Life Science Competitiveness Indicators

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Life Science Competitiveness Indicators March 215 Life Science Competitiveness Indicators 1

Preface This report brings together in one place a set of competitiveness indicators covering a range of aspects of the life science environment in the UK and other countries. They are intended to give a broad understanding of the UK sector, and how it compares internationally. The choice of these indicators was informed by Technical and Steering Groups made up of a range of life science sector stakeholders. These included representatives from trade associations, life science sector companies, research organisations, regulators and government bodies. Comparator countries have been selected on the basis of data availability, and advice from the Technical and Steering Groups as to the most appropriate comparators. In some instances where a comparison was considered desirable, it has not been possible as data for particular countries was not available or was not considered reliable. There are a range of other UK specific data sources that were not used because internationally comparable data could not be identified. These limitations mean that, whilst this is the fullest picture we are currently able to provide, the set of indicators cannot be looked at in aggregate to provide an overall country ranking. Each indicator should be considered on its own merits and the caveats relating to data sources (which may be constantly updated) should be considered in each case. This report does not make any assessment of the relative importance of different factors for competitiveness, which is at least partly a subjective judgement. For the most part, the data on which these indicators are based is drawn from already published data. Wherever possible a link is provided to the data, or to the publication from which the chart has been reproduced. In a few instances it has been necessary for data to be sourced commercially or obtained directly from the organisation holding it. In these cases the supplier is clearly credited against relevant charts. In cases where the data is from a proprietary source, we have not been able to reproduce the underlying data tables. This is the first publication of these indicators. The intention is to further develop the indicator content and data sources for future publications. We would like to thank all those who have contributed to these indicators, or supplied data for this publication. Life Science Competitiveness Indicators 2

Table of contents Overview: Performance of UK Life Science Sector and Contribution to UK Economy 4 Overview: Competitiveness of UK Life Science Environment 5 Indicators for UK industry 6 Chart 1A: Number of people employed in manufacture of basic pharmaceutical products and pharmaceutical preparations 7 Chart 1B: Number of people employed in manufacture of medical technology products 8 Chart 2A: Gross Value Added for pharmaceutical manufacturing in European competitor countries 9 Chart 2B: Gross Value Added for pharmaceutical manufacturing in UK 1 Chart 3A: Exports of pharmaceutical products 11 Chart 3B: Exports of medical technology products 12 Chart 4A: Imports of pharmaceutical products 13 Chart 4B: Imports of medical technology products 14 Chart 5A: Life sciences foreign direct investment projects 15 Chart 5B: Life sciences foreign direct investment capital expenditure 16 Chart 6A: Share of global life science Initial Public Offerings (IPOs) 214 17 Research and Development Indicators 22 Chart 9: Government spend on health research and development 23 Chart 1: 213 non-industry spend on research and development 24 Chart 11: Pharmaceutical industry spend on research and development in the UK 25 Chart 12A: Share of life science academic citations 26 Chart 12B: Share of top 1% (most cited) life science citations 27 Regulatory Indicator 28 Chart 13: Instances where MHRA is in lead role in EU regulatory procedure 29 Clinical Research Indicators 3 Chart 14: Share of patients recruited to global studies (all trial phases) 31 Chart 15: Time from core package received to first patient enrolled in country (all trial phases) 32 Demand-side Indicators 33 Chart 16: Dashboard of NICE Technology Appraisal publication timeframes 34 Chart 17: Uptake of new medicines 35 Chart 6B: Initial Public Offerings (IPOs) in life sciences amount raised in 214 (where known) 18 Chart 7A: Private equity investment total investment 19 Chart 7B: Number of companies receiving private equity investment 2 Chart 8: Number of science graduates 21 Life Science Competitiveness Indicators 3

Overview: Performance of UK Life Science Sector and Contribution to UK Economy Chart 5B: Life sciences foreign direct investment capital expenditure 2. Chart 1A: Number of people employed in manufacture of basic pharmaceutical products and pharmaceutical preparations 14, Spend in billions of pounds ( bn) 1.8 1.6 1.4 1.2 1..8.6.4.2 213 Number of people employed 12, 1, 8, 6, 4, 2, 28 United States UK Ireland Japan Switzerland Spain Netherlands United Kingdom Source: fdi Markets, from The Financial Times Ltd. Notes: Values are for the year that projects were announced. Data is in current prices. Source: Eurostat Data Explorer, Annual detailed enterprise statistics for industry, http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=sbs_na_ind_r2&lang=en Notes: Selected Category in NACE_R2 C21 Manufacture of basic pharmaceutical products and pharmaceutical preparations. Data not available for some countries in certain years. Chart 1B: Number of people employed in manufacture of medical technology products 25, Chart 2B: Gross Value Added for pharmaceutical manufacturing in UK 15 Number of people employed 2, 15, 1, 5, 213 Gross Value Added in billions of pounds ( bn) 1 5 Spain Netherlands United Switzerland Kingdom Source: Eurostat Data Explorer, Annual detailed enterprise statistics for industry, http://ec.europa.eu/eurostat/data/database Notes: Categories in NACE_ R2 C266 Manufacture of irradiation, electromedical and electrotherapeutic equipment plus C325 Manufacture of medical and dental instruments and supplies. Data not available for some countries in certain years. 25 26 27 28 Source: : UK data from ONS National Accounts, The Blue Book 214 Edition dataset time series KKF7: mgdp manufacture of basic pharmaceutical products and pharmaceutical preparations http://www.ons.gov.uk/ ons/rel/naa1-rd/united-kingdom-national-accounts/the-blue-book--214-edition/index.html Notes: UK data (Chart 2B) has been taken from a separate source from the comparator countries as it is not currently available broken down at this level through Eurostat. The medical technology sector is defined by two three-digit categories (C266 and C325) and National Accounts data is not available at this level. Data is in current prices. 213 Life Science Competitiveness Indicators 4

Overview: Competitiveness of UK Life Science Environment Chart 8: Number of science graduates Chart 12B: Share of top 1% (most cited) life science citations 3, 7% 65% 25, 6% 55% Number of graduates 2, 1, 75, 5, 25, 28 Share of citations 5% 45% 4% 35% 3% 25% 2% 15% 1% 28 5% Belgium Ireland Japan Netherlands Spain Switzerland United Kingdom Source: United Nations Educational, Scientific and Cultural Organisation (UNESCO) http://data.uis.unesco.org/index.aspx?datasetcode=edulit_ds Notes: Data not available for some countries in certain years. United States % Canada China United Kingdom Japan Russian Federation United States Source: International Comparative Performance of the UK Research Base 213 https://www.gov.uk/government/publications/performance-of-the-uk-research-base-internationalcomparison-213 Notes: In cases of co-authorship, citations are allocated to all participating countries (so totals may be more than 1%). Chart 9: Government spend on health research and development Chart 7A: Private equity investment total investment Spend in billions of US dollars ($bn) 25 prices 4 35 3 25 4 3 2 1 28 Total private equity investment in billions of Euros ( bn) 2. 1.8 1.6 1.4 1.2 1..8.6.4.2 213 Belgium Japan Spain UK US Ireland Spain Switzerland UK Source: OECD Research & Development statistics http://stats.oecd.org/index.aspx?r=227797 Notes: Government budget appropriations or outlays on R&D in Health. Source: European Private Equity & Venture Capital Association (EVCA) http://www.evca.eu/research/activity-data/annual-activity-statistics/] Notes: Data is based on country of portfolio company. Data is in current prices. Life Science Competitiveness Indicators 5

Indicators for UK industry Life Science Competitiveness Indicators 6

Chart 1A: Number of people employed in manufacture of basic pharmaceutical products and pharmaceutical preparations 14, 12, Number of people employed 1, 8, 6, 4, 28 2, Spain Netherlands United Kingdom Source: Eurostat Data Explorer, Annual detailed enterprise statistics for industry, http://appsso.eurostat.ec.europa.eu/nui/show.do?dataset=sbs_na_ind_r2&lang=en Notes: Selected Category in NACE_R2 C21 Manufacture of basic pharmaceutical products and pharmaceutical preparations. Data not available for some countries in certain years. Life Science Competitiveness Indicators 7

Chart 1B: Number of people employed in manufacture of medical technology products 25, 2, Number of people employed 15, 1, 5, 213 Spain Netherlands United Kingdom Switzerland Source: Eurostat Data Explorer, Annual detailed enterprise statistics for industry, http://ec.europa.eu/eurostat/data/database Notes: Categories in NACE_ R2 C266 Manufacture of irradiation, electromedical and electrotherapeutic equipment plus C325 Manufacture of medical and dental instruments and supplies. Data not available for some countries in certain years. Life Science Competitiveness Indicators 8

Chart 2A: Gross Value Added for pharmaceutical manufacturing in European competitor countries 25. Gross Value added in billions of Euros ( bn) 2. 15. 1. 5. Spain Netherlands 25 26 27 28 Source: Comparator countries data from Eurostat National Accounts data http://ec.europa.eu/eurostat/web/national-accounts/data/database Notes: UK data (Chart 2B) has been taken from a separate source from the comparator countries as it is not currently available broken down at this level through Eurostat. The medical technology sector is defined by two three-digit categories (C266 and C325) and National Accounts data is not available at that level. Data is in current prices. Life Science Competitiveness Indicators 9

Chart 2B: Gross Value Added for pharmaceutical manufacturing in UK 15 Gross Value Added in billions of pounds ( bn) 1 5 25 26 27 28 213 Source: UK data from ONS National Accounts, The Blue Book 214 Edition dataset time series KKF7: mgdp manufacture of basic pharmaceutical products and pharmaceutical preparations http://www.ons.gov.uk/ons/rel/naa1-rd/united-kingdom-national-accounts/the-blue-book--214-edition/index.html Notes: UK data (Chart 2B) has been taken from a separate source from the comparator countries as it is not currently available broken down at this level through Eurostat. The medical technology sector is defined by two three-digit categories (C266 and C325) and National Accounts data is not available at this level. Data is in current prices. Life Science Competitiveness Indicators 1

Chart 3A: Exports of pharmaceutical products 7 Exports in billions of US Dollars ($bn) 6 5 4 3 2 1 213 Belgium Ireland Japan Spain Switzerland UK US Source: UNCTAD STAT Data Center http://unctadstat.unctad.org/wds/reportfolders/reportfolders.aspx?scs_chosenlang=en Notes: Categories used are [541] Medicinal and pharmaceutical products excluding 542, and [542] Medicaments including veterinary medicaments. Data is in current prices. Life Science Competitiveness Indicators 11

Chart 3B: Exports of medical technology products 35 Exports in billions of US Dollars ($bn) 3 25 2 15 1 5 213 Belgium Ireland Japan Spain Switzerland UK US Source: UNCTAD STAT Data Center http://unctadstat.unctad.org/wds/reportfolders/reportfolders.aspx?scs_chosenlang=en Notes: Categories used are [774] Electro-diagnostic apparatus for medical science etc. and [872] Instruments and appliances, n.e.s, for medical, etc. Data in current prices. Life Science Competitiveness Indicators 12

Chart 4A: Imports of pharmaceutical products 7 Imports in billions of US Dollars ($bn) 6 5 4 3 2 1 213 Belgium Ireland Japan Spain Switzerland UK US Source: UNCTAD STAT Data Center http://unctadstat.unctad.org/wds/reportfolders/reportfolders.aspx?scs_chosenlang=en Notes: Categories used are [541] Medicinal and pharmaceutical products excluding 542, and [542] Medicaments including veterinary medicaments. Data is in current prices. Life Science Competitiveness Indicators 13

Chart 4B: Imports of medical technology products 3 Imports in billions of US Dollars ($bn) 25 2 15 1 5 213 Belgium Ireland Japan Spain Switzerland UK US Source: UNCTAD STAT Data Center http://unctadstat.unctad.org/wds/reportfolders/reportfolders.aspx?scs_chosenlang=en Notes: Categories used are [774] Electro-diagnostic apparatus for medical science etc., and [872] Instruments and appliances, n.e.s, for medical, etc. Data is in current prices. Life Science Competitiveness Indicators 14

Chart 5A: Life sciences foreign direct investment projects 12 Number of foreign direct investment projects 1 8 6 4 2 213 United States UK Ireland Japan Switzerland Source: fdi Markets, from The Financial Times Ltd. Notes: Numbers are for the year that projects were announced. Life Science Competitiveness Indicators 15

Chart 5B: Life sciences foreign direct investment capital expenditure 2. 1.8 Spend in billions of pounds ( bn) 1.6 1.4 1.2 1..8.6.4.2 213 United States UK Ireland Japan Switzerland Source: fdi Markets, from The Financial Times Ltd Notes: Values are for the year that projects were announced. Data is in current prices. Life Science Competitiveness Indicators 16

Chart 6A: Share of global life science Initial Public Offerings (IPOs) 214 US 71.7% China Hong Kong 7.6% China 6.7% UK 4.1% Sweden 2.7% 2.2% Brazil 1.5% New Zealand 1.% Other: Japan.9% South Korea.6% Singapore.5% Australia.2% Finland.2% Norway.1% Source: S&P Capital IQ Notes: Numbers refer to the country in which the IPO was launched, not the domicile of the IPO Company. Life Science Competitiveness Indicators 17

Chart 6B: Initial Public Offerings (IPOs) in life sciences amount raised in 214 (where known) 5, 4,5 Amount raised in millions of pounds ( m) 4,5 3,5 3, 5 4 3 2 1 US China Hong Kong China UK Sweden Brazil New Zealand Japan South Korea Singapore Australia Finland Norway Source: S&P Capital IQ Notes: Values refer to the country in which the IPO was launched, not the domicile of the IPO Company. Life Science Competitiveness Indicators 18

Chart 7A: Private equity investment total investment Total private equity investment in billions of Euros ( bn) 2. 1.8 1.6 1.4 1.2 1..8.6.4.2 213 Ireland Spain Switzerland UK Source: European Private Equity & Venture Capital Association (EVCA) http://www.evca.eu/research/activity-data/annual-activity-statistics/] Notes: Data is based on country of portfolio company. Data is in current prices. Life Science Competitiveness Indicators 19

Chart 7B: Number of companies receiving private equity investment 22 2 18 16 Number of companies 14 12 1 8 6 4 2 213 Ireland Spain Switzerland UK Source: European Private Equity & Venture Capital Association (EVCA) http://www.evca.eu/research/activity-data/annual-activity-statistics/] Notes: Data is based on country of portfolio company. Life Science Competitiveness Indicators 2

Chart 8: Number of science graduates 3, 25, Number of graduates 2, 1, 75, 5, 25, 28 Belgium Ireland Japan Netherlands Spain Switzerland United Kingdom United States Source: United Nations Educational, Scientific and Cultural Organisation (UNESCO) http://data.uis.unesco.org/index.aspx?datasetcode=edulit_ds Notes: Data not available for some countries in certain years. Life Science Competitiveness Indicators 21

Research and Development Indicators Life Science Competitiveness Indicators 22

Chart 9: Government spend on health research and development 4 Spend in billions of US dollars ($bn) 25 prices 35 3 25 4 3 2 1 28 Belgium Japan Spain UK US Source: OECD Research & Development statistics http://stats.oecd.org/index.aspx?r=227797 Notes: Government budget appropriations or outlays on R&D in Health. Life Science Competitiveness Indicators 23

Chart 1: 213 non-industry spend on research and development National Institute of Health and Research 959m Association of Medical Research Charities Member Charities 1,294m Medical Research Council 767m Source: Association of Medical Research Charities http://www.amrc.org.uk/sites/default/files/doc_lib/amrc-annual-review-213-14.pdf Notes: Expenditure by Medical Research Council and National Institute of Health Research will also be captured by Indicator 9. Life Science Competitiveness Indicators 24

Chart 11: Pharmaceutical industry spend on research and development in the UK 5 Spend in billions of pounds ( bn) 4 3 2 1 22 23 24 25 26 27 28 213 Source: ONS BERD survey 213 http://www.ons.gov.uk/ons/rel/rdit1/bus-ent-res-and-dev/213/stb-berd-213.html Notes: Data is not available for medical technology industry spend. Data is in current prices. Life Science Competitiveness Indicators 25

Chart 12A: Share of life science academic citations 5% 45% 4% 35% Share of citations 3% 25% 2% 15% 1% 28 5% % Canada China United Kingdom Japan Russian Federation United States Source: International Comparative Performance of the UK Research Base 213 https://www.gov.uk/government/publications/performance-of-the-uk-research-base-international-comparison-213 Life Science Competitiveness Indicators 26

Chart 12B: Share of top 1% (most cited) life science citations 7% 65% 6% 55% 5% Share of citations 45% 4% 35% 3% 25% 28 2% 15% 1% 5% % Canada China United Kingdom Japan Russian Federation United States Source: International Comparative Performance of the UK Research Base 213 https://www.gov.uk/government/publications/performance-of-the-uk-research-base-international-comparison-213 Notes: In cases of co-authorship, citations are allocated to all participating countries (so totals may be more than 1%). Life Science Competitiveness Indicators 27

Regulatory Indicator Life Science Competitiveness Indicators 28

Chart 13: Instances where MHRA is in lead role in EU regulatory procedure 7% Proportion of total cases 6% 5% 4% 3% 2% Centralised Procedures Rapporteur/Co-rapporteur Scientific Advice Co-ordinator UK Decentralised Procedures - Reference Member State 1% 28 213 214 Source: Medicines and Healthcare Products Regulatory Agency Notes: The chart illustrates the proportion of work the UK has undertaken in three key areas of European regulatory activity. As the work of the Medicines and Healthcare Products Regulatory Agency (MHRA) within the areas covered by these indicators is collaborative, no direct comparison with the other 27 Member States is made and the UK s position in the leading role is shown as a percentage of all work undertaken. Each new medicinal product seeking approval in Europe through the Centralised Procedure has a Rapporteur and a co-rapporteur appointed by the European Medicines Agency (EMA) to lead the assessment process. The Decentralised Procedure requires the applicant company to select a Reference Member State (RMS) to lead the assessment of the medicine during the procedure. Life Science Competitiveness Indicators 29

Clinical Research Indicators Life Science Competitiveness Indicators 3

Chart 14: Share of patients recruited to global studies (all trial phases) 4% 35% Share of patients recruited globally 3% 25% 2% 15% 1% 5% 28 % UK US Poland Czech Republic Source: This material is reproduced under a licence from CMR International. Notes: You may not copy or re-distribute this material in whole or in part without the written consent of CMR International. Life Science Competitiveness Indicators 31

Chart 15: Time from core package received to first patient enrolled in country (all trial phases) 3 25 2 Days 15 1 5 28 UK US Poland Czech Republic Source: This material is reproduced under a licence from CMR International. Notes: You may not copy or re-distribute this material in whole or in part without the written consent of CMR International. Core package received refers to receipt of final documentation relating to the clinical study by the local operating company or their representative. Life Science Competitiveness Indicators 32

Demand-side Indicators Life Science Competitiveness Indicators 33

Chart 16 Dashboard of NICE Technology Appraisal publication timeframes Notes: MA: Marketing Authorisation ACD: Appraisal Consultation Document FAD: Final Appraisal Determination Dials address forecast and actual timeframes for different stages of the NICE Technology Appraisal process. Full details of the process, including descriptions of the separate stages can be found on the NICE website (http:// www.nice.org.uk/about/what-we-do/ Our-Programmes/NICE-guidance/NICEtechnology-appraisal-guidance). Red and Green zones on dials relate to whether milestones have been attained within existing targets for NICE performance. Source: National Institute for Health and Care Excellence Technology Appraisal Programme Life Science Competitiveness Indicators 34

Chart 17 Uptake of new medicines UK uptake per head/all country uptake per head 35% 3% 25% 2% 15% 11.4% 31.9% 1% 5% % Year 1 Year 2 Years from launch Source: IMS Health, courtesy of the Office of Health Economics 5.7% Year 3 5.7% Year 4 9.2% Year 5 Notes: The chart shows the per capita uptake of twenty-eight new medicines launched in the UK between 27 to and approved (recommended or restricted) by NICE, compared to the average in a group of comparator countries (Australia, Austria, Belgium, Canada, Finland,,, Ireland,, Japan, Netherlands, New Zealand, Spain, Sweden, Switzerland, and USA). The vertical lines represent uptake of the medicines in their 1st, 2nd etc. years after launch. Thus medicines launched in will only appear in the Year 1 from launch group, those launched in will appear in both the Year 1 from launch and Year 2 from launch groups and so on. The medicines launched in 27 will appear in all five year groups. The percentage number reported in each year is the median rate of uptake in the UK relative to the international average in that year; in other words half of the medicines have a higher UK relative rate of use, and half have a lower UK relative rate of use. A value below 1% means that the UK per capita consumption of the new medicine(s) is below the international average. For example, medicines in their 3rd year after launch (and subsequently approved by NICE) were used in the UK at a level which was on average 5.7% of the average usage in the comparator countries. Caution is required in the 5th year after launch as the median rate of uptake reported (9.2%) is based on only five data points (medicines) and is therefore highly sensitive to the choice of medicines included. Life Science Competitiveness Indicators 35

BIS/15/249