SlideShare ist ein Scribd-Unternehmen logo
1 von 14
Downloaden Sie, um offline zu lesen
PHARMA INTEGRATES
2103
London

November 26th-27th

Prof Trevor M Jones CBE.
PhD DSc. FRSC. FRSM. Hon FRCP. FBPharmacolS. FFPM.FKC
…we simply have to do better !!
The Imperatives for Success
• 
• 
• 
• 

Connectivity
Partnerships
Strategic Alliances
Convergence (Technologies)
Convergence	
  
	
  
	
  Technologies:
•  biomedicine, engineering, materials science,
computing, robotics, telecommunications and
web services
Cross-sector:
•  diagnostics, therapeutics, devices, mobile
(m)health, social media, new data mining
services
Integration/Partnerships
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 

Out sourcing / “Off-shoring”

Discovery support
Clinical Development
Data Handling
Regulatory
Pharmacovigilance
Manufacture
IT
Sales
Travel/Meetings/Events
………….etc

Connectivity
Partnership
Strategic Alliances
 

	
  	
  	
  Change is not a choice !!
Partnerships
“If you want to travel fast… go alone
If you want to travel far … go together”
Anon:African proverb
•  Pfizer Splits Up Operations Ahead of Possible
Breakup

•  More than splitting pills: Health care giant Abbott
Laboratories ready to spin off AbbVie
•  New Novartis Chairman Initiates Strategic
Review.
 

•  AstraZeneca to axe 1,600 jobs in overhaul of drug R&D
•  Teva to reduce workforce by 5000
•  Merck to cut 8500 MORE jobs by 2015 (in addition to
the 7500 jobs cut from 2011 to 2012
•  Valeant Pharmaceuticals International Inc said it would
cut 10 to 15 percent jobs after buying contact lens maker
Bausch & Lomb. Bausch and Lomb employs about
11,000 people worldwide
October 2013

Novartis to cut more than 440 jobs
in Britain
Shire restructuring will lead to loss
of 180 jobs in UK
 
Eighteen GSK China staff held as
whistleblower allegations emerge
China Investigates Sanofi on Bribery
Accusations
Novartis faces Chinese bribery allegations
AUGUST 16, 2013
Main Challenges for the industry ?
Scientific
• MANY new (unvalidated) targets .Increasingly different
(and difficult) product types (Bio/nano/stratified RxDx)
• New R&D Models… SME/BigPharma alliances … “learn”&
“confirm”
Regulatory
• Continuing regulatory burden and bureaucracy ….. not just
“Q.S.E”………… but, importantly, also “HTA” needs
Business
• New Markets ...particularly BRIC +
• Company restructuring ..M&A ………………..and “cuts”
Economic
• Continuing “gloomy” Economic Climate
New “Biologicals”
New “Biologicals”

Cell Therapy
Permanent Replacement
Cell Therapy
Tissue Engineering
Permanent Replacement
Transient Cell Therapy
Tissue Engineering
Immunomodulation cell therapy
Transient Cell Therapy
Cosmoses / bioaesthetics
Immunomodulation cell therapy
Delivery vehicles
Cosmoses / bioaesthetics
Cell cancer vaccines
Delivery vehicles
Xenografts
Cell cancer vaccines
Regenerative Medicine
Xenografts
Regenerative Compounds.
Regenerative Medicine
Regenerative Scaffolds
Regenerative Compounds.
Regenerative Scaffolds

……….and new Drug Delivery Systems
……….and new Drug Delivery Systems
 	
  

…so much more to come !!!
Many “new” approaches to therapy
…are you prepared???
The imperative to change the Strategic Agenda
•  Change Focus

•  Growth areas ..speciality, emerging
markets, generics
•  Fewer areas ,more external ,new
•  Narrow R&D
R&D models
•  Reduce sales force, new techniques,
•  Rethink “S&M”
shift customer focus
•  Reduce fixed infrastructure
•  Increase Flexibility
•  Outsource
•  “Smart” Procurement

Re-engineering

Weitere ähnliche Inhalte

Ähnlich wie Pharma Integrates 2013 Keynote Speaker Trevor M Jones CBE

Entrepeneurship on the front line - innovate stage, 2 september 2015
Entrepeneurship on the front line - innovate stage, 2 september 2015Entrepeneurship on the front line - innovate stage, 2 september 2015
Entrepeneurship on the front line - innovate stage, 2 september 2015NHS England
 
10 Most Innovative CRO’s To Watch In 2022.pdf
10 Most Innovative CRO’s To Watch In 2022.pdf10 Most Innovative CRO’s To Watch In 2022.pdf
10 Most Innovative CRO’s To Watch In 2022.pdfinsightscare
 
10 Most Innovative CROs To Watch In 2023.pdf
10 Most Innovative CROs To Watch In 2023.pdf10 Most Innovative CROs To Watch In 2023.pdf
10 Most Innovative CROs To Watch In 2023.pdfinsightscare
 
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21yahyasultan
 
Fortis oncology backgrounder 08.20.13
Fortis oncology backgrounder 08.20.13Fortis oncology backgrounder 08.20.13
Fortis oncology backgrounder 08.20.13Paul Rohricht MS MBA
 
Clinical Research Training with Job Placement
Clinical Research Training with Job PlacementClinical Research Training with Job Placement
Clinical Research Training with Job Placementcrtraining
 
The Pharma 2020 series : PWC Pharma-success-strategies
The Pharma 2020 series : PWC Pharma-success-strategiesThe Pharma 2020 series : PWC Pharma-success-strategies
The Pharma 2020 series : PWC Pharma-success-strategiesUtai Sukviwatsirikul
 
Aging experts want Zukerberg and Brin to live longer - Upgrade Weekly
Aging experts want Zukerberg and Brin to live longer - Upgrade WeeklyAging experts want Zukerberg and Brin to live longer - Upgrade Weekly
Aging experts want Zukerberg and Brin to live longer - Upgrade WeeklyNatalie Jones
 
Views for collaboration between pharmaceutical industry and academia a haapal...
Views for collaboration between pharmaceutical industry and academia a haapal...Views for collaboration between pharmaceutical industry and academia a haapal...
Views for collaboration between pharmaceutical industry and academia a haapal...Antti Haapalinna
 
Circulating tumor cells isolation detection patent landscape 2020 flyer
Circulating tumor cells isolation detection patent landscape 2020 flyerCirculating tumor cells isolation detection patent landscape 2020 flyer
Circulating tumor cells isolation detection patent landscape 2020 flyerKnowmade
 
UCSF Life Sciences Week 1 diagnostics
UCSF Life Sciences Week 1 diagnosticsUCSF Life Sciences Week 1 diagnostics
UCSF Life Sciences Week 1 diagnosticsStanford University
 
Block23 investor 27_04_2018
Block23 investor 27_04_2018Block23 investor 27_04_2018
Block23 investor 27_04_2018Prem Couture
 
MedChemica BigData What Is That All About?
MedChemica BigData What Is That All About?MedChemica BigData What Is That All About?
MedChemica BigData What Is That All About?Al Dossetter
 
Ge healthcare presentation
Ge healthcare presentationGe healthcare presentation
Ge healthcare presentationJeffrey Morris
 
Playing to win in the life science tools market
Playing to win in the life science tools marketPlaying to win in the life science tools market
Playing to win in the life science tools marketBill Kelly
 
Dr. Davy Cheng
Dr. Davy ChengDr. Davy Cheng
Dr. Davy Chengichil
 

Ähnlich wie Pharma Integrates 2013 Keynote Speaker Trevor M Jones CBE (20)

Entrepeneurship on the front line - innovate stage, 2 september 2015
Entrepeneurship on the front line - innovate stage, 2 september 2015Entrepeneurship on the front line - innovate stage, 2 september 2015
Entrepeneurship on the front line - innovate stage, 2 september 2015
 
10 Most Innovative CRO’s To Watch In 2022.pdf
10 Most Innovative CRO’s To Watch In 2022.pdf10 Most Innovative CRO’s To Watch In 2022.pdf
10 Most Innovative CRO’s To Watch In 2022.pdf
 
10 Most Innovative CROs To Watch In 2023.pdf
10 Most Innovative CROs To Watch In 2023.pdf10 Most Innovative CROs To Watch In 2023.pdf
10 Most Innovative CROs To Watch In 2023.pdf
 
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
 
Fortis oncology backgrounder 08.20.13
Fortis oncology backgrounder 08.20.13Fortis oncology backgrounder 08.20.13
Fortis oncology backgrounder 08.20.13
 
Clinical Research Training with Job Placement
Clinical Research Training with Job PlacementClinical Research Training with Job Placement
Clinical Research Training with Job Placement
 
MDEM Book
MDEM BookMDEM Book
MDEM Book
 
The Pharma 2020 series : PWC Pharma-success-strategies
The Pharma 2020 series : PWC Pharma-success-strategiesThe Pharma 2020 series : PWC Pharma-success-strategies
The Pharma 2020 series : PWC Pharma-success-strategies
 
Aging experts want Zukerberg and Brin to live longer - Upgrade Weekly
Aging experts want Zukerberg and Brin to live longer - Upgrade WeeklyAging experts want Zukerberg and Brin to live longer - Upgrade Weekly
Aging experts want Zukerberg and Brin to live longer - Upgrade Weekly
 
Views for collaboration between pharmaceutical industry and academia a haapal...
Views for collaboration between pharmaceutical industry and academia a haapal...Views for collaboration between pharmaceutical industry and academia a haapal...
Views for collaboration between pharmaceutical industry and academia a haapal...
 
Circulating tumor cells isolation detection patent landscape 2020 flyer
Circulating tumor cells isolation detection patent landscape 2020 flyerCirculating tumor cells isolation detection patent landscape 2020 flyer
Circulating tumor cells isolation detection patent landscape 2020 flyer
 
Inserogen Lecture 4 Channels
Inserogen Lecture 4 ChannelsInserogen Lecture 4 Channels
Inserogen Lecture 4 Channels
 
Healthcare tomorrow
Healthcare tomorrowHealthcare tomorrow
Healthcare tomorrow
 
BMSystems-corporate-management-summary
BMSystems-corporate-management-summaryBMSystems-corporate-management-summary
BMSystems-corporate-management-summary
 
UCSF Life Sciences Week 1 diagnostics
UCSF Life Sciences Week 1 diagnosticsUCSF Life Sciences Week 1 diagnostics
UCSF Life Sciences Week 1 diagnostics
 
Block23 investor 27_04_2018
Block23 investor 27_04_2018Block23 investor 27_04_2018
Block23 investor 27_04_2018
 
MedChemica BigData What Is That All About?
MedChemica BigData What Is That All About?MedChemica BigData What Is That All About?
MedChemica BigData What Is That All About?
 
Ge healthcare presentation
Ge healthcare presentationGe healthcare presentation
Ge healthcare presentation
 
Playing to win in the life science tools market
Playing to win in the life science tools marketPlaying to win in the life science tools market
Playing to win in the life science tools market
 
Dr. Davy Cheng
Dr. Davy ChengDr. Davy Cheng
Dr. Davy Cheng
 

Kürzlich hochgeladen

APRIL2024_UKRAINE_xml_0000000000000 .pdf
APRIL2024_UKRAINE_xml_0000000000000 .pdfAPRIL2024_UKRAINE_xml_0000000000000 .pdf
APRIL2024_UKRAINE_xml_0000000000000 .pdfRbc Rbcua
 
Market Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMarket Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMintel Group
 
Fordham -How effective decision-making is within the IT department - Analysis...
Fordham -How effective decision-making is within the IT department - Analysis...Fordham -How effective decision-making is within the IT department - Analysis...
Fordham -How effective decision-making is within the IT department - Analysis...Peter Ward
 
Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Seta Wicaksana
 
Innovation Conference 5th March 2024.pdf
Innovation Conference 5th March 2024.pdfInnovation Conference 5th March 2024.pdf
Innovation Conference 5th March 2024.pdfrichard876048
 
8447779800, Low rate Call girls in Saket Delhi NCR
8447779800, Low rate Call girls in Saket Delhi NCR8447779800, Low rate Call girls in Saket Delhi NCR
8447779800, Low rate Call girls in Saket Delhi NCRashishs7044
 
Memorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMMemorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMVoces Mineras
 
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCRashishs7044
 
Chapter 9 PPT 4th edition.pdf internal audit
Chapter 9 PPT 4th edition.pdf internal auditChapter 9 PPT 4th edition.pdf internal audit
Chapter 9 PPT 4th edition.pdf internal auditNhtLNguyn9
 
Financial-Statement-Analysis-of-Coca-cola-Company.pptx
Financial-Statement-Analysis-of-Coca-cola-Company.pptxFinancial-Statement-Analysis-of-Coca-cola-Company.pptx
Financial-Statement-Analysis-of-Coca-cola-Company.pptxsaniyaimamuddin
 
Marketplace and Quality Assurance Presentation - Vincent Chirchir
Marketplace and Quality Assurance Presentation - Vincent ChirchirMarketplace and Quality Assurance Presentation - Vincent Chirchir
Marketplace and Quality Assurance Presentation - Vincent Chirchirictsugar
 
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCRashishs7044
 
Guide Complete Set of Residential Architectural Drawings PDF
Guide Complete Set of Residential Architectural Drawings PDFGuide Complete Set of Residential Architectural Drawings PDF
Guide Complete Set of Residential Architectural Drawings PDFChandresh Chudasama
 
Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03DallasHaselhorst
 
Independent Call Girls Andheri Nightlaila 9967584737
Independent Call Girls Andheri Nightlaila 9967584737Independent Call Girls Andheri Nightlaila 9967584737
Independent Call Girls Andheri Nightlaila 9967584737Riya Pathan
 
Kenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby AfricaKenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby Africaictsugar
 
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...ictsugar
 
Annual General Meeting Presentation Slides
Annual General Meeting Presentation SlidesAnnual General Meeting Presentation Slides
Annual General Meeting Presentation SlidesKeppelCorporation
 

Kürzlich hochgeladen (20)

APRIL2024_UKRAINE_xml_0000000000000 .pdf
APRIL2024_UKRAINE_xml_0000000000000 .pdfAPRIL2024_UKRAINE_xml_0000000000000 .pdf
APRIL2024_UKRAINE_xml_0000000000000 .pdf
 
Market Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMarket Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 Edition
 
Fordham -How effective decision-making is within the IT department - Analysis...
Fordham -How effective decision-making is within the IT department - Analysis...Fordham -How effective decision-making is within the IT department - Analysis...
Fordham -How effective decision-making is within the IT department - Analysis...
 
Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...
 
Enjoy ➥8448380779▻ Call Girls In Sector 18 Noida Escorts Delhi NCR
Enjoy ➥8448380779▻ Call Girls In Sector 18 Noida Escorts Delhi NCREnjoy ➥8448380779▻ Call Girls In Sector 18 Noida Escorts Delhi NCR
Enjoy ➥8448380779▻ Call Girls In Sector 18 Noida Escorts Delhi NCR
 
Japan IT Week 2024 Brochure by 47Billion (English)
Japan IT Week 2024 Brochure by 47Billion (English)Japan IT Week 2024 Brochure by 47Billion (English)
Japan IT Week 2024 Brochure by 47Billion (English)
 
Innovation Conference 5th March 2024.pdf
Innovation Conference 5th March 2024.pdfInnovation Conference 5th March 2024.pdf
Innovation Conference 5th March 2024.pdf
 
8447779800, Low rate Call girls in Saket Delhi NCR
8447779800, Low rate Call girls in Saket Delhi NCR8447779800, Low rate Call girls in Saket Delhi NCR
8447779800, Low rate Call girls in Saket Delhi NCR
 
Memorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQMMemorándum de Entendimiento (MoU) entre Codelco y SQM
Memorándum de Entendimiento (MoU) entre Codelco y SQM
 
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
 
Chapter 9 PPT 4th edition.pdf internal audit
Chapter 9 PPT 4th edition.pdf internal auditChapter 9 PPT 4th edition.pdf internal audit
Chapter 9 PPT 4th edition.pdf internal audit
 
Financial-Statement-Analysis-of-Coca-cola-Company.pptx
Financial-Statement-Analysis-of-Coca-cola-Company.pptxFinancial-Statement-Analysis-of-Coca-cola-Company.pptx
Financial-Statement-Analysis-of-Coca-cola-Company.pptx
 
Marketplace and Quality Assurance Presentation - Vincent Chirchir
Marketplace and Quality Assurance Presentation - Vincent ChirchirMarketplace and Quality Assurance Presentation - Vincent Chirchir
Marketplace and Quality Assurance Presentation - Vincent Chirchir
 
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
 
Guide Complete Set of Residential Architectural Drawings PDF
Guide Complete Set of Residential Architectural Drawings PDFGuide Complete Set of Residential Architectural Drawings PDF
Guide Complete Set of Residential Architectural Drawings PDF
 
Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03
 
Independent Call Girls Andheri Nightlaila 9967584737
Independent Call Girls Andheri Nightlaila 9967584737Independent Call Girls Andheri Nightlaila 9967584737
Independent Call Girls Andheri Nightlaila 9967584737
 
Kenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby AfricaKenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby Africa
 
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
 
Annual General Meeting Presentation Slides
Annual General Meeting Presentation SlidesAnnual General Meeting Presentation Slides
Annual General Meeting Presentation Slides
 

Pharma Integrates 2013 Keynote Speaker Trevor M Jones CBE

  • 1. PHARMA INTEGRATES 2103 London November 26th-27th Prof Trevor M Jones CBE. PhD DSc. FRSC. FRSM. Hon FRCP. FBPharmacolS. FFPM.FKC
  • 2. …we simply have to do better !! The Imperatives for Success •  •  •  •  Connectivity Partnerships Strategic Alliances Convergence (Technologies)
  • 3. Convergence      Technologies: •  biomedicine, engineering, materials science, computing, robotics, telecommunications and web services Cross-sector: •  diagnostics, therapeutics, devices, mobile (m)health, social media, new data mining services
  • 4. Integration/Partnerships •  •  •  •  •  •  •  •  •  •  Out sourcing / “Off-shoring” Discovery support Clinical Development Data Handling Regulatory Pharmacovigilance Manufacture IT Sales Travel/Meetings/Events ………….etc Connectivity Partnership Strategic Alliances
  • 5.        Change is not a choice !!
  • 6. Partnerships “If you want to travel fast… go alone If you want to travel far … go together” Anon:African proverb
  • 7. •  Pfizer Splits Up Operations Ahead of Possible Breakup •  More than splitting pills: Health care giant Abbott Laboratories ready to spin off AbbVie •  New Novartis Chairman Initiates Strategic Review.
  • 8.   •  AstraZeneca to axe 1,600 jobs in overhaul of drug R&D •  Teva to reduce workforce by 5000 •  Merck to cut 8500 MORE jobs by 2015 (in addition to the 7500 jobs cut from 2011 to 2012 •  Valeant Pharmaceuticals International Inc said it would cut 10 to 15 percent jobs after buying contact lens maker Bausch & Lomb. Bausch and Lomb employs about 11,000 people worldwide
  • 9. October 2013 Novartis to cut more than 440 jobs in Britain Shire restructuring will lead to loss of 180 jobs in UK
  • 10.   Eighteen GSK China staff held as whistleblower allegations emerge China Investigates Sanofi on Bribery Accusations Novartis faces Chinese bribery allegations AUGUST 16, 2013
  • 11. Main Challenges for the industry ? Scientific • MANY new (unvalidated) targets .Increasingly different (and difficult) product types (Bio/nano/stratified RxDx) • New R&D Models… SME/BigPharma alliances … “learn”& “confirm” Regulatory • Continuing regulatory burden and bureaucracy ….. not just “Q.S.E”………… but, importantly, also “HTA” needs Business • New Markets ...particularly BRIC + • Company restructuring ..M&A ………………..and “cuts” Economic • Continuing “gloomy” Economic Climate
  • 12. New “Biologicals” New “Biologicals” Cell Therapy Permanent Replacement Cell Therapy Tissue Engineering Permanent Replacement Transient Cell Therapy Tissue Engineering Immunomodulation cell therapy Transient Cell Therapy Cosmoses / bioaesthetics Immunomodulation cell therapy Delivery vehicles Cosmoses / bioaesthetics Cell cancer vaccines Delivery vehicles Xenografts Cell cancer vaccines Regenerative Medicine Xenografts Regenerative Compounds. Regenerative Medicine Regenerative Scaffolds Regenerative Compounds. Regenerative Scaffolds ……….and new Drug Delivery Systems ……….and new Drug Delivery Systems
  • 13.     …so much more to come !!! Many “new” approaches to therapy …are you prepared???
  • 14. The imperative to change the Strategic Agenda •  Change Focus •  Growth areas ..speciality, emerging markets, generics •  Fewer areas ,more external ,new •  Narrow R&D R&D models •  Reduce sales force, new techniques, •  Rethink “S&M” shift customer focus •  Reduce fixed infrastructure •  Increase Flexibility •  Outsource •  “Smart” Procurement Re-engineering