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ISBN 1-85765-803-5

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Table of Contents

Executive Summary

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TABLE OF CONTENTS

Executive Summary

Market Definition

INTRODUCTION

MARKET POSITION

MARKET SECTORS

MARKET TRENDS

Market Size

THE TOTAL MARKET

EXPORTS AND IMPORTS

Table 1: Total Expenditure on Medical Equipment and Consumables, Pharmaceuticals and Non-Medical Products (£m), 1993-1998

Table 2: Expenditure on Medical Equipment and Consumables by Sector (£m), 1993-1998

Table 3: UK Manufacturers' Sales of Medical and Surgical Equipment (£m), 1993-1997

Table 4: Apparent UK Market for Medical Equipment (£m), 1993-1997

Table 5: Exports of Medical Equipment (£m), 1993-1997

Table 6: Imports of Medical Equipment (£m), 1993-1997

Table 7: Balance of Trade (£m), 1993-1997

Industry Background

RECENT HISTORY

INDUSTRY FRAGMENTATION

SIZE OF UK BUSINESSES

EMPLOYMENT

DISTRIBUTION

TRADE ASSOCIATIONS

Table 8: Analysis of UK Medical, Surgical and Orthopaedic Equipment and Appliance Manufacturers by Turnover Size (£000), 1997

Table 9: Analysis of UK Medical, Surgical and Orthopaedic Equipment and Appliance Companies by Number of Employees, 1997

Table 10: Selected Distributors of Medical Equipment and Consumables, 1997

Competitor Analysis

THE MARKETPLACE

MAJOR SUPPLIERS OF MEDICAL EQUIPMENT

MARKET LEADERS

EQUIPMENT FOR REHABILITATION AND THE DISABLED

ADVERTISING AND PROMOTION

Table 11: Sales of the Main UK-Registered Manufacturers and Suppliers of Medical Equipment and Consumables (£m), 1996/1997

Table 12: Major Exhibitions and Meetings for 1998

Strengths, Weaknesses, Opportunities and Threats (SWOT)

THE NATIONAL HEALTH SERVICE

THE INDEPENDENT HEALTHCARE SECTOR

THE NURSING AND RESIDENTIAL HOME CARE SECTOR

THE DISABLED MARKET

Buying Behaviour

THE NATIONAL HEALTH SERVICE

THE INDEPENDENT HEALTHCARE SECTOR

THE RESIDENTIAL CARE AND NURSING HOME SECTOR

THE SECOND-HAND MARKET

Table 13: NHS Hospital Expenditure on Supplies by Product Sector (£m), 1993-1998

Table 14: The Independent Acute Hospital Expenditure on Supplies by Product Sector (£m), 1993-1998

Table 15: Nursing and Residential Home Expenditure on Supplies by Product Sector (£m), 1993-1998

Outside Suppliers to the Industry

INTRODUCTION

Table 16: Selected Companies Providing Components/Technology to the Medical Equipment Industry, 1998

Table 17: Selected Companies Providing Plastic/Polymers to the Medical Equipment Industry, 1998

Table 18: Selected Companies Providing Sterile Medical Packaging, 1998

Table 19: Selected Suppliers of Electronic Components to the Medical Equipment Industry, 1998

Table 20: Selected Companies Offering Medical Equipment Manufacturing Services, 1998

Current Issues

THE YEAR 2000

FINANCIAL BORROWING

CANCER SCREENING

NATIONAL HEALTH SERVICE TRUST MERGERS

MINIMAL INVASIVE SURGERY

SOUTH THAMES MEDICAL GROUP

EQUIPMENT TRAINING SCHEME

RECENT TECHNOLOGICAL DEVELOPMENTS

LEGISLATION

CORPORATE ACTIVITY

Forecasts

FORECASTS FROM 1998 TO 2002

Table 21: Forecasts of Central Government Net Expenditure (£bn), 1997/1998-2001/2002

Table 22: Forecast Expenditure on Medical Equipment and Consumables by Sector (£m), 1998-2002

Table 23: Forecast Expenditure on Medical Equipment and Consumables by Product Group (£m), 1998-2002

Company Profiles

INTRODUCTION

DEFINITIONS

FURTHER INFORMATION

Further Sources

ASSOCIATIONS

PERIODICALS

DIRECTORIES

GENERAL SOURCES

HBI UK INFORMATION SOURCES

GOVERNMENT PUBLICATIONS

OTHER SOURCES

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EXECUTIVE SUMMARY

This report provides an analysis of the UK medical equipment and consumable supply industry and market. The largest purchaser of medical equipment and consumable products in the UK is the National Health Service (NHS), via the National Health Service Supplies Authority (NHSSA).

There are three main market sectors including: NHS with 74.7 percent of the market, the independent acute care sector (13.2 percent) and nursing and residential homes (12.1 percent). Key Note estimates that the market was worth £2.17bn in 1997, with an annual growth of 7.2 percent from 1996 and the UK is reported to be the fifth largest market in the world, behind the US, Japan, Germany and France. The market is forecast to rise to £3.15bn by the year 2002.

In 1997, there were around 1,295 companies supplying medical, surgical and orthopaedic equipment and appliances. The marketplace is fragmented and polarised, with the vast majority of sales being produced by 25 percent of manufacturers and with only 8 percent of businesses having turnovers exceeding £5m.

Exports have been rising steadily since 1993, an increase of 31 percent by 1997. However, exports for electromedical instruments have fallen by 18 percent over the same period reflecting the strong competition from Germany and the US and increasingly from Japan, which is increasing its European influence. Overall imports have also risen steadily by 45 percent between 1993 and 1996, before apparently slumping in 1997. Electromedical imports rose by 46 percent over the same period and mostly came from Germany and the US.

The continuing funding crisis in healthcare and the ensuing measures to curb and rationalise expenditure has created difficult market conditions in the medical equipment market throughout the developed world, as well as the UK. However, the increasing efficiency of the health sector in treating greater numbers of patients will ultimately create more demand for supplies. Manufacturers are responding to the challenges of the market by developing equipment that actively aids the improvements in efficiency and throughput. The current Government is comprehensively reviewing the health sector and if the funding issues are resolved, the demographics of an ageing population together with increasing public expectations will ensure long-term growth.

Text © 1998 Key Note

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