Chris Tulloch

Orthopaedic SurgeonNorth Tees and Hartlepool

Clinical Engagement and Procurement

THE ENGLISH PATIENT

Procurement

• A case Study• The Past• The Present• The Future

A Case Study• Orthopaedic surgeons• Foundation Trust Network• Bench Marking• GIGO• Target Pricing

• Clinical Engagement• Herding Cats• The Result

ProcurementA Machiavellian Process

• The Cost• What are we paying for• Manufacture• Profit• Cost to serve• 40/30/30• Win/Win

Procurement

• Stock Management• GS1• Chicken and Egg• PLICS• Clinical Confidence

Procurement

• The Past• Traditional• Brand Loyalty/Physician preferred Device• Divide and Rule• Opacity• Mates Rates

Procurement

• The Present• QIPP• Transparency• NJR

Procurement

• The Future• Just in Time• Standing Orders• Intelligent Planning• Hub and Spoke• Centralisation• Economy of scale

Questions

• The English Patient