Prescription Footwear Challenges & Opportunities

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The challenge of taking advantage of the current digital revolution to produce custom footwear efficiently. The production of individually designed and fitted footwear is very important for persons with diabetes at high risk of ulceration.

Health & Medicine Business Design

Derek Jones

PRESCRIPTION
FOOTWEAR
Challenges and Opportunities - Doing a Great Job

Klaveness Skofabrikk

KLAVENESS
SKOFABRIKK
‣ Established in 1958 in Sandefjord Norway

‣ Exporting since 1968
‣ Manufacture in Portugal and Poland

‣ 220 Employees - turnover around 100m Euro
‣ Producing Prescription AND High St Fashion Shoes

TWO ASPECTS
Big Picture viewpoint - Fine Detail Viewpoint
Klaveness Skofabrikk

A drop in the ocean?

Diabetes Expenditure

10% of the UK NHS Budget
£9 Billion per Year
£286 per Second

Klaveness Skofabrikk

MANUFACTURING
GOES DIGITAL
Klaveness Skofabrikk

FUTURE FACTORY?

Can we
‣ Past - Identical Items
Have
Flexibility ‣ Present - Customisation
and
‣ Future - Mass Customisation
Efﬁciency ?

Klaveness Skofabrikk

NISSAN CARS
‣ Sunderland since 1986

‣ 1999 - Built 271,157
cars with 4,594 people

‣ 2011- Built 480,485
cars with 5,462 people

Klaveness Skofabrikk

COMPETITIVE ‣ Chain of
Economic
ADVANTAGE Activities that
add value to a
product

‣ The Product
was the Star
‣ Service was at
the End - Value
Chain

Klaveness Skofabrikk

COMMODITY
TRAP
‣ Manufacturing and
process knowledge are
widely distributed

‣ Manufacturing moves to
low cost economies

‣ Product lifetimes are short

Klaveness Skofabrikk

e ...
R is
g es
Wa
e
in es
C h
As

The

BOOMERANG
EFFECT
Klaveness Skofabrikk

2010 - 16 Gigabyte iPad

$ 499 - Price
$ 154 - Parts & Materials
$ 33 -Total World Wide Labour costs
$ 8 - China’s Share of Labour Costs

MANUFACTURE
Personal computing Industry Centre
Klaveness Skofabrikk

WHY CHINA?
Cluster Effect - Knowledge - Experience
Klaveness Skofabrikk

KEEP CALM &
CARRY ON?
Klaveness Skofabrikk

TAKING SHAPE
Artisan skills
Klaveness Skofabrikk

TECHNICAL
FOUNDATIONS OF
DIGITAL
MANUFACTURING
‣ Measurement and Design Speciﬁcation

‣ Design Process
‣ Manufacture - Additive as well as Subtractive

Klaveness Skofabrikk

PROCESS STEPS
Prescription
Rigorous
Strategy

Review
Assess Reliable Preview - Veriﬁcation of
Based on
Patient Measurement Design & Design and
Individual
and Manufacture Fit
Risk of
Speciﬁcation
Ulceration

Clinician-Manufacturer Interface

Klaveness Skofabrikk

Risk Stratiﬁcation

Low Moderate High

Low Complexity of Design & Build High

High Flexibility in Fashion/Style Choice Low

Klaveness Skofabrikk

THE CHALLENGE
‣ Ignorance is not Bliss!

‣ Do Prescribers REALLY Know How to Order?
‣ Achieve Efﬁcient Production with a Batch Size of One

‣ Achieve FUNCTION - FORM and FASHION
‣ Get it Right First Time - Every Time

‣ Make a Proﬁt - Based on Adding Value through both
Products and Services

Klaveness Skofabrikk

A GREAT JOB?
‣ Not just a manufacturing challenge

‣ Not just the shoe makers problem
‣ All parts of the process must work

‣ Communication - Rather than Hallucination

Klaveness Skofabrikk

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