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Rewriting the
script
for public procurement
Why rewrite the script?
Evidence-based management
Evidence-based management
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Evidence-based medicine
Evidence-based policy making
Evidence-based procurement
in health and social care
Challenges for
evidence-based procurement in health and social care
Drivers of difference in
procurement in health and social care
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Rewriting the script
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Conclusions
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A view of the procurement
landscape
Overview of UK Medical
Device Sector 2006
Medical Technology in the UK
UK total healthcare and
medtech spend as
a % of total healthcare spend is below benchmark average
(five countries)
Challenge
Productivity
Productivity and the five
drivers of the economy
- Treasury*
Government’s Technology
Strategy (4/06)
….Technology….
Wanless 1st/interim
report
on technology
Wanless scenarios
…..and the predicted spend –
less is more!
No obvious plan ….certainly
not on track
Assumptions….
Top down?
Bottom up?
The landscape now…
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The landscape now…
A widely accepted model of
purchasing
To the Government:
Make your mind up time!
Our industrial future?
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Yorkshire Forward & The
NHS
Jim Farmery
Yorkshire Forward
Yorkshire and Humber
Yorkshire and Humber
A Strong Economy
"Leeds - one of the..."
Key sector strengths:
Substantial investment from
major companies including:
Access to markets – Sea
Freight
Access to markets – Rail
Access to markets – Air
World-Class Universities
"R&D/Industry
collaboration"
Businesses benefiting from
collaborating through the CIC network include:
"“The focused approach
of..."
How This All This Achieved?
YF/NHS Partnerships
Regional
Procurement-Overview
Regional Procurement-Outputs
Challenges
Opportunities
Results
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The American Way
Outline
The System
Hospital
Departments
Departments
Technology
Hospitals
Distributor
Manufacturer
Group Purchasing
Organizations
Government
Others
Immortality is expensive
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For Example…..
Tariffs
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Tariffs…OP
OP Procedures (para 43)
Incentives in the DRG system
Possible responses
Unbundling and local
innovation
Unbundling in V4 HRGs
New Technology
Options for Payment
Recent Guidance
"NOTE FOLLOWING SLIDES
ARE FOR..."
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Specialised Services
Specialist Supplements (para18)
MFF
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