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Academic / Industrial work to date

ADAM KAHAN Flat C / 72 Stroud Green Road London N4 3ER UK +44 7779490183 w w w. a d k a h a n . c o m adam@adkahan.com

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www.adkahan.com adam@adkahan.com Linkedin profile +44 7779 490 183 +49 1573 0050 741

ADAM KAHAN CurrICuLuM VITAE

Integrated Designer. internationally connected and highly and screen design. Achieved a Product Design undergraduate graphic communication. Recently complimented this direction with a distinction

CArEEr PoSITIoNS Creative Artworker Nov 2011 - Dec 2012, Investor Publishing, London www.investorpublishing.co.uk

FrEELANCE CLIENTS Graphic Designer May 2010 - Oct 2010,

comment on the health and education persons.

Publishing design - Screen design Branding - Vector illustration - CSS coding - Newsletters - Video editing - Image sourcing and retouching - Type setting - File formatting - Archiving - Flight checking Production - XML database management - Photo shoot coordinator

understanding of magazine photography and event and corporate arm.

Content Editor, Vamos and friends, Berlin www.getvamos.com Berlin based mobile application.

creative design for a range of high street

design.

Graphic Designer and Co-owner August 2012 - Present HGVparking Technologies

Print Production and Artworking Assistant February 2005 - May 2007 Weprintforless

previous knowledge to design and implement

preparing artwork for lithographic and digital platforms.

application generating revenue.

Longest serving position at the international

within a vibrant work environment. as well as promotional print and online advertising material was part of the position.

Adobe CS6 > Indesign, Illustrator, Photoshop - Quark Xpress - Adobe Reader Pro - Dreamweaver - Wordpress - Final Cut Pro - Balsamiq - Sketch up - Microsoft

2012 - Present, Adkahan Design Working as an integrated designer for varied clients between freelance and contract projects. Recent projects have included:

agricultural publications.

SKILLS DESIGN

TECHNICAL

Artworker and Graphic Designer February 2007 - May 2010, Kelsey Publishing Ltd, London www.kelsey.co.uk

Understanding the print process was a key aspect of the role.

EDuCATIoN ACADEMIC ACHIEVEMENTS Graphic Design, Distinction Level Master’s degree London Metropolitan University, Sept 2010 - Sept 2011

Product Design, 2:1 BSc (Hons) degree Nottingham Trent University, Sept 2001 - June 2004

Graphic Designer and advisor GENT Magazine Liverpool Design and advisory role for the digital publishing platform. An online monthly intellectual content for the contemporary man from tablet to desktop. Graphic Designer Fonehouse, London www.fonehouse.co.uk supplement production.


John-Foster-Dulles-Allee 10 10557 Berlin www.hkw.de

WasserMusik2010 Wasser WasserM Musik2010 usik2010

Summer-Open-Air-Festival DonauAmazonasNil Gypsy Queens & Kings 22.7.–24.7. feat. Mahala Raï Banda zeitkratzer, Kálmán Balogh, Erik Sumo feat. Erzsi Kiss, KAL

30.7.–1.8.

Ranil, Chicha Libre, Mucho Indio, retroViSOR, Manu Lafer

Sebastião Tapajós

6.8.–7.8.

Btownbusted feat. Johnny Strange (Culcha Candela)

Geoffrey Oryema Rasha

Mohamed Mounir Omar Souleyman

13.8.

+ Films + Michel Serres

8

special | water

special | water

Party spots

all summer long, electronic beats blast out of a row of throbbing outdoor bars and clubs along the Spree between mitte and Treptow – whether you’re after pre-partying or afternoon chillaxing, this is where it’s at. Long ago tapped by the Lonely Planet crowd and easyjetset, these Berlin mainstays are still worth the visit, if only because they may soon be a thing of the past: many hang on by a thread summer after summer, trapped in year-long lease extensions as mediaspree the east end of the Spree) looms ever closer. Legendary hippie-turned-hipster hotspot Bar 25 will apparently not even be saved by a recent quentin Tarantino endorsement. For slumming adepts, they opened an ‘adidas township’ next door (tastefully called “just like in africa” (see Best of Berlin, page 20). On the opposite shore, kIkI BLOFeLd – with its adventure park, outdoor ping-pong tables and a boathouse reminiscent of a James Bond villain’s submarine dock – hosts

parties, and selected World Cup games as well. Or you could just dangle your feet in the water beneath the willow trees at CLuB der VISIOnäre, but watch out: during peak hours, the throngs of people can really spoil the fun. For full-body refreshment, take a dip in BadeSCHIFF pool next door. at night, if you’re preppy enough to get in on its busy weekends, WaTergaTe’s terrace beside the Oberbaumbrücke is a great place to watch the sunrise as beats keep pumping./TJ

Fairytale dates

ld

Kiki Blofe

Bar 25 | Holzmarktstr. 25, Friedrichshain, U-Bhf Jannowitzbrücke, thu-Sat from 16:00, www.bar25.de KIKI BLOFeLD | Köpenickerstr. 48/49, Kreuzberg, U-Bhf Heinrich-Heine-Str, Mon-Fri from 14:00, SatSun from 12:00, www.kikiblofeld.de CLUB Der VISIONÄre | am Flutgraben 1, treptow, U-Bhf Schlesisches tor, Mon-Fri from 14:00, Sat-Sun from 12:00, www.clubdervisionaere.de BaDeSCHIFF | eichenstr. 4, treptow, S-Bhf treptower Park, Mon–Sun from 8:00, www.arena-berlin. de waterGate | Falckensteinstr. 49, Kreuzberg, U-Bhf Schlesisches tor, www.water-gate.de Badesc

hiff

Get

wet! Summer splashes Lakeside beaches and outdoor pools

Best Ostalgie spot

Tucked up in the northeast corner of Berlin in Lichtenberg, STrandBad OrankeSee feels oh-so-secret: a blink-and-you’ll-miss-it dirt road leads to its entrance. Once you arrive, the beauty and Ostdeutsch charm of this pay-to-play lake (with changing rooms and toilets) makes you to forget you’re too hip to be in that far north. and it includes a 52 m waterslide…/WC

As the heat reaches boiling point and clothes become your biggest liability, getting yourself Spree-side (or near any other body of water) becomes a must. In high summer, Berlin’s fun concentrates on its endless waterways. Here’s EXBERLINER’s round-up of best water spots for every mood and every crowd. m waterslide. The trick for maximum speed and splash is to lie almost on your back with your head slightly elevated./WC SOMMerBaD NeUKÖLLN | Columbiadamm 160, Neukölln, U-Bhf Boddinstr., Mon-Sun 8-20, €4/€2 after 17:30

Most schizophrenic

FreIBad PLöTzenSee is a bit of a mishmash, with its large playground and high roped jungle gym for kids at one end, nude swimming area at the other, and VIPesque garden area in the middle (complete with their beach bods, but detest water without chlorine): perfect if you can’t make up your damn mind about what you want./WC

StraNDBaD OraNKeSee | Gertrudstr. 7, Lichtenberg, tram 4 (stop: Buschallee/Hansastr.), Mon-Sun 9-19, €4/€2 after 17:00

FreIBaD PLÖtZeNSee | Nordufer 24, wedding, U-Bhf amrumer Str., Mon-Sun 9-20, €4

Most impressive waterslide

Wild west and utopian waters

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Hidden 800 meters into the Siemensstadt woods, FreIBad JungFernHeIde is part Loveboat, part Welsh lake country. The uncomplicated, round and boat-free lake was built in the 1920s by Siemens for its factory workers, and it’s about as bucolic as it gets. Food-wise, there’s an Ora

not immune from the throngs of families that can annoy the buzz out of you on a hot day, SOmmerBad neuköLLn still has enough space and enough pools to make it worth the bother. If you need to, wander over to a less occupied spot and smoke a joint, but make sure you try out the huge, 83

upscale mediterranean restaurant, but the Freibad snackbar, La Cabane du Pêcheur – run by Thomas, a mick Jaggeresque character who learned english from listening to Jungfe the rolling Stones – is rnheid e where ‘the life’ is at. In the evening, Thomas organizes parties, football screenings and live

Beautiful Brunnen

all-out mid-1990s renovation; and the food (Schnitzel for €9.90; Spätzle with edam cheese and caramelized, fried onions for €8.90; Tafelspitz boiled beef for €13.20) is reasonably priced… considering. (Tip for cheap romantics: the adjacent SCHOenBrunn BIergarTen is run by the same people, has a better lake-view and serves pizza, pasta and grill dishes starting at €5.40.) If you have currency to spare, hop on a chichi rIVer CruISe WITH dInner and a COnCerT down the Spree, which ends with a three-course menu and crowdpleasing Bach/Schubert/mozart concert played by musicians in powdered wigs and corsets at Schloss Charlottenburg’s Orangerie (€74-120; Wed, Fri and Sat at 14:15). It won’t impress the gourmet or Philharmonie season-ticket holder, but the Orangerie’s airy, Frenchwindow-lined west wing lit by 550 candles should be enough to make you believe you’re fairytale royalty. If you’re looking for quieter waterside green-spots, journey northwest to Wedding. Just three stations beyond the ringbahn and, at 73 hectares, one-third larger than Volkspark Friedrichshain, VOLkSPark reHBerge’s vast, unpopulated meadows, crumbling brick walls and meandering streams are right out of a Caspar david Friedrich painting. For more structured beauty, head to the adjacent SCHILLerPark, with its rose gardens and orderly linden-lined pathways: what better place to make that move or pop that question? Then, wander west out of rehberge and follow the Plötzensee banks (see “Summer splashes!”, left) to the idyllic, lightly

iapark

Viktor

collision, is girded by one of the city’s largest Kleingarten colonies. Continue along the damm until you reach gartenfelder Straße, then follow signs towards the yacht-club dotted FLugHaFenSee, directly beneath With Berlin’s largest natural beach, top-ranked water quality and quiet private beaches, Flughafensee is an underrated gem that allows for a bit of lakeside privacy. If you want to impress on, rather than around, the water, rent a SOLar BOaT (two-seaters: €10/hour, with a €50 deposit) from SolarWaterWorld at Schlossplatz in köpernick and glide past derelict factories, secret island dachas and garish mansions. The eco-friendly vessels sans the romance-killing stench of fossil fuel and noise pollution of standard boats. For a perfect dinner à deux head to the old West, by the grünewald, to the deck of aLTe LIeBe, Berlin’s oldest boat restaurant and arguably this city’s most idyllic dining spot: watch the sunset while enjoying a beautiful. Once back in the city, resist beelining home and glean a shimmering, poor-man’s Fernsehturm view of Berlin from the hilltop in VIkTOrIaPark. a shimmering waterfall leads uphill to a neoclassical monument by karl Friedrich Schinkel, built to celebrate Prussia’s victory over France in the napoleonic Wars. Or if the day has left you too pooped, skip the climb and bookend the day at the waterfall’s pool, with a couple as equally fairytale-like as yourselves: a

damm (northwest of u+S-Bhf Westhafen), the perfect artery for a tour of Berlin’s northwestern parks and lakes. The canal-side path, one of the few where you can ride side-by-side without fear of

MÄrCHeNBrUNNeN | In Volkspark Friedrichshain, near the intersection of Friedenstr. and am Friedrichshain, Friedrichshain, U-Bhf Schillingstr. SCHOeNBrUNN CaFÉ & BIerGarteN | In Volkspark Friedrichshain, near the intersection of Hans Otto Str. and am Friedrichshain, Friedrichshain, U-Bhf Schillingstr., MonSun 10-1, www.schoenbrunn.net rIVer CrUISe, DINNer & CONCert | Departs from Schloßbrücke, Charlottenburger Ufer, Charlottenburg, U-Bhf Mierendorffplatz, www.concerts-berlin.com VOLKSParK reHBerGe | Otawistr. 46, wedding, U-Bhf rehberge SCHILLer ParK | Barfußstr., wedding, U-Bhf Seestr. FLUGHaFeNSee | allée Saint-exupéry, tegel, U-Bhf Otisstr., SOLarwaterwOrLD | Müggelheimer Str./ Schloßplatz, S-Bhf Spindlersfeld, Mon-Fri 10-19, Sat-Sun 10-19, www. solarwaterworld.de SCHIFFSreStaUraNt aLte LIeBe | Havelchaussee 107, Charlottenburg, Bus 218 (stop: Postfenn), Mon-Sun 12-22, www. alte-liebeberlin.de VIKtOrIaParK | Großbeerenstr. 52, Kreuzberg, U-Bhf Mehringdamm

Solarw

aterwo

rd

other lakeside Imbiss (creative salads, BBq, etc)./kk FreIBaD JUNGFerNHeIDe | Jungfernheideweg 60, Charlottenburg, U-Bhf Siemensdamm, Mon-Sun 10-20, €4/€2.50 after 17:30

Best place to get run over by a teen

If you have a couple of little brats of your own, SOmmerBad kreuzBerg a while, unless you enjoy soaking up the sun surrounded by screaming. Strictly for minors (despite its lap pool), the small waterslide and fountain seem to entertain endless hordes of rowdy teenagers and kiddies./WC SOMMerBaD KreUZBerG | Prinzenstr. 113-119, Kreuzberg, U-Bhf Prinzenstr., Mon-Sun 7-20 (through aug 29), Mon 9-19, tue-Sun 7-19 (from aug 30), €4/€2 after 15:30

9

Summer quickies

märCHenBrunnen in Volkspark Friedrichshain is the perfect place to start a fairytale date (see sidebar “Beautiful Brunnen”, right). nearby SCHOenBrunn, an upscale, lakeside german restaurant on Schwanenteich (‘Swan Pond’), is the closest thing Berlin has to Central Park’s Tavern on the green. The service is unparalleled, with waiters who fuss over the

When the summer heat is blaring down, fountains – Brunnen – are the water quickiesex equivalents to the full-blown orgy of our other recommendations. nePTunBrunnen is the oldest. It was originally designed by karl Friedrich Schinkel and its construction was taken over by reinhold Begas. The fountain shows greek god Poseidon surrounded by four maidens who represent the four main rivers of Prussia. It’s only a quick walk from alexanderplatz, so if you’re spending your days working at one of those mitte boutiques, go smoke an american Spirit over there.The classic fairytale fountain in Volkspark Friedrichshain, the märCHenBrunnen is one more example of old Prussian charm in urbanized Berlin. Completed in 1913, the 106-sculpture fountain cost the city 1.2 million marks and took 11 years to build – only to be destroyed in 1945, at the end of World War II. In 2007 it was restored to its original splendor. Situated outside the europa Center, at the beginning of the ku’damm, the famous WeLTkugeLBrunnen (globe fountain) has been nicknamed “meatballs” – Wasserklops or Klops by the locals. go there and check why for a picnic break after a stint in kadeWe./WC

Proud water towers

Besides the Treptowers and their sad attempt to start a Spree-side skyline, Berlin boasts a proud collection of actual water towers – all protected landmarks, if mostly out of use by now. The WaSSerTurm TemPeLHOFer Berg in kreuzberg hosts a youth center, while the two water towers in Westend are being renovated into fancy apartments. On the outskirts of town, the WaSSerTurm am OBerSee in Lichtenberg has been turned into a bar. The most infamous is arguably the WaSSerTurm PrenzLauer Berg, standing on the southern end of rykestraße. Built in 1877, it is also the city’s oldest. during the 1930s, the adjacent machine house was centration camp for the torture and murder of political dissidents and minorities. The tower is kids’ hullabaloos from the kindergarten and playground. The barrel-shaped WaSSerTurm neuköLLn, on Leykestraße, is Berlin’s largest remaining water tower, with a height of 30 meters and a 20-meter diameter; these days, it can be rented out for events and parties. The sleek expressionist architecture of the VOLkSPark JungFernHeIde TOWer in Charlottenburg may win the aesthetics award, but a special mention has to go to the dark, sturdy and apparently utterly useless column at Ostkreuz for its stunningly phallic shape./TJ

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EXBErLINEr PuBLISHING

22.7. – 13.8.

Editorial, illustration and layout


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SeptembeR 2010 mARviN KReN “Vampires are exclusive – werewolves, too – but everybody can be a zombie.” OSKAR ROehleR “I realized at the premiere, in front of 2000 people, that my film is in fact more aggressive and uncomfortable than I thought it was.” philipp meyeR “I think it is important to love all words equally.”

Features Nightlife Stage Art Film Restaurants

beRliN mUSiC 2010 the new bONApARte + watch for

Berlin’s l ationa InternFEST LIT ors 8 auth

€2.50

boys Noize at berlin Festival // Jason Forrest at echtzeitmusik // // the best rehearsal rooms //

EXBErLINEr PuBLISHING

Editorial, illustration and layout


EXBErLINEr ProMoTIoNAL

Berlin City map and company business card


HGVPArKING BrANDING

Mobile and website company logo Mobile icon


HGVPArKING MoBILE APPLICATIoN

Splash screen iPhone 5


Facebook itunes

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iPhone 5


HGVPArKING DEVELoPMENT

Product gap test Balsamiq


GENT oNLINE MAGAZINE

Design and content management Wordpress


ISSUE /ZERO

THE GUIDE TO BEING A GENTLEMAN

S T Y L E

GENT E PuBLISHING

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Editorial, illustration and layout


university campuses

university campuses

a boom in on-campus construction work. Graham Clews

F

emic

Acad

tions motiva

t the nd tha only vey fou st comm es tes sur s mo mm The Wa universitie ing progra ns ir build reaso for the gave UK more were: cting tra At nts stude use of nalising Ratio assets estate lue ater va ring gre students Delive ney for for mo more nts cting de tra stu At al ation intern rning ving lea Impro mes outco rbon ring ca Lowe ions emiss

20% 16%

16% 13% 12% 12%

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EDuCATIoN INVESTor PuBLISHING

rom this autumn, students at English universities will be paying anything up to £9,000 per year for their tuition. Faced with such a hike in fees, prospective students might be expected to scrutinise their place of study more carefully than before. What is its reputation? Where does it rank in the league tables? How’s the teaching? And what about the quality of its research? One other crucial question that aspiring students are likely to ask themselves, though, is what it will be like to study and live at an institution for a minimum of three years. To a greater or lesser degree, this question will be answered by the quality of the environment – in other words, the university’s buildings. It’s unsurprising, then, that there are whispers that those who have the capacity are starting to invest more in their facilities. In early May, the European Investment Bank announced it was providing £75 million of funding for a major works programme involving the creation of a new library and sports facilities at the University of Birmingham. It’s not alone. Earlier this year, construction firm Wates surveyed more

than 50 universities about their intentions in this respect. Its report, published in April, showed that almost 80% of them had construction work worth more than £5 million planned for the forthcoming year; teaching areas, research facilities and student accommodation were the three most popular investment targets. More than half of the universities questioned said that attracting students was the biggest driver behind the projects. The logic of all this is straightforward enough. The change in university funding means that, if institutions don’t attract sufficient students, their income will fall significantly. Paul Harris, group strategy and corporate relations director at the student accommodation firm the Unite Group, says that, where institutions are in a position to invest in their facilities, they are doing so. “There’s a feeling that some universities have been storing up cash in case of a downturn in government funding or student numbers,” he says. “So they have the money to spend.” Those institutions are typically those at the top end: “Russell Group universities tend to be the ones who have the larger cash reserves and the greater ability to attract investment.” That said, he notes that the same universities are also likely to be the least affected by student fees in terms of numbers, adding that: “the situation is patchy, there’s no real pattern.” Jon Wakeford, director of strategy and communications at Unite’s rival UPP, agrees that universities realise the level of competition for students has increased,

and that upgrading their infrastructure is a good way of keeping a competitive edge. But, he says, it isn’t just the Russell Group of universities that are looking to spend money on building projects. “It tends to be the leading institutions in each mission group,” he says. “They are playing to their strengths. If they are known for strong teaching, they want teaching buildings. If it’s research, they want better research facilities.” The coalition’s reforms, though, may not be the only driver. Alexi Marmot is a professor of facility and environment management at University College London, and runs her own design consultancy. She believes that universities’ interest in developing their estates dates back a decade at least. “It’s not just the hike in fees. It’s been prompted by the growth in student numbers, the growth in research, and a greater understanding of the beneficial experience of learning in a decent environment.” There are other drivers, too: the last decade’s glut of investment elsewhere in the education estate, the growth of education technology, the changing nature of libraries... These latter changes may often mean reconfiguration, rather than entirely new buildings. But nonetheless, Marmot says, the arrival at universities of the first ‘digital natives’, young people who have always studied using the latest computer technology, has meant a big change in the way that universities’ teaching and research facilities are set up. 43

Editorial, illustration and layout 210 × 297 | gloss 110 gram


HealthInvestor essential reading for the healthcare business

June 2012 vol 9 no 5

uk Specialist Hospitals is one of the most highly rated providers of NHS treatment centres. Jonathan Bacon bristol facility, and hears about its plans for expansion

I

t’s a typically dreary January morning, and HealthInvestor is taking a tour around the ward of the Emersons Green NHS Treatment Centre, run by private company UK Specialist Hospitals (UKSH). Despite the grey skies outside, spirits are noticeably high among the handful of patients recovering from elective surgery. “It’s been wonderful,” says one elderly patient when asked about her time at the centre. “Just like staying in a hotel.” In the bed opposite, another patient agrees

wholeheartedly. “I’ve got no complaints whatsoever,” she enthuses. “I’m due to have another operation after this and if I get the choice, I’ll be choosing Emersons Green.” HealthInvestor is naturally taken aback by such glowing reviews. It’s common knowledge, after all, that people generally dislike staying in hospitals. At the very least, they’re not supposed to enjoy it. But from a quick nosey around the centre, situated in north-east Bristol, it’s pretty clear to see why patients are so content.

Emersons Green, one of five independent sector treatment centres (ISTCs) run by UKSH, is a spacious and modern 33-bed facility that opened in November 2009. NHS patients who are referred to the centre are offered the choice of their own room – akin to a private-pay room with flat screen TV and ensuite bathroom – or the option of socialising with fellow patients in a larger, but still very spacious ward. The centre is immaculate too, supporting the company’s nigh-on perfect reputation for

hygiene, which saw it scoop the Laing & Buisson award for risk management last year. The greatest feather in the company’s cap probably came a bit more recently, when Dr Foster Intelligence, in its Hospital Guide last November, ranked UKSH the third best provider of hip operations, and the very best provider of knee operations, on the NHS. In forming its judgements on providers, Dr Foster looked at patients’ length of stay, emergency readmission rates, and the proportion of patients

having to have their operation redone within a year. Fiona Calnan, chief executive of UKSH, says the company’s success across these categories is down to the “integrated care pathway” it aims to offer as a single service; from the initial checks and advice patients receive weeks prior to an operation, to the physiotherapy and support they receive after procedures. “We focus a lot on education at the beginning,” she says. “It’s about setting patients’ expectations at the time of their

first appointment as to their recovery and what will be involved, what they need to do in advance, and what they need to achieve while they are in our facility so that they can go home.” UKSH is a child of the Blair government’s ISTC programme, having been founded in 2004, when the government was first tendering for treatment centre providers. Its backers are US hospital group OR International and Prospect Investment Management, which invests for clients including RIT Capital

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international

The acid test Exclusive report from Hinchingbrooke, three months on Helping Hands: Terra Firma steps in at Four Seasons

primary care

secondary care

ISSN 1742-884X

Commissioning: In-depth analysis of emerging CCGs

social care

IT

Let’s talk: Richard Steeves debunks outsourcing myths infrastructure

markets

policy

dentistry

Hamburg – the ¤4 million testing arm of Allergopharma. Kieron Harbinson, group finance director of Omega Diagnostics, explains that the acquisition process took from April 2010 to December of the same year. The acquisition itself was a reverse transaction through AIM. Omega raised £7.75 million: £5 million was for the acquisition itself, £1 million for fees and the rest for the war chest. “Germany had not been a large market for the company – it was not even in the top 20, now it is the largest market,” says Harbinson. He points out that of the German subsidiary’s turnover, well over 90% of it is domestic. A significant point given that Germany is Europe’s single largest IVD market. Cardiff-based EKF Diagnostics goes even further. Again in 2010 the company was introduced to a German manufacturer of point-of-care blood analysers used in the measurement of glucose, lactate, haemoglobin and haematocrit. Based in the former East German city of Magdeburg it had more than 100 employees in R&D, manufacturing and distribution. Tony Wilks, the company’s sales and marketing director, explains how the acquisition gave them access not just to Germany, but to the eastern European market. “From Magdeburg, you can be in Poland in two hours,” he says. EKF saw turnover rise 234% last year to £21.7 million. The geographical access appears to be a clear driver. When Richard Steeves’ LSE-listed Synergy Health spent ¤9.5 million on Dresden-based GammaService-Produktbestrahlung, which provides gamma and ebeam sterilisation services to the healthcare and industrial sectors, the chief executive was blunt. “This acquisition… opens up further opportunities in eastern Europe,” he said in December 2010. All good news, but this is not to say that Germany has escaped belt-tightening. The last few German governments have been turning the screw on health insurers (themselves under pressure of consolidation – the number of public health insurance providers has declined to below 202 from 455 a decade ago) by pressuring them to cut administrative costs. What has emerged are tough new pricing policies for hospital treatment, greater competition among GPs by allowing them to club together and form Medizinisches Versorgungszentrum or 38

HEALTH INVESTor PuBLISHING

international

health centres, and a cap on prices for the most expensive drugs. A refrain that is sung by every medical company is that as long as their treatment is reimbursed by the health insurers, then they are fine. As EKF Diagnostics’ Wilks points out: “Laboratory pathology makes up only 2-3% of [hospital] spend, but it is an easy target if there is cost cutting.” At the moment German Chancellor Angela Merkel is too distracted elsewhere. Aside from the eurozone crisis, her Christian Democratic Union party has performed poorly in a series of regional elections this year. Mostly recently, in mid May, she was punished in North Rhine Westphalia, Germany’s most populous state. Given that the vote is generally seen a dress rehearsal for the national elections, which will be held in September or October next year, Merkel is unlikely to address the health sector head on, especially in any ways that would be unpalatable to voters. “Nothing big will happen before the election,” agrees Tobias Brodtkorb, consultant at Sempora Management Consultants. Nonetheless, consolidation in the sector is going to continue and will impact all medical stakeholders. This is precisely why the players in the German healthcare market are looking at the Fresenius deal so closely. It is a truism in Germany that any hospital above 800 beds looks at quality, anything below that looks a price, but that only goes so far. “Size is important. For example you get better deals with pharmaceutical companies if you have scale,” says Brodtkorb. As a result, price pressure remains a sword of Damocles over any medical company. Although some see the increased power of the buying cooperatives and health centres as a challenge, Omega Diagnostics’ Harbinson sees it as an opportunity. Smaller individual doctor surgeries are unlikely to buy a closed system analyser to test 600 allergens, for example, but medical centres might. Rather than complain about the new world order, better to embrace it. Although it is still early days, what is beginning to emerge is a medical landscape that EKF Diagnostics’ Wilks vividly describes as looking like a dumbbell. “We used to see sausage segmentation in the market, now it is a dumbbell. The middle is squeezed, but there is money at both ends.”

German healthcare in numbers

11.6% $4,218 5.0% 5.7 7.5 14.7%

Percentage of GDP spent on healthcare in 2009 Healthcare spending per capita in 2009 Average annual growth rate of real healthcare spending per capita, 1999-2009 Number of acute care hospital beds per 1,000 population Average length of stay for acute care (days) Obesity (BMI>30) prevalence

Source: The Commonwealth Fund, November 2011 report

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Editorial, illustration and layout 210 × 297 | gloss 110 gram


up front

rounding off

A balancing Act

NASUWT: Fighting the good fight

Join us! Join us!

BCC, not CC

Chris Keates has not always been Michael Gove’s biggest fan. As general secretary of one of the more militant teaching unions, the NASUWT, her job seems largely to involve making statements arguing that any slight policy change represents the end of the world as we know it. On the day of Gove’s seminal speech on schools technology last January, for example, she put out no fewer than three press releases. One attacked him for what she thought he would say, based on leaks in the press. Another attacked him while he was actually saying it. A third came after he’d finished, and she’d had time to digest. (You can’t fault this technique’s effectiveness, mind: just count how many times she pops up in the press compared to most of her rivals.) In her conference speech on 8 April, though, she took the unprecedented step of trying to say something nice about Gove. “Well, I thought, and I thought,” she said. “But I could only come up with one thing he had done which was positive. But it is something for which I want to thank [him] very much.” And what would that be? “Since he has been Secretary of State, recruitment to the NASUWT has soared.”

The Students Loan Company doesn’t get any better, does it? The life of every learner’s favourite quango seems to be one long scandal. It has a history of accidentally continuing to take cash from graduates, after they’ve finished repaying their loans. In 2009 a Liberal Democrat MP accused it of “breathtaking incompetence”, after it took so long to process loan applications that first year students were starting university without a penny to their name. And in January it turned out its boss Ed Lester was receiving his salary through a private company, in order to avoid paying tax. In the latest scandal a subsidiary, Student Finance England, accidentally forgot to BCC one of its emails – inadvertently sharing its distribution list with 8,000 new students. Spokespeople blamed “administrative errors”. That excuse is wearing rather thin.

Syntax error IT trade body Intellect’s roundtable discussion back in March offered many interesting comments on the future of schools tech (see page 14). It did, though, raise questions about some of the

industry’s language skills. Caroline Stuart, a business development director at tech firm Oracle, argued that ICT was so important it should come to be seen as “the fourth R”. Those four Rs, remember, are “reading, writing, ‘rithmatic and computer science”. Hmmm.

Try again. Fail again. Fail better And finally, Andrew Hall, chief executive of the Assessment & Qualifications Alliance, has launched a broadside on the grade inflationary effects of excessive A-level re-sits. To prove his point he highlighted the case of one mature student, who had re-sat a Maths module no fewer than 29 times. In one way, he’s got a point. You don’t get that many shots at a job interview. You don’t get that many goes at a first date. Putting a cap on the number of re-sits, if not banning them altogether, makes a lot of sense. All that said, though – the student in question put themselves through that particularly unlovable exam, voluntarily, 29 times. Whatever grade they got, they deserved it.

The Health & Social Care Bill is now law, but have political compromises rendered it dead on arrival?

A

fter more than 1,000 amendments, 50 days of parliamentary debate, and one ‘pause’, the Health & Social Care Bill has received Royal Assent, becoming, in turn, The Health & Social Care Act 2012. Ahead of the final Commons discussion, Conservative and Lib Dem ministers reportedly ‘banged’ the table at a cabinet meeting to mark the impending passing of the NHS reforms into law. Given how much grief it has caused them, one supposes they were using their heads. As far as the vast majority of the public is concerned, the private sector will also have partaken in some table banging upon the Bill’s passing (or popping the champagne corks, the cartoonists will propose). The reality, though, is more prosaic. There may have been a collective sigh of relief at the Bill going through, but mainly as it put an end to uncertainty around the legislation’s fate. Decision making has ground to a halt over the past 18 months, and those companies that work with the health service on a daily basis will hopefully see some sort of order restored to the market. But if this is the legislation that destroys the NHS as we know it, lines the Coalition’s corporate chums’ pockets with gold, and heralds the shift towards a US-style market dominated by powerful corporate players, it has received a rather underwhelming response from those that are meant to be reaping the rewards. Few in the private sector would have wished for the series of events that have followed the unveiling of Andrew Lansley’s White Paper in July 2010. The dissolutions of PCTs and SHAs and a shift towards clinical commissioning may well lead to

innovative procurement methods in the long-term, but there has been a noticeable contraction in the market as centrist, conservative forces in the health service assert more and more power. Contracts have been squeezed, budgets have been slashed and commissioners have been too worried about their own role in this brave new world to give much consideration to the part the independent sector can play. What’s more, the media has the private sector in its sights like never before. It is now a daily occurrence for supposed conflicts of interests, creeping privatisation and commercial corner-cutting to be unearthed and splashed across the news pages – broadsheet and tabloid alike. A more practical issue, however, will be how the loose ends of the Bill are tied up with secondary legislation. It is clear that Lansley and the Coalition preferred to get the Bill through by compromise, rather than taking any grand stands. But an elliptical approach to the language of the Bill means that much of the detail is still to be resolved. For instance, the role of competition in the health service remains a hugely contentious area. Following last summer’s ‘listening exercise’, the government redefined the role of Monitor, the proposed economic regulator for the NHS, to make its primary duty one of ‘protecting patient interests’, rather than the overt promotion of competition. What that means, only Andrew Lansley can tell you. Other significant amendments include removing reviews of the health service by the Competition Commission, and new restrictions on private patient unit projects at NHS hospitals. The health secretary’s position will be strengthened by the Bill’s passing, but it remains to be seen how this Act will play out for the private sector.

48

3

special education

special education

Balance of trade Rob Buckley

B

y most measures, the UK is one of the world’s leading countries when it comes to looking after children with special educational needs (SENs). One in five children in the UK are recorded as having SEN, one of the highest numbers in the world. By contrast, many other countries are so lacking in concern they don’t even bother recording any such statistic. Add to that the open procurement market operating in UK schools, and

30

HEALTH / EDuCATIoN INVESTor PuBLISHING

it’s unsurprising that a lot of the most innovative technology for helping children with SEN has come from the UK: Dolphin’s tools for those who are visually impaired, or have dyslexia or learning difficulties, for example; or Rising Stars’ teaching resources, Widgit’s Communicate in Print, or Texthelp’s literacy software. Measured by output per head of population, indeed, the UK may well be the best in the world at developing such technologies. With BCC Research predicting that the world market for

assistive devices for people with special needs will reach $13 billion (£8.2 billion) by 2015, there’s clearly a lot of potential for the UK export industry to capitalise on. As Martin Littler, chair of the British Assistive Technology Association (BATA), said at a recent export seminar held by the Department for Business Innovation & Skills: “In this time of austerity, buoyant export markets are presenting UK education businesses, particularly those involved in the development of assistive technology,

with significant business opportunities.” It’s a statement with which Ray Barker, director of the British Educational Suppliers Association (BESA), agrees. “The market has certainly been getting bigger since the last election,” he notes. “Schools stopped spending because they weren’t sure if their budgets would be cut [see EducationInvestor, April 2012], and companies woke up to the fact they should probably do something else instead.” Certainly, the export market is set to expand: medical advances have meant

that more and more children who might once have died at birth are now surviving, but many are growing up to have SENs. The UNESCO Salamanca statement, signed by 92 governments and 25 international organisations in 1994, agreed that inclusion of disabled children should be the norm in education. The statement also included a ‘framework for action’, the guiding principle of which was that ordinary schools should accommodate all children, regardless of conditions. Many of those countries have been

lagging in making such provisions, but are now trying to catch up: children that might once have been ‘locked away’ rather than in the education system, particularly those with dyslexia, autism and Down’s Syndrome, are now in schools alongside their non-SEN peers. The upshot of all this, Barker says, is that “some countries are trying to move very fast and revolutionise what they are doing”. Nearly 40% of visitors to the BETT trade show are now from overseas, and the list of countries interested in UK 31

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Universities are still coming to terms with the new fees regime. But many are already turning to the private sector to plug gaps and exploit opportunities This September, the most radical reform of British higher education in nearly a century come into force. In the past, undergraduate teaching has always been funded primarily by government grant. Now, for the first time, universities’ main source of funding will be the fees paid by students themselves. That doesn’t mean pushing the state out of higher education altogether (those fees will be still be paid using borrowed public money). But, the government hopes, it’ll lead to a fundamental shift in the way higher education works. Students will start to see themselves as paying customers, and demand more for their money. Universities, meanwhile, will stop thinking of themselves as quasi-government bodies, and reclaim their position as proud, independent institutions. One of the side effects of all this will be a bigger role for the private sector. Whether it’s finding funding for new ventures, cost-cutting outsourcing exercises, or radical ways of funding ‘off-quota’ students above the government’s cap, it’s clear business will have a big role to play. To consider the implications of all this, EducationInvestor and the Parthenon Group brought together a panel of experts from government, higher education, and the investment community. In a wide-ranging 90 minute discussion we covered everything from capital investment, to debt financing – to how many students will actually manage to repay those loans. Jonn Elledge: To start, I’d like to consider what how the relationship between universities and the investment community is changing. Matt, perhaps we could start with you.

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