Spotlight on South Africa

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iohole or Vaughn Harrison Spotlight on South Africa Regulatory Landscape and Business Opportunities

South African Medical Device Industry iohole or

South African Medical Device Industry Overview Market size worth an estimated ZAR 16.9 billion 0.3% of the global market Local manufacture is limited Industry comprised mostly of imported devices (imports cater for 90% of the market by value) iohole or Opportunities for exporters of medical equipment (particularly new and innovative equipment) Forecasts indicate that the local market will grow by a CAGR of 7.7% in the next 5 years Contributing factors to projected growth: - the development and upgrade of hospitals - the implementation of the National Health Insurance programme

South African Medical Device Industry Innovation and Initiatives The Technology Innovation Agency (TIA) is a national public entity The TIA is placing emphasis on medical device innovation Bridges the innovation gap between research and development iohole or Provides risk funding and support for innovators to progress ideas towards market entry and commercialisation

South African Medical Device Industry Localisation Medical Devices Supplier Development Programme Department of Trade and Industry (DTI) launched the Industrial Policy Action Plan 2017/2018 2019/2020 Identified key opportunities for medical device sector: - Increasing local production iohole or - Creation of new export and local markets for local producers - Developing improved health technology innovation capability - Geographical location in relation to Africa - BRICS status

South African Medical Device Industry Localisation Medical Devices Supplier Development Programme DTI encourages local supplier development programmes Proposes collaboration between local supplier development programmes and the private sector Create the opportunity to capture an increasing share of the private sector medical device market iohole or Facilitate increased local manufacture of medical devices for the domestic market as well as regional and international markets Supporting departments/agencies: - Economic Development Department - National Department of Health - National Treasury

Broad-Based Black Economic Empowerment ("BEE") iohole or

Broad-Based Black Economic Empowerment ("BEE") Introduction BEE policy aims to increase participation by previously disadvantaged South Africans in economic activities BEE consists of initiatives that aim to: - Increase levels of equity ownership by black people in businesses iohole or - Increase the number of black people in management positions of businesses - Improve the skills of black employees - Assist small and medium businesses that are majority-owned by black people - Procure goods and services from BEE compliant businesses

Broad-Based Black Economic Empowerment ("BEE") Continued Organs of state and public entities must apply the BEE Codes when: - Determining qualification criteria for the granting of licences, concessions or other authorisations in respect of economic activity in terms of any law - Developing and implementing a preferential procurement policy - Determining qualification criteria for the sale of state-owned enterprises - Developing criteria for entering into partnerships with the private sector - Determining criteria for the awarding of incentives, grants and investment schemes in support of BEE iohole or No Codes issued in the pharmaceutical /medical device sector(s), as yet

Broad-Based Black Economic Empowerment ("BEE") Measured Elements Socio- Economic Development iohole or Enterprise and Supplier Development Ownership Elements Management Control Skills Development

Life Sciences Commercial & Regulatory Team iohole or

Life Sciences Commercial & Regulatory Team Attending MedTech Forum 2018 Areas of focus Commercial M&A Banking Logistics Medical Devices Agency and Distribution Manufacturing Vaughn Harrison Partner, Johannesburg +27 11 523 6124 vaughn.harrison@hoganlovells.com iohole or Areas of focus Medical Devices Agency and Distribution Manufacturing Hospitals and Healthcare Providers Commercial Health Information Privacy and Security Mandi Krebs Associate, Johannesburg +27 11 523 6238 mandi.krebs@hoganlovells.com