On December 22, 2021, on the first anniversary of the establishment of the Peking University Institute for Global Health and Development (PKU-iGHD), the “2021 Peking University Global Health and Development Forum: Human Health and Medical Innovation in the Era of Low Carbon Economy”was successfully held. Mobasher Butt, Global Medical Vice President of Babylon Health, delivered a keynote speech at the Session of Medical Innovation for Sustainable Development.

Sustainable healthcare that helps achieve a low carbon economy is critical to all our futures and of course, for all of those who will follow us, and the time to act is now. Today, I'm going to give you a brief introduction to how we have re-imagined healthcare at Babylon, and also how we provide the people we serve with a digital first value-based care approach for sustainable healthcare services.

So I'd like to start by focusing on our mission. So you can see here, it's a simple but bold mission which is making healthcare accessible and affordable for everyone on earth. And whilst this is our public facing mission, we also have a number of other missions as well. And one of those for example, is making Babylon the best place in the world for our employees to work in, but also we are on a mission to make healthcare sustainable.

So I'd like to give you some fast facts about Babylon in case you don't know too much about the company. We started the company about seven years ago as a small company based in the United Kingdom, but in the last seven years, we've grown considerably. We now cover more than 24 million people globally in 16 different countries, and we now help a patient every five seconds as well as deliver millions of virtual consultations, or what you might know is telemedicine, as well as millions of AI interactions globally. We have around 2000 employees and I'm delighted to share with you that earlier this year, we became a publicly listed company.

Now in our experience, creating sustainable healthcare relies not only on our efforts, but also the efforts of our partners. And here you can see some of the partners that we work with around the world, and many of these also share our commitment to creating sustainable health systems. And these partners, as you can see here, include large insurers, provider groups, governments, academic institutions, as well as large donor organizations. Now here you can see how we have redesigned healthcare. Traditionally, a lot of healthcare has been delivered in physical bricks and mortar structures. But when we designed our healthcare service, we wanted to turn this around completely. And what we've been able to do is deliver most of the care that people need through our AI services.

Now, of course we can't always deal with people's health issues through AI services. So, the next level of care is our virtual services. So, this is where we can connect a patient to one of our doctors remotely through a video consultation. And we know that from delivering millions of these consultations worldwide, that around nine out of 10 cases can be resolved entirely through this virtual approach. Of course, there will always be a need to have physical services, and we're not trying to replace those or replace doctors, but really trying to support the pressure that health systems face around the world. And through adopting this AI first digital first approach, we've been able to actually remove the need for a lot of the physical structures that exist. So again, contributing towards reducing the environmental costs that come with the delivery of healthcare, through physical structures, via providing care where the patient is, often in their own home or at a place of work, wherever they happen to be. And so this is our re-imagined model of healthcare.

You can see also here that we focus heavily on prevention. And this is also apparent in my next slide. So you can see here that these are our two health loops. One is our sick loop and one is our health loop. On the left is our health loop. We're trying to keep everyone in this health loop for as long as possible. So how do we do that? We interact with our patients proactively. We reach out to them, we gather data from them, and we use that data to provide insights to the patient, helping them understand more about their health and what kind of risks they may be at, if they don't take any action.

Once we've help them identify their status, we then help them to set goals and actions. And then we work with them by assigning care teams, to support those patients, who then help the patients to achieve their goals and actions by giving them a clear plan. And then we help them by monitoring them. And of course, importantly, also by rewarding them to help ensure they stay motivated. If at any stage, we notice that there's any abnormality, we move the patient from the health loop into the sick loop, and you can see that on the right hand side. The aim with the sick loop is to try intervene as quickly as possible to stop a problem becoming more serious and more costly, or requiring hospital care. And instead, by intervening early, we can often deal with this problem in a primary care setting by providing the right expertise, the right treatment protocol first time, and quickly trying to rehabilitate that patient and get them back into the health loop, where we'd like them to stay.

And you can see, this is our approach to ensuring that we're creating a very sustainable system, by using data to do this. At the core of all of our services is our artificial intelligence. When we set up the company, we quickly realized that if we were going to have any chance of achieving our very bold mission of making healthcare affordable and accessible to everyone, then we had to get really smart about how we used technology. And in order to do that, we invested heavily in developing our AI solutions. But the best way to think about this is, we've tried to recreate the equivalent of a human doctor brain, but instead, a digital version of that, which we call the Babylon AI brain. And so this Babylon AI brain is able to perform some of the functions in the same way as a doctor would.

So you can think about how, when a doctor is trained, we have to go through medical school, we have to learn, build our knowledge. That knowledge allows us to then reason and make decisions. We're able to use our perception to treat patient and provide them with the best care as well as make predictions about their care as well. And this is what the AI brain is trying to replicate.

Now, as I highlighted earlier, a big focus for us is a preventative approach because we believe that actually, that's the best way of creating sustainable healthcare. And how do we do that? We start by onboarding the patient into our system. And this is really important because this is where the healthcare journey starts. And so we need to make that an optimal experience as possible. We then assess the patient, and we carry out a health assessment which allows us then to use the data to risk stratify that patient. Once we have risk stratified the patient, we're then able to determine what kind of care they need. We assign them with a care team. The care team is a multidisciplinary team. It includes doctors, but also other healthcare professionals, such as nutritionists or behavioral health specialists and so on.

The care team helps to set a care plan for the patient. This includes a set of clear goals and actions, and we then help the patient achieve their goals and actions by monitoring them, by providing coaching, and also by rewarding them. Now, of course, from time to time, people will become sick. So as I mentioned before, we try to detect any sign of illness as quickly as possible by monitoring them continuously, and then we try to intervene as quickly as possible upon detecting any abnormality. When someone is needing any kind of healthcare service, they're able to contact their personal health assistant. This is someone who's available to them 24 hours a day, seven days a week and the role of this health assistant is to act almost in the same way as you can imagine, a concierge service and helping that patient navigate every aspect of their healthcare journey.

Patients can also use our AI symptom checker if they have any symptoms. So this really empowers them, because it's like having a doctor in your pocket. The AI will guide them through a series of questions, just like a doctor would. And then they're able to receive information about where they need to seek care and what kind of conditions might be causing their symptoms. Should they need to speak to a doctor, we have our virtual consultation service. This is also available 24 hours a day. And when necessary, we can also connect the patient to a specialist and make sure that we perfectly match the needs of this patient to be a most appropriate specialist, ensuring that they get the optimum care first time round. Whilst we don't provide hospital care ourselves, we work with partners who do this. However, we do provide the patient with very intensive support both before they go to the hospital and importantly, when they leave the hospital, we provide them with support throughout the postoperative period. They're able to have daily check-ins with the nurse through the app, and they're able to upload photographs such as of their wound. The nurse is then able to monitor them and ensure they're not developing any sign of infection or any complications again, so that if we detect any of those things, we can act quickly and ensure that this does not become a more difficult problem to solve, or a more costly problem to solve. And again, trying to reduce the need for the person to be readmitted to a physical structure, such as a hospital helping with a sustainable approach.

One of the key differences about our service is, as I mentioned to you, the AI brain, which sits at the core of all these services. And the AI brain is able to integrate all of the services so that we can provide a very personalized approach to each of the patients we serve. And all of their data is stored in what we call the health graph. So the health graph is very similar to a medical record, but a much richer source of data. So it's not just the interactions when the patient sees a doctor, but it's also all of the interactions they have with other things like the AI monitoring their health metrics through wearables. Every interaction is recorded within their health graph. And then we're able to apply machine learning techniques to make inferences about that data and provide them with a much more personalized care service.

Now is this type of approach to healthcare, in other words a sustainable approach, actually able to achieve the same level of excellence that we have seen in some of the best examples of healthcare in the traditional context. And we feel that it is, and here you can see some of the success that we've been able to demonstrate in some of the countries in which we operate. So you can see a very diverse range of countries here. You've got the US, the UK and Rwanda. Very, very different in terms of their settings and economic profile and the type of patients we serve in these settings. But you can see that actually patients really appreciate this kind of sustainable approach and you can see very high levels of satisfaction in all the settings.

When it comes to clinical quality, this is critical for us. There's no point having a sustainable service unless you're also able to provide consistently high quality care. And we assess the quality of our care both internally through a comprehensive audit program, but the care is also assessed externally through external regulators. And you can see some of the comments, the commendation we received from the care quality commission, which is the regulator in the UK, in the center of the screen.

And finally, so for care to be sustainable, of course it needs to be affordable. And you can see some of the significant cost savings that we've been able to make by using this approach. And these cost savings tend to happen downstream in terms of hospital care costs. So, what happens is by servicing our patients early upstream in primary care, we're able to then shift a lot of the cost away from more expensive, secondary care, and you can see that results in quite significant cost savings, allowing the service to be you very sustainable.