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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


1. Market Definition

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


2. Market Size

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


3. Industry Background

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


4. Competitor Analysis

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


5. Strengths, Weaknesses, Opportunities and Threats

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


6. Buying Behaviour

DECISION-MAKING PROCESSES
CUSTOMER PROFILES
The NHS
Table 16: NHS Expenditure in the UK (£bn), 1997–2001
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


7. Current Issues

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


8. The Global Market

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


9. Forecasts

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


10. Company Profiles

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


11. Further Sources

Associations
Publications
Directories
General Sources
Bonnier Information Sources
Government Publications
Other Sources

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Text © 2002 Key Note

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