| KN33012 |
| KEY NOTE MEDICAL EQUIPMENT : February 2002 |
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This report covers: medical equipment, medical consumables, medical instrumentation, National Health System, surgical instruments, diagnostic systems, electronic monitoring equipment, respiratory, anaesthetic, resuscitation, orthopaedic, prosthetic, artificial limbs, rehabilitation, medical laboratory, operating table furniture, sterile swabs, dressings, sutures, syringes, protective clothing, masks, gloves, continence products, HTA, health technology assessment,
Companies covered include: Abbott Laboratories, Baxter Healthcare, Becton Dickinson UK, BD Medical, B Braun Medical, Datex-Ohmeda, GE Medical Systems, Huntleigh Technology, Johnson & Johnson Medical, Philips Medical Systems UK, PMMS, Seward, Siemens Medical Solutions, Smith & Nephew, Smiths Industries Medical Systems, SIMS, SSL International,
EXECUTIVE SUMMARY
The UK market for medical equipment and consumables is a price-sensitive, competitive, and technology-driven market. It is supplied by an industry dominated by a number of increasingly globalised companies. In 2001, medical equipment and supplies constituted around 4 percent of all NHS expenditure on healthcare. There was an overall market growth of 5.9 percent in the same year, to £2.32bn.
The market is diverse, with a broad product base and
many technologies serving a variety of needs. There are two main product
sectors. Medical equipment consists of medical instrumentation and equipment,
from
high-end electromedical systems, to surgical and medical instruments.
Medical consumables is the second sector. This includes high consumption,
low-cost, single-use disposable products. Both product groups are used in a
wide range of healthcare settings, but dominated in the UK by the public
healthcare service, the NHS. Other customers include the independent acute care
sector and the residential and nursing home care sector.
The market is regulated at a number of levels for product performance, quality and safety, as well as manufacturing processes. Standards are high. Progress in global harmonisation and the mutual recognition procedures in Europe are lowering trade and marketing barriers.
In the past, developments in medical technology were perceived to add to the cost of services by expanding the scope and range of care. With the increasing use of health technology assessment and the sophistication of cost benefit and cost utility analysis, a clearer picture of the role of medical equipment is becoming evident. It is becoming apparent that in many instances, such as diagnostic screening, monitoring and surgery, early diagnosis of illness can lead to less complex and less costly treatment, as well as better outcomes, ultimately saving expenditure. Microsurgical techniques can reduce recovery times, reducing patient hospital care and improving efficiency by increasing patient throughput.
Although funding problems in the UK healthcare services are leading to service cuts, rationalisation and cutbacks, there is increasing awareness, both from the public and from the Government, that funding must increase. The Government has already earmarked significant increases in funding for healthcare services and has recognised that much more needs to be done. The Private Finance Initiative (PFI) is leading to the building (and equipping) of a significant number of hospitals, replacing the old crumbling infrastructure.
In spite of this, the medical equipment market is likely to remain cost-sensitive and competitive for the foreseeable future, although there will be a strong market need for products that can demonstrate clear cost and clinical benefits. The trend towards globalisation is likely to continue as companies are driven by the need to acquire new technologies and maximise their geographic and market coverage. However, the basic need for healthcare services (and supplies) is intrinsic, and the need is increasing. As a result of this, market growth in the medical equipment and consumables market is set to reach an overall annual growth of 8.8 percent by 2006, with certain sectors of the market significantly higher.
TABLE OF CONTENTS
|
Executive Summary |
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| REPORT COVERAGE |
| MARKET SECTORS |
| Medical Equipment |
| Consumable Products |
| MARKET TRENDS |
| Centralised Buying Procedures |
| Centralisation of Specialist Facilities |
| Expanding the Base of Healthcare Operations |
| Health Technology Assessment and Evidence-Based Medicine |
| Company Activities |
| Increased Healthcare Expenditure |
| Market Dynamics |
| Technological Advances and Global Standardisation |
| MARKET POSITION |
| The UK |
| Table 1: The Total Market for Medical and Pharmaceutical Supplies (£m), 1997-2001 |
| Overseas Markets |
| KEY TRADE ASSOCIATIONS |
| Advanced Medical Technology Association |
| Association for the Advancement of Medical Instrumentation |
| Association of British Healthcare Industries |
| British In-Vitro Diagnostics Association |
| The European Co-ordination Committee of the Radiological and Electromedical Industry |
| The European Confederation of Medical Devices Association |
| The European Diagnostic Test Manufacturers Association |
| GAMBICA Association |
| Other UK Trade Associations and Organisations |
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| THE TOTAL MARKET |
| Table 2: The Total UK Medical Equipment and Consumables Market by Value (£m and percent) 1997-2001 |
| Table 3: The Medical Equipment and Consumables Market by Type of User (£m), 1997-2001 |
| BY MARKET SECTOR |
| Medical Equipment |
| Table 4: The UK Medical Equipment Market by Type of User by Value (£m), 1997-2001 |
| Medical Consumables |
| Table 5: The UK Medical Consumables Market by Type of User by Value (£m), 1997-2001 |
| BY TYPE OF USER |
| The NHS |
| Table 6: The UK Medical Equipment and Consumables Market in the NHS (£m), 1997-2001 |
| Independent Acute Care |
| Table 7: The Medical Equipment and Consumables Market in Independent Acute Care (£m), 1997-2001 |
| Residential and Nursing Home Care |
| Table 8: The Medical Equipment and Consumables Market in Residential and Nursing Home Care (£m), 1997-2001 |
| OVERSEAS TRADE |
| Imports |
| Table 9: UK Imports of Medical Equipment and Supplies by Value (£m and percent), 2000-2001 |
| Exports |
| Table 10: UK Exports of Medical Equipment and Supplies by Value (£m and percent), 2000-2001 |
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| RECENT HISTORY |
| Health Technology Assessment |
| Miniaturisation and Lab-on-a-Chip |
| Open Standards and Interoperability |
| Telemedicine and Remote Use |
| NUMBER OF COMPANIES |
| Table 11: Number of UK VAT-Based Enterprises Engaged in the Manufacture of Medical and Surgical Equipment and Orthopaedic Appliances by Turnover (£000), 2001 |
| EMPLOYMENT |
| Table 12: Number of UK VAT-Based Enterprises Engaged in the Manufacture of Medical and Surgical Equipment and Orthopaedic Appliances by Number of Employees, 2001 |
| REGIONAL VARIATIONS IN THE MARKETPLACE |
| DISTRIBUTION |
| HOW ROBUST IS THE MARKET? |
| LEGISLATION |
| The Medical Device Agency |
| The CE Mark |
| Notified Bodies |
| European Standards for Medical Devices and Equipment |
| Relevant Regulation for Medical Devices and Equipment |
| Statutory Instruments |
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| THE MARKETPLACE |
| MARKET LEADERS |
| Abbott Laboratories Ltd |
| Baxter Healthcare Ltd |
| Becton Dickinson UK Ltd |
| B. Braun Medical Ltd |
| Datex-Ohmeda Ltd |
| GE Medical Systems Ltd |
| Huntleigh Technology PLC |
| Johnson & Johnson Medical Ltd |
| Philips Medical Systems (PMMS UK) Ltd |
| Siemens Medical Solutions |
| Smiths Group PLC |
| Smith & Nephew PLC |
| SSL International PLC |
| OTHER COMPANIES |
| OUTSIDE SUPPLIERS |
| Table 13: Selected Companies Supplying Components, Technology and Services to the Medical Equipment Industry, 2002 |
| Table 14: Selected Companies Providing Plastic and Polymers to the Medical Equipment Industry, 2002 |
| The Electronics Industry |
| Information Technology |
| The Telecommunications Industry |
| ADVERTISING AND PROMOTION |
| Exhibitions |
| Table 15: Main Exhibitions in the Medical Equipment and Consumables Sector, 2002 |
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| THE TOTAL MARKET |
| Strengths |
| Weaknesses |
| Opportunities |
| Threats |
| THE NHS |
| Strengths |
| Weaknesses |
| Opportunities |
| Threats |
| INDEPENDENT ACUTE CARE |
| Strengths |
| Weaknesses |
| Opportunities |
| Threats |
| NURSING AND RESIDENTIAL HOME CARE |
| Strengths |
| Weaknesses |
| Opportunities |
| Threats |
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| DECISION-MAKING PROCESSES |
| CUSTOMER PROFILES |
| The NHS |
| Table 16: NHS Expenditure in the UK (£bn), 19972001 |
| NHS Trusts |
| Primary Care Trusts |
| The Private Finance Initiative |
| NHS Activity |
| NHS Purchasing and Supply Agency |
| The National Institute for Clinical Excellence |
| The Independent Acute Care Sector |
| Table 17: Number of UK Independent Acute Care Hospitals and Beds, 1985-2000 |
| Table 18: Leading UK Providers of Independent Acute Care by Turnover ( percent of total private acute care market), 1999 |
| Residential and Nursing Home Care |
| Table 19: Number of Long-Term Care Places in the UK, 1996-2000 |
| Table 20: The Top Ten Long-Term Care Providers by Operating Revenue (£m), 1999 |
| Purchasing in the Independent Acute Healthcare Market |
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| RECENT DEVELOPMENTS |
| Re-usable Protective Garments |
| Re-use of Single-use Disposable Instruments |
| Political DEVELOPMENTS |
| Antenatal Screening |
| Cancer Testing |
| European Health Forum |
| Genetic Services |
| Patient Treatment Overseas |
| Health DEVELOPMENTS |
| CJD |
| HIV |
| PRODUCT DEVELOPMENT |
| Auto-Disposable Syringe |
| Electronic Nose |
| Insulin Pump |
| Safety Scalpel |
| Ultrasound Treatment for Internal Bleeding |
| LEGISLATION |
| EU Directive 2000/35/EC Combating Late Payments in Commercial Transactions |
| CORPORATE DEVELOPMENTS |
| Abbott Laboratories Ltd |
| Agfa Healthcare |
| Battelle |
| Baxter Healthcare International |
| B Braun |
| Becton Dickinson & Co. |
| Eastman Kodak |
| Gambro AB |
| GE Medical Systems Ltd |
| Huntleigh Technology PLC |
| Instrumentarium Corporation |
| Johnson & Johnson Ltd |
| Philips Medical Systems (PMMS UK) Ltd |
| Smith & Nephew PLC |
| SSL International |
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| GLOBAL MARKET SIZE |
| MAJOR TRENDS |
| Consumer Attitudes |
| Cost Benefits and Savings From New Technology |
| Customer Profiles |
| Health Technology Assessment |
| The Impact of Advances in Technology |
| International Activity |
| Local Equipment Markets |
| Mutual Recognition Procedure and the Single Market |
| Pressure on Health Services |
| EUROPEAN MARKETS |
| France |
| Germany |
| Italy |
| Spain |
| JAPAN |
| The US |
| THE FUTURE |
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| INTRODUCTION |
| Forecasts 2002 TO 2006 |
| Table 21: The Total Forecast UK Medical Equipment and Consumables Market by Value (£m and percent), 2002-2006 |
| FUTURE TRENDS |
| Electromedical Equipment |
| Global Harmonisation |
| Healthcare Expenditure |
| Merger and Acquisition Activity |
| Technological Developments |
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| Baxter Healthcare Ltd |
| Becton Dickinson UK Ltd |
| B Braun Medical Ltd |
| Datex-Ohmeda Ltd |
| Johnson & Johnson Medical Ltd |
| Philips Medical Systems (PMMS UK) Ltd |
| Siemens PLC |
| Smith & Nephew PLC |
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| Associations |
| Publications |
| Directories |
| General Sources |
| Bonnier Information Sources |
| Government Publications |
| Other Sources |
|
Key Note Research |
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The Key Note Range of Reports |
Text © 2002 Key Note
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Last updated by Amanda Porteous February 2004