Converting Agreements into Action: Sweden-India Year of Health

Swecare had the privilege of welcoming a delegation from India organised by our longtime partner InnovatioCuris.

Region Uppsala

Highlights included a highly engaging round table discussion with key Swedish innovators at the incomparable H2 Health Hub in Stockholm and a seminar at Vitalis in Gothenburg.

Aula Medica - KI

The delegation visited Karolinska Institute and Hospital in Solna, Uppsala Region and University, Surgical Science, Sahlgrenska, AstraZeneca's BioVentureHub, and GoCo Health Innovation City during their 4-day trip.

The focus of the delegation was to explore concrete collaboration opportunities between innovators in our two countries - taking the Innovation Partnership signed by Modi and Löfven last year to the next level.











Delegates

VR at Surgical Science

• Dr Sandeep Bhalla, Director of Training, Public Health Foundation of India (PHFI): leading the capacity building initiatives for Primary care physicians in chronic disease management and injuries .
• Deepali Jetley, Qwazent: Managing Partner from an all-female executive search firm with health care focus.
• Kingshuk Poddar, AIC-AMTZ Medivalley Incubation Council: a comprehensive entrepreneur incubation hub catering to convergence technologies in the field of Medtech, Nutratech and Biotech.
• Rohini Pimple, Research and Innovation Circle of Hyderabad (RICH): an initiative conceived to unlock the national treasure created by the top scientific research institutions in Telangana State, and to actively facilitate the process of taking their research to market.
• Rajesh R. Singh, Wadhwani Initiative for Sustainable Healthcare (WISH) Foundation: improving the quality of and access to primary healthcare for under-served communities in India by appropriately introducing promising healthcare innovations in the public health system.
• Sachin Gaur, InnovatioCuris: expert in cyber security and frugal innovations in health care.
• Dr VK Singh, InnovatioCuris: veteran doctor with a decades long career in the Indian military and extensive network in India.

If you were unable to join us during last week's activities and are interested in pursuing any of these contacts, please get in touch. Further information: InnoBRIDGE 2019.

Upcoming projects & activities (email Swecare if interested):

Linda Swirtun, Vinnova

• New Initiative - building a much broader and stronger platform in infection control, where as many Swedish institutions and companies as possible are engaged, establishing a Vision Zero for hospital acquired infections, similar to what has been done for road traffic accidents in Sweden and now exported to India.
• Strengthening Collaboration - reducing environmental risks from antibiotic production & sustainable solutions through building alliances. On the issue, Stockholm International Water Institute (SIWI) suggests a multi stakeholder call for action.
• Vinnova Call - company-driven research and innovation projects (Smart Cities & Clean Energy, Digitisation & IoT). Deadline 15 August - more information.
• Incoming visit - Director of AIIMS Jodhpur 12-14 June.

Seminar at Vitalis 2019

Sweden India Year of Health 2019

Photo credit: AIIMS Jodhpur

As a kick-off to the Sweden India Year of Health 2019, Swecare was privileged to organize H.E. Lena Hallengren's first trip in her new role as Swedish Minister for Health and Social Affairs. It is a testament to the incredible commitment by both the Indian and Swedish Health Ministries to our ten-year collaboration that we managed to pack in such a high-level, well-rounded delegation in the short timespan between the conclusion of the lengthy Swedish election cycle and the start of the Indian one.

The program for the 35-strong delegation began with an internal round table for all life science companies on Friday, 22 May, morning. Given that the increased number of Swedish new companies entering the Indian market, this was an opportunity for established ones to share their experiences and for the agencies to learn about market-entry challenges. The session began with a presentation by Public Health Foundation of India (PHFI) Directors Dr. Mavalankar and Dr. Bhalla on the Indian health care sector, the impact of recent reforms, and their work.

Minister Hallengren presided over the India-Sweden Business Leaders' Round Table (ISBLRT) in a parallel session in the morning.

Photo credit: Confederation of Indian Industries (CII)

The two groups then got together to hold a Health Dialogue: Conference of the Sustainable Development Goals – Impact Driven Partnerships Beyond Traditional Silos in the afternoon. The session was opened by Health Secretary Preeti Sudan along with Professor Bhargava, Director-General at the Indian Council of Medical Research (ICMR). The lively discussions covered topics ranging from procurement ("the Taj Mahal would never have been built with today's tender practices" - Dr. Advani) to innovation ("we cannot innovate for innovation's sake" - Vlachos). EMPE Diagnostics and AstraZeneca launched new initiatives in India with the blessing from both Ministries of Health.

Photo credit: Business Sweden India

Photo credit: Swecare

All India Institute for Medical Sciences (AIIMS) Jodhpur were our gracious hosts over a weekend which included open and earnest discussions over collaboration opportunities, a beautiful dinner at the foot of Jodhpur's fort, and a visit to health centers for some of the group.

Topics discussed:

• Public health & infection control
• Innovation
• Skills, Competency development & Research
• HMIS, Data, Analytics & e-Health

We have follow-up meetings already planned and will keep you updated as we narrow our scope in order to focus on where Sweden can generate the most impact.

The trip ended with a bilateral meeting between Ministers Hallengren and Nadda on Monday morning. We hope to have an incoming visit from the Indian Minister later this year.

Photo credit: Embassy of Sweden in New Delhi

Thank you to all our partners in this endeavour: Ministry of Health and Social Affairs, Embassy of Sweden in New Delhi, Business Sweden India, Swedish Chamber of Commerce in India.

Special mention: Mumbai Consulate, Sweden India Business Council, Tasting India.

Our Indian counterparts: Indian Ministry of Health and Family Welfare, AIIMS Jodhpur, CDSCO, ICMR, Indian Embassy in Sweden, Public Health Foundation of India.

2019: Planning for the Year Ahead

Sweden & India - Partners in Health

A commitment has now been made by both the Swedish Socialdepartementet and the Indian Ministry of Health and Family Welfare to make 2019 the Year of Health - #SwedenIndiaHealth2019. As we plan for the year ahead, we welcome your input as your engagement is crucial to this partnership. The focus will be on aligning Swedish Triple Helix life science actors in delivering a structured solution to common challenges in India. Concrete deliverables along the care continuum is the ultimate objective of this collaboration. Once this proof of concept yields results - increased efficiency, decreased costs, healthier community - the Indian government has expressed interest in scaling the concept to other parts of the country. The Indian Ministry suggests Jodhpur, and its new All India Institute of Medical Sciences (AIIMS), as the test bed for this collaboration.

This, of course, does not preclude collaborations in other parts of India and many of our partners and members have ongoing projects throughout the country. We foresee increased activities with AIIMS New Delhi, Apollo Hospitals, Public Health Foundation of India, MaxCure Group, India Institute of Technology in Delhi, Mumbai, Bengaluru, Hyderabad, Kolkata, and Chennai, to name a few. But these will all be conducted with a view to ensure that Swedish stakeholders, despite having distinct objectives, will be moving in the same direction. Partnerships between Swedish actors is encouraged so that the momentum we have generated results in concrete (measurable) outputs.

Proposed timeline for 10-year celebrations in 2019

• January - pre-feasibility study in Jodhpur to determine scope

• 24-28 February - Swedish Ministerial visit to Delhi (and Jodhpur) in conjunction with the Global Digital Health Partnership 

• April/May - heads of Indian hospitals will be invited to Sweden for a study visit and workshop

• 21-23 May - Vitalis 2019 session to focus on AI & Innovation with an incoming health tech delegation which will visit incubators and hubs in Stockholm and Gothenburg

• September - agency and private sector workshop in India

• October/November - Indian Ministerial or Health Secretary visit to Stockholm along with the 11th Joint Working Group meeting

Other dates to keep in mind

• 5 December - 2nd Private Sector Steering Committee Meeting

• 25-27 February - BioAsia 2019 in Hyderabad

• April/May - Indian elections

• 11-12 October - InnoHEALTH 2019 in New Delhi

• The Swedish India Business Council will also be organising tech delegations so please keep an eye on their website

Calls out

• Big data and Artificial Intelligence for monitoring health status and quality of life after the cancer treatment

• 9th Call - JPIAMR Call on Diagnostics and Surveillance 2019

• Affordable & Accessible Health Care through Early Screening and Efficient Management

Focus areas

• Digital Health - non-communicable diseases, elderly care, AI, Health Tech

• Anti-Microbial Resistance - infection control, knowledge transfer, nurse training, medtech

May I please request that if you have upcoming activities, you contact us so that we can provide the necessary support both in Sweden and in India? We will be coordinating closely with the Indian Embassy in Stockholm and the Swedish Embassy in New Delhi and one of the proposed ideas is to create a quarterly newsletter highlighting events within the life science sector between our two countries which could also act as a status report so do write to us!

#ICYMI: Be sure not to miss out next time

Incredible India. Thirteen Swedish health care representative traveled to India last week - in addition to the 17-person tech delegation arranged by SIBC to Bangalore, so Swedish presence was particularly high on the sub-continent - in order to begin preparations for increased collaborations during our Jubilee year 2019. With three separate tracks focused on regional collaborations, partnerships in order to achieve the Sustainable Development Goals, and private sector opportunities, the agenda for these Mini Delegations was incredibly packed.

The delegation trip itself would not have come about without the close collaboration between Swecare Foundation, Socialdepartementet, and the Embassy of Sweden in New Delhi as well as InnovatioCuris. The visibility and credibility of the delegation increase significantly when we work towards a common goal while planning these visits.

Program Overview - Track 1

The Swecare trip started with InnoHealth2018, organized by our Central Baltic Health Access partners InnovatioCuris and led by Target Market Coach, Sachin Gaur. The Swedish Ambassador to India, the inimitable Klas Molin, opened the two-day conference in Gurugram with a passionate plea to delegates to innovate together, across borders, towards a common goal. The conference's strength in fact lies attracting those who are willing to put in the time, resources, and skills to do exactly that and the B2B sessions are unparalleled in their focus on action points. Special attention was given to affordable and simple solutions, especially with regards to management of chronic disease.


The following week included study visits to Indraprastha Apollo Hospital, All India Institute of Medical Sciences (AIIMS) New Delhi, and Max Hospital Saket where the delegation had the honor of touring radiology, oncology, and infection control units at the leading hospitals in the country. The warm welcome we received touched the delegation and we hope to return the favor when these counterparts visit Sweden.


We also had very high-level access to two leading diagnostic brands in Delhi.
Dr Lal's National Reference Laboratory has arguably the most extensive network across India and we got to visit their state-of-the-art flagship center in Rohini. Dr Lal himself received our small delegation. This was followed up by a visit to the more specialized Mahajan Imaging where we had an intimate dialogue about premium Indian market, AI, and quality assurance.

After constructive discussions with a large team at the Public Health Foundation of India (PHFI) cutting across a vast range of subjects from nursing to eHealth, we ended the day with a roundtable among Swedish life science companies in India, hosted by the Swedish Chamber and Business Sweden, and a reception at the Ambassador's Residence. 

Program Overview - Track 2

Socialdepartments trip started with WHO's 2nd World Conference on Access to Medical Products - Achieving the SDGs 2030, where we met the leadership at the Indian Ministry of Health and Family Welfare during the inauguration. Niclas Jacobson, Socialdepartementet, spoke on Sweden's commitment to these issues and Pavan Aslapuram, EMPE Diagnostics, presented the case for Swedish colloborative structures.

The first day ended with a Team Sweden dinner hosted by our Ministry, where we got a chance to realign our objectives for the week and the year ahead.

Representatives from Socialdepartementet, Embassy of Sweden - Economic Affairs, Swecare, eHälsomyndigheten, Business Sweden, and Forte traveled to Jodhpur on the second day, along with Joint Secretary Sunil Sharma, to conduct a site visit to the AIIMS Jodhpur. The group were treated to dinner by the Indian Ministry at the foot of the Jodhpur Fort. A visit was also made to two Health and Wellness Centers which Sweden plans to 'adopt' in order to test, and eventually showcase, Swedish solutions in the Indian context. We were very happy to see Elekta, Sectra, and Hemocue products already in use in Jodhpur.

The delegation returned to Delhi to join the others at the Roundtable and Reception at the Embassy. And with this renewed energy and commitment, we entered into what was to be one of the most productive Joint Working Group meeting in this MoU's history on the morning of the last day.

Program Overview - Track 3

Representatives from Läkemedelverket and Folkhälsomyndigheten stayed back in Delhi in order to present at the WHO conference and meet with CDSCO and Safdarjung Hospital respectively. They rejoined the larger group for the Roundtable, Reception, and JWG meeting. The entire trip was rounded off by a Team Sweden meeting at the Embassy in order to debrief and delegate immediate action points.

Most common issues raised

• Nurse Training
• Doctor Exchange
• Clinical Decision Support (AI)
• Early Screening
• Elderly Care
• AMR / Environmental Impact

Participants

Much of the reason for the success of this delegation trip rests with the participants - a dedicated set of smart, funny, and flexible individuals. Thank you for coming!

• Karolinska University Hospital
• Getinge
• Aleris
• DocOnline
• eHealth Agency
• Public Health Agency
• Medical Products Agency
• FORTE
• Socialdepartmentet
• Swecare Foundation

Special Mention

• Embassy of India in Sweden
• EMPE Diagnostics
• Gothenburg Business Region
• AstraZeneca
• Sweden-India Business Council
• Swedish Chamber of Commerce in India (SCCI)
• Business Sweden
• Vinnova

For those interested in India - come check-out India-Sweden Business Day

Triple helix-tänk i Tysk-Svenskt rundabordssamtal om Digitaliseringsstrategier

Initiativet att träffas kom från Charité universitetssjukhus i Berlin och Karolinska Institutet, KI samt Karolinska Universitetssjukhuset, KS. Dessa välkända och anrika institutioner har hittills erhållit 11 respektive 4 nobelpris i fysiologi eller medicin, och delar en liknande historia med koppling till de militära reformerna, standardiseringarna och utbildningen av fältskärarna under Fredrik den Stores tid. Temat var digitaliseringsstrategier och eftersom universitetssjukhusen inte existerar frikopplade från övriga samhället var det viktigt att i rundabordssamtalen lyfta in fler svenska och tyska partners.

Våra vänner på Business Sweden hade arrangerat programmet i Berlin, där förutom redan nämnda organisationer, representanter från svenska och tyska myndigheter och industrirepresentanter deltog. Efter ett antal presentationer om processer och initiativ på Nya Karolinska Sjukhuset, NKS och Charité hade redovisats diskuterades inom vilka områden som Sverige och Tyskland har värde av ett utbyte och vilka projekt man skulle kunna börja med.

Centrala teman för utbyte var 1) att finna ett harmoniserat regelverk som är anpassat för snabba förändringar och agilt, kontra ett som är säkert och robust utefter de behov för säkerhet vs snabbhet som behövs, 2) Att finna minimum standarder för datahantering som förenklar dataöverföring mellan universitetssjukhus och länder dvs. interoperabilitets-frågor, såsom e-recept (som e-Hälsomyndigheten arbetar med) men även hälsodata i de fall man har högspecialiserad vård på annan ort så kallade centers-of-excellens, dvs. tjänsteexport frågor och slutligen 3) hur man genom bibehållen kvalitetssäkring såsom kvalitetsregister ska kommunicera värdet faktabaserat till medborgarna, vilket särskilt är ett område som de tyska representanterna tyckte att de kunde lära av Sverige.

Därefter arrangerades seminarier på Berlins medicinhistoriska museum (på tyska) om Nobelpriset med anledning av utdelningen av medicinpriset, och kvällen avslutades med en reception på ambassadörens residens där de långa och starka relationerna mellan länderna diskuterades.

En stark grund för ökat utbyte helt enkelt som kommer följas upp med rundabordssamtal i Sverige mellan de närvarande samt med hjälp av tysk-svenska handelskammaren och tyska ambassaden i Stockholm.

Belgisk delegation till Sverige för att lära sig om äldreomsorg och demensvård

Det var ett glatt gäng av främst direktörer och chefer från äldreomsorgsboenden i Belgien som anlände till Stockholm på Måndagen 28 Augusti. Framför sig hade de ett fullpackat program för fyra dagar. Programmet började med möten på SKL och Stockholms stadsmission på måndagen och på tisdagen gjorde man bland annat studiebesök på Aleris äldreboende ”BåthöjdenPlaza” samt vård- och omsorgsboendet ”Brommagården” där intresset var kring hur de arbetar lokalt med demensvård.

På onsdagen var det då dags för de rundabordssamtal hos Business Sweden på World Trade Center, där Ebba Hult började med att presentera principen hur Business Sweden och Swecare arbetar tillsammans och med andra aktörer genom trippel helix modellen. Därefter var det presentationer av Socialstyrelsen som gick igenom Sveriges nationella strategi inom demens samt de nationella riktlinjer som finns.

 

Essity / SCA som även är partner till delegationen, visade upp sina senast produkter och vilken effekt en utvärdering mha sensorer kan ha för att minska onödigt obehag i vardagen. Eva Nilsson Bågenholm på Humana presenterade både hur verksamheten kring egna boenden och genom upphandlingar/anbud med kommuner och landsting går till och betonade hur filosofin kring aktivt åldrande/levande genomsyrar hela verksamheten. Vidare var hon noga med att betona vikten av att använda sig utav de kvalitetsregister som finns, och att jämlikhetstänket kombinerat med kvalitetstänket skapat en bra standard. Att införa och arbeta aktivt med en filosofi i verksamheten är dock inte enkelt, så det var ju passande att Niklas Källberg, VD på Helseplan förklarade hur de hjälper organisationer i organisationsförändring. Där IT och ledarskap är viktiga komponenter, men där de organisatoriska problemen till mindre och mindre utsträckning är egentligen tekniska.

 

Därefter blev det studiebesök på Silviahemmet på Drottningholm, där direktör Lotta Roupe tog emot sällskapet. Efter en historisk överblick så diskuterades den holistiska vårdfilosofi med ursprung från palliativ vård ( fysiskt, psykiskt, socialt och existentiellt element), och hur denna vårdfilosofi omsätts i de utbildningar, certifieringar och dagliga verksamheten på Silviahemmet.

 

Detta rundades av slutgiltigen med möten på Karolinska Institutets neurobiologiska enhet, där demensrelaterade frågor lyftes utav den akademiska expert grupp som mötte delegationen.  Slutsatsen, från delegationen organiserad av DeBeCo§ ARANTH konsulter inom äldreomsorg i Belgien är att det finns områden för lärdom för båda parter, och att de svenska lösningarna var högst relevanta för de belgiska äldreomsorgsdirektörerna.

 

 

 

Candid discussions on facilitating Swedish access to - and success in - the dynamic Indian market

Sometimes the best ideas emerge from meetings without agendas, and the most exciting initiatives while you are trying to get from one place to the next. Inspiring colleagues and partners do not hurt either.

The Indo Swedish Joint Working Group on Health meeting, which was supposed to take place yesterday, was cancelled due to reasons beyond the control of its participants. Our partner, colleague, and friend from Delhi, who has been at the Swedish Embassy there for almost 22 years, came regardless and tried to maintain a part of the program drawn up for the JWG delegation.

Yasmin Roy-Zaveri's week started at a roundtable organised by the Sweden India Business Council and hosted by Swecare, during which pharma and medtech companies came face to face with a high-level delegation from the Department of Industrial Policy and Promotion, led by Additional Joint Secretary Atul Chaturvedi - accompanied by the Indian Embassy in Stockholm, Invest India, and the Confederation of Indian Industry. During this open and frank discussion, the key question was asked as to how can India make things easier for Swedish companies to enter the market. Clearly the country is eager to make the necessary changes and indeed has already taken many steps in this direction, including the recent change in policy as regards to medical devices.

This roundtable, which was followed by a delicious dinner at India House, was a precursor to the 'Make in India' event planned in Stockholm October 12-13. The first of its kind, this two day exhibit will showcase the success and potential of the Indian market.

Tuesday morning was much more low-key, and quite fruitful, as the day began with the H2 Health Hub breakfast. Yasmin, Johan from the Swedish Ministry of Health, and Swecare sat with the founders of H2 and some of its members to brainstorm  on ideas through which we could complement each other's work and make our contributions more meaningful. Some extremely exciting project concepts came out of the three hours spent there (no one wanted to leave) - so do watch this space for updates!

The day ended with a meeting at Karolinska Institute's International Relations Unit where we discussed the progress, challenges, and potential for partnerships with India. Yasmin's trip was rounded off with meetings at the Ministry of Health and with some of the agencies who have been collaborating under the Indo-Swedish MoU on Health.

It was generally agreed that the time to act in India was now. The government, with its new Health Policy, has increased its contribution to the Health System. And while the going may be slow at times, the effort is worth it. Also, you are not alone. Swecare and Yasmin at the Embassy of Sweden in Delhi is always here to help.


With that, we at Swecare wish you a wonderful Midsummer!