Award-Winning Procurement Transformation Programme

We are extremely proud to have won two awards in two months at two different ceremonies, this is true testament to the value delivered by the joint project team.

Background & Challenge

After a challenging year where the Covid-19 pandemic impacted activities and financials, our client launched an ambitious strategic initiative focused on becoming more efficient, concentrating on growth and delivering sustainable value for consumers and doctors.

The pandemic exposed an over-reliance on a ‘single’ income source. All elective activity (e.g. joint replacements, cataracts), the primary income source, was halted overnight, but a high fixed cost base remained. As a response, Curzon Consulting was engaged to design and deliver a Procurement Transformation Programme.

Our Client

Ramsay Health Care UK is one of the leading independent healthcare providers in England.

Ramsay Health Care UK provide a wide and comprehensive range of specialised clinical services from routine to complex surgery, day case procedures, diagnostic services and physiotherapy

Ramsay Health Care is well-respected in the healthcare industry for operating quality private hospitals and for its excellent record in hospital management and patient care

  • 40 hospitals and facilities located across England
  • Over 200,000 patients receive treatment each year in Ramsay Heath Care
  • Over 7,600 staff employed at Ramsay Health Care UK
  • Over 3,000 Consultants work in partnership with Ramsay Health Care

Overall Approach

Over nine months, we took a pragmatic, agile and “together” approach to accelerate benefit delivery, particularly in high spend / high complex clinical spend categories

  1. Conducted a full review and defined a new procurement organisation aimed at maximising value to the business
  2. Conducted a review of the external spending and identified cost savings opportunities within complex medical categories
  3. Implemented a full strategic programme that delivered multi-million £ cost savings to the business

Our Solution

1 FULL PROCUREMENT ORGANISATION REVIEW

We assessed the existing procurement organisation against eight dimensions and highlighted several data-driven insights

  • Quantitatively and qualitatively assessed the procurement team, conducted time analysis, salary benchmark & reviewed performance
  • Business partnering and perceived value: Interviewed key business stakeholders across all divisions
  • Assessed procurement influence across all spending areas
  • Defined and costed new (to-be) procurement organisation

Our Results

  • A complete procurement maturity assessment highlighting strengths and weaknesses of the current procurement organisation
  • A new procurement organisation was designed, profiled and costed.
  • A procurement organisation designed to maximise value to the business and stakeholders

2 FULL EXTERNAL EXPENDITURE OPPORTUNITY ASSESSMENT

We conducted a full opportunity assessment on Ramsay’s external expenditure to define adequate sourcing strategies and identify cost savings opportunities

    • Cleansed, categorised and analysed spend data; Providing full spend transparency.
    • Conducted category deep dive for each key medical category, assessed current category management and supplier management
    • Defined adequate sourcing strategy, identified opportunities and sourcing levers
    • Identified and quantified savings potential via internal and external benchmarking

Our Results

  • Category strategy for all key medical categories
  • Multi-million cost saving opportunities identified
  • Prioritised sourcing plan with saving targets by spend categories
  • High level 3-year business plan

3 THE IMPLEMENTATION

We implemented procurement transformation and a cost reduction program

  • Our methodology was specifically adapted to address demand-side cost optimisation levers. Whilst we addressed a range of spend categories and redesigned the PO, we delivered sizeable benefits in difficult clinical areas such as Orthopaedics.
  • A key benefit in orthopaedics came from ensuring the surgeon selected the appropriate implant system (metal or ceramic) to match the patient’s profile (e.g. age, gender).
  • Our analysis showed surgeons implanted costly ceramic hip systems in a high percentage of older NHS patients. With fixed NHS reimbursement every incremental switch impacted the bottom line.
  • Our insights directly influenced the Orthopaedic Steering Group’s new policy which required surgeons to utilise lower-cost metal hip systems in older NHS patients.
  • Fundamentally, a key part of the relationship was to ensure recommendations on cost improvements would not compromise clinical outcomes and patient satisfaction.

Our Results

  • Delivered £multi-millions in incremental savings and a new procurement organisation
  • Engaged with all key medical stakeholders and instilled a cost-consciousness culture
  • Ramsay Health Care UK will benefit from the savings over multiple years

“Curzon helped us obtain the confidence and operational ‘can-do’ to drive incremental savings sooner than we could have expected, and then to push on to best practice performance. ​

Their skill was in balancing pace of change and the results imperative with the need to take the organisation with them on the journey.  ​

A key achievement was building the necessary collaboration between the many functions that needed to act together to drive benefits in complex clinical spend categories. ​

Curzon’s strong analytical expertise, and ability help us to take a critical view on the “art of the possible” and bring the team along on the journey to demonstrate benefits delivery was a critical success factor.​

The result was a tangible and ongoing commercial win, and a new Procurement Organisation to drive cost leadership, profitability and sustainability going forward”​

Peter Allen
Chief Financial Officer
Ramsay Health Care UK

Contact our Procurement service line lead,Stephane Boroncelli, to find out more

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Driving market focused resource allocation decisions

The issue

  • A business unit of a global speciality chemicals producer supplying catalysts for industrial applications to multiple markets across all geographies
  • Capacity constrained and being challenged to improve overall business profitability
  • Shared manufacturing assets serving multiple market-facing business units
  • Upcoming regulatory changes required product recipe changes with implications on the existing production process
  • Limited attempts to address supply constraints in an effective manner, with over-stated demand and poor sales & operations planning disciplines

Solution

  • Establish & exploit true production capacity of existing assets:
    • Identification and elimination of bottlenecks in supply chain & productions
    • Drive for OEE in existing plant (batch size & sequencing, down time & maintenance etc.)
  • Identify options to reallocate capacity use to more profitable customers
    • Identification of customers & volumes yielding below average contribution allowing for either renegotiation or re-allocation
  • Establish cross-market segment view of long-term demand
    • Markets & functions created fact base & presented in facilitated cross functional sessions to build cross markets view & build priorities for overall business
  • Revamped S&OP including product profitability of prospect pipeline to ensure capacity is utilised for highest financial returns

The results

  • CAPEX spend avoidance of £18m with extrapolated implications to the whole division of c. £100m
  • Improved joint-management understanding on the levers of capacity & profitability, supported by a cross-market decision making governance process to make data based trade-offs
  • Increased production capacity through de-bottlenecking (e.g. batch sequence & maintenance optimisation) with potential resulting contribution uplift of ~ £ 10m p.a.
  • 235 tonnes of unlocked capacity through selective elimination of low margin product variants and Sales re-alignment

An award-winning team

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Framing the requirements for developing a customer-centric approach and service model

The issue

  • With a re-focusing of the organization on energy transition and a strategic objective to grow B2C Mobility and Convenience revenue streams, the current, largely B2B, customer care service model was increasingly being asked to meet needs beyond core capabilities and capacity, putting a strain on service and cost to serve
  • With limitations on internal capability, business units have chosen to outsource services, leading to a proliferation of suppliers, models and customer experiences
  • No cohesive corporate narrative of the customer promise exists and the internal focus was on fixing service failings to reduce the noise within the organisation
  • The need for a future-proof operating model that is aligned to the projected steep growth in the B2C customer base was recognized
  • Gaining an appreciation of leading external practices in customer care delivery was considered an essential input to framing the right future state operating model 

Solution

  • Current state assessment of customer care and customer centricity capabilities against a set of standard dimensions to establish current maturity and points of commonality or difference across business groups
  • Established current state maturity of each business against an industry reference benchmark  
  • Developed design criteria to frame a future operating model and as a reference against which to benchmark external leading practices
  • Undertook competitor and cross-sector benchmarking to identify areas of Customer Care differentiation, including desktop research, expert input and interviews with Customer leaders within major organisations (both B2B and B2C).
  • Defined the priority levers to drive improved customer-centricity and articulated the linkages between the dimensions 
  • Developed an initial roadmap to outline how the Customer Care capability should evolve

The results

  • Mobilised the senior stakeholders to want to move beyond fixing performance failings in Customer Care to evolving a business-wide Customer-centric operating model
  • Delivered a customer centric maturity assessment across three representative businesses against a series of capability levers
  • Multi-industry, international benchmarking exercise, highlighting customer-centricity maturity and leading practices
  • Identification of priority levers to increase customer centricity maturity and approach options to achieve a viable system model
  • Development of a roadmap to move beyond operational fixes to a strategically customer centric approach 

Curzon consulting mca finalist 2019

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Digital CX Routemap

Designing and deciding digital CX route-map & the priority omnichannel service investment to realise it

The issue

  • Having delivered the ‘brilliant basics’ part of a CX transformation programme, the bank needed to define a digital CX design to deliver a signature, differentiating experience 

  • A pressure point was that customers’ expectations of doing their banking anywhere/ anytime/on any device were growing, and the ground had been lost on this to digital challenger banks

  • The bank was also in sharp cost control mode so it was critical that digital CX investment choices were well evidenced, validated and focussed 

  • We had to answer the question: where and how to prioritise omnichannel service investment to deliver a competitive digital CX?

  • With many competing candidates for digitising customer service across the existing product portfolio, we had to be clear about what omnichannel improvements would realise greatest value from a CX and commercial perspective

What we did

  • Reviewed draft digital strategy and developed investment prioritisation criteria to focus CX and omnichannel service design choices

  • Defined design principles to guide the development of Omnichannel capability

  • Competitor and cross-sector benchmarking to identify key areas of digital CX differentiation

  • Evaluated and ranked CX/service design options against agreed prioritisation criteria and ability to leverage existing IT capability and technology roadmap

  • Flesh-out of to-be CX/service design with benefit cases supporting the investment priorities identified

  • Produced and validated a sequenced digital CX/omnichannel implementation route map

The results

  • Delivered new digital CX/omnichannel design with 10 key touchpoint changes, each with benefits ranging from £3.5M to £9M annually in a fully realised state

  • Pragmatic, phased change route map adopted, which drove early cost savings and new customer acquisition uplift by addressing highest priority CX pain points, allowing subsidisation of next phases

  • 80% of the technology capabilities required to deliver the route map were covered by leverage of existing or planned future (and already budgeted) technology assets and upgrades

Curzon consulting mca finalist 2019

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Delivering greater procurement efficiencies for a construction company

The issue

  • £1billion division split into 6 semi-autonomous business units, spending £450m per annum on materials and sub-contracted services
  • Each business unit under revenue and margin pressure especially those dependant on public sector work
  • By re-establishing good procurement practices  a modest 3% savings target was agreed upon, the stretch being that the full cash saving had to be delivered in-year
  • No single picture of procurement spend or performance compared to the external market
  • Procurement & supply chain savings were already baked into business unit budgets and there was pressure from plc to deliver over and above this

Solution

  • Created a definitive ‘spend cube’ and with it a single set of numbers
  • Completed a top-down and bottom-up analysis of spend at the detailed category/supplier level and agreed impactable spend
  • Created and executed a prioritised implementation plan closely monitoring and recording the benefits as they are realised
  • Redesigned the P&SC organisation bringing in the necessary skills and expertise as required

The results

  • In-year cash savings of £8million with an exit run rate of £10million per annum
  • New operating model fully installed and driving benefits (sustainability)
  • Benefits fully traceable within business unit P&L

An award-winning team

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Operational excellence at a key site for a marine engineering products division of a global organisation

The issue

  • An engineering, fabrication & assembly facility supplying deck machinery equipment to the marine industry, was severely underinvested in, with old facilities & equipment and remote from Group HQ
  • Seen as a failing site with internal customers losing trust in its ability to deliver
  • Disconnected planning and production functions causing late delivery and high costs
  • No effective performance management system in place to drive improvements
  • Very high inventories due to a lack of control of demand and production priorities
  • Intention to transfer products in from Scandinavia and establish a low-cost supply centre of excellence

Solution

  • Evaluation of the primary issues and development of a site transformation plan
  • Focused on OTIF as the critical performance metric; established cross-functional planning with short interval control to manage demand and delivery to promise
  • Improved data integrity, reset planning parameters and re-established ERP system use
  • Re-organised operations to improve flow through the factory and to establish schedule adherence
  • Implemented practical lean operational disciplines centred around PDCA
  • Addressed excess inventory, control of stock, kitting and warehousing operations
  • Established effective performance management across all functions
  • Coached management to develop capability and establish sustainable improvement

The results

  • Delivery performance improvement OTIF from 14% to 95% within six months
  • 45% reduction of inventories within one year
  • Jump in recovered factory revenues from effective demand management & increased delivery to commitments
  • Engaged and productive workforce with a clear understanding of what was required of them
  • Successful capital upgrade completed while continuing to supply
  • Site was established as a Centre of Excellence for deck machinery and achieved Group award for excellence
  • Asked to repeat a similar exercise at another site in the Far East

An award-winning team

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Delivering business turnaround

The issue

  • The UK business of a global construction materials manufacturer had been losing money for several years due to inefficient operations and declining sales in an industry sector experiencing extremely challenging times.
  • A full business review and improvement plan were required to stabilise the business and address the financial performance.
  • Significant cost reduction efforts had already been made to offset the declining sales and lower margins, but the business was continuing to lose money.
  • Sales lacked the basic tools and capabilities to compete effectively and operations were poorly managed resulting in over-production, an inefficient organisation and poor working practices.
  • The leadership team was highly dysfunctional and lacked the capability to define and execute a plan to address the situation.

Solution

  • Undertook a full situational analysis of the business operations and identified changes required to reverse the performance trend
  • A comprehensive change programme was designed and implemented with the full involvement of the business management team
  • Recognising that the current actions were primarily to address the initial objective of eliminating the business losses, a parallel stream of work focused on the market and development of the future strategy for the business
  • This dovetailed with the reorganisation of the commercial functions and outlined the business’s future journey to go beyond a break-even situation and achieve acceptable returns

The results

  • The programme had a significant impact on the business across all areas of the value chain and delivered a sustainable bottom-line improvement of over £5m p.a in 12 months.
  • In addition to the delivered cost optimisation actions the re-focusing and capability development work with the sales team secured a contract renewal with three principal customers and the acquisition of a new major account and stemmed the loss of any further business.
  • The new ways of working that focus on using sound management information to run the business and to action issues have taken root across the organisation. Decision making improved and continuous improvement is becoming established.
  • The Group Executive sees the step change in performance that was achieved in the timeframe as the most successful intervention of its kind across the portfolio in recent years.

An award-winning team

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Applying lean principles to a deliver a step change in performance in a construction environment

The issue

  • Over a year behind plan due to technical difficulties and the inability to establish an effective delivery model
  • Significant efforts were made to find a workable engineering solution but continuing to fail in meeting planned delivery cycle times
  • Accruing significant non-recoverable costs on extending leases of expensive marine engineering plant
  • Accepted reality that most delays were either due to weather or one-off events and therefore non-addressable
  • Reliant on experienced agents, managers and foremen to manage communication without the need for much structure or formality
  • The aim was to achieve a repeatable 14-day ‘production’ cycle, from a starting point of 19 days as the demonstrated best achievement

Solution

Working with the project team to identify and implement:

  • An optimal production process with defined task times against which the project could plan, execute and measure performance
  • Introduction of cross-functional short-range planning discipline to improve visibility and reduce the instances of unplanned stoppages through poor communication and lack of coordination
  • Strengthening the cascade communications to the front-line teams to ensure the right plan was being executed
  • Prioritisation of the process improvement pipeline to accelerate the implementation of the highest impact solutions
  • Establishing adherence to a standard process and course-correcting back to the agreed sequence if unplanned events caused the deviation
  • Previously each cycle had effectively been ‘bespoke’
  • Using close monitoring to highlight avoidable downtime and to identify operational fixes, e.g deck layout standardisation

The results

  • Cycle time was compressed to less than the on-target 14-day sequence on a sustained basis, and as low as 10 days, with associated cost savings of ~£0.5m per cycle.

Having the Curzon team ‘embedded’ within the project proved effective in understanding the complexities and challenges of the operating environment. Pragmatic and tailored interventions and a ‘test and learn’ approach encouraged adoption and ownership.

An award-winning team

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Business performance turnaround for a multi-country division of a global building products group

The issue

  • LATAM division of a €3bn global construction product manufacturing & distribution group
  • Country-based business units in 14 geographies from Mexico to Chile with 3,500 staff generating revenues of €400m
  • A sustained period of under-performance with operating margins at sub-3% making it the worst-performing division in the Group
  • Divisional layer not adding any value with local businesses being left to operate independently, some with more success than others
  • An extended analytical diagnostic by a global consulting firm had established the scale of the problem, but no credible and accepted plan to address the issues had emerged
  • The need was for pragmatic help to make change happen with the full buy-in of local management

Solution

Plan and mobilise stage

  • Confirm the scale of the improvement opportunity
  • Agree targets and align with budgets to have one set of numbers
  • Create a plan and a governance model to balance top-down coordination with full engagement from the business units

Delivery stage

  • Initial focus on four of the largest markets where impact potential was greatest
  • Reduction in margin leakage through pricing optimisation, product mix & discount control
  • Introduction of operational excellence basics across manufacturing facilities
  • Inventory optimisation, including clean-up of obsolete and slow-movers
  • Reduction of corporate overhead layer and leverage of shared service centre to reduce in-country costs
  • Capability development of management and teams across all disciplines

The results

  • The Division was transformed from worst to best performer in the Group within 12 months
  • Operating margin tripled and accrued benefits delivered were 45% above the programme target
  • Working capital was reduced by €25m
  • The change management effort involved over 1,000 staff across all functions and businesses
  • Awarded ‘Best International Project’ by the UK Management Consultancies Association
  • Curzon entered a risk-reward commercial arrangement on benefits delivered

We wanted a step change in performance, done in a way that would build capability to make it sustainable… the results speak for themselves.  – Divisional CEO

An award-winning team

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