Global Health Advisor Dr. Sam Shah is back on the Old Fox Young Fox podcast, this time focusing on medical innovation in the NHS and globally. We talk Covid-19 vaccines, what we've learned about the virus so far, how the healthcare system has responded to the increased load and what it is like to work on the frontline, in a medical clinic, day to day.
This is a far-ranging conversation and we cover a lot of interesting ground, including the role of data in current and future healthcare, the public-private partnership and how we all have a role to play in staying healthy.
Then we take a global view and look to China, India, New Zealand, the USA, the UK and beyond for examples of medical innovation and both the benefits and risks that such a rapidly evolving world brings with it.
About the show:
Old Fox Young Fox is an intergenerational conversation between Jeremy Woolwich and Oliver Happy, one that explores the impacts of a rapidly changing world.
16:00 Move the power from the system to the citizen
16:55, 18:00 - 18.00 NHSX role in data handling and privacy
Department of Health England
21:00 smart cities as an example of data being used healthfully
Department of sport, Department of pensions
Smart cities and the Internet of things (IoT) as an inspiration for big data in health
23:00 China and how big data was used during Covid-19
6:30, 27:45 Nudging as a technique to change behaviour, turn the system in the same way
FitBit and Google's purchase of FitBit
29.27 The system is worn down and needs proper investment beyond toys, the model we need
31:30 we should pay and promote wellness rather than pay for sickness, is the Chinese model more effective in this way?
33:00 role of technology in helping during diagnosis or care
35:45 diagnosis and when to test
37:00, 38:31 Australia embracing technology in remote diagnosis
Flight Forward drone delivery of medication in the USA
Images of skin such as Mole map
38:00 lots of technology can assist, it is about risk profile
Stephen Fry and his experience of being tested for Cancer
39:40 Stephen Fry and his experience helping lead to more testing
Clare Oliver and the campaign to ban sunbeds in Australia
54gene and the need to ensure racial equality in gene therapy research
46:00 inequity in health and the need to undertake development of drugs that benefit the communities they need to help
The human genome project
The 100,000 genomes project
51:00 - 52:00 edit out lack of a question and answer
Compulsory vaccinations and caution around due process in testing
Population-based genetic studies
The Covid-19 vaccine
56:00 people have a right to be treated as adults and given information to be able to make a choice
Genetically modified food and drought resistant crops
Hims and mail order prescriptions
Online healthcare, benefits and risks
01:03:00 Online healthcare as a technology, risks and benefits
Medications from eBay and Alibaba
Amazon Care and the virtual healthcare service
01:06:45 Incentives to employers could be interesting. Amazon care, USA and UK models for involvement of employers in healthcare provision
The Quakers and free healthcare provided to staff
01:09:00 Healthcare is not going to get cheaper, we need to invest and accept that healthcare is important.
CBD oil, ayahuasca and natural healthcare
The legalisation of cannibis
Magic mushrooms and controlled use
01:14:00 We need investment in naturally occurring products
01:16:00 wouldn't it be amazing if practitioners could share information together, better training
01:19:00 the urgency to find a vaccine drove working together
01:23:00 What I'd like to see in the future
Service design in healthcare
The future of healthcare
Testosterone deficiency in men
About our guest:
Dr. Sam Shah is a Global Digital Health Advisor whose interests span digital health, clinical leadership and public health. He works with both private and public organisations such as the UK's NHS (National Health Service). He is a founder of the Faculty of Future Medicine at Ulster University. Sam was previously Director of Digital Development for NHS England and NHSX, where he was responsible for digitisation programmes including a flagship project to digitise urgent care in the NHS. Sam lives and works in South East England and is a practicing clinician to this day.