Mobile World Congress 2013 mHealth: Making a positive difference to end users PwC Strategy 28 February 2013

PwC 28 February 2013 Introductions 2 Mobile World Congress 2013 mHealth: Making a positive difference to end users Ralph Fernando Medical Technology Strategy Leader PwC Strategy, UK +44 (0) Lead PwCs medical technology strategy work in the UK 10 years of strategy, M&A and operations experience in public and private sector healthcare, services and manufacturing Clients include medical technology providers, independent and public-sector service providers, commissioners, central policy makers, arms-length bodies, trade bodies, corporates, private equity and banks Ralph's experience includes: –Developing international, national, regional, corporate and business unit strategies and growth plans, creating new business models and developing services and markets –Leading commercial due diligence and independent business plan reviews

PwC 28 February 2013 Key changes in healthcare systems are affecting all elements of the care pathway 3 Mobile World Congress 2013 mHealth: Making a positive difference to end users Rise of healthcare informatics Advances in non-invasive surgery Increased community care and independent living Emphasis on prevention, e.g. health and wellbeing Technology advancements Trade liberalisation Tighter regulation ˘ ˘ Demand factorsSupply factors = Positive driver for providers Key: Rising customer expectations ˘ Ageing population + Increasing importance of diagnosis (e.g. PET- CT scans for cancer care; companion diagnostics for personalised medicine) + Tougher pricing & reimbursement ˘ Integrated care (both health and social care and primary and secondary care) Rise of chronic conditions + + Personalised care + Wellness & prevention Preparation Intervention Rehabilitation Diagnosis Long term care Total pathway Efficiency drive + Drive to increase healthcare access in developing markets + = Negative driver for providers ˘

PwC 28 February 2013 What is mHealth? A definition 4 Mobile World Congress 2013 mHealth: Making a positive difference to end users The provision of healthcare or health-related information through the use of mobile devices

PwC 28 February 2013 mHealth can be categorized into distinct focus areas: Solutions across patient pathways & healthcare systems 5 Mobile World Congress 2013 mHealth: Making a positive difference to end users WellnessPreventionDiagnosisTreatment Monitoring Emergency response Healthcare practitioner support Healthcare surveillance Healthcare administration Solutions across the patient pathway Healthcare systems strengthening

PwC 28 February 2013 Who is the end user? 6 Mobile World Congress 2013 mHealth: Making a positive difference to end users Healthcare Practitioner Family/partner/carer Patient

PwC 28 February 2013 Speakers 7 Mobile World Congress 2013 mHealth: Making a positive difference to end users 1. Bastian Hauck Founder of Adventure Diabetes, author and type 1 diabetic talks about the technology he uses currently, and what he would like to see in the near future mHealth and interoperability: What works? What doesn't? What is needed?

PwC 28 February 2013 Speakers 8 Mobile World Congress 2013 mHealth: Making a positive difference to end users 2. Josep Comin- Colet 3. Liuska Sanna A clinician's view on the real world use of mHealth in cardiac care mHealth in real-world cardiac patients: Are there any barriers? The European Patient Forums Programme Manager talks about the importance of trust in mHealth Trust as a key factor for end users uptake of mHealth: findings of the European project Chain of Trust

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