The wider factors impacting BPAS 13 • July 24 change in Government. 70% of MPs opposed to abortion lost their seats • Positive pro-choice Parliament now in place (81%) • Darzi review to inform radical reform of NHS • Roe vs Wade Lowe and global political implications • Increased focus on public health and prevention Vs treatment • Brexit and impact on overseas workforce • Increased devolution of health services • Women’s Health Strategy and Health Hubs under Labour Gov • Protracted slow economic growth • Increased financial pressures on commissioners • Lack of investment in clinical trials and research • NHS tariff uncertainty and historic volatility • Available investment in digital internally • Disjointed commissioning of reproductive health - ICBs, LAs • Abortion widely supported in UK (87%) • Continued cuts to sexual health services • Shortage of qualified health professionals • Continued increase in Women's healthcare waiting times • Increased inequalities for marginalised groups • Rise in STIs • Increased rates in abortions • Well-funded anti-abortion groups • Geographical disparities in access • Stigma of abortion • Telemed/Telecare • Patient expectations and experience – 24/7 digital world • Pharmaceutical progress – contragestive • End to End EMA digital pathways emerging in USA and Europe • AI powered back-office services to drive down operating costs • Cyber Security and Data Breaches • Fake News and (Mis) Information • Transfer from building based to home-based healthcare • Electronic Patient Records • Decriminalisation of abortion • Nurse and midwives' ability to deliver early surgical interventions • Regulatory bodies and processes • Environmental Legislation • Outdated laws on abortion • Home Office controlled Drugs Licenses • Data Laws and Fair Processing • New Employment Laws • Increased patient litigation • Quality/adequate estates to deliver services • Carbon footprint and impact of services • Net Zero • Infection prevention and control • Mobility/ flexibility of service model • Estates rationalisation and opportunities to co-locate in Health Hubs • AQP Contracts opening up the market to main competitors and impacting on BPAS income • AQP bringing new opportunities for BPAS • Investment needed to compete and remain competitive • Brand awareness and patient choice under AQP contracts • Shift in marketing: direct to consumer • Biggest competitor with £69m spending plan over next five years • Smaller competitor 'cherry picking’ MSI client portal and self service Political P E S T L E C Economic Social Technological Legal Environmental Competition
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