Talk 200

Host Andy Spinoza is joined by Professor Alejandro Frangi, Director of the Christabel Pankhurst Institute and the Bicentennial Turing Chair in Computational Medicine at The University of Manchester; Dr Louise Hunter, a Clinical Senior Lecturer in the Division of Diabetes, Endocrinology Gastroenterology; and Raluca-Elena Valcescu, Executive Officer for the Faculty of Biology, Medicine and Health at The University of Manchester Students’ Union. 

The group discuss Manchester’s storied history of medical and health-related breakthroughs and how these led to the city remaining at the forefront of medical innovations for over two centuries, and consider the University’s role today in advancing medical knowledge, driving positive healthcare and tackling global health challenges. 

They also look to what the future might bring – and what impact digital technologies, AI and advanced materials could have on positive healthcare outcomes. 

This podcast episode was recorded on 27 June 2024.

If you wish to access the transcript for this episode, you may do so by clicking here.

Further information 

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Find out more on our Talk 200 webpage or discover more about our wider bicentenary celebrations.

What is Talk 200?

Talk 200 is a new lecture and podcast series from The University of Manchester, launching to mark our bicentenary: 200 years of making a difference.

This year we’re reflecting on our past, celebrating our present and looking to the future – and Talk 200 invites listeners to be part of the journey.

Our podcast host, Manchester aficionado, author, and University alumnus Andy Spinoza will be joined by a diverse line-up of guests from our community – pioneering academics and notable figures, inspiring staff, alumni and students – to discuss topics such as health, digital and AI, climate change, and equality and justice.

[Music]

Hello and welcome to Talk 200, a lecture and podcast series to celebrate the University of Manchester's Bicentenary Year.

Our 200th anniversary is a time to celebrate 200 years of learning, innovation, and research.

200 years of our incredible people and community. 200 years of global influence.

In this series, we're hearing from some of the nation's foremost scientists, thinkers and social commentators,

plus many other voices from across our university community as we explore the big topics affecting us all.

Today, we continue to spearhead advancements in health technology, research and innovation.

By fostering a robust research ecosystem, the University is making significant strides in improving health outcomes and reducing inequalities.

Our guests will discuss how the University's current projects and initiatives are shaping the future of health, care, medicine and biology,

ensuring that Manchester continues to be a global leader in health innovation.

So, my name's Louise Hunter, I'm a Clinical Senior Lecturer in the School of Medical Sciences

and I also hold an honorary consultant post at the Diabetes Endocrinology and Metabolism Centre down the road at Manchester Royal.

Alex Frangi, I'm a Professor of Computational Medicine at the University.

I have joint appointments between the School of Health Sciences at the Faculty of Biology, Medicine and Health,

but I'm also a chair in the School of Engineering in the Department of Computer Science.

And I'm also the director of the Christabel Pankhurst Institute on Health Tech Research and Innovation.

And I'm Raluca Valcescu, I'm currently the Faculty of Biology, Medicine and Health officer.

I studied here for four years, I did a Master's integrated in Biochemistry,

and while I was doing my final year, I ran for the elections, and I got elected into my role.

And what I do is basically just represent students, but at really high-level committees.

I have meetings with the Senior Leadership Team, also with the Faculty team and we work around multiple manifesto points

such as cost of living, estates, the student voice and that's quite kind of what I do.

Well can we start with the University's prestigious and significant past in the health sector?

Because there's a long list of medical breakthroughs and advances that have taken place at this University.

I mean the Medical School was established here in 1874.

What does that mean to all of you in terms of the, I suppose the reputation of the University,

but also, the resources and facilities we have here?

There's that catchphrase isn't there? “What Manchester does today, the rest of the world does tomorrow.”

And I think that's been true in many aspects of medical research and health care in Manchester.

We're very lucky to be part of that environment.

Yeah, and I think that is something about the culture and the DNA of the people as well, right?

You can have great technology, you can have great medical schools but if you don't have the attitude to be an entrepreneur,

to be an innovator, to get out and about, you know, your comfort zone, then you're essentially a consumer of those technologies, right?

Or those innovations, but if you have that attitude to actually try to go above and beyond

that helps you to take things to the next level.

I think that is illustrated with a number of the technologies that were introduced in Greater Manchester

right from the very beginning. A lot of the new imaging systems, technologies for cancer treatment,

graphene and then how you could use these for medical applications... I think it’s that sort of exchange of ideas

and I think that is facilitated by the geography as well.

So, I've been working relatively recently in the University and something that was really exciting to me

to see that you have this Oxford Road mile where all the universities, the hospitals, the different...

Even, you know, our neighbour university, are all integrated there and that fosters people to bounce in each other,

to get to know each other, to be easy. That serendipity that normally leads to innovations and breakthroughs.

And Cancer in particular, with the Christie Hospital being based in Manchester,

there's a strong kind of thread, isn’t there, over time with Manchester's expertise in cancer treatment and research?

Yes, and technologies for instance, like the Proton Beam therapy that is quite... in very few places

and the UK has one of the unique centres. And it's not just the technology and treating patients with those,

but it's also the development of the technology itself.

Another example is radiotherapy with we have a cancer research UK centre on radiotherapy

That, there is only a few of them in the UK, and we have excellence all the way from planning interventions,

to the delivery of those therapies which are lifesaving technologies, right?

You got a perspective on this tradition?

I think as a student, like the first thing that I've seen is just the campus itself

is just a merge between the new and old. One of the buildings that I studied as a student,

quite a lot is Stopford Building, and that just kind of shows the medical school and also integrated with biology and research.

There actually is this museum space that shows some of the instruments of change

and it just shows the pioneering spirit that universities always had.

I know that we had a lot of pioneers in different areas, like Rutherford with the atomic model.

I remember studying it when I was doing my Chemistry courses as well.

So, it's quite interesting, like one thing that made me very curious is,

whenever I see a new building and I see a name associated with it,

I would try to kind of search who that person was.

And although I never really studied in Michael Smith,

I've just been looking into what he's done, and I've seen that he also got a Nobel Prize in Chemistry, or Physics

I think it was. So, it's quite interesting to see how diverse our campus is and how it also acknowledges all these wins

from the past, but also hopefully from the future as well.

The NHS was launched here in Manchester and the NHS and the University are linked.

Can we talk about some of those links and connections?

Well, I think because we are, more or less, in the birthplace of the NHS,

I mean the hospital that's now called ‘Trafford General’ was that first hospital.

And so, it's put the University in a prime position to have that partnership with local healthcare organisations,

pretty much from the very start.

And as Alex was alluding to, just the simple geography,

so, I can be in the lab one morning and then I can walk across the road and do clinic in the afternoon.

That facilitates collaboration, sharing of ideas,... very easily.

Can we talk about the devolved healthcare model in Manchester, which was, I think, first outside London,

in terms of devolved health and social care?

Can we talk about what the opportunities are, and also the challenges?

Manchester has one of the first places, if not the first place,

where the NHS resources were allocated regionally and then they were devolved,

you know, the way that that is managed.

And then I think the lesson that was learned from this is that that proximity to the people,

to the diversity, to the challenges helps to make better decisions,

about the use an allocation of those.

And I think I believe that that was a source of inspiring the current model of integrated care systems

that now is utilised across the UK.

Well, across England, at least, where we do have digital provinces,

or provinces of distribution of NHS services that are also associated with regional data capabilities.

We call them ‘SDEs’ or ‘secure data environments’, where data of that region is stored,

and therefore, can be utilised with the right mechanisms to actually provide a better care

for the people of that region as well.

I mean, there was a study, I think, carried out by University of Manchester researchers,

published not that long ago, that showed some very interesting outcomes in terms of what the positive

(and the negative) outcomes of Devo Manc have been.

And as Alex was saying, putting the decision-making in the hands of local organisations, has meant that,

you know, health and social care can work better together.

So, I think one of the positive outcomes was that satisfaction with social care provision had improved,

and small but important improvements in A&E re-attendance,

just showing that if you can improve that link between primary and secondary care,

you can improve service use.

But because people were having to make decisions about funding, you know,

limited part of resources, some outcomes were negative,

and that's probably just having to spread the pot differently compared to other parts of the country.

Alex, you're the director of the Christabel Pankhurst Institute.

Can you tell us about that institute, and also why it was given that name?

Yes, so the Christabel Pankhurst Institute for Health Tech Research and Innovation,

does what it says on the tin: it’s health technologies research innovation.

It’s a partnership with a number of local actors.

You know, it's a pan-University institute, all the University faculties are involved,

so, Faculty of Biology, Medicine and Health, Science and Engineering, and Humanities.

But we also have external partners, we have Health Innovation Manchester,

that brings innovation and accelerates,

adoption of innovative technologies across the region,

Manchester University Foundation Trust, that is our sort of flagship University hospital,

the Greater Manchester Combined Authority as well,

that provides that linkage with policy and decision making, and strategy, at the regional
level,

and then a Bruntwood SciTech that provides infrastructures.

And it's generally a partnership to make of Greater Manchester the most vibrant,

well-connected, innovative region, where we can develop technologies,

but also trial technologies at scale.

And that is quite important because in a sense gives Greater Manchester the opportunity to be at the forefront

of selecting what makes the best difference for the local people,

But also to generate opportunities for innovation based on the local needs as well.

And we believe that by doing so we will have a bigger impact as well,

you know, nationally, internationally, because it's almost like a living lab

at a scale of 3 million people, right?

And in terms of the name, so Christabel Pankhurst was together with Sylvia Pankhurst,

were the two daughters of Emmeline Pankhurst. So, they were part of the suffragette movement,

Christabel was an alumni from The University of Manchester,

and she was both a person that was extremely passionate for making a difference,

for improving access to certain rights to the population,

but it was also an alumni from our University.

So, can we talk about what's unique about Manchester and health innovation here at this University?

Well, we're very lucky that we have umbrella organisations that bring together

the University and other universities in the area

with partner organisations such as, you know, healthcare providers,

so, Health Innovation, Manchester, the Manchester Academic Health Sciences Centre...

these organisations provide that link, not only between the healthcare trusts,

but the local care organisations, the commissioners that, you know,

decide how to fund services together with the universities,

other local partners, industry partners, so you have these opportunities

for all these groups to come together, collaborate, develop innovative ideas,

and certainly, I'm not sure how, you know, whether there's other places in the country

that have those organisations bringing everything together like that.

Especially in a devolved Greater Manchester, which you describe very nicely,

Alex, as a living lab at the scale of 3 million people.

Yeah, and I think I was precisely going to emphasise this,

is the confluence of multiple disciplines, excellence in each of them,

the diversity of the population and the scale of the region

that makes it large enough to be meaningful, and as well, enough to be manageable.

And I think that's fundamental because if you are any health tech company, any pharma company,

And you want to deploy and test new technologies or new treatment options,

you need to have all of those characteristics so that whatever outcome comes from that research

is meaningful, is potentially relevant, is translatable to other regions.

So, for instance, the diversity in terms of South Asian communities, Afro-Caribbean communities, that we have,

you know, I'm originally as well from Latin America,

I've met with a lot of Latin American people here as well,

makes that diversity be also a good living lab,

not just to know what happens here, but how what happens could be translated to some other geographies.

And I think that's why I believe that, you know,

gives the opportunity for Greater Manchester to be a great place to collaborate internationally with.

Well, that moves us on nicely to particular projects.

Any notable projects that you may be working on?

Yeah, so let me pick two. One, both of them are connected with a Christabel Pankhurst Institute.

One is from a dear colleague of mine, Will Dixon, and then another one is that I'm working directly myself in.

So, Will is working on a project where the main goal is to say,

why do we need to do clinical trials by setting those experiments,

these randomised controlled trials as a completely, you know,

a new study every time with all the set-up cost and time that it takes?

Can we, for instance, imagine that the population has technologies like, you know, remote monitoring, digital apps,

and we could simply enrol patients, you know, of course, we then sign an app

and there is all kind of technological challenges about doing consent in a dynamic manner,

but how you could do a study where you look at monitoring patients and enrol them in a dynamic manner

and can do that at a scale. And so he's studying that in a number of areas,

and that is a great combination of technology, addressing a fundamental problem,

which is: how you generate evidence at a scale, and at pace, and in an inclusive way, right?

The second project we are working on is we are developing a proposal for the UK government to develop a centre

of excellence in In Silico Regulatory Science and Innovation, and that is another way to also generate, in this case, regulatory evidence on safety and efficacy at scale,

and is by using an alternative to real patients, which is what we call ‘digital twins’ or ‘virtual patients’,

‘virtual chimeras’ that are fed from real world data at a scale,

and that connects with our digital capabilities in the UK.

But then, utilising a way that you can scale up that evidence at the level of several millions, if you want,

and that allows you to have that diversity and thoroughness of testing that is sometimes practical,

sometimes in some times practically, sometimes ethically impossible to do with randomised controlled trials.

And presumably far less expensive and much quicker?

Absolutely. There are advantages. Well, first of all, I would say we don't advocate a complete elimination of randomised controlled trials.

We think that randomised controlled trials and similar human studies are very important in many senses,

but what we do believe is that you can reduce, refine, and replace some of those trials,

and particularly use that as a gate stop for technologies that could potentially be harming

before even you engage into a randomised controlled trial.

Can you do simulations of those? And that would reduce amount of physical testing with, you know, the consequence in reducing waste,

the amount of animal testing with the advantages of improving welfare for animals,

but also, the risk in patients that otherwise will go through trials on risky technologies.

But also, the risk in technology, which is important for our businesses,

and to make a difference in terms of facilitating decisions on investment, in which technologies to invest,

those that are potentially most beneficial for patients and those that will have a real impact.

That sounds very exciting. And Louise, you have any examples?

Well, it's not from my own personal work, but there's a lovely example of something called the "PALO study."

So, that was led by University of Manchester Clinical Academics from the Manchester Centre for Genomic Medicine,

and they worked together with industrial partners and healthcare partners,

rolling out a rapid point of care. This made the news, you might have all heard of it:

A gene test for babies who needed an antibiotic,

so, there's a commonly used antibiotic ‘Gentamicin’,

and some babies will have a genetic change that means that using Gentamicin could put them at risk of hearing loss.

So, allowing healthcare practitioners to do that test before the baby gets given Gentamicin,

is potentially going to prevent hearing loss in newborn babies, which is wonderful.

So, I thought that was a really nice example of researchers, healthcare,

patients, industry, all working together to deliver really important change.

Yeah, real world impacts. When we talk about genomic research and we talk about health data,

there are a lot of concerns about sharing data in the media, for instance, in reports...

Obviously, it can bring lots of positives, but how could we explain to the wider public those positives

and reassure their concerns?

There is, I would say, the first and most important thing is: you need to work with the public and with patients.

It's a co-creation effort. It's not something,

researching these areas is not something you do to patients, you do with patients, right?

And you work together with them right from the very beginning.

So earlier this week, I had a meeting for a project that we are preparing,

the one we were talking about In Silico methods, where we had a meeting with about 14 people

from different geographies in the country, but also different ages, different ethnics,

different socio-economic backgrounds. So, people that have been more exposed to digital technologies,

people who are digitally natives, and people who are digital adopters, right?

So, you need to have this plural perspective to understand their concerns, their fears, their interests.

And my experience is when we work with them, when we work together with them,

you get to understand what are the things that they are concerned about.

You get to think your own questions in a different perspective,

and you also get the opportunity to convey confidence and trust on what it's being done,

in a way that also makes them realise that there are missed opportunities

by not adopting and embracing some of these technologies.

But it needs to be done in a way that is jointly co-developed, right?

We've spoken a lot about the local Devo Manc context and Manchester context,

but Manchester is an international university.

So, what examples do we have of medical research from here,

benefiting people around the world?

It's quite important that the technologies and the findings that we do in Greater Manchester,

given the diversity of the population,

that gives us inklings, insights into how some of the same therapies

or the same insights that we get could translate to other geographies.

And I think that combined with the quality of the data we have allows us to work

with collaborators international to sort of replicate fundings.

So let me give an example: a few months ago,

a group of scientists from Manchester and other colleagues,

internationally we published a paper in one of the Nature Journal's

that was looking at how you associate fine associations between the detail anatomy of the heart

and the genetic sort of fingerprint of the heart.

So, understanding how certain genetic variants are associated with specific morphological

features. And that's something we did on UK Biobank,

But, then, now, we're looking for collaborations to actually replicate those studies in other areas.

Do we find the same associations in geographies and areas where they are different to the UK?

Previously, we did a similar study where we look at associations between retinal

scans and detail, you know...You could also think this as a fingerprint of the vessels of the fundus,

how they associate with myocardial infarction risk.

We did that, again, on UK Biobank data, and then we replicated that working with NIH colleagues

in the US. In other data sets that have, for instance,

much more prevalence of Hispanic populations and also for Caribbean populations as well.

So sometimes collaborations is a way of replicating findings.

Another thing you can do is collaborate with other countries

where they do have great ideas as scientists, but perhaps they don't have the digital infrastructure

to test those hypotheses. And we have mechanisms for them to visit us,

work together with colleagues in here, and develop those hypotheses with data that is from greater Manchester as well.

So, we mentioned UK Biobank. This is a facility that's relocating, isn't it, to the campus?

Can we just explain what that is?

Yes, so UK Biobank is a completely independent entity from The University of Manchester.

It's a natural resource of data scale. It's basically undertook to do a very detailed phenotyping characterisation of patients

at the order of a million people. And there is a very large proportion of those, about 10% of those,

that actually have also been imaged at detail. So, they have imaging from the brain, the heart, the bones,

You know, all parts of the body in different modalities. So, imaging gives us the characteristics about how the disease is manifested,

but also, we have all the information about their genetics. Well, UK Biobank has all the information about their genetics,

their physiology, a number of sort of omics variables. So, it becomes a resource that anybody can access.

Now the headquarters of that resource will move from Stockport, where it’s at the moment,

to the campus, and that will provide, hopefully a lot of opportunities as well, to collaborate even more deeply

that we are already collaborating, not in any sort of preferential way, but in the sense that

collocation also generates interactions and generates opportunities for exploiting the synergies that can exist there.

And we believe that while that is a great data asset, the University has super exciting opportunities in terms of clinicians,

and other scientists that are asking fundamental questions, people who develop methodologies in engineering

and physical science and computer science that develop analytics tools, statistical tools, and that's going to be really, really exciting.

And the other thing is the adoption and the use of that data as well through particular startups and innovative companies

that are looking to develop new AI solutions that can benefit from some of that capability to take things to the next level as well.

What's been your experience first as a student and then as a student officer in Biology, Medicine and Health?

So just a bit of a journey, when I first came here, I was introduced to all the labs and we've done quite a lot of work around different areas,

and it was quite exciting, and I really did feel that as an individual it did help me grow to understand how the biological ideas

and how to approach a lot of the stuff that was actually discussed before, because I remember that in my last year project,

I've done this project on biomarker research in age-related macular degeneration, and I've enjoyed it quite thoroughly

because what I've done as well is looking between the control samples and disease samples, comparing them, finding new biomarkers

and although it was like a pilot study, it was... just kind of shows the importance of research and how even pilot small research projects can help to the bigger, wider contribution of research.

And what's funny is, while I was doing my master's project, I remember that the disease that I was studying had primarily two types

the dry and wet version of age-related macular degeneration and the dry version had no cure, but while I was doing my master's thesis

Actually there was an FDA-approved cure for it, which just shows how fast-pacing everything is.

From my experience, of course, as a student there was quite a lot of obstacles because my study was impacted by the pandemic, so everything had to be flexible

but from an officer point of view, now I see how much work is put into actually promoting this flexibility

and how, for the future, we can actually promote this accessibility to study, having a more flexible approach to lectures and to assessments

we all know the AI is impacting the way that assessing and teaching is going to happen in the future, so it's quite exciting to see how, from a student, things went well

with just the caveat that the pandemic happened, but then as an officer is seeing how the future might look like in the realms of teaching and learning.

And, in terms of interdisciplinary work, do you see students getting more opportunity in that line?

To be fair, my whole degree, doing Biochemistry, was quite interdisciplinary because I had to work a lot with a mass spec, which is more like Chemistry,

but also having to analyse a lot of data and developing into databases and so on and so forth,

I've seen how it is to develop into Computational Biology and it's something that I actually want to do for the future.

As you mentioned before, I found it quite interesting, the fact that we can simulate or emulate patients or just do prediction based on different types of data

I've actually done a smaller scale kind of exam on a question of getting biofuels out of different organisms.

So I really hope that for the future we're going to dwell more into it and I really hope there's going to be more opportunities

because definitely technology and computational approaches is something that's going to help us quite a lot, especially in the research field

As important as physical health is mental health and maybe if we can start with you, Raluca and the way mental health impacts on students.

I'm sure you see some of that impact in your work.

Do you know of projects addressing this such as the Bee Well project for Schools?

I did hear about the Bee Well project, it doesn't really fall within my remit, but I can tell you there's a lot of other things happening at Faculty level

that are addressing support and mental health for students

I primarily, we all, know because of the cost of living crisis, students just want that extra support.

So, one really good initiative is cosy campus spaces, so students being able to go to these places that are heated and have microwaves and hot water available.

But also, what's been happening in the faculties is that we have more support services such as the school or support hubs,

just to provide more levels of support for students.

And also, one really important thing that looking back as a student, I really regret not participating in is,

and something that I really enjoy about Manchester is, the amount of activities that you can get involved in.

The idea of societies doesn't exist in Romania that much,

So when I came here and I thought there are so many societies I would be like “oh it would be so great to get involved”.

But unfortunately, as I said a lot of students might be facing financial issues,

but because of that, the University’s put up an ‘Access to Recreation Grant’, so students can get involved in societies, can get involved in volunteering,

and overall, hopefully these little steps are just going to help us and help our students

feel more at ease, feel that they belong to the campus.

But mental health has always been a very hard issue to tackle,

but hopefully we will take in the right steps of implementing that student voice so students
feel more at ease.

I think we need to think more and more that aspects like health are extremely integrated with other dimensions of our life,

and our society. You cannot think about a patient as just that person that crosses the door of a hospital

and is in the hospital for a number of hours

These people live in a city that has traffic, pollution, cost of living crises,

other aspects that have to do with policing, with crime, with access to resources, to technology...

and I think what we are going to be seeing more is that sort of human centric view in the future.

I hope we will see more of that, in the sense that we will help us to understand the individual as a whole,

not just as parts or moments of that individual,

and that will help us to bring along that more those aspects that have to do with mental health.

I think, mental health in many ways is kind of the orphan topic that is a by-product of the other things we do wrong,

and then we find this out and then we need to do something with.

Well, I think if we could tackle all of these other elements, we indirectly are going to be tackling that,

but also if we tackle mental health, we will understand that there is a lot of ramifications

and areas where we need to improve society as a whole and the relationships between people as well, right?

I mean there’s growing recognition, isn't there, that psychological well-being and improvements in quality of life

Can be as important, more important, than certain phenotypical physical outcome measures in studies.

So, you know, University of Manchester clinicians and researchers were heavily involved in the flash glucose monitoring

study that has really changed glucose monitoring for people with type 1 diabetes

and that demonstrated an improvement in quality of life,

and that's really important for people, it's not just the numbers,

it's how they feel about living with their condition as well.

And at the same time, this is very connected to productivity as well, within the region and therefore the economy.

So when sometimes we tend to think “oh, you know, we need to be careful that we do research, but you know the access of industry...”

Of course we need to be careful that things are done ethically responsibly, right?

But at the same time, we need to realise that having a more productive society where people enjoy, not only in terms of their leisure time,

but also their work experience, that leads to people who are more fulfilled, and therefore with a lot of these side effects.

Alex, I know you have referenced the phrase “new social contract” and how that's needed between university research and the wider public.

I mean, Louise, have you a view on that?

Well I'd like to think that you know, the mindset of the academic community has changed for the better over recent years

in terms of involving the public, patients, service users, in research and research design as part of the course.

You know, Alex's phrase about "you're not doing research on people you're doing research with them”

is absolutely true, and you know, one of the things that we learnt from watching people's behaviour during the COVID pandemic

was how interested people are in healthcare data, what research is going on,

and you know the University puts a great deal of emphasis, rightly so, on involving the public and patients

and people of greater Manchester in our research. So, in my own field, at the Centre for Biological Timing,

when we talk to people about the research that we do and the influence that the body clock has on health,

people are really interested, they're fascinated. And we should never underestimate the intelligence and the curiosity

of the general public to be involved and engaged in research. So I'm glad that we are mindful of that,

and that we're making efforts to get people involved right from the start.

So, looking into the future, you know, what impact will digital tech, AI, advanced materials have in getting positive healthcare outcomes

do you think, Alex?

So, I think AI will have a major impact. And I would say it's not just AI, it's digital data and access to, you know, computation at the scale as well,

and we are privileged to have been in the home of Alan Turing. And it's very inspiring for me you know, being in Computer Science and in Medicine

to walk through you know the area as well. Tim Berners-Lee's family, Tim Berners-Lee is one of the people who developed the Internet,

I was curious a few years ago in his history his parents, actually, were also working for Ferranti here in Greater Manchester,

And, in particular, his dad worked in the first electronic house record system that was developed in the UK.

And I think we will see, in the future, a bigger use of all of those technologies. I mean, in a sense it's unbelievable.

We use hospital data in a very fragmented way today, I mean, for care for patients.

You know as a dad of a few kids, if you go to A&E, you tend to be asked the same questions multiple times, because -I mean in any hospital, not in Greater Manchester-

Because, fundamentally sometimes the systems are not connected. Then you can imagine when you have that fragmentation you have a lot of paper

material that doesn't look good for net zero. You have also potential errors of things being missed out, you know, dots not being connected.

So, I look forward to a system in the future that, through AI, and other technologies, and through the involvement of patients and NHS practitioners that help us

to identify the many needs, will be a lot more well connected a better... a more streamlined more efficient, where errors will be lesser,

where hopefully we will come over the worries about biases by having access of these digital technologies to everyone,

by involving, you know, patients, and the public, and citizens, and especially right from the get-go of these technologies.

And I also would like to see those technologies being used in the life cycle of medical products as well,

so not only in the hospital as a care provider, but also in all of the industries that actually provide technologies and consumables to hospitals to operate.

So, for instance, you were talking about materials and AI. So can we discover, you know, new chemical sort of products and there are companies that are

pharma companies that effectively are AI companies doing drug discovery, right? But similarly, that we will do the same with medical devices,

that we will be able to engineer devices that are more personalised that are more diverse in the sense that they operate well in different types of subgroups of the population

because we understood their difference, about them, and we can produce them at a scale... and the pace of acceleration will come to a large extent

by AI and I would say more broadly Computational Sciences and Engineering, which is kind of a bit of a broader context,

I think will be crucial in making that happen.

In the Centre of Biological Timing where I work there's a large group of researchers who are trying to understand our body clock

and how that makes an important contribution to our health and how it helps us thrive in the environment around us.

So, certainly, broadly speaking I think advancing that understanding to a point where research can inform how policy makers shape the environment around us, and also

show us, as human beings, how to live best in the sort of 24/7 constantly on, constantly lit, environment that we live in will be really important.

And perhaps more related to my own work, where I'm trying to understand how the body clock regulates energy metabolism,

that understanding being useful to perhaps work out how we can intervene pharmacologically in metabolic disease,

or perhaps pinpoint those people who might be particularly vulnerable to the negative effects of shift work,

for example. So, it's a very exciting field, and hopefully 5-10 years down the line we'll be able to look back at all the developments that there's been.

Looking ahead, personally, Raluca, what can you see yourself doing in 5 years’ time?

Honestly, I mean I just graduated and now with my role being completely different from being a scientist,

basically working in higher education, I feel like I have so many new opportunities.

I could continue working in higher education or one of my dreams is also, as I said, I'm quite excited about Computation Biology.

So, I could always take a PhD into studying a bit more around it and return to it. I'm also really keen on mass spec,

as I've done my project around Mass Spectrometry. So, I guess for me, the future is quite open when it comes to opportunities.

I suppose, at the moment, is what comes first, like the opportunities, but I would really enjoy to get back into research.

But everything seems so interesting that sometimes been pointing just in area it's quite hard as I said,

Computational seems really interesting, biofuels... I never thought that I would really think about that,

but it's such a big issue that could help around climate change and so many other things,

or even Biomarker Discovery is really interesting and, as I said, really even smaller pilot type projects can help the wider population

and just the wider knowledge. So, yeah, I guess my opportunities are just open.

And would they be, do you think, still here in Manchester?

Honestly, I hope I do, I really like, I like the city so much. I really like the diversity of the city.

I think is the first thing that I've seen as an international student, maybe that's why I really liked being here.

I felt welcomed, I felt like I found my people, and that I found my community.

So, I really do hope that I'll be in Manchester, yeah.

So, to end this podcast we are future gazing and looking at, asking you, what you hope the third century will bring in this area

for the University and all society?

I think I'd like to see personalisation of medicine becoming the norm, and that's going to need the University and

healthcare partners, industrial partners, to work together, but you know, you can envisage a future where the amount of data

and the different types of data that we have on an individual means that, you know, treatments can very rapidly, be personalised to that individual,

and for that to be commonplace, that would be a fantastic place to be in a centuries time.

So, what are the equivalents in the future? I would say, there are two ideas that I think would be quite important. One is, I hope, genuinely, that we do a

Reversion as a university, as an organisation as universities, or universities in general,

that we have been over the last hundred years going into a diversification and specialisation,

that I believe has led us into rabbit holes. We know infinitely a lot about infinitesimally a small amount of things, right?

And I think that, as a person, I think it makes us lose perspective sometimes.

And what we need is almost like going back, this universal knowledge of the Middle Ages, can we actually try to...to sort of

put things back in a better way, in a more deep way? and I hope that the existence of technology will help us to get there by removing things

That perhaps are less helpful, that detracts us from, you know, developing our soul, our body, our intellect,

but that actually, this digital world doesn't detract us from the physical as well, that it gives us more opportunities to enjoy relationships,

to enjoy, you know, the contact with nature as well, because that's what will, I think, help us to sort of bring things back.

And I believe that, from that perspective, we are going to actually get better technologies.
Perhaps not necessarily more sophisticated.

Thank you.

Great.

I guess I'll answer these questions through two different avenues: one of them being a graduate biochemist and the other just being a student.

So, as someone that just graduated from Biochemistry, I would like that, maybe, in the future, as I said, I've done some research around biomarkers

and it's very fast-pacing and with all the technologies that we have in place maybe we get to a point where we can map out multiple biomarkers.

We all know that genes and their products are connected in a very complex way, so just getting to that point where we can map everything,

just to prevent diseases instead of curing them. Because a lot of the diseases, once they reach their like later stages, they're very hard to cure or impossible,

so that would just be a really like hopeful mindset for me as a scientist. But from a student perspective, I'm just thinking about how the future might look like

when training students to get into healthcare, into being scientists, or into medicine. As we all know VR exists, AI exists,

and with these tools, teaching can be retransformed. And if this is happening at the moment, how can this look in the future?

Would it be easier for students to just go and see 3D models of different organs and have that visual type of learning? or perform surgeries? and so on and so forth...

It would be really it was just kind of crazy to think about all the things that might happen in the next hundreds of years.

Thank you all for contributing to this Talk 200 podcast.

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Thank you for joining us for this episode of Talk 200, a University of Manchester Series.