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Right Sizing Collection While Planning for Future Challenges November 2009 Moira Carter About SNBTS National Blood Service No competition Funded by central government Blood provided to hospitals ‘free’ at the point of use No incentives to donate Annual Donor Attends ~300,000 Demand has declined by 7% since 2007 Platelet demand has increased by 9% in last year Step change in regulatory stringency in last five years vCJD risk reduction measures have had a major impact on the service vCJD Risk reduction measures ? £ 1970 1975 1980 1985 1990 1995 2000 2005 2010 Background and Context Impact of Regulatory Change on Scotland's Donor Base Donors Remaining 7% PTD losses 4% BSQR losses 89% By December 2007, the active blood donor base was at lowest level since national records began The need for corrective action was clear Additionally, these losses impact of overall productivity of the collection program SNBTS have invested in a highly effective integrated publicity and marketing strategy to deliver rapid recovery, forming effective partnerships with media stakeholders and other bodies To build in resilience to withstand the loss of 10% of the donor base as a result of a vCJD test and avoid blood shortage Integrated Marketing Strategy For Effective Marketing -Integration Is Vital C O N S I S T E N C Y Public Relations •Above the Line •TV,Radio, •Press, Outdoor Non Donors Registered Donors O F Below the Line M E S S A G E Direct marketing Telerecruitment Messaging Lapsed Donors ACTIVE DONORS I M P R O V E D R E S I L I E N C E Need to monitor the effectiveness of both creative and media buying strategy Need for message to progress Emotion into Action Emotion into Action into Act Now Must be underpinned by sound research Value of PR Advertisin Equivalence Value generated by PR The use of Pro active Patient focussed Planned PR at key times of the year reduces overall media spend £1,800,000 £1,600,000 Media Spend AEV £1,400,000 £1,200,000 £1,000,000 £800,000 £600,000 £400,000 £200,000 D 20 09 /1 0Y T 20 08 /0 9 20 07 /0 8 20 06 /0 7 20 05 /0 6 20 04 /0 5 20 03 /0 4 20 02 /0 3 20 01 /0 2 £0 Since Dec 08 PR messages ‘softer’ with more good news tone due to high stock levels When stocks high, message is softer and more difficult to attract coverage Almost inverse relationship between strength of creative message and PR SEGMENTATION Revised Deferral Criteria ‘Winback’?: Hi BP, Diabetes & Age >24 MONTHS TRACKED CONTACTS •‘Winback’ Initiative ACTIVE DONORS Last 12 Months 18-24 MONTHS •Lapsing intervention‘ NEW DONORS •Improved conversion •Thank You & 2nd Don’n Reminder • Blood Group Specific Initiatives 14% 8% 9% DONATED IN LAST 8 MONTHS 70% • Kit Kat to reduce donor attendance frequency • Blood Donor 24 • NOT DONATED IN LAST 9 MONTHS Donor loyalty reduces with time • ‘Its not some one else we’re missing’ Intervention •New Donor Contract Delivering : The Right Message to the Right Donor at Dthe Right Time and achieving the Right response New & Returning Donor Recruitment New & Returning Donors at 98.2% of target YTD New & Returning Donor Recruitment Analysis 6,000 5,000 22% up on 2007/08 4,000 New 3,000 Returning Total N&R 2,000 1,000 0 Average Pre Average Post Funding Jan 08 Post Campaign Launch June 08 61% of donors of N&R donors recruited are new Average monthly recruitment up by 28% post campaign launch Donor Base Trends Reduced ATL & BTL activity Active donors: Trend to end Q2 2009/10 190000 185000 180000 175000 170000 165000 160000 155000 Au g09 Ju n09 09 Ap r- Fe b09 ec -0 8 D ct -0 8 O Au g08 Ju n08 08 Ap r- Fe b08 ec -0 7 D ct -0 7 O Au g07 Ju n07 Ap r- 07 150000 Donor base declined by 2% since Mar 09 Remains @ 4% up on Dec 07 and 95% of current resilience target Excess Inventory & Donor Base Therefore Donor Base and Blood Stock Trends 184000 Active Donor Base 182000 Total Stock 14.0 10.0 Active Donors Trigger Level 12.0 180000 178000 8.0 176000 6.0 174000 4.0 172000 Stock Level (days) 186000 9 days 7 days 5 days 3 days 2.0 170000 168000 0.0 Need to segment the donor base Sep-09 Aug-09 Jul-09 Jun-09 May-09 Apr-09 Mar-09 Feb-09 Jan-09 Dec-08 Nov-08 Oct-08 Sep-08 Aug-08 Jul-08 Jun-08 May-08 Apr-08 Mar-08 Feb-08 Jan-08 Dec-07 Nov-07 Oct-07 Sep-07 Aug-07 Jul-07 Jun-07 May-07 Apr-07 Mar-07 Or to change our collection footprint to reduce frequency and extend our reach Leads us Excess inventory required reduction in ATL & towards BTL activity (Blood Group Specific) service Difficult to expand the donor base when stocks are high and demand under control redesign Inventory Imbalance Continuous pressure on O Neg 14.0 12.0 Days Stock 10.0 O Neg Total Stock 8.0 3 day trigger 5 day trigger 6.0 7 day trigger 4.0 9 day trigger 2.0 30/06/2009 30/03/2009 30/12/2008 30/09/2008 30/06/2008 30/03/2008 30/12/2007 30/09/2007 30/06/2007 30/03/2007 0.0 When in stock surplus the ratio of Days Total Stock to Days O Neg rises to 3 Current stock levels of O neg very good Considering reducing activity level The Future Need to improve our ability to segment the donor base by improving our Customer Relation management skills at each point of contact To achieve this we need to take a 360 degree approach to donor management In Short we need an effective CRM tool An effective CRM tool could become cost neutral within 3-5 years and has the potential to generate significant savings in terms of consumables and staffing costs Would require a reduction in wastage of ~ 2% to become cost neutral without estimating staffing cost savings Donor Behaviour Current Situation Analysis Blood Stocks have been extremely high with exception of O negative Demand 7% below level predicted at the outset of plan By April 2009 - Clear need to correct the inventory in order to prevent excessive waste Donor Deferral rates reduced by >1% ytd and have been at ~15% in last two months (last year @ 18.3%). Collection losses down to 3.5% from 3.8% The productivity gains result in an additional 4100 useable donations per annum New Donor Deferral reduced to 32% v 36% last year Demand 5% lower than original estimate vCJD research indicates that we should plan for ~5-10% losses rather than 10-20% losses Depending on agreed communications strategy and tactics these could be as low as 2% Recalibrating the Plan vCJD test delayed now anticipated 2011 Good progress on confirmatory assay Supply & Demand forecast suggests that we require between 190K to 193K active donors to cope with 5% losses This requires attendance frequencies between 1.57 and 1.55 respectively to withstand 5% losses At current attendance frequency we require 183K active donors (current level 181K) Thank You - Any Questions?