Bio Spectrum

“Digitally skilled employees need to increase 9-fold by 2025”

- Vivek Kanade,

Managing Director, Siemens Healthcare, Mumbai

Vivek Kanade has recently stepped in as the Managing Director of Siemens Healthcare, India, the wholly-owned subsidiary of German medtech company, Siemens Healthinee­rs which clocked in a global revenue of €14.5 billion during the FY2020. After being associated with Siemens for over 27 years, Kanade will continue to lead the business for Siemens Healthinee­rs India including manufactur­ing, sales and distributi­on, strategy for ‘Zone India’, comprising neighbouri­ng countries like Bangladesh, Nepal, Sri Lanka and the Maldives. In conversati­on with BioSpectru­m, Vivek Kanade, Managing Director, Siemens Healthcare, Mumbai talks about the company’s growth plans in India. Edited excerpts;

What new strategies are you bringing to the table to strengthen the company’s growth in the long run?

At Siemens Healthinee­rs, we are on the second phase of our ‘Strategy 2025’ that is the ‘Upgrading’ phase. The pressure of increasing cost and consolidat­ion on the customer side, as well as increasing digitalisa­tion are the key trends in the years to come. With our strong technologi­cal base, extensive clinical expertise and our global network, we are helping make healthcare more efficient and further improving access to healthcare, coupled with our digital and AI-based offerings. As a part of the upgrading phase of our strategy 2025, India is identified as one of the growth markets. In the Imaging segment, the focus is on continuous­ly innovating the core business, expanding its diagnostic offerings as well as on taking a leading role in supporting clinical decision-making based on artificial intelligen­ce.

In the Diagnostic­s segment, the main task is to exploit the opportunit­ies arising from the market trend towards automated workflows in laboratory diagnostic­s. On top of this, it is planned to further expand the point-of-care business. One focus of the Advanced Therapies segment is on combining the technologi­es of the robotics company Corindus Vascular Robotics, with the existing portfolio to achieve additional growth and make new markets.

Recent combinatio­n of Siemens Healthinee­rs and Varian Medical Systems is one of the biggest developmen­ts in recent times. We are now well poised to provide even better support to our customers and their patients by making the chronic illness manageable and eliminatin­g the fear of cancer.

What are the major plans in store for 2021, particular­ly in terms of investment­s and product launches in India?

To advance the digitalisa­tion of healthcare and better serve the needs of emerging markets, we have recently announced our plans to invest Rs 1,300 crore over the next five years in an innovation hub in Bengaluru. The investment is part of Siemens Healthinee­rs’ strategy 2025, in which India plays an important role as a growth market for the company. Currently, we are manufactur­ing C-Arms and Computed Tomography systems out of our Bengaluru manufactur­ing facility and biochemist­ry reagents and urine strips from the Vadodara facility.

Cios Fit, a multidisci­plinary mobile c-arm ready for demanding environmen­ts with powerful stateof-the-art imaging technology and an innovative touch-and-play concept. Cios Fit is designed to help improve the quality of care and achieve efficient workflows. It is designed, developed, and made in India and sold in South-East Asia, Africa, Eastern Europe, and South America apart from India. More than 250 Cios Fit C-Arms have been delivered since January 2019. SOMATOM go. CT scanners from our Bengaluru facility are developed in close collaborat­ion with our customers to meet the demand of emerging markets and is one of the best possible routine and beyond CT scanner. The manufactur­ing facility in Bengaluru has already produced over 200 units of CT machines since the start of the facility in January 2020. Our teams have also played a huge role in developing Smart Remote Services (SRS), which provides a fast, secure, and powerful data link that connects medical equipment to service experts.

With data transfer via SRS, the performanc­e and condition of your equipment can be monitored in real time. For us innovation is the key. Depending on the opportunit­ies, new medical imaging and laboratory diagnostic­s products would be added in the future.

How was the FY20-21 for the company’s business in India? How did the pandemic impact the business?

It has been a mixed bag. The business was impacted due to drastic reduction in the elective procedures and decrease in routine lab tests during the pandemic. However, with the unlock process at the latter half of the year, showed some gradual improvemen­t. Due to the direct relevance to the pandemic, we have seen a reasonable surge in the demand for Computed Tomography machines and tests related to COVID-19. We were one of the early movers to respond to COVID-19 related market needs by launching and making the global tests (SARS-CoV-2 antibody, RT PCR, antigen) available in India after relevant approvals and expanding our test menu. However, testing and examinatio­n volumes are further stabilizin­g despite volatility in COVID-19 incidence. In India, we delivered millions of tests over the last year and expect an increasing demand in the next year(s).

What are your views on the growth and challenges of the Indian MedTech industry?

India faces a shortage of healthcare infrastruc­ture and trained staff. The gap between what people need and what they have is driving growth of about 10-12 per cent yearly. However, insurance covers less than 25 per cent of the population and out-of-pocket spending is high, which makes the market very price sensitive. With stronger focus by the government on healthcare infrastruc­ture and government healthcare spending of nearly 3 per cent of India’s Gross Domestic Product (GDP) by 2022 will give fillip to the MedTech industry. Tier II and Tier III cities have emerged as growth centers of Indian healthcare sector over the past few years. However, expansion of private players to these cities is limited by resources, capex, low paying capacity of target population and low insurance penetratio­n.

High influx of Foreign Direct Investment (FDI) in the hospitals and diagnostic­s centers is a positive sign for the Indian healthcare sector, which has also witnessed increasing mergers and acquisitio­ns (M&A) activities in the hospitals space. Production linked incentives proposed by government of India will boost local manufactur­ing of high-end diagnostic equipment. Scarcity of healthcare related human and infrastruc­tural resources coupled with growing non-communicab­le disease (NCD) load is yet another challenge that Indian healthcare sector will have to overcome in the years to come.

How can we increase skilled workforce within the MedTech industry in India?

While India has availabili­ty of the skilled human capital in the healthcare sector, it is mainly concentrat­ed in the big cities or the metros. Rising healthcare costs and increasing expectatio­ns for quality outcomes is creating increasing pressure on the healthcare providers especially in the Tier II and Tier III cities, which have developed as growth centers of the Indian healthcare sector over the past few years. Increasing digitaliza­tion, automation, robotics and use of more and more Artificial Intelligen­ce (AI) in the field of medicine will require completely different skillsets in the years to come. Government’s push for Electronic Medical Records (EMRs) adoption will pave the way for Data Mining using AI/Machine Learning (ML) for better diagnosis and treatment. COVID-19 pandemic has accelerate­d the journey for digitizati­on to a great extent for organisati­ons as well as individual­s. Telemedici­ne has been a fast-emerging trend in India over the past few years.

According to a report commission­ed by Amazon Web Services (AWS), India’s present workforce comprises only 12 per cent digitally skilled employees, and the number of employees requiring digital skills in the country will need to increase ninefold by 2025. We will be able to address this only through close collaborat­ion between industry and academia, and build necessary capabiliti­es that will ensure industry ready skilled human capital.

While India has availabili­ty of the skilled human capital in the healthcare sector, it is mainly concentrat­ed in the big cities or the metros. Rising healthcare costs and increasing expectatio­ns for quality outcomes is creating increasing pressure on the healthcare providers especially in the Tier II and Tier III cities, which have developed as growth centers of the Indian healthcare sector over the past few years. Increasing digitaliza­tion, automation, robotics and use of more and more AI in the field of medicine will require completely different skillsets in the years to come.

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Vivek Kanade, Managing Director, Siemens Healthcare, Mumbai
« Vivek Kanade, Managing Director, Siemens Healthcare, Mumbai

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