value based procurement in nhs supply chain

Value Based Procurement In NHS Supply Chain

Brian Mangan, VBP Project Lead

Lee Taylor, Clinical & Analytics Programme Lead - Tower 6

From theory to practice

3

Value Based Procurement, the why and the what

Value Based Procurement versus Value Based Health Care

NHS Supply Chain VBP project - lessons learned

NHS Supply Chain approach – Tower 6

Next steps

Areas Covered

4

With increasing demand for healthcare set against a backdrop

of limited financial resources, there remains an ongoing need

for procurement to deliver increased year on year savings

across the NHS.

Value Based Procurement – Why and What?

Pathwaysavings and

efficiency targets

Stakeholder and market engagement to identify

challenges and opportunities to improve

patient pathway

Output based tendering, procurement of pathways -

value quantified and assessed

Contract management

value analysisPartnership working

Value Based

Annual savings target

ProduceWork plans

Frame-work

reviews

Challenge suppliers/re-tender

Record savings

Procurement

Cycle

Value Based Procurement in NHS Supply Chain

5

Value Based Procurement Project Phase One

Pilot study

• 27 submissions.

• 13 pilot projects selected. Covid-19 impacted on three.

• Two pilots failed to demonstrate supplier claims.

• Eight verified demonstrating clinical and efficiency benefits.

• Products covered by existing contracts.


6

• “Value lies in the eye of the beholder”

• Financial challenges in recognising value

– Material

– Attributable

– Measurable

• How can suppliers assure benefits will be delivered?

Lessons Learned


7

Identify

Clinicians identify need to address system weakness or drive improvement

Design

Establish level of material change required –support in design of procurement

Assess

Support assessing proposed clinical value and supplier capability

Deliver

Value Based Procurement - Outputs

Fully engaged in

procurement

evaluation and

ongoing delivery

of solution


8

Recognising Value - TRIAGE

T angible – Will the solution deliver tangible operational/efficiency benefits or improvements to

patient experience and outcomes?

R eturn on investment – Review the forecast ROI, payback period. Anything more than 3-5 years is

unlikely to be accepted at a Trust.

I ntegral – The proposed supplier solution, must be integral to the delivery of the proposed

benefit.

A ssure – What level of assurance can the supplier provide to substantiate their claims?

Robust assurance propositions will enhance the adoption of solutions.

G ranular – Is there sufficient granular data available to measure current and future

performance. If not, then it is impossible to determine the value delivered by the solution.

E vidence – What evidence can be provided, a) that there is a real need for the solution by the

health system; b) that the solution can be delivered in practice.


9

NHS Supply Chain Value Based Procurement

Cardiac Rhythm Management Remote Monitoring

Lee Taylor – Programme Lead, Clinical & Analytics

10

The Challenge:

"We have an overburdened NHS, and need to free up capacity, continue to provide world class healthcare and keep

patients safe during a global pandemic.

The Solution:

"Telehealth frees up clinical capacity, keeps patients out of hospital settings and help to identify symptoms faster -

streamlining the Patients pathway"


C.R.M – Remote Monitoring Pilot

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• Early Symptom Diagnosis

• Reducing Hospitalisation rates

• Reduction in duration of Hospitalisation if the Patient is

admitted

• Extending the devices Longevity.

• Reduction in mortality rate, increased “QALY”.

• Freeing up hospital beds

• Freeing up clinical capacity

• Reducing Patient travel time / lost work hours.

• Sustainability - (C02 Reduction)


Identified Benefits of RM:

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• £138k savings through reducing hospitalisations

• £109k savings reducing hospitalisation duration

• £750k savings through increasing devices longevity

• >£1 million annual savings

84 freed up

bed days

annually

3000 Clinician

hours freed up

annually.

5.4% reduction

in Mortality

rate.


Tangible Pilot Specific Benefits

13

Just Imagine…

“Every time a Remotely Monitored device is

implanted by the NHS, a tangible saving is

captured as a result of universally agreed VBP

methodology”


Value Based Procurement - Utopia

14

• Share your VBP pipelines, what’s coming and when?

• Access to Health Economics teams

• Evidence, Evidence, Evidence:

1. Clinical Studies

2. Case Studies

3. Journal articles

4. NICE Guidance

5. Clinical testimonies


What Do We Need From Industry?

15

Making Value Based Procurement Happen

• Clinical leadership – Projects selected for VBP need to be identified and

driven by clinical leaders who have desire and influence to support the

necessary changes in practice.

• Creating partnerships between buyers and suppliers – The need for NHS

Procurement and Suppliers to actively promote behaviours that promote

transparency, trust and shared ownership for the delivery of objectives.

• Finance – VBP adoption could be accelerated with commitment from

National System Leaders to the creation of a standard approach to the

recognition of efficiency benefits.

• Procurement – Working with Category Tower Service Providers to create a

broader and deeper evidence base of projects that deliver system wide

benefits.Engaging and supporting wider NHS Procurement community.


16

Value Based Procurement Journey

Pilot Action Learning BAU

Phase One Phase Two Phase Three

2019/21 2021/22 2022>


17

Information Available Online

https://www.supplychain.nhs.uk/programmes/value-based-

procurement/

• Read our VBP Pilot Project Report Findings and more

about the project online today.

• Coming soon…pilot project case studies.


https://www.supplychain.nhs.uk/programmes/value-based-procurement/

Any Questions?

Supply Chain Coordination Limited (SCCL) is the Management Function of the NHS Supply Chain

Twitter: @NHSSupplyChain

www.supplychain.nhs.uk

For further information please contact:

[email protected]

[email protected]

mailto:[email protected]

Sustainability and social value within framework agreements

Andy Owen - Head of Healthcare Sector at Arco

Danny Hobson - Head of Ethics and Sustainability at Arco

UN Sustainable Development Goals

Our commitment in action

Our colleague social value

definition fundamentally considers

creating awareness and support to our

colleagues in key areas including:

• Diversity and inclusion

• Mental health first aiders and people

managers trained across the

organisation

• Employee wellbeing assistance

program introduced for all colleagues.

Colleague

Our Circularity definition comes from theEllen MacArthur Foundation: “A circulareconomy is based on the principles ofdesigning out waste and pollution, keeping products and materials in use, and regenerating natural systems.”

• Sustainable productdevelopment

• Sustainable packaging solutions

• Define recycling offer

Circularity

Our wider community social value

definition fundamentally considers

the impact in the communities

Arco, our suppliers and customers

operate within, including:

• Build on ethical trading

principles

• Supply chain community

projects

• Introduce social value projects

within the communities we

operate

CommunityOur Climate definition is based on the principle of: The responsible use of valuable resources that exist in limited quantities or when used excessively result in longer term environmental damage.

• Carbon and water footprint inc. Scope 1, 2 and 3• Electrification of fleet• Waste management

Climate

https://www.ellenmacarthurfoundation.org/circular-economy/what-is-the-circular-economy

Carbon – Scope 1 and 2

We’re targeting a

50% reduction

by 2030. Our actions

include…0

1000

2000

3000

4000

5000tCO2e

2019 2020 2025 2030

Our new BREEAM

‘Very High’ HQ

A £200,000

investment in

energy efficiency

improvements

is just the beginning

All of our electricity

is purchased from

renewable sources

50% of our

fleet will

be electric

by 2026

In the meantime...

We’re carbon neutral for Scope 1 and 2 from August 2021 through investments in offsetting

Why China and Madagascar?

To enable us to give back to the

countries and communities who

support our supply chain

Our ‘sustainability’ affiliations

So what does this mean to our customers?

We hope this demonstrates Arco’s long standing commitment

to learning, aligning and proactively contributing to leading expert

organisations dedicated to protecting our planet and the people living on it

Signatory for over

3 years

Achieved Gold Status in

2018Awarded Silver medal in

2020

Only top 10% of members achieve this

Circular Workwear

Project

Reducing our impact on packaging and landfill waste

Trials underway now at our NDC testing

alternative bags, tape and void fill Goals:

Remove, reduce and replace

packaging

Eradicate all unnecessary packaging

and remaining packaging is made

from recycled sources and can be

widely recycled or reused

We’ve introduced a

charter for proprietary

vendors, including FSC

All plastic packaging on

target to contain 30%

recycled materials by April

2022

Waste is segregated across

our whole operation and

collections are consolidated

We’ve engaged with one of Europe’s largest packaging

compliance and advisory bodies for next 3 years

ETI Members since 2007

First safety distributor to join the ETI

Defined strategy and process agreed with ETI and

reported annually

Achieved NHS Labour Standards Assurance System

Level 4 for the past 3 years

Dedicated ethical team in Hull and Xiamen

3rd party supplier audit program

Recognised by customers and beyond

Arco ‘Modern Slavery and Human Trafficking Statement

2020’ provides further information

Joint Arco and ETI projects:

Malaysia – protecting migrant labour

Bangladesh – helping fight against COVID-19

Arco are independently assessed by:

Hope For Justice (2018)

SGS (annually)

More than a decade of ethical trade

‘Our goal is to establish a UK on shore

supply chain to implement the closed

loop recycling polyester fabrics and

facilitate new servitisation models,

enabling a workwear circular economy’

Our commitment to circularity

Chemical RecyclingArco own label ranges

Our goal is to create an own label range of

garments which;

Reduce/eradicate waste in the supply

chain

Manufactured from more

environmentally friendly sources than

virgin materials

Increase durability, keeping products

in use for longer

Provide transparency across the supply

chain

Social Value and Corporate Social Responsibility

We have several services to

minimise customer deliveries

to help to reduce emissions.

These include vending services;

delivery and packaging statistics

and suggested consolidation

activity to help optimise your

order frequency

We can

provide you

with the

emission data

associated with

your account

Our staff are given

two days paid leave

every year to

volunteer and

support the good

causes that they’re

passionate about

Over £250,000

of product

donated to help

communities

fights and

recover from

COVID

We’ve

awarded

£110,000 of

COVID grants

to 110 groups1% of our pre-tax

profits are

donated to

charties,

communities and

good causes

every year

Total donated to charity and

community support groups

(exc. COVID grants and

donations) in 2019-20

£535,500

Plus, £340,000 partnership

support provided

We have a

£100,000

biodiversity

project in

planning now

Members of Social

Enterprise UK

and members of

Social Value UK

Recovering from COVID: The future of NHS Procurement

Opportunity or Threat?

Keith Rowley, Managing Director

NHS North of England Commercial Procurement Collaborative

Context

COVID-19Pandemic

Changed our lives in ways

we never could have imagined

Independent public inquiry

is set to be held in Spring

2022

More than 1 MILLION

ambulance calls answered across

England

Impact continues to be felt

across the NHS

More than 47 million people have had at least one dose of

coronavirus vaccine as part of the biggest

inoculation programme ever

launched in the UK

Freezing of elective

procedures to cope with demand

All restrictions eased the

healthcare sector is still very much

in the thick of dealing with

COVID-19

Consequence

*Institute for Fiscal Studies report Could NHS waiting lists really reach 13 million? - Institute For Fiscal Studies - IFS

Highest number of people waiting to start treatment

since records began in 2007

300,000 People waiting

more than a year

2.16 MILLIONpeople were

treated in A&E in July

More than 1 MILLION

ambulance calls answered across

England

14 MILLION could be on

waiting lists by next Autumn*

Many businesses looking to

return to BAU

NHS trying to manage variants

While also trying to support strained, tired, and stressed

workforce

1.7 MILLIONPeople have been

waiting longer than 18 weeks

Still adjusting to different

working arrangements

Many continue to work from

home

https://ifs.org.uk/publications/15557

Future: The perfect storm

Cost Improvement– expected to be 3%

How are NOE CPC helping?

Our framework solutions:• Secondary Care Access and Discharge

Support Services• Remote Teleradiology Reporting

Services• IT Enterprise Solutions• IT Hardware and Services• Employee Benefits for Health, Wealth

and Wellbeing

Free to access framework agreements, immediately available

Quick and easy online access to all supporting documentation

Extensive solutions and category expertise readily available

Frameworks & servicesWorking with PTOM & the procurement community

Partnerships

Collaborating with NHS Procurement in Partnership

NHS Workforce Alliance:We are one of five organisations that make up the Alliance, we are assisting Trusts with our insourcing solution to support recovery

Round Table events to help procurement leaders come together

Working with PTOM to support Trusts with ICS development

Working with PTOM to influence and shape the way our framework policy support policy aspirations

Opportunity or threat?

Opportunity Threat

• Procurement has never been so high profile and valued

• Optimistic for the future and see an opportunity to build positively – it is going to take a lot of work

• Role for procurement to drive supply chain resilience and the sustainability agenda.

• We are still trying to recover from this both personally and functionally

• Bad press over PPE

• Tremendous amount of change and transformation taking place around us

• Continuing to deliver CIP.

Any Questions?

A Consolidated Centralised Approach to PPE Supply

Hosted by• David Harris - Head of Service - Logistics and Supply Chain, Lancashire

Procurement Cluster

• Simon Bennett – Business Improvement Engineer, Lancashire Procurement Cluster

IntroductionThe Lancashire Procurement Cluster is a ground breaking shared service which is creating a step change in procurement and supply chain maturity for the member trusts;

• Blackpool Teaching Hospitals NHS FT

• East Lancashire Hospitals NHS Trust

• Lancashire Teaching Hospitals NHS Trust

The service was created in 2017 at pace to address the challenges identified in the “Unwarranted Variations” report by Lord Patrick Cater published in February 2016. In order to transform local procurement and supply chain services the three Trust boards recognised the fact that no individual organisation had the scale to address the challenges in their entirety, and a new and innovative approach to procurement was required. This collaborate approach was a key benefits in our supply our PPE.

New PPE Requirement

The Challenge

• Ensure all frontline staff have essential PPE to support in the response to Covid 19

• Ensure timely PPE supply to 3 Trusts consisting of 5 hospital sites and numerous community buildings

• Ensure PPE items meet the individual requirements of each Trust

• Create and embed entirely new logistics network and processes

• Ensure storage space available to hold required PPE stock without impacting clinical space to care

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Sourcing

• Push- National push stock to meet demand

• External- Areas where demand outstripped supply explored out of the box external solutions eg. Plastic Gowns

• Donations – never seen before levels of donations of items that could be utilised as PPE

Triad Approach

• Dedicated Procurement Triads focussing on individual PPE product categories

• Purchasing professional- to aid in the sourcing of items if required and later to check product specification and certification

• Clinical procurement specialist- to liaise with the trust’s clinical team on their requirement and assess stock suitability

• Logistics professional- to ensure storage and distribution of all items

https://www.google.co.uk/url?sa=i&url=https%3A%2F%2Fcnsourcelink.com%2F2018%2F03%2F17%2Fproduct-sourcing-company-in-usa%2F&psig=AOvVaw1n0AHKZH6PaefSHdYR0SIo&ust=1630675033150000&source=images&cd=vfe&ved=0CAYQjRxqFwoTCJC034Gw4PICFQAAAAAdAAAAABAK

Delivery Solution

• Formulation of a centralised hub function feeding a smaller PPE store at each trust.

• Allowing us to concentrate on the needs of the Trust as a whole and focus more internally when required through our smaller PPE stores.

• This model gave us the ability to provide mutual aid across not only our 3 trusts but further organisations

• Allowed us to tailor the PPE received to best suit the Trusts requirements. Saved using up valuable trust real

Considerations

• HUB• Capacity large enough to manage the

consolidated receipt, storage and distribution of critical PPE

• Accessible to the motorway network• Located centrally to all 3 hospital trusts• Secure to protect vital stock• Open and operating 24 hours, seven days a

week

• PPE Stores• Location for easy access for delivery from

central Hub• Proximity to trust departments• Storage space for 3 days worth of stock• Access to internal Trust networks for

community sites

The Numbers

• 8500 square feet of space, giving us over 620 pallet spaces

• Over 15 million items of PPE issued since formulation

• Deliveries across 75 separate locations throughout the region

• Dealt with 1324 different stock keeping units

• ZERO- the amount of frontline staff to go without essential PPE

Outcome

• No frontline staff have gone without essential PPE during length of the pandemic

• Enabled all areas to be supported by feeding stock into the hospital site PPE store in a controlled manner dependant on needs. This ensured that stock reached the areas when needed, in the right quantity and at the right time it was this push/pull model that ensured all areas were supported when needed and stock evenly distributed as required.

• Saved valuable Trust real estate to be utilised for patient care

• Allowed quality assurance and tailoring for individual trusts needs

Additional Use cases

• Utilised to support regional Vaccine programme

• Acted as centralised distribution hub for regions critical care equipment

• Utilised storage for ongoing LAMP testing project

• Use of local repurposed manufacturing facility to alleviate gown issue

• Centralised hub for distribution of re-usable gowns across the 3 Trusts

• Created and utilised local workforce

Thank YouAny Questions?

UV-C Disinfection for Healthcare

Make our world safer, help protect staff and patients with UV-C disinfection devices

Clark Morrow - 15th Sept 2021

https://www.interact-lighting.com/en-gb

https://www.lighting.philips.co.uk/home

Who am I ?

Clark Morrow

Marketing Manager UK&I, Signify

I joined Signify in October 2019, bringing more than 20+ years of industry and professional experience across a range of relevant sectors including, telecoms, emerging energy tech, energy services and lighting.

Prior to Signify, I held the position of Global Product Manager for lighting within E.ON (energy solutions business) where I was responsible for the creation, set-up and growth of E.ON’s Pan European lighting solutions division.

I also now have the pleasure of spearheading the UV-C business for Signify in the UK&I market.

P4H UV-C Disinfection54

Everyone around the world is currently working hard to help keep people and workplaces safe by introducing new ways to disinfect. Building on over 40 years of experience, learn how our range of Philips UV-C solutions inactivate bacteria and viruses, including SARS-CoV-2, the virus that causes COVID-19.

Understand the opportunity and benefits of implementing UV-C from a healthcare perspective and how this will bring an additional layer of protection for staff, patients and visitors across your healthcare facilities.

55

Todays session……

P4H UV-C Disinfection

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The world leader in lighting with over 120yrs experience and the only carbon neutral company in the

industry. With 40yrs experience in UV-C , the Philips brand and a proven track record of delivering multi site

/ multi million pound projects into the public/ healthcare sector, Signify are the trusted partner.

#ThePoweroftwo

A national turnkey lighting service company with over 30yrs experience, providing lighting &

energy performance contracts into the healthcare sector. Inhouse team of experts in the design & execution of Lighting & UV-C projects.

Long term VAP of Signify UKI.


Protecting the safety of your Staff, Patients and visitors is paramount, UV-C disinfection lighting can help you to minimise the transmission of Viruses & Bacteria !

• The Challenge: The Healthcare sector has the difficult task to manage , not only the ongoing pandemic, but also the general health & wellbeing of all person within healthcare facilities

• Minimising Transmission: Ensuring the cleanliness of the air, surfaces and objects in healthcare facilities is critical to minimise the risk of Covid-19 infection and transmission (and other viruses/disease like TB, MRSA, Influenzas') – An “additional layer” of safety is now a viable option with UV-C !

• UV-C Lighting and Covid: UV-C has been “scientifically proven” to be effective at “inactivating all known viruses and bacteria”, including Covid-19.

• Signify/McCann: Together we have over 40 years of experience in UV-C lighting and have successfully delivered many large contracts /project into the healthcare sector and we now offer a range of UV-C solutions for Air, Surface and Object disinfection to help combat Covid-19.

57 P4H UV-C Disinfection

Signify Classified - Internal

UV-C from 200 to 280 nm

• Completely absorbed by the ozone layer

• For disinfection purposes and germicidal application

UV-B from 280 to 315 nm

• For medical use (e.g. phototherapy to treat skin conditions, including psoriasis)

UV-A from 315 to 400 nm

• For use with curing, suntanning and insect traps

58

What is UV-C?


• UV-C radiation can break the DNA and RNA of bacteria, viruses and spores, meaning that they leave them harmless. All bacteria and viruses tested to date respond to UV-C disinfection.1

• Most UV-C solutions utilise conventional lighting, with LED now improving in efficiency

• The peak output of our germicidal lamps (253.7nm) is close to the maximum effectiveness of UV-C (265nm)

• UV-C technology has been used safely and effectivelyin hospitals and governmental buildings for more than 40 years2

1Fluence (UV Dose) Required to Achieve Incremental Log Inactivation of Bacteria, Protozoa, Viruses and Algae Revised, updated and expanded by Adel Haji Malayeri, Madjid Mohseni, Bill Cairns and James R. Bolton. With earlier contributions by Gabriel Chevrefils (2006) and Eric Caron (2006) With peer review by Benoit Barbeau, Harold Wright (1999) and Karl G. Linden

2EPA Report, “Building Retrofits for Increased Protection Against Airborne Chemical and Biological Releases” Pg. 56

How does it work?



Is UV-C for Air disinfection a new solution?

60

• The germicidal effects of Ultraviolet light were first discovered in 1877.

• The 1903 Nobel Prize for Medicine was awarded to Niels Finsen for his use of UV against tuberculosis of the skin.

• Using UV light for disinfection of drinking water dates to 1910 in Marseille, France.

• Between 1937 to 1941 upper-room UV-C in suburban Philadelphia schools to prevent the spread of measles.


Does it work ? Do we have proof………….. YES !

Our Philips UV-C disinfection upper air wall mount luminaires inactivated 99.99% of SARS-COV-2, the virus responsible for the COVID-19

disease, in the air of a room within 10 minutes. At 20 minutes, the virus was below detectable levels

Link to test report Here61

• Scientifically proven to combat Covid-19

• Physical Surfaces: Our study with NEIDL1 at Boston University (June 2020) proves that our UV-C light sources inactivate the SARS-CoV-2 virus that causes Covid-19 (e.g., 99% in 6 seconds)

• Aerosol: The independent test report from Innovative Bioanalysis (March 2021) proves our UV-C Upper air units inactivate the SARS-CoV-2 virus that causes Covid-19 (e.g., 99.99% within 10 minutes in a 8’x8’x10’ room)

Link to test report Here Link to test report Here


https://www.assets.signify.com/is/content/Signify/Assets/philips-lighting/global/20210301-innovative-bioanalysis-report-sars-cov-2.pdf

https://www.assets.signify.com/is/content/Signify/Assets/philips-lighting/global/20210113-intertek-report-microbial-efficacy-test.pdf

https://www.nature.com/articles/s41598-020-79600-8

➢ The UVC design / performance and safety requirements of the any UVC systems supplied must be inline with the relevant EN / ISO standards and acceptable exposure limits -

➢ eg ISO 15858 – Worldwide standard for UV-C Devices - Safety information - Permissible human exposure

➢ The system will be commissioned and proven to be safe prior to switch on & handover

➢ Relevant & additional controls / safeguards will be put in place based on the risk group of the products

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Is UVC safe……… YES…. if done properly !



Image credit:

Airborne

Transmission

Surface

Transmission

Transmission



UV-C Solutions portfolio.

.

Air Disinfection

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Application areas – General air purification

All professional indoor applications incl : Office buildings, Healthcare facilities, Meeting rooms, retail, hotel rooms, schools, universities, banks, gyms, restaurants.

• Typically, 1 unit per 40m3 to 50m3

.

Surface Disinfection

Application areas : General room/ space surface cleaning

All professional indoor applications: Treatment rooms, Healthcare facilities, Pharmacies, dentists, hotel rooms, schools, universities, banks, retail outlets, gym, spa, industries, cleanrooms, industrial kitchens, restaurants, transport etc. Note - Consumer unit also available

• Typically, 1 unit per 3m x 3m room

.

Surface/Object Disinfection

Application areas : Object / device cleaning

All professional indoor applications : Healthcare facilities, mail rooms, reception, factories, distribution centers, retail, Museums, schools, etc

• Typical cycle times of 3 to 5mins


https://www.lighting.philips.co.uk/home

Upper Air UV-C devices

Upper Air units can be located on the ceiling / upper part of the wall in all common areas /patient rooms , treatment rooms to increase the eACH, ensure the highest level of air quality and minimise risk of transmission.

More suited to larger rooms with higher ceilings, typically more than 2.4M

Operating 24/7.

Qty & layout designed & optimised to ensure maximum effectiveness and safety compliance



66

Upper air solutions provide an ideal way to disinfect air while the space is still occupied



67

1 National Institute for Occupational Safety and Health [2009], Environmental Control for Tuberculosis: Basic Upper-Room Ultraviolet Germicidal Irradiation Guidelines for Healthcare Settings, 2009 -105

Better ventilation & air quality go hand in hand

Air Changes per Hour…..

• Basic ventilation rate requirements are already part of building guidelines, but aimed at requirements for fresh air, low CO2, odor levels and humidity, not disinfection

• Building owners use ACH as a metric for ventilation rate:

• Air Changes per Hour (ACH) is defined as the number of times the air in a room is replaced with new air, in 1 hr

• Each Air Change reduces number of pathogens with 63%. Achieving 99.99% pathogen reduction in 1 hr requires 9 ACH

• An Equivalent Air Change occurs when an alternate technology also reduces 63% of applicable pathogens

• Hospitals require typically higher ACH’s ranging from 6 to 40 for disinfection purposes

Implementing UV-C air disinfection solutions can dramatically increase the eACH -anything from 2 to 30+ eACH depending on the UV-C solution deployed and the

size of the space.P4H UV-C Disinfection


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UV-C Upper Air - The project journey:

UV-C Upper air projects require specialist products, tools, skills, knowledge and considerations -

Audit & Design Install & Commissioning

Maintain Optimize



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UV-C Upper Air Audit phase• A site audit is the best way to start the project on the

right path

• The audit should capture vital information, such as:

✓ Ceiling heights & Types

✓ UV-C reflection of surfaces

✓ The space usage & occupied hours

• Where possible Floor and Ceiling plans should be sourced, and if not created

• Following the audit, the project team and client should agree the most appropriate disinfection type



UV-C Upper AirDesign phase

• Where the preferred disinfection type is UV-C Upper Air, the design can be performed in two stages

Preliminary Design

• An indicative quantity can be calculated using a ‘volumetric approach’

• This must only be used for budgeting purposes

Detailed Design

• Detailed calculations can now be performed using specialist 3D simulation software

• This calculates the Effectiveness & Safety

UV-C power (mW)



UV-C Upper Air Design phase - Effectiveness

• Viruses can be removed from a space if there is sufficient ventilation

• Introducing UV-C, to the ‘upper air’, achieves a better effect than relying on the HVAC, and it disinfects.

• UV-C Upper air calculations consider a ‘Fluence Rate’, which is comparable to equivalent air changes per hour.

• A fluence rate of 20 [mW/m²] ( 2 [μW/cm²] ) for removal of SARS-CoV-2 is equivalent to 27 ACH, and can removed 99.9% of contaminated air in 15 minutes



• Also, as UV-C poses a risk to human health, the safe exposure must be measured

• ISO15858[1] and ASHRAE guidelines state that human exposure to UV-C (at 254nm) shall not exceed 60 J/m² (or 6.0 mJcm-2) for an 8 h day, 40 h work week

• Detailed designs must therefore calculate the maximum irradiance at eye level (based on the space usage) and extrapolate this over the worst-case exposure time, to determine the UV-C dosage

[1] UV-C Devices - Safety information - Permissible human exposure (ISO 15858:2016)

UV-C Upper Air Design phase - Safety



• Once the Upper air system is activated then irradiance measurements are taken using a specialist meter, at set points/heights throughout the space, to verify that the levels are inline with the designed scheme and that they do not exceed the permitted levels.

• ISO15858[1] and ASHRAE guidelines state that human exposure to UV-C (at 254nm) shall not exceed 60 J/m² (or 6.0 mJcm-2) for an 8 h day, 40 h work week

[1] UV-C Devices - Safety information - Permissible human exposure (ISO 15858:2016)

UV-C Upper Air Commissioning phase



74 UV-C

UV-C Upper Air Maintain & Optimize

• To ensure the ongoing safety of a UV-C installation, regular checks should be made, including:

✓ Irradiance Measurements

✓ Ensuring the space usage and layout is still appropriate

✓ Checking safeguards work correctly

• Periodic lamp replacement and luminaire cleaning should be performed, to maintain the desired effectiveness

• Due to the specialised nature of UV-C, either onsite maintenance staff should be trained, or a service package with the project provider should be arranged


Active Air UV-C devices

Active Air units can be located on the ceiling / upper part of the wall in all common areas /patient rooms , treatment rooms to increase the eACH, ensure the highest level of air quality and minimise risk of transmission.

More suited to smaller rooms with lower ceiling heights, typically less than 2.4M

Operating 24/7.

Qty based on volumetric approach



Floor standing Mobile Air purification UV-C unit

Floor standing mobile UV-C air disinfections units can be located and re-located into smaller rooms/ spaces to increase the eACH, provide a high level of air quality and minimise risk of transmission.

Plug & play

Operating 24/7.

Qty based on volumetric approach


Over 40 years of Experience > 5,000 upper air units deployed worldwide

This is not a new treatment, we have installed UV-C lighting systems in many Healthcare locations :

• The Netherlands: TB-departments of Governmental Health Care centers.

• Beijing Forestry University Hospital : Range of UV-C solutions recently installed to support their integrated disinfection strategy

• Belgium: All departments for contagious diseases as well as lung and heart diseases at St. Pierre Hospital in Brussels

• MSF (Medecins Sans Frontiers): More than 1500 of units installed in Uzbekistan, Tajikistan and African countries

• UNOPS (United Nations): more than 2000 units installed in Myanmar

many other locations:

• Retail:

• Sports:

• Offices:

• Fitness Centers:


Global uptake in UV-C for healthcare…

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US Market – other UVC installs/project examples

Kings County Hospital, Brooklyn, NY

Coney Island Hospital, Brooklyn, NY

National Institute of TB and Respiratory Diseases, New Delhi, India

Slocum Dickson Medical Group, Utica, NY

Lipstock Lasik, Richmond, VA

Bellevue Hospital, New York, NY

Harlem Hospital, New York, NY

Government Medical College, Haldwani, India

Kamala Nehru Chest Hospital, Jodhpur, India

VA Hospital, Reno, NV

Riverside University Health System, Moreno Valley, CA

Milton—Edgewood Eye Clinic, Milton, WA

VA Hospital, Martinez, CA

John Muir Medical, Walnut Creek, CA

Wester County Memorial Hospital, Webster Springs, WV

Broaddus Hospital in Philippi, WV

University of Maryland Medical Center (UMMC) Emergency Entrance, Baltimore, MD

Botts Dental Spa, Memphis, TN

Gibson County Community Health Center, Trenton, NJ

Lewis Gale Hospital

Additional UV-C projects – Signify

Philippines UVC UST Hospital

Myanmar Asia Royal Hospital_Myanmar_UVC

Thailand Ramathibodi Hospital UVC renovation

Philippines UVC Cardinal Health Clinics

Philippines UVC Lucena Hospital

Thailand UVC Hospital Chamber

Viet Nam UVC-Lung Hospital-Upper Air-GLA

Croatia CRO_UV-C_Lipapromet_Hospital Merkur

pilot_TinPusec

Korea, Republic of UVC_Hospital_Sunaewon

Hong Kong Alice Ho Miu Ling Nethersole Hospital

India TCS.Siruseri.UV-C Requirement

India AAI_Goa_Airport_uvc

India UV LAMPS- HOSPITAL SUPPLY-KOLKATA

India UVC Batten Kurkshetra Hospital

India UVC Lamp for Hospitals

India Yashoda Hospital_UVC-VED

India Sum Hospital_Recessed requirements

India NU Hospital_UVC Lamps

Indonesia B2G Kota Medan General Hospital

Indonesia B2G Kota Pekan Baru General Hospital

Pakistan UVC - Indus Hospital


Proven, global track record of delivering into healthcare sector ….

• Spire Healthcare – UK : Turn-key lighting refurbishments across 25+ sites

• New Royal Adelaide hospital – Australia : A connected lighting solution to control 50,000 DALI light fittings & an additional 10,000 EM Fittings

• Princess Alexandra Hospital – UK : Color changing ambience lighting & controls system in the MRI / CT rooms, to create a more comforting atmosphere for patients and to reduce anxiety , particularly in children.

• Norfolk & Norwich – UK : Turn-key lighting refurbishments across 10+ sites


Value & benefit for healthcare facilities ?


➢ Saving lives - Reduction in transmission of viruses, bacteria & super bugs !

▪ Improving patient, staff and visitor health & wellbeing

▪ Improving recovery rates/sickness /death rates

➢ Provides a concrete / proven method for inactivating SARS-CoV-2 (all known viruses & bacteria)

➢ Lower cost & more effective method to achieve high levels of clean air vs increasing fresh air /ACH for existing HVAC equipment.

➢ Reduction in the costs associated with the time, resources and the additional chemicals/ materials needed for the extra deep cleans

In Summary…

➢ UV-C Lighting is proven , effective, safe and versatile for many applications, including healthcare.

➢ UVC can be part of a disinfection toolkit for healthcare facilities – providing an additional layer of safety for your staff, patients and visitors

➢ Signify & McCanns are your trusted partners in providing professional UV-C solutions & services into the healthcare sector


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Call to Action – come as see us on stand 35 for more info !


Clark MorrowMarketing Manager UK&I, [email protected]

Justine WalmsleyMarcoms Manager UK&I, [email protected]

Ryan McCannDirector - L McCann [email protected]

CAPEX

UVC as a

service

Pilot

Project rollout

Tender

EPC

Training/advice




83

UVC Webpage

UV-C disinfection | Philips lighting➢ Visit our UVC UKI Website to find out more about UVC and our offerings !

UVC learning pathway - Learning for all : Unleashing The Power of UV-C lighting | Degreed

https://www.lighting.philips.co.uk/products/uv-c

https://eu.degreed.com/pathway/ek95n2kyp3?path=learning-for-all---unleashing-the-power-of-uv-c-lighting

Thank You for listening

Q&A


Client-side AlliancesJames Wallis– General Manager, Healthcare, SCC

SCC Client-side alliances in Health…A new type of relationship!

Questions you will no doubt want answered:

• What is a client-side alliance?

• How is it different?

• What are you about?

• How can you evidence this?

• Why should those in procurement care?

• How do you ACTUALLY deliver this?

In Flight Projects:Assistive Technology In the home – Using data science and wearables to identify early decline

Virtual A&E – Reduce presentations at A&E by up to 30% - AI triage App/Bot for self diagnosis

CHD – Using Artificial Intelligence & Big Data to detect asymptomatic Coronary Heart Disease

Remote Consultation – Enabling clinicians to deliver care remotely

Computer Vision – Application of Computer Vison to RadiographyAdrenal Lesion – Ophthalmology – Cardiothoracic – Prostate

Population Health - System level analysis to look at changes in population health and care needs, implications for future demand across different settings and new incentives and financialarrangements

Diabetes – Strategic Pathway Review

Breast – Strategic Pathway Review

Hospital Assets Tracking - IoT is extensively used in many other industries for effective inventory tracking.

Genomics – the mapping of genomes to give better insight to future healthcare needs

Bionomics – developing personalised nutrition, diagnostic, and therapeutic solutions using artificial intelligence and machine learning.

Wireless Monitoring - remote patient monitoring platform measures vital signs in real-time using wireless, non-invasive, medical-grade technology.

Augmented Reality – Using HoloLense to drive immersive applications enabling cognitive training, physical measurements and Holoportation

5G – unleashing monolithic applications to drive better healthcare outcomes

Fall Prevention and Detection - Reducing falls and injuries

EPR - electronic patient record system which will modernise and improve the way we deliver patient care

Reduction in Urgent Contacts

Chart shows overall change in contacts to services in the period following MySense installation

Cohort – Dementia patients living

independently in the community

Period – May 2020 – April 2021; uses equal

time periods before and after MySense installation for each patient

Duration of usage – 649 weeks of MySense

use in total. 1298 weeks total study period-63% -62%

-43% -46%

111 Call Outs

GP Contacts 999 Call OutsHospital

Admissions

Change in Number of Contacts (%)

PANDAMartin Dean – CDxO Healthcare, SCC

Procurement is hard

A toolkit that can mitigate risks, increase organisational capability, provide process, and align both needs and expectations across the healthcare landscape.

P.A.N.D.A is

But what does that actually mean and how does it work in the real world?

P.A.N.D.A

PrepareAlignNegotiateDeliverAccept

P A N D AP1 A1 N1 De1

A2

P3 N3

D4

Project Complexity & Organisational Maturity

Project Maturity

Specific Modules of support geared your precise needs, fundable on use or through transaction values

Clinical & FinancialGovernanceAlex Graham - Clinical Lead SCC

Our Consultative Approach:

Consultative Approach

Stakeholder Engagement

and Alignment

Risk and Compliance (ISO, DCB,

GDPR)

Business Case and Benefits

Realisation

Regular Audit and Review

What type of relationship do you REALLY have with suppliers?

Imagine a relationship with your supplier that delivers…

value based procurement in nhs supply chain

Documents