Internal Market for Inclusive and Assistive ICT_Sebastiaan van der Peijl_Deloitte


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Presentation about Internat Market for Inclusive and Assistive ICT by Sebastiaan van der Peijl (Deloitte).
ATIS4all First Workshop, 14th and 15th March, 2011. Madrid.

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Internal Market for Inclusive and Assistive ICT_Sebastiaan van der Peijl_Deloitte

  1. 1. INTERNAL MARKET FOR INCLUSIVE AND ASSISTIVE ICT<br />ATIS4ALL<br />Sebastiaan van der Peijl<br />Madrid, 14 March 2011<br />
  2. 2. Contents<br />Aims and objectives<br />Scope<br />Approach<br />EU policy context<br />Mainfindings of the study<br />Conclusions<br />Recommendations<br />
  3. 3. Aims and objectives<br />Main research question:<br />“What are the main barriers and opportunities today in the European Internal Market for Assistive ICT, and what could be gained in terms of economic and social impacts derived from addressing barriers and embracing opportunities in the market for Assistive ICT?”<br />Tasks:<br />Gather representative evidence on the market for Assistive ICT products and services in Europe, including market mechanisms.<br />Analyse barriers and opportunities in relation to social and economic impact associated with the use of Assistive ICT, including the impact for users, the Assistive ICT industry and the administrations.<br />Propose recommendations for improvement, building on the advice of experts and relevant stakeholders.<br />
  4. 4. Scope<br />Education & Training<br />9 Member States: ES, DE, DK, FR, IT, LV, NL, SE, UK<br />Assistive ICT:<br />Work<br />ICT<br />External <br />Assistive ICT<br />Accessible ICT<br />Embedded Assistive ICT<br />Independent Living<br />
  5. 5. Approach<br />Extensive desk research<br />MS and EU level interviews<br />Case Studies<br />Scenarios<br />
  6. 6. EU policy context<br />UN convention: signed and ratified by the EU, signed by all MS (ratified by 16), protocol signed by 22 MS (ratified by 14)<br />European Disability Strategy (2010-2020): equal rights, dignity, treatment, independence, full participation<br />Accessibility: improving the availability and choice of assistive technologies, public procurement<br />Participation: e.g. use of sign language, Braille, accessible websites and copyrighted works, etc.<br />Employment, education, independent living, health: focus on sound working conditions, personal-assistance schemes, legal and organisational barriers, inclusive education, non-discriminatory health services and facilities, disability part of curricula of health professionals<br />MS cooperation: information exchange and policy coordination (High Level Group on Disability)<br />Awareness raising and data collection<br />European Accessibility Act in 2012?<br />To substantially improve the proper functioning of the internal market for accessible products and services<br />
  7. 7. EU policy context<br />Digital Agenda<br />Enhancing digital literacy, skills and inclusion<br />Inclusive digital services, web accessibility, ambient assisted living<br />e-Inclusion: e-Accessibility<br />Ensure that people with disabilities and elderly people can access ICTs on an equal basis with others<br />e-Accessibility and Assistive Technology (AT):<br />Design for All: universal design, adaptive design, interfacing/interoperability with AT<br />Public procurement & Mandate 376<br />
  8. 8. Provision of assistive ICT in the EU The market for assistive ICT<br />No recent and consistent data on people with a disability on the EU level (only 2002 LFS Eurostat)<br />No quality data on take-up of ICT by people with a disability (some MS-data)<br />No quality data on take-up of assistive ICT (some studies (MEAC, AEGIS))<br />Little data on public expenditure on Assistive ICT (some data in e.g. NL GIPdatabank)<br />No consistent data on the assistive ICT supply (only national databases)<br />Source: EUROSTAT<br />
  9. 9. Provision of assistive ICT in the EU The market for assistive ICT<br />Different actors involved<br />Gov support schemes implemented by (public) service providers: Service Deliver Models (SDM)<br />SDMs play an important role in the value chain: financing and procurement.<br />Disability organisations<br />(e.g. associations, charities, NGOs, etc)<br />Source: Robotiker–Tecnalia, 2009<br />
  10. 10. Provision of assistive ICT in the EU Service Delivery Models<br />Different types of SDM:<br />Medical / social model:<br />Service providers act as intermediaries<br />People with a disability are generally not the final decision makers<br />Consumer oriented model:<br />Service providers act as advisor and funding provider<br />People with a disability, or a representative, are the final decision makers<br />
  11. 11. The most prevailing type of SDM is the medical/social model<br />Freedom of choice: often none (limited to lists), but more freedom of choice schemes are being implemented (e.g. DE, DK, NL, SE)<br />SDMs have an important influence, they are the main buyers on the market<br />Provision of assistive ICT in the EU Service Delivery Models<br />
  12. 12. Provision of assistive ICT in the EUA complex reality…<br />Government support differs widely across MS and life environments, even regions: <br />different beneficiary types, different actors involved, differences in prescription or reimbursement processes, different types of procurement, different governance models (more or less decentralised), different levels of coverage (ranging from full reimbursement models to none, depending on the country/region), differences in eligible products...<br />Overlaps between the different systems across the life environments can result in unclear responsibilities<br />Disabled people face a complex environment<br />Assistive ICT companies similarly face a complex environment<br />
  13. 13. Provision of assistive ICT in the EUA complex reality…<br />The market structure for Assistive ICT can be characterisedby‘supply push’: companiescompete to get in the SDM system, lowerattention to end-users<br />Somekeydimensionsemerged and wereaddressedthrough case studies<br />People with a disability<br />Manufacturers / Distributors of Assistive ICT<br />Service Delivery Models<br />Supply push<br />
  14. 14. Provision of assistive ICT in the EUImportant trends / opportunities<br />In the work environment, support schemes are usually well defined, supported by the focus on reasonable accommodation<br />Freedom of choice schemes are on the rise, either with a reimbursement or personal budget scheme (e.g. DE, DK, NL, SE)<br />Function vs. Form debate: functional descriptions of products eligible for funding (e.g. NL, SE)<br />Many organisations are active in the MS to provide information and advice to people with a disability<br />Single points of access are hardly established, with exceptions in e.g. DE, FR<br />
  15. 15. Provision of assistive ICT in the EUMain findings<br />Demand: End-userperspective<br />Service Delivery Models<br />High efforts to getaccess to funding and the right solutions<br />Lack of information / independent advice<br />Different actors in the life environments<br />Limitedchoice<br />Difficultieswith overlap in different life environments<br />Different levels of coverage<br />Supply: Company perspective<br />De factorestrictionsonmarket entry<br />Smallproduction volumes<br />Different types of support<br />Non-transparentpricing, canlead to high prices and pricedifferences<br />Localised Markets<br />Long supplychains<br />In some cases: high margins<br />Need to workthroughlocaldistributorsorlocalpresence<br />High investmentformarket entry<br />Limited cross border trading within the InternalMarket<br />
  16. 16. Case studies<br />Main findings from the case studies<br />2 Case studies on freedom of choice <br />(DE, SE)<br />Freedom of choice turns people with a disability into decision makers and stimulates the market.<br />2 Case studies on info provision<br />(ES, UK)<br />Information is key to a successful implementation of a freedom of choice scheme. Information will increasingly be provided by manufacturers themselves, government will also have a role to play.<br />1 Case study on internet and mobile uptake<br />Stark differences across Europe. High market potential for assistive ICT<br />1 Case study on pricing of assistive ICT<br />Price differences occur within the internal market, due to complex supply chains and other factors<br />1 Case study on product and cross-border activity<br />Most EU assistive ICT companies do not operate cross border and are highly specialised, targeting niche segments of the market<br />
  17. 17. Case Studies (1/7)<br />Freedom of choice in Sweden (Fritt Val)<br />User empowerment: <br />Better informed, better choices<br />Function vs. form<br />Stimulating the market: <br />Closer relations with the customer<br />Bundling: services and extra features<br />Price reduction<br />At no additional cost<br />Potential for: more user focus, better information provision, more competition.<br />
  18. 18. Case Studies (2/7)<br />Freedom of choice in Germany (Persönliches Budget)<br />Public agencies: <br />Fear of loosing control over: the system, the quality, type of fundable devices<br />Higher administrative costs<br />Non-standardised admin procedure and faulty individual target agreements <br />Stimulating the market: new user group expected to emerge, more competition and innovation<br />Transition issues, but expected to grow<br />
  19. 19. Case Studies (3/7)<br />Information provision by local charities in the UK<br />The need for: ‘good information’, close customer relationships, services close to the user (e.g. assessment, training)<br />Local charities:<br />Information provision, awareness, try out ATs, conferences, exhibitions<br />Geographically close to users, no registration required<br />Support informed decision making: both for occupational therapists and end-users<br />Provide ‘second-tier’ assessment and training to meet specific needs<br />Established networks with: suppliers, agencies, technology networks, education& training inst. / employers, end-users<br />Filling the gap: enabling blind people, market facilitation<br />
  20. 20. Case Studies (4/7)<br />Information provision by RETADIS in Spain<br />Try out assistive ICT: <br />26 centers throughout Spain with computers and assistive ICT + 50 private home-users<br />RETADIS social network: contact with peers, forums, newsletters<br />Training by occupation therapists and for education and work<br />Bringing together stakeholders, manufacturers, end-users, occupational therapists for better information and hands-on experience<br />
  21. 21. Case Studies (5/7)<br />Product pricing of Assistive ICT<br />CNSA, AT price-monitoring agency<br />Issues: complexity of use, prices differences, difficulties for new entrants, knowledge of professionals<br />Recommendations: information sharing between beneficiaries and distributors, showrooms and regional centers, include training in public funding<br />Non-transparency is a big issue<br />Opportunities for improvement<br />Need for product reviews<br />Separation of services from product pricing<br />e-Commerce provides transparency<br />towards a more Consumer Oriented Model<br />
  22. 22. Case Studies (6/7)<br />Assistive ICT supply<br />Based on 8 National Databases (810 Assistive ICT companies)<br />Available information is inconsistent across databases<br />The analysis adds insight, but the market remains opaque<br />Fragmentation: narrow markets, mostly SMEs<br />
  23. 23. Case Studies (6/7)<br />Little cross border presence:<br />
  24. 24. Case Study (7/7)<br />Estimating demand for Assistive ICT<br />Lack of data on both the PWD population and the take-up of Assistive ICT<br />Assessment of internet and mobile phone uptake: <br />Estimation of PWD population<br />Estimation of internet uptake<br />Estimation of assistive ICT uptake<br />
  25. 25. Case Study (7/7)<br />Methodology: estimating internet uptakeforPWDs<br />
  26. 26. Case Study (7/7)<br />Methodology: internet uptakeratesforPWDs<br />
  27. 27. Case Study (7/7)<br />Methodology: assistive ICT uptakeratesforPWDs<br />
  28. 28. Case Study (7/7)<br />Methodology: assistive ICT uptakeratesforPWDs<br />Mainresults:<br />Estimation of more than29 milliondisabledpeopleusing internet in the EU in 2009<br />21 millionaged 15-64, <br />8 millionagedabove 65<br />Estimation of 9.86 million EU citizens already using assistive ICT to access the internet in the EU<br />Large existing disparities in uptake, especially for old people<br />Internet uptake is increasing fast<br />
  29. 29. Scenarios<br />Demand:<br />informed and empowered consumers<br />Supply<br />push<br />Demand<br />pull<br />Supply: <br />competitive supply of assistive ICT<br />Conceptual framework <br />Demand<br />Supply<br />
  30. 30. Demand: informed & empowered usersFreedom of choice & information, awareness<br />Freedom of choice, drivers<br />User empowerment<br />Role of SDM<br />Functional description of needs<br />Mainstreaming<br />e-Commerce<br />Awareness and information, drivers:<br />Digital literacy<br />Close relationship with consumers<br />Multi-stakeholder approach<br />Independent information / advice<br />Training<br />
  31. 31. Supply: competitive supply of A-ICTLevel of competition & pricing<br />Competition, drivers:<br />Transparency<br />Competition IN the market not FOR the market<br />Barriers within the market<br />e-Commerce<br />Pricing, drivers:<br />Transparency<br />Supply chain<br />Comparing<br />Knowing what you pay for<br />
  32. 32. Demand and supplyDemand pull and supply push growth<br />Demand: informed and empowered consumers<br />Scenario 1<br />Scenario 2<br />Scenario 3<br />Scenario 4<br />Supply: competitive supply of assistive ICT<br />
  33. 33. Toward a consumer oriented market<br />User empowerment, more transparent market, closer customer relations, more cross-border trade, changing the role of SDMs<br />
  34. 34. Forecasting exerciseImpact on the market<br />Based on internet uptake:<br />
  35. 35. Forecasting exercise Impact on the market<br />Impact on internet uptake<br />
  36. 36. Forecasting exerciseImpact on the market<br />Impact onassistive ICT usage<br />
  37. 37. Forecasting exerciseImpact on the market<br />Estimates are based on assumptions and are projected in accordance with the S-curve of the Netherlands<br />Actual internet take-up developments depend on many exogenous factors, such as general development of internet connections (infrastructure), digital literacy, etc.<br />Yet, this analysis shows the expected direction, although country specifics should be taken into account<br />This also shows that currently there is a large unexploited market potential<br />
  38. 38. Conclusions The impact of the role of government<br />Public procurement: <br />Can reduce cost (e.g. volume contracts) <br />But leads to competition FOR the market not IN the market: i.e. market distortion<br />Result: a heterogeneous EU Market (mainly local markets), limited economies of scale for producers, limits incentives for R&D and investment<br />Information provision:<br />Training of professionals in the SDM is essential<br />End-user should be aware and well informed<br />Funding:<br />Uneven across MS, as well as prices paid by the SDM<br />
  39. 39. ConclusionsFunction vs Form<br />Away from ‘positive lists’ of eligible products…<br />Keeping positive lists up-to-date is cumbersome or simply not happening (e.g. IT)<br />It can take a lot of time for new products to become ‘eligible’<br />…towards a function based approach (with possibly a ‘negative list’)<br />A function based approach opens up opportunities for new products, innovation<br />A function based approach enables choice and user empowerment<br />
  40. 40. ConclusionsTowards a Consumer Oriented Model<br />Empower people with a disability: decision makers<br />Encourage interaction between companies and end-users: closer customer relationships, more information aimed at people with a disability (direct marketing, try-out sessions)<br />Scope for reduced prices (e.g. SE)<br />Mentality change: SDM becomes principally advisor and funding provider<br />Single access points, across life environments<br />
  41. 41. ConclusionsDemand<br />Information provision: essential for professionals and end-users, the internet offers important opportunities (e-Commerce, product reviews, etc)<br />Empowerment: more focus on desirable products (less stigma)<br />Training: also essential for both end-users and professionals<br />Maintenance, upgrades: clear rules are needed<br />
  42. 42. ConclusionsSupply<br />Market fragmentation: mostly local markets, small companies<br />Lack of transparency<br />Distributors are essential today for local market access<br />Long supply chains: high prices<br />Focus on SDM reduces consumer orientation<br />More consumer orientation opens possibilities for: <br />easier market access<br />more competition<br />lower prices<br />potentially better after sales services<br />e-Commerce<br />more information aimed at the end-user<br />increased economies of scale and incentives to invest and conduct R&D<br />mainstreaming: accessible mainstream solutions become attractive alternatives, incentives for Design for All<br />
  43. 43. ConclusionsData availability<br />There is a general lack of statistics<br />People with a disability: wide divergence due to different applied definitions across MS, lack of cross-country comparable data<br />Use of ICT and assistive ICT: only ad-hoc national measurements<br />Supply of assistive ICT: definition of assistive ICT: ISO 9999 Cat 2? EU NACE has no classification for A-ICT, resulting in lack of data<br />
  44. 44. Recommendations<br />Shaping a more competitive and better functioning market for assistive ICT<br />Improve the availability of data:<br />common and consistent definition and measurement of people with a disability and their use of ICT and assistive devices<br />need for granular data on MS expenditure<br />need for an extensive survey at an EU level<br />a common taxonomy of assistive ICT<br />Fine-tune the role of government: <br />consumer oriented, empower the end-user, freedom of choice<br />provision of independent information and advice<br />a common functional list for Europe<br />establish single access points<br />
  45. 45. THANK YOU FOR YOUR ATTENTION<br />Copyright © 2011 Deloitte Consulting All rights reserved.<br />