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MS75009 MSI HOSPITAL SUPPLIES: UK: JANUARY 1999

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TABLE OF CONTENTS

EXECUTIVE SUMMARY
INTRODUCTION: Definitions; Methodology; The UK Economy; Overview; Political Climate; Interest Rates; Inflation; Exchange Rates; Taxation; Consumer Expenditure; Output; Investment; Forecasts; Abbreviations
STRUCTURE OF THE UK HEALTH SERVICE: Development of the UK Health Service; Current Structure of the UK Public Healthcare Sector; Current Structure of the UK Private Healthcare Sector; New Structure of the UK Health Service From April 1999; New Structure of the Health Service in England; New Structure of the Health Service in Scotland; New Structure of the Health Service in Wales
HOSPITAL SUPPLIES MARKET: Market Size and Trends, 1994-1998; Market Overview; Medical Equipment; Pharmaceuticals; Medical Consumables; Non-Medical Products; Factors Affecting Demand; Market Forecasts, 1999-2003; Overview; Medical Equipment; Pharmaceuticals; Medical Consumables; Non-Medical Products
PURCHASING STRATEGIES: NHS Hospitals; Expenditure and Trends, 1994-1998; Purchase Criteria; Changing Role of the NHS Supplies Authority; Forecast Expenditure, 1999-2003; Independent Acute Hospitals; Expenditure and Trends, 1994-1998; Forecast Expenditure, 1999-2003
OPPORTUNITIES FOR SUPPLIERS: Medical Equipment; Market Size and Trends; Market Forecasts; Pharmaceuticals; Market Size and Trends, 1994-1998; Market Forecasts, 1999-2003; Medical Consumables; Market Size and Trends, 1994-1998; Market Forecasts, 1999-2003; Non-Medical Products; Market Size and Trends, 1994-1998; Forecast Expenditure, 1999-2003
SUPPLY INDUSTRY STRUCTURE: Overview; Medical Equipment; Medical Consumables; Pharmaceuticals
TRADE ASSOCIATIONS AND ORGANISATIONS
MAGAZINES
LIST OF TABLES: 1 Economic Indicators On The UK Economy, 1990-1999; 2 Number Of Practices Entering Fundholding, And Total Number Of Fundholding Practices, 1991-1998; 3 A Comparison Of The Commissioning Plans For GP Modernisation, By Country, 1998; 4 UK Hospitals' Expenditure On Hospital Supplies, 1994-1998; 5 UK Hospitals' Expenditure On Medical Equipment, 1994-1998; 6 UK Hospitals' Expenditure On Pharmaceuticals , 1994-1998; 7 Hospital Bed Days And Estimated Annual Hospital Savings In England, By Use Of Advanced Drugs, 1990-1995; 8 UK Hospitals' Expenditure On Medical Consumables, 1994-1998; 9 UK Hospitals' Expenditure On Non-Medical Products, 1994-1998; 10 Number Of FCEs And Average Length Of Stay Of Acute In-Patients In England, 1993-1997; 11 Decadal Change In The Age Distribution Of The UK Population, 1983-2031; 12 Number Of Staff Employed In NHS Hospitals In The UK, By Category, 1993-1997; 13 Forecast UK Expenditure On Hospital Supplies, 1999-2003; 14 Forecast UK Hospitals' Expenditure On Medical Equipment, 1999-2003; 15 Forecast UK Hospitals' Expenditure On Pharmaceuticals, 1999-2003; 16 Forecast UK Hospitals' Expenditure On Medical Consumables, 1999-2003; 17 Forecast UK Hospitals' Expenditure On Non-Medical Products, 1999-2003; 18 NHS Hospitals' Expenditure On Supplies, By Product Sector, 1994-1998; 19 NHS Hospitals' Expenditure On Supplies, By Product Sector And Country, 1998; 20 Forecast NHS Expenditure On Supplies, By Product Sector, 1999-2003; 21 UK Independent Acute Hospitals' Expenditure On Supplies , By Product Sector, 1994-1998; 22 Number Of PMI Subscribers And The Number Of Claims As A percentage Of Subscriptions In The UK, 1992-1996; 23 Forecast UK Independent Acute Hospitals' Expenditure On Supplies, 1999-2003; 24 Hospital Expenditure On Medical Equipment, By Hospital Sector, 1994-1998; 25 NHS Hospitals' Expenditure On Medical Equipment In England, By Type, 1993-1997; 26 Forecast Hospital Expenditure On Medical Equipment, By Hospital Sector, 1999-2003; 27 Hospital Expenditure On Pharmaceuticals , By Hospital Sector, 1994-1998; 28 Cost Comparison Of Generic And Branded Prescriptions Dispensed In England, 1991-1995; 29 Estimated In-Patient Treatment Cost Of Various Diseases To NHS Hospitals In The UK, 1991-1996; 30 Forecast Hospital Expenditure On Pharmaceuticals, By Hospital Sector, 1999-2003; 31 Hospital Expenditure On Medical Consumables, By Hospital, 1994-1998; 32 Forecast Hospital Expenditure On Medical Consumables, By Hospital Sector, 1999-2003; 33 Hospital Expenditure On Non-Medicals Products, By Hospital Sector, 1994-1998; 34 Expenditure By NHS Trusts In England On Bedding, Furniture And Office Equipment, 1994-1998; 35 Hospital Expenditure On Contract Catering By NHS Trusts In England, 1994-1998; 36 Hospital Expenditure On Clothing By NHS Trusts In England, By Product, 1994-1998; 37 Hospital Expenditure On Computer Hardware & Maintenance By NHS Trusts In England , By Type , 1994-1998; 38 Forecast Hospital Expenditure On Non-Medical Products By Hospital Sector, 1999-2003
LIST OF DIAGRAMS: 1 Gross NHS Cost Per Capita And GDP Per Capita, 1973-1998; 2 Accountability And Structure Of Public Healthcare, In England, 1997; 3 Proposed Accountability And Structure Of Public Healthcare, In England, 1998/99; 4 percentage Breakdown Of The Market For UK Hospital Supplies, By Sector, 1998; 5 Estimated Breakdown Of NHS Revenue Expenditure, By Age Group, 1998; 6 UK Hospitals' Expenditure On Hospital Supplies, By Product Type, 1994-2003; 7 Number Of FCEs Per Available Bed In The UK, 1987-1998

EXECUTIVE SUMMARY

Hospital expenditure on supplies has now reached over 4.9 billion in 1998, resulting from a 31 percent rise in spending over the last five years. Some 91 percent of this total expenditure comes from NHS hospitals, with the remainder being due to independent hospitals.

Medical equipment accounts for 39 percent of total hospital expenditure, with pharmaceuticals accounting for a further 28 percent of expenditure. Medical consumables accounted for some 11 percent of the total, with non-medical products accounting for the remainder of hospital expenditure.

Additional funding which will allow an increase in hospital throughput is expected to result in significantly higher spending over the coming few years. Hospital expenditure is expected to rise by 8 percent in 1999, and by almost 50 percent between 1999 and 2003.

The strongest growth in expenditure is expected to come from pharmaceuticals, with expenditure on medical equipment also forecast to out-perform the market.

Opportunities for suppliers of medical equipment are expected to arise from the completion of PFI-funded hospitals.

An increase in the use of day-case surgery is expected to further boost the market for a wide range of medical and pharmaceutical products.

Changes in the structure of the NHS and the abolition of the `internal market' will have an impact on the way in which hospitals purchase their supplies.

Further major changes are expected in hospital purchasing due to the changing importance of risk assessment and the assessment of value for money in the purchase decision, while in the shorter-term the need to ensure Year 2000 compliance will also drive some sales. Conversion to accounting systems based on the EURO will also become a priority.

Changes to the NHS Supplies Authority will result in the Authority taking a more proactive role within the health services supplies management, and will impact on the hospital supply chain.

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Last updated by Duncan Nottage 4th November 1999