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Managed Equipment
Services

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Agenda

A Managed Equipment Service Solution

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Agenda

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Agenda

Supporting the health service

Shifting balance for technology providers

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Contractual Structure - PFI/PPPs

Project Feasibility


What is required / expected?

Solution delivery - complexities

Expectations of the Private Sector

… And Considerations

Agenda

Innovation - System Synergies

PFI / PPP - Adding Value

Risk management

Working in Partnership

Agenda

Siemens Healthcare Service
(SHS) MES Contracts

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Agenda

Include technology in a
service solution from the outset

Criteria for Success

Take advantage of available expertise!

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Risk, Innovation and Clinical Governance

"Academia,"

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UWCM Strategic Vision

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NHS and Intellectual Property

NHS and Intellectual Property

NHS and Intellectual Property

NHS and Intellectual Property

Example of Success

Problem : How to Provide High
Quality Beds in NHS

Problem : Beds and Cardiff/Vale Trust

Team Players
Beds and Cardiff/Vale Trust

Solution
Beds and Cardiff/Vale Trust

Outcomes
Beds and Cardiff/Vale Trust

Outcomes
Beds and Cardiff/Vale Trust

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Academic, NHS and Business

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Principles of Risk Management

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What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

What is a
Custom Procedure
Pack?

“a self-contained sterile pack containing all the disposable items necessary for a particular procedure, customised to the customer’s specification”

"“a"

The Pennine definition of a Custom Procedure Pack is:

“a hospital or surgeon specific set of disposable medical products, provided in a single packed sterile tray format, delivered on a just-in-time basis”

The pack will be designed to meet the needs of the user
NOT the tray manufacturer

Responsibility

Instead of sourcing up to 70 items from individual manufacturers, required items are:

"It is not just a..."

What are the Benefits?

What are the Benefits?

What are the Benefits?

What are the Benefits?

What are the Benefits?

What are the Benefits?

What are the Benefits?

Benefits - Three Key Areas

Benefits - Three Key Areas

"The costs associated with the..."

Not unreasonable for staff to have:

Frost & Sullivan – Main Benefits

"Complete traceability of individual lot..."

"Assurance that ALL products are..."

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Cardiac Surgery

"Over 35,000 major cardiac..."

"Disposable Drapes"

"Cardiac Cannulae"

"Urinary Catheters"

"No two hospitals use the..."

"Products will have come from..."

Existing Supply Chain

Existing Supply Chain

Existing Supply Chain

Existing Supply Chain

Existing Supply Chain

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How do all the items get to the Theatre Stores Shelves?

The Supply Chain doesn’t end at the Theatre Stores

Who orders the items?

Who chases
non-delivered items?

Who receipts & delivers to stores?

Who receives outer cartons and tops up dispenser boxes?

How much does the space cost?

Who checks all the invoices and arranges payment?

Who removes the waste packaging and how much does this cost?

Who accounts for items that have to be discarded?

Who accounts for items unwrapped incorrectly?

Who can track the individual procedure cost of disposables?

Who controls the individual batch number of each item used and transfers them to the patient’s notes?

Cost

Cost

Custom Procedure Pack

"One scheduled delivery from a..."

Facts

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An average pack has:

An average pack has:

"Undertakes 30 procedures per week"

Real Verifiable Cost Savings for one theatre suite

NHS Environment Strategy

Audit Commission

Real Verifiable Cost Savings for one theatre suite

Nursing Time Reduction

Modernisation through innovation

Implications for the Supply Chain

Single Channel Distribution
Manufacturer to Customer

Single Channel Distribution
Manufacturer to Customer

Component Manufacturer

Partnerships

Challenges to
Medical Device Manufacturers

Challenges to
Medical Device Manufacturers

Challenges to
Medical Device Manufacturers

Challenges to
Medical Device Manufacturers

Challenges to
Medical Device Manufacturers

Challenges to
Custom Pack Manufacturers

"Encourage transparency of pricing"

Challenges to Logistic Partners

"Adopt and adhere to the..."

Challenges to
Trust Stakeholders

"Purchasing"

"Challenge your accountants to study..."

Custom Procedure
Packs

Partnership

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Modernisation:
NHS/HPSS N. Ireland
HSA Conference - Age of Innovation

Strategic Context

Current Status

Interim (?) Ecommerce Initiatives

Supplier & Contract Management

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E-Requisitioning/Ordering/
Catalogues

Thank You!

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Healthcare Supplies Association
" The Age of Innovation "

Cardiff International Arena
2 April 2003

"To provide an overview of..."

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"Objective"

"Fixed joining fee and reducing..."

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What does it mean for suppliers?

"Suppliers have a number of..."

ePS Supplier Adoption Status (21/03/03)

NHS Scotland Content Available

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"Healthcare Supplies Association"

Key objectives of NHS PASA

Agency funded achievements in financial year 2002/2003

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E-BUSINESS - the future direction

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e-Business doesn’t come easily

Who do I speak for?

Smith & Nephew Wound Management

Why are Suppliers dragging their heels?

Are we Luddites?

Which system(s) do we work with?

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Where are they now?

What about the National Solution?

And then there are….

Where are the savings?

What are the costs? – Supplier perspective

Catalogue management

e-Auctions save money

Clinical Cost Effectiveness – 1 (Hospital)

Clinical Cost Effectiveness – 2 (Community)

Clinical Cost Effectiveness – 3 (Hospital)

How do hospitals buy products?

How does the NHS buy products for Primary Care?

How do Supply Management Confederations buy?

Primary Care v Hospitals

What can’t we do now?

What can we do now?

e-Business doesn’t come easily

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