1. England Commercial Update June 2014

2. Government Interaction Nick Seddon/no.10 high focus on Medtech High involvement from Ministers: Hunt/Poulter Oliver Letwin interest and interaction regarding economy & SMEs Data and benchmarking remains an issue Government structure New Innovation, Growth and Technology Directorate within DH headed by Will Cavendish ‒ Information and Digital Services, Health and Care Informatics, and Pharmaceutical Pricing and Supply, as well as Medicines, Pharmacy, Industry and Office of Life Sciences ‒ Sponsorship of key partners such as NICE, MHRA, and HSCIC Political Engagement 1

3. Initiatives Short term: Key Supplier Program, NHS SC targets, standard list, benchmarking Medium/Long: Centralisation, GSI, Procurement Recent Changes ABHI negotiated a new cross government approach to procurement engagement ‒ Oversight improvement by government ministers and senior officials ‒ Ministerial acceptance of disconnects in implementation of policy ‒ KSP has been paused while they assess their approach ‒ New stakeholders, eg OLS (new office headed by Nicole Mather) Procurement 2

4. Turn around team to report in September New Board level position in NHSE to be created Relative Resource Prioritisation exercise underway Will apply to all direct commissioning Specialised Services 3 Insert footer text by selecting 'Insert - Header & Footer'

5. Innovation IHW review being conducted by Cabinet Office ‒ Innovation Scorecard and NIC taking wider remit – inclusion of MTG AHSN still to make significant impact ‒ Evidence of “clustering” ‒ Network of Networks established and active Tariff 15/16 Tariff Engagement document due in ~3weeks Stepping stone to more radical change in 16/17 More local negotiation Market Access 4

6. Credentialing Highly active market place Currently 3 hospitals have formally implemented commercial systems ABHI believe an industry wide self regulated scheme remains best option for members and for partnership working with NHS Discussion with NHS England and DH on standardisation and interoperability Ethics and Compliance 5