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MS75002
MSI HOSPITAL SUPPLIES: UK: MARCH 2002
Overview

This report covers: hospital supplies,healthcare,public,private,pharmaceuticals,medical equipment,medical consumables,

Companies covered include:

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About MSI reports
INTRODUCTION

MSI Marketing Research for Industry provides original research for business and industry, with emphasis on specialist industrial and business-to-business market coverage.

The major sectors covered include:

The reports are designed to assist companies and industry bodies with market planning, benchmarking and forecasting.

MSI Marketing Research for Industry has a catalogue of over 300 reports, and during 2001 aims to publish some 100 titles. Popular titles are totally re?researched and re-written on an annual basis, whilst others are updated every 18 months to 2 years.

Original research is at the heart of our reports, prepared through telephone interviews with suppliers, competitors, end-users and commentators within the industry. This original research is supported and validated with desk research from a wide range of official, semi?official and trade data gathered by our own team of desk research specialists.

The Chartered Institute Of Marketing, the world's largest professional body for marketing and sales, recommends the series of reports published by MSI as offering quality, original market research on industrial and business-to-business markets.

MSI also produces reports on the French and German markets and MSI's in-house consultants carry out all their research in their mother tongue.

MSI's reports are currently available in hard copy or electronically via e-mail.

TABLE OF CONTENTS

1 Key Findings..................................................................................... 1
2 INTRODUCTION.................................................................................... 3
2.1 Definitions.......................................................................................... 3
2.2 Methodology...................................................................................... 3
2.3 Economic Background......................................................................... 4
2.3.1 Overview.......................................................................................................... 4
2.3.2 Interest Rates................................................................................................... 7
2.3.3 Inflation............................................................................................................ 7
2.3.4 Pre-Budget Report 2001.................................................................................... 7
2.3.5 Forecasts......................................................................................................... 8
2.4 Exchange Rates.................................................................................. 9
2.5 Abbreviations..................................................................................... 9
3 Regulations.................................................................................... 11
3.1 Overview.......................................................................................... 11
3.2 EEC Directive 93/42/EEC................................................................... 11
3.3 CE Marking....................................................................................... 11
3.4 Active Implantable Medical Devices Directive...................................... 11
3.5 EMC Directive (89/336/EEC).............................................................. 12
3.6 Low Voltage Directive (73/23/EEC)..................................................... 12
4 The Structure of The UK Health Service............................... 13
4.1 Structure of the NHS in England......................................................... 13
4.2 Structure of the NHS in Scotland........................................................ 17
4.3 Structure of the NHS in Wales............................................................ 18
4.4 Structure Of The NHS In Northern Ireland........................................... 19
4.5 Private Sector Healthcare.................................................................. 20
5 Uk Expenditure On Hospital Supplies...................................... 22
5.1 Overview.......................................................................................... 22
5.2 Market Segmentation, 1997-2001...................................................... 22
5.2.1 By Type Of Product......................................................................................... 22
5.2.1.1 Medical Equipment................................................................................... 24
5.2.1.2 Pharmaceuticals....................................................................................... 25
5.2.1.3 Non-Medical Equipment............................................................................ 27
5.2.1.4 Medical Consumables............................................................................... 29
5.2.2 By Healthcare Sector....................................................................................... 31
5.3 Factors Affecting Demand................................................................. 36
5.4 Market Forecasts, 2002-2006............................................................ 43
5.5 Forecast Market Segmentation, 2002-2006........................................ 49
5.5.1 By Type Of Product......................................................................................... 49
5.5.1.1 Medical Equipment................................................................................... 52
5.5.1.2 Pharmaceuticals....................................................................................... 53
5.5.1.3 Non-Medical Equipment............................................................................ 54
5.5.1.4 Medical Consumables............................................................................... 55
5.5.2 By Healthcare Sector....................................................................................... 57
6 Purchasing Strategies............................................................... 62
6.1 NHS Hospitals................................................................................... 62
6.1.1 PASA............................................................................................................. 62
6.1.2 Purchase of IM&T Equipment........................................................................... 65
6.2 The NHS Logistics Authority.............................................................. 65
6.3 Private Sector................................................................................... 67
7 Opportunities For Suppliers..................................................... 68
8 Magazine Addresses..................................................................... 72
9 Trade Association addresses................................................... 73

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LIST OF TABLES

List of Tables
1. Economic Indicators On The UK Economy, 2000-2003 6
2. UK Hospitals’ Expenditure On Hospital Supplies, 1997-2001 22
3. UK Hospitals’ Expenditure On Hospital Supplies, By Type Of Product, 1997-2001 23
4. UK Hospitals’ Expenditure On Medical Equipment, 1997-2001 24
5. UK Hospitals’ Expenditure On Medical Equipment, By Type Of Equipment, 1997-2001 25
6. UK Hospitals’ Expenditure On Pharmaceuticals, 1997-2001 25
7. NHS Pharmaceutical Expenditure Per Person, 1996-2000 26
8. UK Hospitals’ Expenditure On Non-Medical Equipment, 1997-2001 27
9. UK Hospital’s Expenditure On Non-Medical Equipment, By Type Of Equipment, 1997-2001 28
10. Non-Medical Staff Employed By NHS Hospitals And Community Healthcare Centres In England, 1997-2001 28
11. Administrative And Estates Staff Employed By NHS Hospitals And Community Healthcare Centres In England, 1997-2001 29
12. UK Hospitals’ Expenditure On Medical Consumables, 1997-2001 30
13. UK Hospitals’ Expenditure On Medical Consumables, By Type Of Product, 1997-2001 31
14. UK Hospitals’ Expenditure On Hospital Supplies, By Healthcare Sector, 1997-2001 31
15. NHS Hospitals’ Expenditure On Hospital Supplies, By Product Sector And Country, 2001 33
16. NHS Hospitals’ Expenditure On Hospital Supplies, By Type Of Product, 1997-2001 34
17. Independent Acute Hospitals' Expenditure On Hospital Supplies, 1997-2001 35
18. Independent Acute Hospitals’ Expenditure On Hospital Supplies, By Type Of Product, 1997-2001 36
19. UK Population, By Country, 1999 And 2000 38
20. Proportional Importance Of The Population In England And Wales, By Age Group,1994-2001 39
21. Hospital Activity Status In England, By Type Of Patient, 1997-2001 39
22. Hospital Activity Status In England, 1997-2001 40
23. Status Of Out-Patients In Wales, 1997-2001 41
24. Forecast UK Hospitals’ Expenditure On Hospital Supplies, 2002-2006 44
25. Actual And Forecast Healthcare Expenditure In Scotland, By Expenditure Category, 2001-2004 45
26. Forecast Welsh Health Authority And NHS Hospital Trust Budget, 2002 -2005 46
27. NHS Spending Per Head, By Age Group, 2001 47
28. Forecast Population In England And Wales, By Age Group, 2011, 2021 And 2031 48
29. Forecast Population Of Scotland, By Age Group, 2006, 2011, 2016 And 2021 49
30. Forecast UK Hospitals’ Expenditure On Hospital Supplies, By Type Of Product, 2002-2006 51
31. Forecast UK Hospitals’ Expenditure On Medical Equipment, 2002-2006 52
32. Forecast UK Hospitals’ Expenditure On Medical Equipment, By Type Of Product, 2002-2006 53
33. Forecast UK Hospitals’ Expenditure On Pharmaceuticals, 2002-2006 53
34. Forecast UK Hospitals’ Expenditure On Non-Medical Equipment, 2002-2006 54
35. Forecast UK Hospitals’ Expenditure On Non-Medical Equipment, By Type Of Product, 2002-2006 55
36. Forecast UK Hospitals’ Expenditure On Medical Consumables, 2002-2006 56
37. Forecast UK Hospitals’ Expenditure On Medical Consumables, By Type Of Product, 2002-2006 57
38. Forecast UK Hospitals’ Expenditure On Hospital Supplies, By Healthcare Sector, 2002-2006 57
39. Forecast UK Expenditure On Hospital Supplies By NHS Hospitals, By Type Of Product, 2002-2006 59
40. Forecast UK Expenditure On Hospital Supplies By Independent Acute Hospitals, 2002-2006 60
41. Forecast UK Expenditure On Hospital Supplies By Independent Acute Hospitals, By Type Of Product, 2002-2006 61
List of Diagrams
1. UK Hospitals’ Expenditure On Hospital Supplies, 1997-2001 2
2. The Structure And Accountability Of The NHS In England, 2001 15
3. UK Hospitals’ Expenditure On Hospital Supplies, By Healthcare Sector, 2001 32
4. Proportional Importance Of NHS Contracts, By Procurement Value, 2001 64

KEY FINDINGS

1 KEY FINDINGS · MSI believe that during 2001, UK hospitals' expenditure on hospital supplies amounted to some £5.5 billion (€8.9 billion), representing a 6 percent increase on the previous year.

· NHS hospitals are by far the largest consumer of hospital supplies. In 2001 the NHS accounted for some 92 percent of total UK hospitals' expenditure on hospital supplies.

· MSI have identified that a number of factors have been attributable to stimulating demand within this market, including government policies, demographic changes, the health of the nation, and hospital in-patient activity.

· The NHS Plan has been implemented to bring about what are claimed to be the most significant changes to the NHS in its entire history. Indeed, the Plan proposes to make radical changes in order to provide the efficient and effective healthcare service which is required by the public. MSI believe that implementing these changes will result in further spending within the hospital supplies market. Moreover, MSI believe that the 2000 Concordat between the public and private healthcare sectors will mean greater use of private hospital facilities by the NHS. This will enable NHS hospitals to reduce their waiting lists, and create further demand for hospital supplies.

· Expenditure on medical equipment accounted for the largest proportion of total expenditure on hospital supplies in 2001. However, expenditure on pharmaceuticals recorded the most significant increase of 10 percent in 2001. MSI believe that this increase is attributable to an increase in the general population, as well as a rise in the number of elderly people residing in the UK.

· MSI believe that expenditure on hospital supplies by the independent sector has also increased during the review period, totalling some £456.6 million (€735.1 billion) in 2001. Growth has been stimulated by the poor performance of the NHS, resulting in numerous people opting for independent healthcare. Furthermore, growth in expenditure has been stimulated by the Concordat between the private and public healthcare sectors, with NHS hospitals carrying out many procedures using the facilities of private hospitals.

· During the forecast period, total UK hospitals' expenditure on hospital supplies is forecast to rise by 39 percent in real terms. Growth in the public sector will be a result of continuing increases in the population, government policies generating new investment, and increased patient throughput. Within the independent hospitals sector, MSI believe that growth will be stimulated by continuing concerns over the performance of the NHS, with PMI being an appealing healthcare option.

DIAGRAM 1: UK HOSPITALS' EXPENDITURE ON HOSPITAL SUPPLIES, 1997-2001

Unit: £ billion
Note: * = forecasts at 2001 prices
Source: MSI analysis of DoH, Scottish Executive, National Assembly for Wales, NISRA data, trade and MSI estimates and forecasts

Text © 2002 MSI

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