Doing well and doing good

by Admin 1. February 2008 14:43

 

 

Does NHS Supply Chain spelltroubler for small medtech companies in the UK?

On Target asks Akin Sawyerr, healthcare logistics expert and former Head of Development for the Capital at NHS Supply Chain, to explain how the new system for NHS procurement and distribution of medical equipment will affect the industry.

1. What does NHS Supply Chain, and its ten-year contract to purchase and distribute medical equipment for the NHS, mean for healthcare in the UK?

NHS Supply Chain is operated by DHL Logistics under a 10-year contract, and governed by the NHS Business Services Authority. It manages the procurement and delivery of more than 500,000 products for NHS trusts, hospitals and other healthcare organisations. Our aim is to target £1 billion of savings to NHS trusts over the next 10 years, enabling them to reinvest in patient care.

For the NHS, this means a focus to encourage spend commonality within trusts – which in turn will drive economies of scale in purchasing, inventory management and logistics. The challenge for NHS Supply Chain is to bring forward solutions that can increase efficiency and save money, as well as reducing the carbon footprint.

2. What are the implications of the NHS Supply Chain contract for the medtech industry? Is it good news for major healthcare corporations, but bad news for specialist SMEs?

NHS Supply Chain’s strategy is to drive savings and value for the NHS nationally. This can be done in some areas through national contracting, particularly around standard products where there is little opportunity for local input. But the opportunity to bring value into the NHS often rests with local suppliers and SMEs, where the local economy can offer a better service or offering to a local authority or local trusts.

Driving costs out of the supply chain can involve breaking monopolistic practice. SMEs and local suppliers may be more keen to deliver a product that is fit for purpose, and which can go on to a mass-production level. These companies are heavily incentivised to produce quality products. In the long term, driving costs out of the supply chain often means having a quality product that manufacturers have taken time to think about and design – rather than a standard product that is made year after year without much change because the supplier can afford to do that.

SMEs have the advantage in terms of service that they can easily be reached for advice and support. They don’t have a bureaucracy and structure that make it difficult to reach the individuals who delivered or sold the product. A large organisation far away means a lack of service continuity, because you’re talking to a different person each time. SMEs have the advantage of continuity and relationship, and sometimes of proximity to the end user – as well as attention to detail and care taken to provide what the user really wants. These have potential value in terms of savings.

3. What is NHSSC looking for from the healthcare industry in terms of an effective business model?

NHSSC has an algorithm for choosing products that takes into consideration a number of parameters: patient experience, user experience, environmental impact, cost and effect on the local economy. It looks at whether the reusability and sustainability of the product fits in with a long-term savings plan, rather than having a short-term approach of making the savings today, but then paying for it over and over again tomorrow. The assessment will ultimately determine what is the best value product, rather than the cheapest product. It uses input from procurement specialists, distributors, manufacturers and clinicians.

The business plan to follow goes back to the value chain. Companies must be able to demonstrate that they are providing the NHS with best value and not indulging in the kind of practice where, because they know they have the market or know what’s preferred by the end user, they set a price that puts the NHS at a disadvantage.

4. What would be your advice to sales and marketing teams trying to get to grips with NHS Supply Chain as their leading customer?

Sales and marketing need to get away from the shiny/glossy image: it’s more important to engage with end users in a way that helps them practically to use the product in an effective and efficient way. This means a focus on training, to make sure the product is familiar to the end user and there is clear understanding of its impact. Sales and marketing need to focus on actual user experience rather than the feelgood factor of using a ‘brand’. They also need to feed the knowledge back to R&D, so they can improve the product to bring better value for the NHS, better patient experience and better health outcomes.

5. How will NHS Supply Chain support NHS-industry partnership to bring healthcare innovation to the patients?

If suppliers have to invest less in logistics and other non-core activity, that will free up resources for them to focus on R&D. Increased standardisation will mean greater concentration on specialty, which will drive down costs of manufacture and free up more funds for R&D. These are just two ways in which NHSSC provides opportunity for greater innovation.

Akin Sawyerr
Akin Sawyerr is Head of Life Sciences at DHL Worldwide Express, responsible for multinational customers across 14 countries in the Middle East. Until recently he was Head of Development for the Capital at NHS Supply Chain. The views expressed in this interview do not necessarily reflect those of the current management of NHS Supply Chain.

 

 

 

Corporate social responsibility is increasingly a key issue for all commercial sectors. With the help of examples from the medtech industry and its sister, the pharma industry, Nick Tolhurst explains how being a responsible company is good for business.

Over the past two decades, Corporate Social Responsibility (CSR) has rapidly moved up the public agenda, resulting in a growing pressure on companies to demonstrate the sustainability and social responsibility of their business operations.

It may strike some as strange, but one of the industries most targeted by non-government organisations (NGOs) to improve CSR has been the healthcare industry. Why should this be the case? After all, what could be more socially responsible than companies geared to providing healthcare? The problem lies with the divided public perception of the industry. On the one hand, the industry’s products are generally considered to be ‘good’; but on the other hand, the high-value healthcare products at the top end raise expectations concerning their global availability that can be very difficult for companies to fulfil. It is easy for the general public to forget that the profits reaped from something like an MRI scanner are inextricably linked to the ability of companies to undertake costly R&D. Remove the possibility of high-profit medical products, and inevitably the opportunity for companies to develop new and expensively developed products will decline.

But CSR is not just about giving in to pressure from NGOs, or about gaining a bit of nice advertising through good causes. More profoundly, it’s about deciding what type of ethos and culture a company has. Studies have shown that it’s not only consumers who prefer businesses with good reputations: investors and regulators do too. In addition, holding onto skilled workers and attracting the most talented and motivated graduates are increasingly dependent on factors such as how the company is viewed and how it perceives itself in the wider society.

Not what you’re given

So what should companies seeking to be responsible and demonstrate CSR do?

The first maxim of good CSR is it’s not about what a company does with the money it makes, but rather how it makes the money and how it uses its resources. For example, the £2 million donated by GlaxoSmithKline (GSK) to the relief effort in 2004 following the earthquake and tsunami in Asia was surely appreciated – but of far greater importance was the immediate donation and distribution of two million doses of antibiotics and 600,000 doses of hepatitis A vaccine. As a major employer and health partner in the region, GSK was able to marshal these faster and far more efficiently than any government or even international agency.

An example of how effective a simple CSR project can be is the Personal Hygiene and Sanitation Education (PHASE) project that GSK also helped to establish. With an investment of as little as £150,000 per year, this scheme aims to reduce diarrhoea-related disease by encouraging schoolchildren to wash their hands. The reduction of these diseases not only produces obvious health benefits, but also eliminates the biggest health-related cause of absence from school.

The PHASE project has achieved impressive results so far. For example, according to the African Medical and Research Foundation (AMREF), it was found in Kenya that after four years, 88% of children from participating schools washed their hands after using the toilet, compared with 46% from non-participating schools. PHASE has now been extended to Central America and Asia. The total number of children currently reached by PHASE is estimated to be 375,000, and the aim is to exceed one million by 2010.

Everybody wins

To sum up: good CSR is about creating ‘win-win’ outcomes – a concept that is often spoken of, but in practice can be initially difficult for those used to the cut and thrust of the commercial world to appreciate.

One final example demonstrates this clearly. The UK company AstraZeneca has recently entered into a partnership with the Voluntary Service Overseas organisation (VSO). AstraZeneca provides medical equipment and infrastructure, coupled with a staff placement scheme that allows volunteers – skilled professionals from around the globe – to take time out from their careers in order to help improve health diagnosis and treatment systems in the developing world. The costs of setting up such a system from scratch would have been prohibitive for the VSO. However, this imaginative partnership with AstraZeneca enables everybody to gain.

While AstraZeneca will reap positive publicity from such action, the greater benefit for the company is likely to be the experience of the AstraZeneca employees participating in this worldwide healthcare development project.

Studies have shown that it’s not only consumers who prefer businesses with good reputations: investors and regulators do too. In addition, holding onto skilled workers and attracting the most talented and motivated graduates are increasingly dependent on factors such as how the company is viewed and how it perceives itself in the wider society.

Good CSR is ultimately about each company using its resources, including the skills, talents and strengths of its employees, to achieve positive results for the wider society that fit seamlessly within its corporate strategy and culture. The last point is crucial. While philanthropy is to be admired, pure giving or monetary donations alone are likely to be dependent on a single manager’s decision or personal preferences. There is often little connection with the company itself, and such programmes tend to be of a transitory nature and to represent an inefficient use of resources. Healthcare businesses are uniquely placed both to bring about positive results for the wider community through a well-thought out CSR strategy and to reap the benefits of such a strategy.
Nick Tolhurst is Director of ICCA, a non-profit CSR consultancy, and is co-author of The A to Z of CSR (Wiley, 2008).
Nick Tolhurst


What is your company doing?

Playing your part

Is your company involved in any CSR projects? If so, On Target would like to hear from you. We may be able to give your initiative some exposure! Please send your news to:
joel.lane@healthpublishing.co.uk.

 

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