The need to forge new models of international partnership

In the week the University of Leicester launched a global research centre in India, Provost and Deputy Vice-Chancellor, Henrietta O'Connor, explained in a blog for WonkHE, why British universities must adopt new models of international partnership in a changing geopolitical landscape.

The blog is reproduced below:

Universities face a double jeopardy: a changing geopolitical world order and looming financial sustainability issues borne out of an over-reliance on international student fees.

In some cases, it is estimated that up to 70 per cent of a university’s income is based on international fees. The dependence on international income is accentuated by loss of European markets following Brexit.

The cumulative impact of fees, geopolitics, global competition, and domestic tensions around immigration have all added to a complicated picture that requires skilful navigation and innovative ways of working.

There is cause for optimism, though. The Labour government has put universities at the heart of its international relations by making a commitment in their manifesto for universities to lead soft power and influence. The focus from Labour on putting universities at the heart of their mission for economic growth is welcome and recognises the critical role that universities play in developing partnerships internationally.

To rise to this challenge, we need to rethink the way we do things – instead of imperialistic we need to be realistic. We must adopt new models of international collaboration, cognisant of the changing global order, to survive and thrive.

Inspiration from India

According to the latest Census data, Leicester has the largest population of people with Indian ethnicity outside of London. The links between our city and India run deeply through our culture, history, society and economy. What happens in India is relevant to us in Leicester and we can learn from one another.

With this in mind, we have developed a partnership with one of India’s largest healthcare providers, Apollo Healthcare. It is a wide-ranging collaboration that will include the launch of a new joint Centre for Digital Health and Precision Medicine, bilateral higher education courses, and professional pathways that will address skills gaps in the NHS and India.

This model combines shared research strengths for mutually beneficial outcomes that are applicable in both India and Leicester. Making the most of complementary areas of expertise, identifying shared aims, and finding areas of commonality are the key to this more reciprocal international model.

Centre for Digital Health and Precision Medicine

The Centre will harness the research strengths of the partners and the extensive longitudinal patient database of the Apollo Hospitals Group. This will help to deliver improved population health with a global perspective through better disease prediction and prevention, improved and earlier detection, diagnosis and management of multiple acute and long-term conditions in hospital and community settings. It will make a tangible difference to improving the health of communities in India and the UK, including local communities with Indian heritage in Leicester.

In a globalised world, we must recognise that we can’t be the experts in every area of research. Truly two-way partnerships can help us to learn from leading experts overseas, combining our shared research expertise for mutual benefit.

Working across continents with access to large population data also transforms the breadth, depth and quality of outcomes for our research. High volumes of diverse data allow researchers to answer more intricate questions and with greater speed – ensuring that outcomes can be translated into clinical practice sooner.

Data-led and industry-backed approach

The importance of data in modern healthcare cannot be underestimated. Researchers at the University of Leicester were the first to identify the disproportionate impact of COVID-19 on ethnic minority communities because of ethnically diverse data available to us in Leicester. We hope this partnership with Apollo will produce equally significant findings, supporting the partners’ shared commitment to inclusive and equitable healthcare.

Another aspect of the partnership which marks it out as distinctive is that it is not just with another university – rather the University is working with an industry partner and the NHS. Apollo will have input into the curriculum – providing relevance in a globalised world – and in partnership with the University Hospitals of Leicester it will help address the shortfall in health professional skills and nurses and doctors. It is unusual for a university to work in partnership in this way with industry and public services – but it speaks to the need for universities to develop new approaches to partnership working that seek genuine change and are not driven by a narrow self-interest in student recruitment.

Genuine partnership

Our partnership is grounded in shared values where the benefits for both institutions as well as their local communities and countries are clearly defined. It represents a new type of international engagement that is mutually beneficial (recognising that many overseas partners have knowledge that is better than ours) – not a colonial attitude. It is grounded in the needs of industry – ensuring that despite changes in politics the skills and research requirements – partnerships will continue to be informed by industry and evolve quickly. It is also, most importantly, based on long term commitments between universities and communities in places that go beyond individual student preference and geopolitical factors. We hope that put together these factors and this new model will be better placed to stand the test of time.

It is vital that universities in the UK adopt similar approaches to further demonstrate our importance and value to the UK – responding to the priorities set out by the Secretary of State for Education for universities to support economic growth at the same time as developing international links and contributing to the prosperity of our local communities.

Delivering new and equitable models of partnership does not come without policy challenges and it is important that we consider them as a sector. We can no longer engage with the rest of the world with a ‘what is in it for me attitude’ or expect that partners will always deal with us on our terms. There are legitimate questions around which legal and governance frameworks are utilised, how research funders can work across multiple countries effectively and equitable funding and commercial arrangements that all require a shift in mindset and policy in the UK.

None of these challenges are insurmountable, though, and they can all be addressed with the right approach. With new models of partnerships that are grounded in shared values and mutually beneficial, we can make a huge difference in the UK and globally.

The new Centre for Digital Health and Precision Medicine will be led by Professor Sir Nilesh Samani from the University of Leicester, also the former Medical Director of the British Heart Foundation, and Dr Sujoy Kar, Chief Medical Information Officer & Vice President at the Apollo Hospitals Group. Its vision is to advance healthcare and its delivery through the development and deployment of digital health and precision medicine solutions using advanced analytics.