PDIGSummer 2011

Ian AllenLead Category Manager

DH Commercial Medicines Unit

Supply Shortages – Solutions and not just excuses!

 NHS Perspective -What are the problems for procurement and

other NHS staff? How is the NHS reacting to the lack of medicines?

Supply Shortages – Solutions and not just excuses!

 NHS Perspective -What are the problems for procurement and

other NHS staff? How is the NHS reacting to the lack of medicines?

Shortages - causes

• PDIG Family Fortunes

• I asked a completely unrepresentative sample of industry representatives ……..

What did our sample say?

1.Estimated quantities

• Pharmex data

1.Estimated quantities: Px data

1.Estimated quantities

• Pharmex data• Transition products – newly

available generics

1.Estimated quantities: transition products

2. Changes in product demand profile

• Number and history of published tenders

• eMIT

2. Changes in product demand profile

• Number and history of published tenders

• eMIT

• Pre-tender meetings – PMSG sub-group

3. Lead time

• 12 weeks• 14 d. “off contract claim" period

4. A.N. Other out of stock

• Ring-fence stock to “contracted” Regions

• Dialogue with CMU

5. Production/supply chain problems

• SCEP: 33% and 100% products• Risk assessment: worry about the

hospital-only products• Role of MHRA• Role of DH MPIG• CMU and supplier performance

So, with all of that effort what does the world look

like?

Problems for NHS staff

•No of suppliers on Mar 2010 issues return = 33•No of products on Mar 2010 issues return = 121

•No of suppliers on Mar 2011 issues return = 36•No of products on Mar 2011 issues return = 216

…. or more locally….

Risk analysis: incorrectly applied or working?

In financial terms (remember this does not include 14d. period)

Problems for procurement?