Forte Medical on Instagram Live

Interview: MedTech success, women’s health, antibiotics, … and the vested interests of big business.

TheSistrApp interview with Giovanna Forte: the MedTech innovation journey, design, development, bringing integrity to basic routine women’s health … and the vested interests of big business that delay cost-saving innovation uptake. Find the InstaLiveTV interview here.

Urine Diagnostic Tools

UTI diagnostic methods from 1500AD to 2020AD: little has changed.

In 1500, clinicians checked the colour of patient urine to establish the level of infection. Today Healthcare Professionals are still relying on dipstick technology without considering the quality of the specimen, leading to over prescribing of antibiotics. With UTI mainly a female issue, this puts women on the frontline of antibiotic immunity.

Peezy Midstream reduces dipped false-positive urine specimens by up to 70% and contamination to as low as 0% from a national average 20%.

Isn’t it time for modern medicine to adopt state of the art methods and treat women properly? Download the Peezy Midstream Evidence White Paper.

2012 Back to the future: NHS GP Dr Vincent Forte on his patient safety innovation.

Dr Vincent Forte invented Peezy Midstream to help diagnose his female patients’ UTI problems first time, bringing hygiene and dignity to the urine collection process. In his own words, this is why Peezy was created.

Vincent is also co-author of medical textbook Symptom Sorter, used in medical schools and by doctors across the world.

Hyperlinked film: courtesy NHS Health and Social Care Innovation Awards.

Breathing life into Science Forte Medical

Breathing life into science: Peezy Midstream

Specialist lifescience recruitment business Austin Vita invited Giovanna Forte, Forte Medical CEO to deliver the first episode of its new “Breathing life into science” mini-series.

One routine day in Surgery, NHS GP Dr Vincent Forte had a Urethra Moment – and inadvertently alighted on the biggest problem that healthcare providers don’t know they have. Urine specimen contamination is the most common cause of untreated Urinary Tract Infection (UTI) which can wreck women’s lives and impact antenatal screening and prescribing.  It also means that millions of £ and $ are literally flushed down the loo due to contaminated and false positive samples being processed unnecessarily – and then retested.

Led by his sister Giovanna Forte, CEO of Forte Medical, Vincent’s invention Peezy Midstream is now growing in adoption in the UK and USA healthcare systems.

Watch Breathing Life Into Science here.

Pilot trial of Midstream Urine Collection device verses Transurethral Catheter

Baylor Scott and White in Temple, Texas, is a healthcare provider with an eye on innovation and improvement to patient health and experience.

When scientific researcher Rachel High expressed an interest in comparing the quality of a Peezy Midstream urine sample to the transurethral catheter method often used in Urology Clinic, we agreed to provide the 60 kits required.

The results show that Peezy Midstream samples detected 7 out of 8 uropathogens, with no detectable difference in microscopic urinalysis and confirms that patients prefer this novel collection device to catheterisation.

Further research on contamination rates is recommended.

The full manuscript is published in the Official Journal of the Americas Urogynaecologic Society: Female Pelvic Medicine and Reconstructive Surgery.

Peezy Midstream in the Academy of Fab NHS Stuff

When Professor Frank Chinegwundoh, Consultant Urological Surgeon told us of a routine 23.5% urine specimen contamination rate in his clinic at the Royal London Hospital, we asked if he would like to see if Peezy Midstream would lead to better outcomes. His interest was piqued and in total 66 patients provided samples as part of a Quality Improvement Audit.

Laboratory managers at Barts and the Royal London NHS Foundation Trust ran the numbers twice; the first outcome was too good to be true. But the second confirmed a urine specimen mixed growth reduction to 1.5%.

Professor Chinegwundoh recounts his Peezy Midstream evaluation experience on Fab NHS Stuff.

AngelAcademe closes Forte Medical funding with female investors

April saw the closing of a healthy six-figure investment from female Angels. These successful entrepreneurs invest through AngelAcademe, a leading supporter of women-led business. Love and Urine a Q&A with Forte Medical’s CEO arrived swiftly online. Read it here.

Mind the Vulture! Cautionary fundraising tales for every SME.

Our COVID economy is not the SME’s friend. As Government steers us towards a variety of funding routes – down-valued shares, loans with onerous strings attached – my investment experiences may provide useful intelligence for enterprising counterparts and peers. Be warned, your company’s best interests are not always central to investor intent.

Forte Medical will soon re-open its Growth Round. Whilst we have something others very clearly want, oddly we are not minded to give it away. 

Past experience confirms that for the uninitiated or trusting entrepreneur, danger can lie ahead in the shape of The Vulture.

Forte Medical was set up specifically to realise the innovation of a diligent and caring NHS GP who saw the fundamental flaw in urine collection and analysis. He invented a HealthTech device to solve what transpired to be an overlooked but huge problem for patient health, GP waiting lists, laboratory overload and NHS finances. Like many businesses with a healthcare bent, it has taken many years to prove our technology, its value to the industry it serves – and to the patients that will benefit from our hard work. 

Thus far over £4.5m of investment has been generated through personal crowdfunding and a trusted industry partner; family, friends and friends of friends make up our stable of shareholders, all of whom believe in our mission and have shown patience and support over the 16 years it has taken to reach where we are today. Recent corporate funding came through the ABHI our industry association who recognised a synergy between two members. These are the people an SME needs to help meet its ambitions.

Despite common knowledge that it takes an average 17 years for innovation to penetrate the NHS, speedy growth is what most investors look for. “You’ve taken too long,” is one familiar criticism; “You have too many shareholders,” another and “You Giovanna, will have to go and if the business isn’t making money in 12 months we’ll sell patents, assets and know-how and close it down.” HealthTech is not a fast-buck world, Mr VC.

Since Forte Medical received its first LDA Early Growth funding in 2006, my tenure as CEO has focused on completing R&D, complex product design and redesign, completing real-world trials of each improved version of Peezy Midstream and building sales now accelerating in the UK and USA. For more on this, visit our website because this article is not about what we do, but how we have struggled to find investors with integrity.

My first near-company-death experience was in 2012 when the owner of a Healthcare Locum business declared Forte Medical to have a great future. He pledged to meet the entire round at that time; knowing we were running short of funds he deposited a loan of £30,000 into our account, to be converted after a three-month due diligence period when the balance would be forthcoming. Friendly Mr Locum took at least double this time to conduct his investigative work whilst I worried … Then one fine summer’s day, all became clear.

“I don’t want to deal with all your shareholders,” he announced. “I have spoken with a friendly Administrator and arranged a Pre-Pack. All you have to do is attend a meeting, put the business into Administration, I’ll buy it and give you and your brother some shares.” 

My shareholders’ interests are priority and despite the precarious position we were in, I declined this kind offer. Within two days a winding up order landed on my desk together with notices of inspection from VAT and HMRC who had coincidentally received a tip that Forte Medical was not being run properly. Prompt visits from these Government agencies resulted in a clean bill of health. Thanks to loyal and supportive shareholders, Mr Locum was repaid within days, and the required funds secured from other sources.

Another offer of investment two years later morphed into an IP-secured loan at the last minute; giving away our Crown Jewels wasn’t in my plan and this, too, was declined. This pattern was to be repeated a few years later when an investment switched into a last-minute loan; this one required shares to be issued to the value of the loan, with the loan also repayable in full at high interest once our Series A was complete. Free shares gift-wrapped in foreclosure risk didn’t put much of a spring in my step although I have been assured by other capital investment people that this arrangement is “quite normal”. 

The matter of transparency has been another problem. Upon showing early sales in the USA, a young investment business there declared our ethos to touch the growing diagnostic zeitgeist for right-first-time medicine. With agreements in place and guarantees given, upon the investment deadline an e-mail was received containing apologies; it had become apparent three to four weeks earlier that his funds were needed elsewhere.

If a company seeks investment, it is to assist growth and success with the promise of financial reward when that happens. Exploiting an SME when it is vulnerable is to no-one’s benefit except the Vulture concerned who would sell all hard-earned company assets: IP on existing and new medical devices, tooling, equipment, manufacturing know-how and more. There is no integrity in screwing the SME; doing so undermines trust, reputation and the future economy, not least when as with Forte Medical manufacturing is UK based.

These and other as yet untold episodes involved much time and effort; dancing to the tune of disingenuous investors is a serious and potentially dangerous distraction for a promising SME with limited resources. What Vultures overlook is the opportunity to make money whilst saving lives. This latter point has been fundamental to my reasons for persevering through thick and thin, for so long.

With over 750 million urine tests conducted each year in the US and EU (not to mention other export territories), even at 1% of the market Forte Medical stands to be very successful whilst contributing to global public health. Our unique MedTech will soon add a digital, diagnostic Smart Peezy to the portfolio meeting the need for point of care technology. I envisage a percentage of profit to be reinvested in new HealthTech and clinical research, creating a circle of integrity for everyone concerned, not to mention benefits to the economy.

With £1m investment needed now for scale-up, we seek healthcare-savvy investors who can assist with the identification and implementation of global licensing plans. We are also ready to develop and commercialise our pipeline of five new and unique diagnostic devices.

Forte Medical is in an excellent place; the hard work is done, evidence is irrefutable and growing sales in the UK and USA point to a beautiful future upwards curve. Now we need real investment from honest, experienced people who understand our markets and our intent. If you are that investor, if you are fair and have integrity, I would like to meet you.

(c) Giovanna Forte updated 22 April 2020 / Illustration C A Halpin

Forte Medical meeting

Peezy Midstream: healthcare leaders, opinion formers and influencers on film.

Dr Liam Farrell talks with leading healthcare opinion formers and influencers about the need for better urine-based diagnostic pathways. Join them to hear how and why an innovation like Peezy Midstream can transform patient care and save lives.

Thanks to: Dr Liam Farrell, Medical Writer, retired NHS GP / Dr Vincent Forte, Inventor, retired NHS GP / Mr Ased Ali, Consultant Urological Surgeon / Michael Farrar, PwC Healthcare Consultant / Dr Sheena Byrom, Consultant Midwife / Jo Lambert, Matron Midwife / Jan Rogers, Chief Scientific Officer / Dr Neville Young, AHSN Director for Innovation

* Peezy Midstream Endorsements
* Why Midstream is important
* Making prescribing accurate
* Peezy in a High Tech Age
* Who is Peezy for?
* Accurate diagnosis
* The AHSN View
* Peezy for better Urology

Peezy Midstream helps patient diagnosis

No test is better than a bad test (why peripheral vision for routine diagnostics is needed now.)

Today’s news reports that patients with routine health problems are not coming forward for fear of breaking a system overburdened by COVID-19. These fears risk delaying diagnosis and treatment of routine infections, putting patient health at risk and storing up trouble for months and years ahead. 

Giovanna Forte explains how untapped HealthTech innovation can speed up diagnostics, patient care and wellbeing in a time of crisis. Read her article here.