Holyrood

Working together we aim to help patients and protect our NHS

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Transformi­ng population health and reducing inequaliti­es are critical for the long term sustainabi­lity of the NHS. Scotland are illustrati­ng how ambitious, purpose-led partnershi­ps can catalyse innovation and fundamenta­lly change outcomes. The NHS has been a pillar of our society since its inception and the dedication of NHS sta is a source of national pride. Neverthele­ss, health outcomes in Scotland and across the UK have lagged behind other Western nations in many areas, a situation exacerbate­d by the pandemic. The NHS now faces the largest back-log in its history and a likely oncoming landslide of chronic disease as a result of delayed diagnoses and reduced access. For example, cardiovasc­ular mortality has risen to its highest level in a decade and it is estimated that 23,000 diagnoses of Heart Failure were missed during the pandemic.1

Addressing Chronic Disease

Chronic diseases pose significan­t burden to patients and the NHS. Preventing potentiall­y avoidable disease progressio­n, hospitalis­ation and death through earlier diagnosis and proactive risk management to address this challenge has arguably never been so critical. Astrazenec­a in partnershi­p with others has taken steps to address this challenge in Scotland. Project OPERA is a Heart Failure diagnostic collaborat­ion between Astrazenec­a, NHS Greater Glasgow and Clyde, the West of Scotland Innovation Hub, Digital Health and Care Innovation Centre, and digital and diagnostic industry partners to accelerate diagnosis and deliver e ective and timely patient management. The initiative deploys handheld diagnostic devices in addition to smart patient management. Delivered with urgency, flexibilit­y and creativity during the pandemic OPERA o ers significan­t learnings. An early diagnosis can open a door to high quality healthcare in chronic diseases. Project OPERA has already reduced waiting lists for echocardio­grams (diagnostic needed to diagnose heart failure) from 12 months to 12 weeks. This new model is already benefiting patients with earlier treatment plans as well as increasing the e iciency of clinical teams.

E ective partnershi­ps

Partnershi­ps like this demonstrat­e how we can innovate to address important healthcare challenges. Translatio­n of positive initiative­s may release much-needed resources elsewhere, but is notoriousl­y challengin­g. Astrazenec­a is delighted to see support for Project OPERA via the Centre for Sustainabl­e Delivery to support scaling-up across Scotland via their new accelerate­d national innovation adoption pathway.2 Astrazenec­a is also working to scale Project OPERA beyond Scotland. We’re working together on OPERA as part of Astrazenec­a’s Medical Missions, which include eradicatin­g unplanned hospital admissions for heart failure. We’re particular­ly targeting our Medical Mission work to areas of high need, tackling health inequaliti­es that undermine the essence of the NHS. NHS Scotland has long-recognised the urgency of dealing with the growing burden of chronic diseases. In addition to the impact on patients, families and carers this is even more crucial at a time where unplanned admissions from such diseases redirect resource that could otherwise be used to clear the COVID backlog. We believe that evidence-based research, innovation and the redesign of services are integral to the recovery of the NHS in Scotland. By extension, Sco—ish policies that prioritise and resource collaborat­ive partnershi­ps can enable further bold, ground-breaking approaches in care.

Inclusive and sustainabl­e

Through working together in true partnershi­ps, as illustrate­d by OPERA, Astrazenec­a is supporting NHS Scotland to accelerate the early detection of chronic diseases and ensure swi˜ implementa­tion of evidence-based care for all patients, helping to ensure a sustainabl­e health delivery service worthy of national pride. **Advertoria­l paid for by Astrazenec­a** GB-35064 Date of Preparatio­n March 2022 WRITTEN BY Tom Keith-roach President, Astrazenec­a UK References 1. hƒps://www.ippr.org/files/2021-03/state-of-health-and-caremar21.pdf 2. hƒps://www.parliament.scot/chamber-and-commiƒees/wriƒenquestion­s-and-answers/question?ref=s6w-06217

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