{
  "docId": "019dd923-5ca1-7489-b636-bc879d1b6d64",
  "docSlug": "17680cec2cbd3510",
  "documentTitle": "Accelerated Access Review UK Mapping",
  "authorId": "Deloitte",
  "authorName": "Deloitte",
  "documentKindSlug": "consulting-deck",
  "documentKindLabel": "Consulting deck",
  "sourceTypeSlug": "strategy_consulting",
  "sourceTypeLabel": "Strategy consulting",
  "presentationDate": null,
  "orientation": "landscape",
  "aspectRatio": 1.333,
  "pageNumber": 7,
  "pageCount": 109,
  "prevPage": 6,
  "nextPage": 8,
  "slideType": "pain_points",
  "function": "diagnose",
  "density": "overcrowded",
  "nDataPoints": 0,
  "notes": "The slide uses a process-flow framework to categorize specific pain points.",
  "elementsJson": [
    "headline_text",
    "subtitle_text",
    "process_diagram",
    "icon_grid"
  ],
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019dd923-5ca1-7489-b636-bc879d1b6d64/7",
  "deckHref": "/decks/019dd923-5ca1-7489-b636-bc879d1b6d64",
  "deckJsonHref": "/decks/019dd923-5ca1-7489-b636-bc879d1b6d64.json",
  "deckAnchorHref": "/decks/019dd923-5ca1-7489-b636-bc879d1b6d64#slide-7",
  "components": [
    {
      "bbox": null,
      "kind": "callout",
      "text": "Our research also highlighted a number of specific challenges to pharma by pathway stage",
      "attrs": null,
      "subkind": null,
      "toolName": "Visual emphasis",
      "toolSlug": "visual-emphasis",
      "confidence": null,
      "componentId": "019dd951-ba8c-7422-853a-41e3bbcd7b5a",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.9,
        "x": 0.04,
        "y": 0.25
      },
      "kind": "diagram",
      "text": "Cross-cutting challenges: Alignment across key stakeholders, Counterproductive incentives, Data, evidence & measurement, Culture",
      "attrs": null,
      "subkind": "process",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "34abae62-8530-483c-9d9f-b83054f83042",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.08,
        "w": 0.9,
        "x": 0.04,
        "y": 0.37
      },
      "kind": "diagram",
      "text": "Pathway stages: Development, Regulation, National Reimbursement, Local Commissioning and Adoption",
      "attrs": null,
      "subkind": "process",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "89f74a20-df53-46fd-8874-37345434db04",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.3,
        "w": 0.2,
        "x": 0.04,
        "y": 0.48
      },
      "kind": "list",
      "text": "Development challenges: Barriers to conduct clinical research in NHS, NHS staff capacity for research, Duplication of effort in early development",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "13403302-2333-4f30-b5ca-e73befee2754",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.3,
        "w": 0.2,
        "x": 0.5,
        "y": 0.48
      },
      "kind": "list",
      "text": "National Reimbursement challenges: Evidence Requirement, Different definitions of value, Misalignment of stakeholder objectives",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "37756546-c3b8-42ff-aed1-6baa7686770f",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.35,
        "w": 0.2,
        "x": 0.74,
        "y": 0.48
      },
      "kind": "list",
      "text": "Local Commissioning and Adoption challenges: Process duplications, Budget siloes, Lack of accountability, Lack of outcome transparency",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "433702ea-fa4d-4c7d-b426-5bad805f9f19",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.3,
        "w": 0.2,
        "x": 0.26,
        "y": 0.48
      },
      "kind": "list",
      "text": "Regulation challenges: Lack of early dialogue, Misaligned perception of risk / benefit, Limited access to early approval",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "4ebf8bbd-4fc9-409d-939e-1dc213e58752",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.03,
        "w": 0.3,
        "x": 0.04,
        "y": 0.95
      },
      "kind": "source-note",
      "text": "Source: Stakeholder interviews, workshops and Deloitte analysis",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "9d1ce834-93d1-4ff8-a8b0-c82e0d109fe2",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.06,
        "w": 0.8,
        "x": 0.04,
        "y": 0.11
      },
      "kind": "subtitle",
      "text": "Our research also highlighted a number of specific challenges to pharma by pathway stage",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "4eb3e161-00f8-4b6a-9063-4479d2e0427a",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.06,
        "w": 0.4,
        "x": 0.04,
        "y": 0.04
      },
      "kind": "title",
      "text": "Challenges: Pharmaceuticals",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "2922139f-4c58-41c1-8da4-f3a4372e48f3",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [],
  "tools": [
    {
      "name": "2x2 matrix",
      "slug": "matrix-2x2",
      "agent": null,
      "layer": "slide",
      "matchId": "73548ca4-a12b-40b8-9b33-0435265d2760",
      "evidence": "The diagram shows a 2x2 matrix with pathway stages and challenges.",
      "confidence": 0.5
    }
  ],
  "frameworks": [
    {
      "name": "process",
      "slug": null,
      "matchId": "775946cb-85b2-4097-8b50-e4ba44a98a68",
      "evidence": "The slide maps challenges across a sequential pathway stage process.",
      "confidence": 0.9
    }
  ],
  "arcBeats": [
    {
      "to": 9,
      "from": 5,
      "beatId": "0a043aaa-9d86-481c-b01c-e99e57aaaa1e",
      "arcName": "Problem-Agitate-Solution",
      "arcSlug": "problem-agitate-solution",
      "beatName": "Problem (Identify pain)",
      "beatSlug": "problem-agitate-solution-problem-identify-pain",
      "evidence": "The document identifies key challenges in pharmaceuticals, medical devices, and in vitro diagnostics.",
      "position": 0,
      "confidence": 0.8,
      "parentBeatName": "Complication",
      "parentBeatSlug": "complication"
    }
  ],
  "loops": [
    {
      "to": 20,
      "from": 5,
      "name": "Cost Of Inaction",
      "slug": "27-cost-of-inaction",
      "bestFor": "Urgent budget requests, compliance, risk mitigation",
      "matchId": "216c31e8-2aee-4a6b-81ea-25d4d04ac422",
      "evidence": "The document highlights the consequences of not addressing the challenges, such as limited access to new treatments and technologies.",
      "position": 0,
      "objective": "What are the consequences of not improving access to medical innovations?",
      "structure": "The Status Quo -> The Hidden Costs Accumulating -> The Future State of Inaction -> The Tipping Point",
      "confidence": 0.7,
      "description": "Quantify what happens if the audience does nothing"
    }
  ],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}