1. How Innovating for Health Could Benefit Patients and our Trusts’ Wealth What Could We Do Differently? Suzanne Goodband info@suzannegoodband.com 0777 616 2989

2. Today As well as my investor, executive and clinical experience in health and life sciences I'm going to draw upon my experiences of NHS manufacturing units over the last 2-3 years and my private sector experiences in life sciences and small pharma I'm going to identify and integrate some themes that I believe could help the NHS build excellence in small pharma manufacturing And I'm going to ask you to imagine you have the task of leading the development of the most successful NHS Manufacturing business

3. Success Requires Two Competencies Understand the customer ▫ ie know your healthcare Achieve excellence in manufacturing ▫ convince me extemps and S10 are anything more than business development for a Licensed Manufacturing Unit

4. We Are Part of the Health System Our objective is to deliver health gain by: Improving patients' experience Achieving clinical outcomes Everything we sell and provide must achieve this at both an individual patient and population level

5. The World in Which We Live Today The DoH requires: ▫ As many services out of hospital as possible  particularly management of long term conditions ▫ As fast as possible ▫ And as local to where the patient lives as possible Contestability through competition and disruption Self funded investments for the future ▫ QIPP (quality, innovation productivity & prevention) ▫ CRES (cash releasing efficiency savings) programmes ▫ Including commercial initiatives RoI (return on investment) from intellectual capital akin to the commercial developments we see in our leading teaching hospitals

6. Our World is Changing Around Us Too to name a few....... Within the Trust ▫ Requirement to become income generating ▫ All the costs of running the production units increasingly being charged to the unit ▫ Requirement to support clinical services in transforming care packages from hospital to home based provision Outside of the Trust ▫ Increasing regulatory demands ▫ Requirement to achieve excellence in customer service ▫ Other Trusts tendering and procuring for products ▫ Pharma companies obtaining the license for our products

7. Don’t forget the competition

8. Looking In More Detail What Regulators Want Regulators ▫ Regulated to the same standards and expectations of big pharma with EU compliance  manufacturing best practice  assuring the quality of every product  track and traceability of products  aseptic units to manufacturing standards  robustly specified standards  adherence and compliance CONSISTENTLY  production control  staff who are confident and competent  assurance that extemps and S10 production aren't just an ‘easier, quicker way’

9. Looking In More Detail What Customers and Consumers Want Customers ▫ want better service  48 hours delivery  timely, accurate communication – no surprises ▫ don't want to bear the cost of our stock outs ▫ or be left with the feeling that they are doing us a favour Patients – the consumer ▫ who want improved response times ▫ information, packaging and labelling

10. Looking In More Detail What Host Trusts Want Host Trusts ▫ want strong business plans ▫ income generation ▫ full cost recovery + ▫ improved procurement practice ▫ a better understanding of risk within the manufacturing unit and wider impact on/within the Trust ▫ workforce reviews in line with whole trust ▫ support with home care personalised packaging for self care units and home use ▫ our packaging to be robot fit

11. Looking In More Detail What We – NHS Manufacturing Units Want MD’s of our manufacturing units want: ▫ best practice manufacturing modus operandi  robust SOPs  competency frameworks for the workforce ▫ profitability  supported by robust costing and pricing models built using the manufacturing process maps ▫ accurate and timely decision making  supported by good information & reporting ▫ stronger product development methodologies ▫ investment in ERP (enterprise resource planning) IT systems ▫ investment in equipment to support scaling the business ▫ estate that is fit for purpose

12. Looking In More Detail What We – NHS Manufacturing Units Want MD’s of our manufacturing units want: ▫ To enable us to move on to: ▫ sustainable future  based on cost effective product lines  the development of new and improved product lines ▫ ▫ take products to licence  aseptics as business development ▫ strategic partnerships  NHS manufacturing units aren’t the competitor

13. We Need to Rethink the Paradigm Put the CUSTOMER first in everything we do ▫ Stop being reactive and start being PROACTIVE ▫ Evidence health gain through qualitative and quantitative analysis Couple and integrate clinical service strategy with robust manufacturing practice and commercial management ▫ Work with clinical colleagues to translate the requirements into a portfolio of services ▫ Shape the commissioning and procurement agenda through our clinical service strategy and relationships with clinical partners

14. We Need to Rethink the Paradigm Stop looking for the quickest/easiest way to do something and target GOLD STANDARD manufacturing practice ▫ We have to know the COST of everything AND the VALUE of everything ▫ Develop a culture of continuous improvement  give attention to the impact of our interventions  ensuring we respond to feedback and evidence ▫ Suspend any prejudices and prejudgements to enable development of new ways of working; internally and across organisations both public and private ▫ Establish business development as an on-going activity throughout your manufacturing unit

15. Rethinking the Paradigm NOT OPTIONAL FOR SURVIVAL & GROWTH Integrate all of these development demands and develop a new way of thinking ▫ know the drivers and forces for change ▫ scenario plan – what if approach ▫ be agile – achieve step changes ▫ be creative and flexible ▫ manage the diverse set of relationships required for success And manage risk ▫ anticipate ▫ mitigate and prepare

16. In Essence It’s Time To Move From Pharmacy to Pharma Think like Healthcare Implement like Pharma

17. Thank You Suzanne Goodband 0777 616 2989 info@suzannegoodband.com