1. PDIG Summer 2011 Ian Allen Lead Category Manager DH Commercial Medicines Unit

2. Allan, millinery and that invitation Of talks, titles and subliminal messages…..

3. 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?

4. 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?

5. Shortages - causes PDIG Family Fortunes I asked a completely unrepresentative sample of industry representatives ……..

6. What did our sample say? 1 Estimated quantities 2 Changes in product demand profile 3 Lead time 4 A. N. Other going out of stock 5 Production/Supply Chain problems

7. 1.Estimated quantities Pharmex data

8. 1.Estimated quantities: Px data

9. 1.Estimated quantities Pharmex data Transition products – newly available generics

10. 1.Estimated quantities: transition products

11. 2. Changes in product demand profile Number and history of published tenders eMIT

13. 2. Changes in product demand profile Number and history of published tenders eMIT Pre-tender meetings – PMSG sub-group

15. 3. Lead time 12 weeks 14 d. “off contract claim" period

16. 4. A.N. Other out of stock Ring-fence stock to “contracted” Regions Dialogue with CMU

17. 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

18. So, with all of that effort what does the world look like?

19. 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

20. …. or more locally….

21. Risk analysis: incorrectly applied or working?

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

23. Problems for procurement?

24. In summary It’s over to Raj……