
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Meta Competencies
Innovation &
Transformation
From silos to an integrated health ecosystem
Sensemaking Changemaking
Individual & Societal Flourishing Health Ecosystem

12. Scope & purpose of report
Problem Framing
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13. Scope & purpose of report
We asked ourselves:
1. What would health look like for the
individual
2. What would this mean for the future
delivery of health & care?
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14. Scope & purpose of report
“Health beyond the Fog” a vision of the long term future that
can guide the development of the whole ecosystem
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15. Scope & purpose of report
Solution Framing
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16. Scope & purpose of report
The 21st Century health challenges call for a wider framing of
the healthcare landscape
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17. Scope & purpose of report
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18. Scope & purpose of report
Real time data will make it possible to dynamically simulate health
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19. Scope & purpose of report
The three core elements of the Vision
1. Personalised Health and Wellbeing 2. AI Mediated Health Coaching 3. Future Health and Care System
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20. Scope & purpose of report
Size of the prize
= better quality of
life + sustainable
healthcare system
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21. Scope & purpose of report
Ethical Questions
• Political & Social
• What is the social contract in this new world?
• Paternalistic state vs empowering individual freedom?
• Surveillance for good vs surveillance for control?
• What has primacy – care for people or care for economy?
• Public health vs private health vs collaboration – what about inequalities?
• Long term visioning and ambition vs short term management?
• Individual & Societal Flourishing
• Who owns responsibility for my/our health? the individual, communities or state?
• Creating contexts and possibilities for health – who owns this? E.g. housing, food,
• Welfare – safety net vs safety trampoline?
• Big Pharma/ Life Sciences – profiting from sickness vs incentives for wellness?
• What limits should there be on genetic treatments & gene editing?
• Privacy
• Who owns the data? Who interprets the data? Who do we trust?
• Privacy vs shared knowledge creation?

22. Scope & purpose of report
The next stage in our journey – creating a movement for change!
2. Exploring joint initiatives with the healthcare
and policy institutions e.g. RSM
1. Created a cross sector steering
group to plan the provocation
3. Creating a not for profit organisation to
take the provocation forwards
4. Engaging with Politicians, Healthcare leaders & Industry to
create a movement to for a new vision for healthcare in 21C
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23. Scope & purpose of report
Thank you…
Andy Wilkins
+44 (0) 7713 266626
andy.wilkins@vision4health.org
Health Beyond the Fog Report v1.0: Summary Report, Full Report
Web: www.vision4health.org Blog: https://medium.com/healthbeyondthefog
Twitter: @andywilkins @healthbeyondfog LinkedIn: www.linkedin.com/in/andywilkins/
Podcasts: What healthcare future do we want?, 6 Mega Trends in health, Long Term Future of General Practice Part 1, Part 2
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