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.Check out Ollie's new show: Problem BustersShow mentions:An insider's guide to Covid-19 with Dr. Sam Shah02:30 hope the vaccine gets to the people who need it mostEvent: The future of healthcare technology innovation in Dubainhs englandNHSXGoogle Deep Mind project in the NHS07:00, 08:30 NHS as a philosophy, assets and IP and ownershipFacebook and their accumulation of big data10:00 Google Deep mind in the NHS11:00 Private suppliers to the NHS12:00 willingly giving our dataWhatsApp and widespread clinical use. There is so much to be gained by clinicians sharing knowledge.13:00, 14:00-14:41 data safety and sharing of data safelyCiitizen.com startup16:00 Move the power from the system to the citizen16:55, 18:00 - 18.00 NHSX role in data handling and privacyNHS DigitalDepartment of Health England21:00 smart cities as an example of data being used healthfullyDepartment of sport, Department of pensionsSmart cities and the Internet of things (IoT) as an inspiration for big data in health23:00 China and how big data was used during Covid-196:30, 27:45 Nudging as a technique to change behaviour, turn the system in the same wayFitBit and Google's purchase of FitBit29.27 The system is worn down and needs proper investment beyond toys, the model we need31:30 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 care35:45 diagnosis and when to test37:00, 38:31 Australia embracing technology in remote diagnosisFlight Forward drone delivery of medication in the USAImages of skin such as Mole map38:00 lots of technology can assist, it is about risk profileStephen Fry and his experience of being tested for Cancer39:40 Stephen Fry and his experience helping lead to more testingClare Oliver and the campaign to ban sunbeds in Australia54gene and the need to ensure racial equality in gene therapy research46:00 inequity in health and the need to undertake development of drugs that benefit the communities they need to helpThe human genome projectThe 100,000 genomes project51:00 - 52:00 edit out lack of a question and answerCompulsory vaccinations and caution around due process in testingPopulation-based genetic studiesThe Covid-19 vaccine56:00 people have a right to be treated as adults and given information to be able to make a choiceGenetically modified food and drought resistant cropsHims and mail order prescriptionsOnline healthcare, benefits and risks01:03:00 Online healthcare as a technology, risks and benefitsMedications from eBay and AlibabaAmazon Care and the virtual healthcare service01:06:45 Incentives to employers could be interesting. Amazon care, USA and UK models for involvement of employers in healthcare provisionThe Quakers and free healthcare provided to staff01:09:00 Healthcare is not going to get cheaper, we need to invest and accept that healthcare is important.CBD oil, ayahuasca and natural healthcareThe legalisation of cannibisMagic mushrooms and controlled use01:14:00 We need investment in naturally occurring products01:16:00 wouldn't it be amazing if practitioners could share information together, better training01:19:00 the urgency to find a vaccine drove working together01:23:00 What I'd like to see in the futureService design in healthcareThe future of healthcareTestosterone deficiency in menAbout 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.LinkedIn: https://www.linkedin.com/in/sam-shah-nhs/Related episodes:An insider's guide to Covid-19 with Dr. Sam ShahIs Democratic Capitalism still working? With Tim Loughton MPDanger! Psychopaths at work with Dr Shoshana GarfieldThis podcast uses the following third-party services for analysis: Podtrac - https://analytics.podtrac.com/privacy-policy-gdrp