NHS Supply Chain

Workshop:

introduction to Spanish

Healthcare sector

Madrid, February 9th 2015

g.rodriguez@fenin.es

Fenin, Spanish Federation of Healthcare Tecnology companies

Represent and promote, healthcare technology

outstanding its VALUE and rational use.

What’s FENIN?

Ma

rke

t d

ata

Nº companies: 1.200 520 manufacturers

Revenues: 7.700€ millones

Direct employment: 29.000 .

R+D+i: 3-6% over revenues

Exports: 1.850€ millones + 20% 2005-2012

Accounts receivables: 2.500 M€

8% out of total healthcare expenditure0,8% over GDP

Spanish healthcare market data

Spanish Autonomous Regions Structure

17 Regions with their own

Healthcare Systems plus

two towns: Ceuta and Melilla

Only Ceuta and Melilla are

managed by the Healthcare

Ministry

Public healthcare structure

Ministry of Health

• Basic legislation

• Regional coordination

Regional Healthcare

Office

• Local legislation

• Budget management

Regional Healthcare Service

• Local Hospital activity coordination

•Primary care

Healthcare financing flowchart

Population

Patients

Financial chartflow of the Spanish Healthcare Service after year 2002 reforms

Service Agreements

Global Budget

Public Hospitals

Private Hospitals

Payment per services

Data sources:Ministerio de Sanidad y Consumo. D.G. de Cohesión del Sistema Nacional de Salud y Alta Inspección. Prepared by S.G. de Análisis Económico y Fondo de Cohesión

Insura

nce p

rem

ium

s

Taxes

Socia

l contr

ibutions

Payment per

services

Private Insurance

Private

professionals

Direct Payment

Payment per stay

Primary Care

Centers

Military Hospitals

& Penal

Healthcare

State Administration

Regions

Local Councils

Global Budget

Labor Accidents & Ocupational diseases Mutual Funds

Social Navy Institute

Civil Servants Mutual Funds

Insurance Premiums

INGESA

Ceuta & Melilla

Regional Healthcare Services

17 Regions

Global Budget

PricesPharmacy

Public HealthGlobal Budget

Service Agreements

Populatio

n

Patients

Public Healthcare

Private Healthcare

Trends in the Med Tech sector

Regularize the payment process

Regulations to avoid late payment

Public procurement

• Centralizing procesess

• Promoting electronic procurement

• Giving price more prominence