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The	
  World	
  in	
  2020:   	
  
         Drivers	
  of	
  Change	
  for	
  Healthcare	
  
                                                     	
  
                                                                         	
  
Dr	
  Tim	
  Jones	
  –	
  Programme	
  Director	
  –	
  31	
  May	
  2012
Context	
                                                                                    Looking	
  Forward	
  




              Organisa4ons	
  planning	
  for	
  the	
  future	
  seek	
  both	
          	
  
          Inside-­‐Out	
  and	
  Outside-­‐In	
  views	
  to	
  gain	
  a	
  rich,	
  credible	
  
         perspec4ve	
  of	
  what	
  will	
  and	
  what	
  could	
  possibly	
  happen            	
  
The	
  Future	
  Agenda	
  is	
  the	
  world’s	
  largest	
  open	
  foresight	
  
programme	
  that	
  ran	
  throughout	
  2010	
  and	
  engaged	
  expert	
  input	
  
   from	
  over	
  1500	
  organisa4ons	
  to	
  gain	
  a	
  unique	
  global	
  view   	
  
Context	
                                                                                     Core	
  Insights
                                                                                                             	
  




       From	
  this	
  first	
  Future	
  Agenda	
  programme,	
  we	
  highlighted	
             	
  
           52	
  core	
  insights	
  which	
  give	
  us	
  a	
  view	
  on	
  emerging	
  
                                                                                       	
  
          drivers	
  of	
  change	
  to	
  challenge	
  exis4ng	
  perspec4ves	
            	
  
Imbalanced	
  Popula4on	
  Growth	
                                                          Certain4es
                                                                                                      	
  




        By	
  2020	
  we	
  will	
  add	
  another	
  750m	
  people	
  to	
  the	
  planet,	
  
                                                                                             	
  
               most	
  in	
  places	
  least	
  able	
  to	
  accommodate	
  them       	
  
Key	
  Resource	
  Constraints	
                                                         Certain4es
                                                                                                  	
  
                                                                                                  	
  




   We	
  will	
  see	
  economic,	
  physical	
  and	
  poli4cal	
  shortages	
  of	
  key	
  
   materials	
  that	
  will	
  result	
  in	
  major	
  changes	
  in	
  our	
  perspec4ves	
  
Asian	
  Wealth	
  ShiX	
                                                                  Certain4es
                                                                                                    	
  




    The	
  centre	
  of	
  gravity	
  of	
  global	
  wealth	
  accelerates	
  back	
  to	
  the	
  
           East	
  with	
  decreased	
  influence	
  for	
  the	
  US	
  and	
  Europe   	
  
Ubiquitous	
  Data	
  Access	
                                                              Certain4es
                                                                                                     	
  




          We	
  will	
  be	
  connected	
  everywhere	
  -­‐	
  everything	
  that	
  can	
  
                                                                                           	
  
             benefit	
  from	
  a	
  network	
  connec4on	
  will	
  have	
  one       	
  
Implica?ons	
  for	
  the	
  Future	
  of	
  Healthcare?	
  
Challenges	
  and	
  Internal	
  Solu4ons
                                                                                                              	
  




Around	
  the	
  world	
  there	
  is	
  evident	
  agreement	
  on	
  some	
  of	
  the	
  core	
  
challenges	
  for	
  healthcare	
  as	
  well	
  as	
  many	
  sugges4ons	
  of	
  how	
  to	
  
      improve	
  the	
  efficiency	
  and	
  effec4veness	
  of	
  its	
  delivery        	
  
Challenges	
  and	
  Internal	
  Solu4ons
                                                                                                               	
  




                                            •    Technology	
  to	
  cure	
  chronic	
  disease	
  
                                            •    Single	
  healthcare	
  systems	
  
                                            •    Preventa6ve	
  medicine	
  has	
  precedence	
  
                                            •    Focus	
  on	
  the	
  vulnerable	
  
                                            •    Focus	
  on	
  the	
  individual	
  
                                            •    Priva6ze	
  everything	
  
                                            •    Remote	
  support	
  
                                            •    Public	
  healthcare	
  priority	
  
                                            •    Decouple	
  spend	
  from	
  GDP	
  growth	
  	
  




   On	
  both	
  sides	
  of	
  the	
  Atlan4c,	
  health	
  experts	
  and	
  	
  
commentators	
  alike	
  have	
  been	
  busy	
  iden4fying	
  lists	
  of	
         	
  
similar	
  op4ons	
  for	
  the	
  future	
  of	
  healthcare	
  in	
  the	
  West  	
  
Catalysts	
  for	
  Change	
  


                               New	
  Technologies	
  
                                             +	
  
                              New	
  Business	
  Models	
  
                                             +	
  
                           Different	
  Payment	
  Systems	
  
                                             	
  
                                             +	
  
                                             	
  
                            Change	
  of	
  Societal	
  Values	
  
                                             +	
  
                                 Poli?cal	
  Will	
  


Most	
  see	
  some	
  common	
  catalysts	
  for	
  change	
  that	
  will	
  improve	
  
healthcare…	
  But	
  many	
  are	
  choosing	
  to	
  ignore	
  two	
  issues	
  that	
  
          could	
  be	
  the	
  most	
  significant	
  for	
  las4ng	
  impact  	
  
#1:	
  The	
  End	
  of	
  Chimerica	
  
                   	
  
                   #2:	
  Compe?ng	
  for	
  Cash	
  (in	
  the	
  West)	
  
                   	
  
                   #3:	
  Affordable	
  Ageing	
  
                   	
  
                   #4:	
  Personaliza?on	
  Premium	
  




From	
  Outside	
  there	
  seems	
  to	
  be	
  Four	
  Key	
  Future	
  Challenges
                                                                                   	
  
#1:	
  The	
  End	
  of	
  Chimerica	
  




Four	
  Future	
  Challenges
                           	
  
Developing	
  World	
  Urbanisa4on	
                                                         Locality	
  




       By	
  2015,	
  32	
  people	
  an	
  hour	
  will	
  be	
  moving	
  into	
  Shanghai,
                                                                                            	
  
 	
  39	
  into	
  Kinshasa	
  and	
  Jakarta,	
  42	
  into	
  Mumbai	
  and	
  Karachi,	
  50	
  
                             into	
  Dhaka	
  and	
  58	
  into	
  Lagos.	
  	
  
New	
  Middle	
  Class
                                                                                                     	
  
                                                                                                     	
  




By	
  2020	
  1bn	
  extra	
  consumers	
  will	
  enter	
  the	
  middle	
  class	
  	
  
 with	
  increasing	
  spending	
  power	
  in	
  some	
  key	
  countries       	
  
Asian	
  Wealth	
  ShiX	
                                                                     Certain4es
                                                                                                       	
  




       Year at which GDP of China and India pass those of other countries
       Goldman Sachs 2004




          The	
  regaining	
  of	
  global	
  leadership	
  by	
  China	
  and	
  India	
  is	
  
           happening	
  far	
  faster	
  than	
  many	
  have	
  been	
  predic4ng         	
  
Third	
  Global	
  Currency	
                                                                     Wealth	
  




        The	
  economic	
  rise	
  of	
  Asia	
  and	
  the	
  need	
  for	
  an	
  alterna4ve	
  
                                                                                               	
  
        to	
  the	
  US	
  dollar	
  as	
  the	
  world’s	
  reserve	
  currency	
  produces	
  
                                                                                              	
  
                     a	
  parallel	
  broad-­‐basket	
  Asian	
  Currency	
  Unit       	
  
Value	
  Focus	
                                                                                        China	
  2011	
  Net	
  Worth	
  
                                                                                                                                        	
  

                             Average	
  Fortune	
  per	
  capita	
  

                                            $100,000                              2.3%	
  Popula6on              	
  30m         	
  
                                            	
                                                  	
  	
  

                                                                                  37.0%	
  Popula6on             	
  499m        	
  
                                                                                               	
  	
  

                                            $10,000
                                            	
  


                                                                                  54.9%	
  Popula6on             	
  740m        	
  
                                                                                               	
  	
  



                                            $1000
                                                                                  5.8%	
  Popula6on              	
  31m         	
  
                                            	
  
                                                                                                	
  	
  

Credit	
  Suisse	
  -­‐	
  Global	
  Wealth	
  Report	
  2011	
  




                But	
  to	
  be	
  effec4ve	
  and	
  affordable	
  healthcare	
  for	
  the	
  next	
         	
  
                billion	
  has	
  to	
  be	
  delivered	
  at	
  less	
  than	
  10%	
  of	
  current	
  costs  	
  
#1:	
  The	
  End	
  of	
  Chimerica	
  
Asia	
  not	
  America	
  will	
  set	
  the	
  standards	
  




           Four	
  Future	
  Challenges
                                      	
  
#2:	
  Compe?ng	
  for	
  Cash	
  (in	
  the	
  West)	
  




         Four	
  Future	
  Challenges
                                    	
  
Total	
  US	
  Government	
  Spending	
  2011	
  ($bn)	
  

                                                                                         Pensions	
  
                                   	
  $339	
  	
                                        Healthcare	
  
                      	
  $552	
  	
                  	
  $995	
  	
  
                                                                                         Educa6on	
  
              	
  $140	
  	
  
         	
  $278	
  	
                                                                  Defense	
  
       	
  $324	
  	
                                                                    Welfare	
  
                                                                    	
  $1,097	
  	
  
                                                                                         Protec6on	
  
          	
  $753	
  	
                                                                 Transporta6on	
  

                                                         	
  $892	
  	
                  Govt	
  
                                 	
  $904	
  	
  
                                                                                         Other	
  
                                                                                         Interest	
  



      Current	
  US	
  Government	
  spending	
  is	
  under	
  	
  
        increased	
  pressure	
  and	
  looking	
  forward	
  
                                                           	
  
all	
  departments	
  are	
  compe4ng	
  for	
  a	
  smaller	
  pie	
  
                                                                     	
  
Drone	
  Wars	
                                                                                    Security	
  




               Intelligent	
  UAVs	
  choose	
  their	
  vic4ms	
  themselves	
        	
  
             as	
  the	
  race	
  for	
  more	
  efficient	
  military	
  influence	
  leads	
  
                                                                                            	
  
                      to	
  the	
  prolifera4on	
  of	
  assassina4on	
  tools  	
  
Solar	
  Sunrise	
                                                                                   Security	
  




                  Increasing	
  governmental	
  focus	
  on	
  energy	
  security	
           	
  
                     and	
  climate	
  change	
  drives	
  the	
  investment	
  in	
  
                                                                                     	
  
                   large-­‐scale	
  solar	
  as	
  the	
  leading	
  renewable	
  supply  	
  
Diabesity	
                                                                                          Health	
  




                With	
  diabetes	
  consuming	
  up	
  to	
  5%	
  of	
  global	
  GDP,	
  	
  
                stabilising	
  the	
  obesity	
  epidemic	
  will	
  be	
  the	
  primary     	
  
                   focus	
  for	
  many	
  na4ons’	
  healthcare	
  priori4es         	
  
Mass	
  Medical	
  Tourism	
                                                                      Health	
  




           Medical	
  tourism	
  goes	
  main-­‐stream	
  as	
  low-­‐cost	
  cardiac	
    	
  
              surgery	
  and	
  broader	
  healthcare	
  provision	
  join	
     	
  
           den4stry	
  and	
  cosme4c	
  surgery	
  to	
  have	
  global	
  impact    	
  
#2:	
  Compe?ng	
  for	
  Cash	
  (in	
  the	
  West)	
  
Healthcare	
  funding	
  falls	
  below	
  GDP	
  Growth	
  




             Four	
  Future	
  Challenges
                                        	
  
#3:	
  Affordable	
  Ageing	
  




Four	
  Future	
  Challenges
                           	
  
Ac4ve	
  Elderly	
                                                                      Happiness
                                                                                                	
  




        A	
  wealthier,	
  healthier,	
  older	
  genera4on	
  increasingly	
           	
  
     engage	
  in	
  more	
  ac4ve	
  lives,	
  having	
  extended	
  careers	
  but	
  EU	
  
         dependency	
  ra4os	
  demand	
  doubling	
  of	
  produc4vity            	
  
China’s	
  Demographic	
                                                                                   Happiness
                                                                                                                   	
  




                        India	
  believes	
  that	
  within	
  30	
  years	
  it	
  will	
  gain	
  
             	
  a	
  ‘demographic	
  dividend’	
  over	
  China	
  as	
  the	
  one-­‐child         	
  
         	
  policy	
  impacts	
  the	
  economic	
  balance	
  of	
  Chinese	
  society                  	
  
Automated	
  People	
  Care	
                                                                                 Health	
  




    Robo4c	
  assisted	
  care	
  and	
  remote	
  monitoring	
  provide	
  viable	
  
    support	
  for	
  the	
  sick	
  and	
  elderly	
  so	
  that	
  people	
  can	
  stay	
  home            	
  
     	
  for	
  longer	
  -­‐	
  as	
  long	
  as	
  we	
  can	
  work	
  out	
  the	
  business	
  model.
                                                                                                         	
  
Systemic	
  Euthanasia	
  	
                                                                   Health	
  
	
  
	
  




                The	
  escala4ng	
  cost	
  of	
  suppor4ng	
  the	
  aged	
  beyond	
  	
  
                 natural	
  lifecycles	
  may	
  lead	
  to	
  wider	
  acceptance	
  
                                                                                   	
  
                           of	
  assisted	
  suicide	
  in	
  many	
  regions
                                                                            	
  
#3:	
  Affordable	
  Ageing	
  
  Healthcare	
  for	
  the	
  young	
  will	
  be	
  
priori?sed	
  over	
  sick-­‐care	
  for	
  the	
  old	
  




         Four	
  Future	
  Challenges
                                    	
  
#4:	
  Personaliza?on	
  Premium	
  




 Four	
  Future	
  Challenges
                            	
  
Pharma	
  Foods	
  	
                                                                            Health	
  
	
  




                      More	
  customised	
  foods,	
  blur	
  the	
  line	
  between	
  
                                                                                       	
  
                      pharmaceu4cals	
  and	
  food	
  as	
  neutragenomics	
         	
  
                      allow	
  individualised	
  diets	
  to	
  fit	
  gene4c	
  profiles	
  
                                                                                          	
  
Func4onal	
  Foods	
  	
                                                                           Health	
  
	
  




           The	
  enthusiasm	
  in	
  many	
  quarters	
  for	
  consumer	
  focused	
      	
  
                   func4onal	
  foods	
  will	
  soon	
  come	
  head-­‐to-­‐head	
  
                                                                                  	
  
             with	
  the	
  margin	
  reality	
  for	
  more	
  efficient	
  retailers   	
  
Mass	
  Personaliza4on	
                                                                           Happiness
                                                                                                           	
  
	
  




                To	
  date	
  only	
  one	
  food	
  company	
  has	
  had	
  a	
  major	
  	
  
                 business	
  success	
  from	
  premium	
  personaliza4on              	
  
#4:	
  Personaliza?on	
  Premium	
  	
  
Consumers	
  only	
  pay	
  a	
  marginal	
  premium	
  for	
  
 personaliza?on	
  no	
  ma`er	
  how	
  beneficial	
  	
  




              Four	
  Future	
  Challenges
                                         	
  
“The	
  next	
  decade	
  is	
  not	
  likely	
  to	
  be	
  the	
  4me	
  for	
  
change,	
  but	
  instead	
  a	
  4me	
  that	
  ‘stressors’	
  on	
  the	
  
healthcare	
  system	
  become	
  progressively	
  evident.”

§ 	
  	
  	
  	
  The	
  issues	
  are	
  all	
  known	
  if	
  not	
  openly	
  shared	
  
§ 	
  	
  	
  	
  Affordable	
  healthcare	
  NOT	
  Sickcare	
  is	
  the	
  priority	
  
§ 	
  	
  	
  	
  Support	
  outside	
  of	
  hospital	
  is	
  pivotal	
  
§ 	
  	
  	
  	
  Preven?on	
  needs	
  proven	
  business	
  case	
  
§ 	
  	
  	
  	
  Many	
  systems	
  need	
  a	
  fundamental	
  rethink	
  

                         Implica?ons	
  Summary	
  
The	
  world’s	
  leading	
  open	
  foresight	
  program	
  




To discuss this further please contact:

Dr Tim Jones
Programme Director
Future Agenda
84 Brook Street
London
W1K 5EH

+44 203 0088 141
+44 780 1755 054

tim.jones@futureagenda.org
futureagenda.org

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Drivers of change for healthcare - 31 May 2012

  • 1. The  World  in  2020:   Drivers  of  Change  for  Healthcare       Dr  Tim  Jones  –  Programme  Director  –  31  May  2012
  • 2. Context   Looking  Forward   Organisa4ons  planning  for  the  future  seek  both     Inside-­‐Out  and  Outside-­‐In  views  to  gain  a  rich,  credible   perspec4ve  of  what  will  and  what  could  possibly  happen  
  • 3. The  Future  Agenda  is  the  world’s  largest  open  foresight   programme  that  ran  throughout  2010  and  engaged  expert  input   from  over  1500  organisa4ons  to  gain  a  unique  global  view  
  • 4. Context   Core  Insights   From  this  first  Future  Agenda  programme,  we  highlighted     52  core  insights  which  give  us  a  view  on  emerging     drivers  of  change  to  challenge  exis4ng  perspec4ves    
  • 5. Imbalanced  Popula4on  Growth   Certain4es   By  2020  we  will  add  another  750m  people  to  the  planet,     most  in  places  least  able  to  accommodate  them  
  • 6. Key  Resource  Constraints   Certain4es     We  will  see  economic,  physical  and  poli4cal  shortages  of  key   materials  that  will  result  in  major  changes  in  our  perspec4ves  
  • 7. Asian  Wealth  ShiX   Certain4es   The  centre  of  gravity  of  global  wealth  accelerates  back  to  the   East  with  decreased  influence  for  the  US  and  Europe  
  • 8. Ubiquitous  Data  Access   Certain4es   We  will  be  connected  everywhere  -­‐  everything  that  can     benefit  from  a  network  connec4on  will  have  one  
  • 9. Implica?ons  for  the  Future  of  Healthcare?  
  • 10. Challenges  and  Internal  Solu4ons   Around  the  world  there  is  evident  agreement  on  some  of  the  core   challenges  for  healthcare  as  well  as  many  sugges4ons  of  how  to   improve  the  efficiency  and  effec4veness  of  its  delivery  
  • 11. Challenges  and  Internal  Solu4ons   •  Technology  to  cure  chronic  disease   •  Single  healthcare  systems   •  Preventa6ve  medicine  has  precedence   •  Focus  on  the  vulnerable   •  Focus  on  the  individual   •  Priva6ze  everything   •  Remote  support   •  Public  healthcare  priority   •  Decouple  spend  from  GDP  growth     On  both  sides  of  the  Atlan4c,  health  experts  and     commentators  alike  have  been  busy  iden4fying  lists  of     similar  op4ons  for  the  future  of  healthcare  in  the  West  
  • 12. Catalysts  for  Change   New  Technologies   +   New  Business  Models   +   Different  Payment  Systems     +     Change  of  Societal  Values   +   Poli?cal  Will   Most  see  some  common  catalysts  for  change  that  will  improve   healthcare…  But  many  are  choosing  to  ignore  two  issues  that   could  be  the  most  significant  for  las4ng  impact  
  • 13. #1:  The  End  of  Chimerica     #2:  Compe?ng  for  Cash  (in  the  West)     #3:  Affordable  Ageing     #4:  Personaliza?on  Premium   From  Outside  there  seems  to  be  Four  Key  Future  Challenges  
  • 14. #1:  The  End  of  Chimerica   Four  Future  Challenges  
  • 15. Developing  World  Urbanisa4on   Locality   By  2015,  32  people  an  hour  will  be  moving  into  Shanghai,    39  into  Kinshasa  and  Jakarta,  42  into  Mumbai  and  Karachi,  50   into  Dhaka  and  58  into  Lagos.    
  • 16. New  Middle  Class     By  2020  1bn  extra  consumers  will  enter  the  middle  class     with  increasing  spending  power  in  some  key  countries  
  • 17. Asian  Wealth  ShiX   Certain4es   Year at which GDP of China and India pass those of other countries Goldman Sachs 2004 The  regaining  of  global  leadership  by  China  and  India  is   happening  far  faster  than  many  have  been  predic4ng  
  • 18. Third  Global  Currency   Wealth   The  economic  rise  of  Asia  and  the  need  for  an  alterna4ve     to  the  US  dollar  as  the  world’s  reserve  currency  produces     a  parallel  broad-­‐basket  Asian  Currency  Unit  
  • 19. Value  Focus   China  2011  Net  Worth     Average  Fortune  per  capita   $100,000 2.3%  Popula6on  30m         37.0%  Popula6on  499m       $10,000   54.9%  Popula6on  740m       $1000 5.8%  Popula6on  31m         Credit  Suisse  -­‐  Global  Wealth  Report  2011   But  to  be  effec4ve  and  affordable  healthcare  for  the  next     billion  has  to  be  delivered  at  less  than  10%  of  current  costs  
  • 20. #1:  The  End  of  Chimerica   Asia  not  America  will  set  the  standards   Four  Future  Challenges  
  • 21. #2:  Compe?ng  for  Cash  (in  the  West)   Four  Future  Challenges  
  • 22. Total  US  Government  Spending  2011  ($bn)   Pensions    $339     Healthcare    $552      $995     Educa6on    $140      $278     Defense    $324     Welfare    $1,097     Protec6on    $753     Transporta6on    $892     Govt    $904     Other   Interest   Current  US  Government  spending  is  under     increased  pressure  and  looking  forward     all  departments  are  compe4ng  for  a  smaller  pie    
  • 23. Drone  Wars   Security   Intelligent  UAVs  choose  their  vic4ms  themselves     as  the  race  for  more  efficient  military  influence  leads     to  the  prolifera4on  of  assassina4on  tools  
  • 24. Solar  Sunrise   Security   Increasing  governmental  focus  on  energy  security     and  climate  change  drives  the  investment  in     large-­‐scale  solar  as  the  leading  renewable  supply  
  • 25. Diabesity   Health   With  diabetes  consuming  up  to  5%  of  global  GDP,     stabilising  the  obesity  epidemic  will  be  the  primary   focus  for  many  na4ons’  healthcare  priori4es  
  • 26. Mass  Medical  Tourism   Health   Medical  tourism  goes  main-­‐stream  as  low-­‐cost  cardiac     surgery  and  broader  healthcare  provision  join     den4stry  and  cosme4c  surgery  to  have  global  impact  
  • 27. #2:  Compe?ng  for  Cash  (in  the  West)   Healthcare  funding  falls  below  GDP  Growth   Four  Future  Challenges  
  • 28. #3:  Affordable  Ageing   Four  Future  Challenges  
  • 29. Ac4ve  Elderly   Happiness   A  wealthier,  healthier,  older  genera4on  increasingly     engage  in  more  ac4ve  lives,  having  extended  careers  but  EU   dependency  ra4os  demand  doubling  of  produc4vity  
  • 30. China’s  Demographic   Happiness   India  believes  that  within  30  years  it  will  gain    a  ‘demographic  dividend’  over  China  as  the  one-­‐child    policy  impacts  the  economic  balance  of  Chinese  society  
  • 31. Automated  People  Care   Health   Robo4c  assisted  care  and  remote  monitoring  provide  viable   support  for  the  sick  and  elderly  so  that  people  can  stay  home    for  longer  -­‐  as  long  as  we  can  work  out  the  business  model.  
  • 32. Systemic  Euthanasia     Health       The  escala4ng  cost  of  suppor4ng  the  aged  beyond     natural  lifecycles  may  lead  to  wider  acceptance     of  assisted  suicide  in  many  regions  
  • 33. #3:  Affordable  Ageing   Healthcare  for  the  young  will  be   priori?sed  over  sick-­‐care  for  the  old   Four  Future  Challenges  
  • 34. #4:  Personaliza?on  Premium   Four  Future  Challenges  
  • 35. Pharma  Foods     Health     More  customised  foods,  blur  the  line  between     pharmaceu4cals  and  food  as  neutragenomics     allow  individualised  diets  to  fit  gene4c  profiles    
  • 36. Func4onal  Foods     Health     The  enthusiasm  in  many  quarters  for  consumer  focused     func4onal  foods  will  soon  come  head-­‐to-­‐head     with  the  margin  reality  for  more  efficient  retailers  
  • 37. Mass  Personaliza4on   Happiness     To  date  only  one  food  company  has  had  a  major     business  success  from  premium  personaliza4on  
  • 38. #4:  Personaliza?on  Premium     Consumers  only  pay  a  marginal  premium  for   personaliza?on  no  ma`er  how  beneficial     Four  Future  Challenges  
  • 39. “The  next  decade  is  not  likely  to  be  the  4me  for   change,  but  instead  a  4me  that  ‘stressors’  on  the   healthcare  system  become  progressively  evident.” §         The  issues  are  all  known  if  not  openly  shared   §         Affordable  healthcare  NOT  Sickcare  is  the  priority   §         Support  outside  of  hospital  is  pivotal   §         Preven?on  needs  proven  business  case   §         Many  systems  need  a  fundamental  rethink   Implica?ons  Summary  
  • 40. The  world’s  leading  open  foresight  program   To discuss this further please contact: Dr Tim Jones Programme Director Future Agenda 84 Brook Street London W1K 5EH +44 203 0088 141 +44 780 1755 054 tim.jones@futureagenda.org futureagenda.org