Going Global International Healthcare and Senior Living Markets. LASA National Congress Adelaide 21 October, Presenters:

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1 Going Global International Healthcare and Senior Living Markets LASA National Congress Adelaide 21 October, 2014 Presenters: Denise Eaton, Trade Manager International Health Chuyang Liu, Trade Commissioner, Beijing Steve Rank, Senior Trade Commissioner, Warsaw

2 Austrade: Who we are Advance Australia s economic prosperity by helping Australian: Businesses Education institutions Tourism operators Governments and citizens

3 Austrade: How we assist Market intelligence and insights Leverage the badge of government Quality advice & assistance: market selection + expansion Tailored services (fee-for-service) Identification & follow-up of commercial opportunities

4 Our approach Understand Australian capabilities, appetite & capacity to export and match with overseas opportunities Industry Capability Reports (ICRs): Aged Care, Medical Devices, Health IT International insights, initiatives, market profiles & plans

5 Austrade focus: Healthcare & Senior Living Areas where we are seeing export opportunities: Caregivers and Homecare Services and Products Operators of Aged Care Facilities Experienced Architects and designers in Aged Care Advisory and Consultancy Services Education and Training

6 Austrade focus: Healthcare & Senior Living Understand Australian capabilities, appetite & capacity to export and match with overseas opportunities Seniors Health and Living Website, e-flip book and directory

7 Healthcare & Senior Living: Education and Training Market Information Package (Over 4,000 subscribers nationwide) Identify transnational education/training opportunities Produce education/training-specific ICRs Promote Australian education/training capabilities to H & SL companies overseas

8 International Health - activities In market activities and events Client case studies Customer & Client missions Disseminating commercial opportunities Collaborating with Industry, Allies and Governments Aged Care Empowering the Elderly II Conference, Kuala Lumpur, Malaysia (29 October 2013)

9 China Healthcare & Senior Living Market Presenter: Ms Chuyang Liu, Trade Commissioner, Austrade Beijing

10 Australia needs to play to strength

11 HEALTH is one of Australia s drivers of future prosperity

12 China Snapshot 2 nd largest economy in the world Large & growing 1 st largest trading economy and exporter in the world lenge In transition 2 largest recipient of nd foreign direct investment Trend 1 largest holder of foreign st exchange reserves $9.33 trillion USD GDP

13 China Snapshot 1.35 billion people allenge Large & growing Trend In transition 50% middle class by million people have US$20k+ annual incomes by 2022 million online consumers

14 Market profile healthcare & senior living Rapid demographic changes and accelerating healthcare needs 60 years old and above: 178 million (13.26% population) : consumption capacity of Chinese elderly grows from 8% of GDP to 33% of GDP In 2013, 25 beds/per 1,000 elderly people (int l standard: beds/per 1,000 people) More than 1,500 new private hospitals opened in China in ,000 aged care staff currently; 10 million needed Increasingly favourable government policies Taxation Land Finance Training and skills development

15 China s demand for healthcare will continue to grow in line with its national income

16

17 The real bottleneck of China s healthcare shortage is one of trained human resources, not one of physical infrastructure

18 Opportunities for Overseas Players Training & skills development Services Healthcare & aged care services Pension & fund management Insurance Products Products for the elderly Nutrition products Real estate property development Architectural design

19 Challenges & Risks Aged care is a new concept to the culture Change of mindset takes time Immature operation model Overseas model shopping Ambiguous roles between property developer, investor and operator CCRC model works? Inadequate nursing/carers human resources Lack of viable business model & profit model compatible with the culture High-end market not necessarily promising Key challenges: auxiliary facilities; price; location

20 Tips for Doing Business Be well prepared Get to know market Proper due diligence Find a local partner or agent Test the market and find your market segment Understand the hurdles, be flexible Different culture and different market Different regulations Adapt your product to the local market Commitment willingness to support your distributor responsiveness to the market requirements regular market visits invest wisely in market promotion

21 Key Events / Initiatives Austrade China Healthcare and Aged care team 10 cities in China Aged care/senior living Medical device Health IT Biotech Aged Care VET Forum Chengdu April 15 Medical Mission to Shanghai & Suzhou May 15 China Medical Equipment Fair Shanghai May 15 Clients Engagement Strategy

22 Central Europe (CE) Healthcare & Senior Living Market Presenter: Mr Steve Rank, Senior Trade Commissioner, Austrade Warsaw

23 Market Profile - Central Europe (CE)

24 Market Profile - Central Europe (CE) EU population 509m Central Europe 120m Poland 38.5m + Czech Republic 10.5m Poland and Czech Republic EU members since European Year for Active Ageing EU Cohesion Policy Package Active & healthy aging and innovation

25 Market Profile - European Union (EU)

26 Market Profile - European Union (EU)

27 EU activities Horizon billion funding program for research and innovation Third Health Program ( ) million innovation in health, sustainability of health systems

28 Market Profile - Central Europe (CE) Drivers Increasing wealth Demand for high quality products and services Aspiration to reach the level of EU-15 countries EU regulations / harmonisation GDP per capita increasing Poland GDP per capita (PPP) (US$) Czech Republic

29 Health Expenditure in Central Europe (CE) f 2015f 2016f 2017f 2018f Health spending (PL) USDbn Health spending (CZ) USDbn

30 Market Profile - Czech Republic 16% population 65+ (1.7m) Forecast: 65+ 2x by x by m in retirement; 1.1m handicapped 73% aged 65+ independent home living / family care 13% home living with ad-hoc community nurses care / household help 8% home living with regular community nurses care 6% residential care (figure increasing) 37,000 beds in residential care / in nursing homes BUT Waiting lists average 2.4 patients waiting for a bed (4 in some regions) 14,000 beds in Geriatric Wards in Hospitals (hidden social hospitalisation) Dementia 143,000 patients with any form of dementia in the CR in 2013 (36,500 treated) Estimated is a double figure by 2050 Sources: Association of Social Care Providers CR; University of Economics, Prague; Czech Alzheimer s Society

31 Market Profile - Poland 14% population 65+ (5.5m) by 2018 = 6.5m 7.5m in retirement 5.4m handicapped Retirement age up to 67 years Annual spending on private healthcare in Poland in billion (PLN)

32 Market Profile - Poland Long-Term Policy for Seniors Ministry of Labour & Social Affairs Program for social activity of seniors ( ) PLN 280 bn (AUD 100 bn) Organizations can receive up to PLN 200,000 (AUD 70,000) There are 4 priorities: 1) Social activity promoting integration within and among generations 2) Education for the elderly 3) Social participation of the elderly 4) Social services for the elderly Note: Educational projects most popular Life-long learning universities for seniors >

33 Opportunities in CE Health & Aged Care Efficiency Active Aging Policy Development Know How Equipment & IT Solutions Technological Support for Independent living Health IT Increase in Number of Facilities Medical Tourism R&D ehealth Horizon 2020 Dementia Research Policy Development Alzheimer Dementia Education & Training For Carers For Seniors Active Aging For Staff/Trainers Dementia

34 Tips for doing business - Central Europe (CE) CE countries are well regulated with harmonisation of regulations across the EU. This has eliminated the remaining trade barriers among its membership states; CE MARK is a must; Firms operating within the EU have had to adapt to EU legislation, regulations related to the quality of goods/services and modified tax & customs regulations; Local partner or a representative is the most common and recommended way of entering the EU market; Contacts and references are important decision making factors.

35 Market Competition - Central Europe (CE) EU US Asia (Japan, China)

36 Australian presence in Central Europe (CE)

37 Australian presence in Central Europe (CE)

38 Key events / Initiatives - CE Polish-Australian Health Summit 12 June 2014 in Warsaw, Poland 38

39 Key events / Initiatives - CE Czech-Australian Aged Care Forum 10 October 2014 in Tabor, Czech Republic 39

40 Key events - Central Europe (CE) Medica, Düsseldorf, Germany November 2015 Medical Fair Brno, Czech Republic May 2015 Salmed, International Trade Fair of Medical Equipment and Instruments Poznan, Poland 5-7 April 2016

41 Market Snapshots: S Korea, Malaysia & India Healthcare & Senior Living Market Presenter: Ms Denise Eaton, (acting) Trade Manager International Health, Austrade Sydney

42 Healthcare & Senior Living: South Korea Export Opportunities Aged care services > Home care assistance > Medical check-up services > Medical consultation and management services. Financial services > Personal pensions > Retirement pensions.

43 Healthcare & Senior Living: Malaysia Export Opportunities Ageing in Place Aged Care Facilitates Acute Care for the Elderly

44 Healthcare & Senior Living: India Export Opportunities Aged Care Services & Training Aged Care Build Specialised healthcare training Geriatric care Dementia care Counselling Design and consulting around the build of aged care centers Investment into upcoming facilities.

45

46 Australia Business Week in India (ABWI)

47 Panel Q&A session Healthcare & Senior Living Market Austrade pm

48 Thank you! P: E: W:

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