Strategy for growth 29 November 2018 Andy Thorburn Group CEO
Agenda • Welcome and introductions • Business overview Andy Thorburn • Healthcare market Dr Shaun O’Hanlon • Medicine management Ian Taylor • Patient update Jason Keane • Technology roadmap Pete Malcolm • Moving forward and summary Andy Thorburn • Panel Q&A Group Executive Team
Our track record
Our track record – market-leading systems Patient Access 2.0 GP hosted systems GP systems GP practice check ins Community systems #1 #1 #1 #1 #2 London & SE STP |CCG |Trusts| Major Practices 6m registered users 2.25bn clinical documents 160m annual 22% market share 29.4m annual and 40m patient records appointments consultations recorded Hospital pharmacy Community pharmacy Healthcare partner Diabetic eye screening A&E systems systems systems network #1 #2 #2 #1 #1 private provider 14.2m patients annually 11m patients annually 454m items dispensed 100 partners in primary 500,000 patients screened annually care annually
Our strong, consistent financial delivery • Recurring revenue has always been at least 75% since 2010 IPO • Significant cash generated from operations every year • 10%+ increases in the dividend annually since IPO • Consistently delivered operating margins over 20% • CAGR since IPO • Revenue +15% • Adjusted operating profit +11% • EPS +12%
Improving our NHS Digital relationship • Our relationship with NHS Digital (NHSD) is changing for the better • We are aligned with their priorities and are converging our roadmaps • We are not complacent – however we believe we are well positioned for GP IT Futures • Our service level agreement (SLA) issues are now behind us and we are near to settlement completion - we expect this to be within our provision level
Our plan
Our senior leadership team Andy Thorburn Chief Executive Officer Barry Bonnett I an Taylor Group Business Development Director Chief Operating Officer Jacqui Summons Jason Keane Chief Executive Officer – EMIS Group HR Director Patient Platform Ltd Pete Malcolm Peter Southby Group Chief Technology Officer Chief Financial Officer Dr Shaun O’Hanlon Steve Wilcock Chief Medical Officer – EMIS Group Managing Director – Egton and Primary
Our strengthened senior team Clinical team Product team Technology NHS customer Private sector Talent Team team customer team • • • Shaun Guy team Jacqui • • Pete Ian • • • • Pippa Chris Barry Carla • • Paul Jason • • • • Rob Ian Steve Claire • • Jon Eduardo • • • • Jonathan Shanel Ed Pete • • Rob Stephen • • • • Sarah Graham Bob Charlotte • • Pankaj John • • • • Ian Jenny Steve Colin • • Iain Alex • • • Tom Lynette Ed Finance and • Idris governance team • • • Haidar Andy Karen • • Richard Peter • • Shanel Neil • • Andy Dean • • Tarun James • • Nick Neil • • Sima Nick • • Esmat Paul • Lydia • • James Christine • Helen • Ian Existing senior talent New senior talent
Our plan to re- energise the Group’s growth • Improve service performance and efficiency in our NHS business • Rapidly grow our private sector business • Build sustainable sales momentum • Update and accelerate our technology roadmap Expected financial outcomes in the medium term • Mid-to-high single-digit annual revenue growth for the Group • Increase private sector revenue to 50% of Group • Margins moving towards 30% • Tech investment self-funded through new sales and operational leverage
Attractive balance of NHS and private sector opportunities An NHS business that is focussed on An enterprise business that is focussed on integrated care enabled by new technology new opportunities in the private sector NHS integrated care Private sector growth markets • Primary care • Management of medicines • Child health • Patient facing services • Mental health • Partner ecosystem • Community • UK healthcare blockchain • Unscheduled care • New markets • Social care Providing new double-digit growth Improving operating efficiency for the NHS opportunities and EMIS Group
Building market momentum and service performance NHS Private sector • Investing in our team size and • Building on established capability quality • Identifying new markets • Getting closer to our customers • Acquiring new capabilities • Expanding our product portfolio • Developing new value propositions • Delivering NHS-wide value • Hiring new leadership and talent propositions • Deploying new support systems
Enabling technology strategy • EMIS Group is investing in software and systems to enable growth • We are upgrading our EMIS Web system that serves GPs and community customers • We are also extending this upgrade into acute, pharmacy and other new markets in a modular way • When completed we will have the UK’s first integrated clinical platform serving all care – EMIS-X “Deployment of EMIS -X will enable the transformation of the UK healthcare system and provide secure, auditable, legal and ethical authorised access to the richest UK clinical dataset.” Pete Malcolm, EMIS Group CTO
EMIS-X – improving patient outcomes • Builds on the clinical foundations of EMIS Web • Aligns with NHS England and NHS Digital roadmap and GP IT Futures • We have a team of 450 to execute our existing and new plans having hired an additional 150 team members in the last 12 months “I’ve seen some of the new developments that EMIS Group has coming down the track, which are very exciting, will improve lives for GPs and patients, and crucially help to save lives.” Matt Hancock, Secretary of State for Health and Social Care
Expanding NHS market with diversified revenue streams Addressable market Growth drivers Local care records/ LICREs £335m £672m Social and community care (2018) (2022) Mental health | urgent and unscheduled care Hospital medicines management Diversified local funding sources National funding sources 174 trusts in acute NHS Global Digital Exemplars - £200m+ Local integrated care record exemplars - 38 community trusts £75m+ 46 clinical services Hospital medicines management - £75m 15 hospices Health systems support framework - £300m+ 50 private hospitals IT Futures - £450m over 3 years
Private sector market with diversified revenue streams Medicines management Online services Current addressable Future addressable Market near-term Mid-term addressable £145m £325m+ £20m (pharmacy £100m+ marketplace) Partner ecosystem New markets Current addressable Future addressable TBC £20m £100m+
EMIS Group uniquely positioned through EMIS-X • Joined-up NHS • Joined-up management of medicines • Joined-up patient online services • Joined-up technology
NHS market drivers Dr Shaun O’Hanlon
Complex and diverse market drivers Demand Quality of care Technology Ageing population Care pathways Interoperability Long term conditions Sharing information Analytics Social care pressures Data driven decisions Modular systems Public expectation Consistency of care Mobility 24-7 service Mobility Cloud services Underpinned by technology NHS IT programmes Efficiency Financial £1bn pa additional funding Carter review NHS Forward View Global Digital Exemplar (GDE) Workforce and service NHS funding challenges Local Integrated Care Records planning £20bn increase by 2022 (LICREs) Medicine management Reconfiguring NHS Patient online access GP federations STPs/ ICOs NHS IT Futures
Core GP capabilities (blue) • Capabilities for current GP practice • Largely equate to EMIS Web now Non-core GP capabilities (green) • Patient services • Add-ons for GP practices • Opportunity for new EMIS Group products
Extended primary care • Integrated care capability • Federated working • Analytics • Local care records • Care homes
Standards • Interoperability • Reporting • Clinical safety • Information governance • Data standards • Infrastructure • Testing • Training • Data migration
Summary – well positioned in a favourable market • EMIS Group is at the heart of the changes in the UK healthcare ecosystem • Our focus is on providing joined up care across all settings – fully aligned with NHS strategy • Our new technology strategy enables our vision of integrated care to be a reality • We are well positioned for IT Futures
Medicines management Ian Taylor
Unique positioning and opportunity in complex market Excellent foundations Opportunities • #1 in primary care prescribing • To provide a unique insight of the interaction of patient, prescribing and • #1 in community pharmacy dispensing in all settings • #2 in hospital pharmacy • Maximise margins for wholesalers • Leader in electronic dispensing and pharmacies • Leader in online repeat medicines • Minimise costs for the payer – public via Patient Access or private • Knowledge and insight across all • Enable rapid growth of private public and private settings services via patient marketplace e.g. Patient Group Directions (PGD)
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