Alternative Healthcare Market Assessment 2010
Key Note Publications Ltd, April 2010, Pages: 174
Like previous editions of this Market Assessment, Key Note's 2010 report on alternative healthcare — also known as complementary and alternative medicine (CAM) — concentrates on major therapies such as acupuncture, the Alexander Technique, aromatherapy, chiropractic, herbal medicine, homeopathy, osteopathy and reflexology, and also covers herbal and homeopathic remedies and aromatherapy oils. There are, however, a large number of other alternative healthcare techniques not covered by this report. Some of these resemble the aforementioned therapies, although others relate more to exercise, spiritual welfare or personal fulfilment.
Many alternative therapies and remedies, particularly acupuncture and herbal medicine, have been in existence for centuries and have formed the basis for modern `conventional' medicine. A point of difference, however, is that some are regarded as `holistic'; that is, they treat the whole person rather than targeting specific symptoms and their causes, as is the case with conventional medicine. Although herbal remedies are widely perceived as `natural' in terms of their sources, Key Note's research shows that many consumers recognise the need to treat them with similar caution as conventional medicines.
Despite the fact that medical specialists, general practitioners (GPs), nurses and other health professionals sometimes practise alternative therapies themselves, or refer patients to alternative practitioners, a low proportion of respondents to Key Note's survey felt that the medical profession supported, recommended or had enough knowledge about alternative healthcare. Furthermore, although the NHS has for many years offered selected alternative therapies to patients (particularly homeopathy), the availability of these has declined due to the NHS questioning the lack of `evidence-based proof of efficacy'. In January 2008, it was reported that many NHS trusts had withdrawn or reduced funding for homeopathy during the previous 2 years.
Since the House of Lords Select Committee on Science and Technology's report on CAM was published in 2000, there has been slow but ongoing activity regarding statutory or voluntary self-regulation of alternative healthcare therapists in the UK. Currently, only chiropractors and osteopaths are fully regulated, although discussions continue regarding self-regulation in acupuncture, herbal medicine, homeopathy, aromatherapy, the Alexander Technique and reflexology. Indeed, the Complementary and Natural Healthcare Council (CNHC) Register is already open to some of these disciplines, with more to be included in the future. Key Note's research shows that people would be better disposed towards the use of acupuncture and herbal medicine if these areas were regulated for safety and effectiveness.
A major issue in CAM remains the effect across Europe of the EU Directive on Traditional Herbal Medicinal Products. This addresses the questions of quality, safety and efficacy of herbal remedies, which are growing concerns owing to the increasing number of products on the market — a few of which have been shown to present distinct health risks. In order to continue to be offered for sale after end April 2011, all herbal remedies that have been on the market for 30 years (prior to 2004) must hold a Traditional Herbal Registration (THR). However, they will be exempted if they hold a Product Licence (PL) or Market Authorisation (MA), are classified as a botanical product under food law, are available only from herbal practitioners or are making no medicinal claims. Products that have been on the market for less than 30 years prior to 2004 must comply with one of these last conditions.
Despite regulatory challenges, some manufacturers, such as Diomed and New Nordic, have been offering new herbal products. In addition, there is some consolidation among UK manufacturers and suppliers, coupled with increasing activity to improve UK market shares by Swiss- and German-owned companies such as Galenica, Bioforce, Klosterfrau and Schwabe. Some of these have become the major holders of THRs in the UK with their branded products.
It is thought that the Internet is gradually becoming a more important source of supply of herbal and homeopathic remedies, and for aromatherapy oils. However, the major distribution channels remain chemists and drugstores, health-food shops, grocery multiples and, in the case of aromatherapy, cosmetics and toiletries specialists.
Main media advertising expenditure on herbal, homeopathic and aromatherapy products remains at a relatively low level. With regard to retail sales values, there has been an estimated fall in sales of herbal remedies in recent years, as well as a slight decline in the case of homeopathic remedies in 2009. However, the aromatherapy oils sector grew steadily up to 2009. Key Note forecasts that sales of herbal remedies will decline in 2010 and 2011, before staging a recovery between 2012 and 2014. Sales of homeopathic remedies are also expected to dip in 2010 and 2011; despite a slight increase in 2012, they are predicted to remain static thereafter. Meanwhile, sales of aromatherapy oils are expected to grow slowly throughout the period from 2010 to 2014.
Executive Summary
1. Introduction
REASONS FOR UPDATING THE REPORT
DEFINITION
SOURCES OF INFORMATION
2. Strategic Overview
MARKET DYNAMICS AND SEGMENTATION
Factors Driving or Affecting Alternative Healthcare
Health Factors and Belief in Alternative Therapies and Remedies
Regulation of Therapists and Remedies
Regulation of Herbal Remedies
Licensed and Unlicensed Products
The Directive on Traditional Herbal Medicinal Products
Progress of Traditional Herbal Registrations in the UK
Safety of Complementary Medicine
Integration of Alternative Healthcare within the NHS
Economic Trends
Population
Table 2.1: UK Resident Population Estimates by Sex (000), Mid-Years 2005-2009
Gross Domestic Product
Table 2.2: UK Gross Domestic Product at Current and
Annual Chain-Linked Prices (£m), 2005-2009
Inflation
Table 2.3: UK Rate of Inflation (%), 2005-2009
Unemployment
Table 2.4: Actual Number of Unemployed Persons in the UK (000), 2005-2009
Household Disposable Income
Table 2.5: UK Households’ Gross Disposable Income Per Capita (£), 2004-2008
Market Size — Herbal and Homeopathic Remedies and Aromatherapy Oils
Table 2.6: The UK Market For Herbal and Homeopathic Remedies
and Aromatherapy Oils by Value at Current Prices (£m at rsp), 2005-2009
DISTRIBUTION
COMPETITIVE STRUCTURE
Major Manufacturers and Suppliers
ADVERTISING
THE CONSUMER
Table 2.7: Medicines Taken in the Past 12 Months by Sex and Age
(% of adults taking), April 2008-March 2009
MARKET FORECASTS
3. Market Analysis
BACKGROUND
Alternative Healthcare Associations and Authorities (General)
Types of Therapy
Acupuncture
Associations
The Alexander Technique
Associations
Aromatherapy
Associations
Chiropractic
Associations
Herbal Medicine
Associations
Homeopathy
Associations
Osteopathy
Associations
Reflexology
Associations
Other Alternative Therapies
MARKET SIZE
Herbal Remedies
Table 3.1: The UK Herbal Remedies Sector
by Value at Current Prices (£m at rsp), 2005-2009
Figure 3.1: The UK Herbal Remedies Sector
by Value at Current Prices (£m at rsp), 2005-2009
Homeopathic Remedies
Table 3.2: The UK Homeopathic Remedies Sector
by Value at Current Prices (£m at rsp), 2005-2009
Figure 3.2: The UK Homeopathic Remedies Sector
by Value at Current Prices (£m at rsp), 2005-2009
Aromatherapy Oils
Table 3.3: The UK Aromatherapy Oils Sector
by Value at Current Prices (£m at rsp), 2005-2009
Figure 3.3: The UK Aromatherapy Oils Sector
by Value at Current Prices (£m at rsp), 2005-2009
MARKET SHARES
Herbal Remedies
Table 3.4: Estimated Market Shares in the Herbal Remedies Sector
by Value at Current Prices (£m at rsp and %), 2009
Homeopathic Remedies
Table 3.5: Estimated Market Shares in the Homeopathic Remedies Sector
by Value at Current Prices (£m at rsp and %), 2009
Aromatherapy Oils
4. Advertising and Promotion
MAIN MEDIA ADVERTISING EXPENDITURE
Table 4.1: Main Media Advertising Expenditure on Herbal
and Homeopathic Remedies (£000), Years Ending December 2007-2009
EXHIBITIONS
5. Distribution
RETAIL SALES BY OUTLET TYPE
Table 5.1: Retail Sales of Herbal and Homeopathic Remedies
and Aromatherapy Oils by Value by Outlet Type (%), 2009
6. An International Perspective
EUROPEAN MARKETS
7. PEST Analysis
POLITICAL FACTORS
ECONOMIC FACTORS
SOCIAL AND DEMOGRAPHIC FACTORS
TECHNOLOGICAL FACTORS
8. Consumer Dynamics
OVERVIEW
Table 8.1: Summary of Survey Findings Concerning Alternative Healthcare
(% of respondents), January 2010
HERBAL AND HOMEOPATHIC REMEDIES
“I Believe That Herbal or Homeopathic Remedies Are Effective
For Ailments Such As Muscle Pains, Stress, Colds and ’Flu, Migraines,
Depression or Insomnia”
“I Would Be More Likely to Use Herbal or Homeopathic Remedies
(or Use Them to a Greater Extent) If They Were Officially Registered
as Safe and Effective For Particular Ailments”
Table 8.2: Belief in the Effectiveness of Herbal and Homeopathic Remedies,
and Likelihood of Using Them More if They Were Officially Registered
as Safe and Effective (% of respondents), January 2010
“I Regard Herbal or Homeopathic Remedies as Being Safer Than
Conventional Medicines, With Few, If Any, Side Effects”
“I Think That Herbal or Homeopathic Remedies Should Be Treated With
the Same Amount of Caution as Conventional Medicines”
Table 8.3: Attitudes Towards the Safety of Herbal and Homeopathic Remedies
(% of respondents), January 2010
ACUPUNCTURE
“I Believe That Acupuncture Can Be Effective For Ailments Such As Arthritis
and Muscle Pain, Asthma and Hay Fever, Migraines or Stress”
“I Would Be More Likely to Consider Having Acupuncture If All Practitioners
Were Government Regulated”
Table 8.4: Belief in the Effectiveness of Acupuncture, and Likelihood of
Considering Having It If All Practitioners Were Government Regulated
(% of respondents), January 2010
AROMATHERAPY AND REFLEXOLOGY
“I Believe in the Benefits of Aromatherapy as a Treatment For Problems Such As
Stress, Muscle Pains, Migraine and Headaches, Asthma or Insomnia”
“I Believe That Reflexology Can Be Effective as a Treatment For Problems Such As
Stress, Insomnia, Headaches and Migraines, Muscle Pains or High Blood Pressure”
Table 8.5: Belief in the Benefits and Effectiveness of Aromatherapy
and Reflexology (% of respondents), January 2010
THE ALEXANDER TECHNIQUE, CHIROPRACTIC AND OSTEOPATHY
“I Believe in the Benefits of the Alexander Technique For
Back and Shoulder Pains, Muscle Strains or Breathing Problems”
“I Believe That Chiropractic or Osteopathy Can Be Effective in the Treatment
of Problems Such As Muscle Pains, Insomnia, Headaches or Migraines”
Table 8.6: Belief in the Benefits and Effectiveness of the Alexander Technique,
Chiropractic and Osteopathy (% of respondents), January 2010
ALTERNATIVE HEALTHCARE TREATMENTS VERSUS
CONVENTIONAL MEDICINES
“I Prefer to Use Alternative Healthcare Treatments
Whenever Possible Instead of Taking Conventional Medicines”
“My Doctor Has Sometimes Suggested the Use of Alternative
Healthcare Treatments Instead of Conventional Medicines”
Table 8.7: Use of Alternative Healthcare Treatments Versus
Conventional Medicines (% of respondents), January 2010
NON-USERS OF ALTERNATIVE HEALTHCARE
“I Have Not Used or Been Treated Using Any of These Alternative
Healthcare Techniques in the Past 12 Months”
Table 8.8: Those Who Had Not Used or Been Treated Using Any of These
Alternative Healthcare Techniques in the Past 12 Months
(% of respondents), January 2010
ATTITUDES REGARDING THE ROLE OF
THE MEDICAL PROFESSION AND THE NHS
“I Don’t Think That Doctors or Medical Specialists Support or Have
Sufficient Knowledge Regarding Alternative Healthcare Treatments”
“I Think That More Alternative Healthcare Treatments
Should Be Available on the NHS”
Table 8.9: Those Who Think That Doctors or Medical Specialists Do Not Support
or Have Enough Knowledge Regarding Alternative Healthcare Treatments,
and Those Who Think These Should Be Available on the NHS
(% of respondents), January 2010
EFFECTIVENESS OF ALTERNATIVE MEDICINES VERSUS
OVER-THE-COUNTER PRODUCTS
“I Believe That Alternative Medicines Are as Effective as OTC Medicines”
Table 8.10: Belief That Alternative Medicines Are as Effective as
Over-the-Counter Medicines (% of respondents), October 2009
9. Company Profiles
INTRODUCTION
HERBAL AND HOMEOPATHIC REMEDIES
Bee Health Ltd
Profitability
Bioforce (UK) Ltd
Profitability
Table 9.1: Financial Results for Bioforce (UK) Ltd (£000),
Years Ending 31st December 2006-2008
Chefaro UK Ltd
Profitability
Table 9.2: Financial Results for Chefaro UK Ltd (£000),
Years Ending 31st December 2006-2008
Diomed Developments Ltd
Profitability
Table 9.3: Financial Results for Diomed Developments Ltd (£000),
Years Ending 31st May 2007-2009
Klosterfrau Healthcare Group
Profitability
GR Lane Health Products Ltd
Profitability
Table 9.4: Financial Results for GR Lane Health Products Ltd (£000),
Years Ending 31st July 2007-2009
Natures Aid Ltd
Profitability
A Nelson & Co Ltd
Profitability
Table 9.5: Financial Results for A Nelson & Co Ltd (£000),
Years Ending 31st December 2006-2008
NeutraHealth PLC
Profitability
Table 9.6: Financial Results for NeutraHealth PLC (£000),
Years Ending 31st December 2006-2008
Table 9.7: Financial Results for Brunel Healthcare Manufacturing Ltd (£000),
31 Weeks Ending 31st December 2008 and Years Ending 31st May 2007 and 2008
New Nordic Ltd
Profitability
Table 9.8: Financial Results for New Nordic Ltd (£000),
Years Ending 31st December 2007-2009
Potters Ltd
Profitability
Table 9.9: Financial Results for Potters Ltd (£000),
Years Ending 31st December 2006-2008
Schwabe Pharma (UK) Ltd
Profitability
Seven Seas Ltd
Profitability
Table 9.10: Financial Results for Seven Seas Ltd (£000 and $000),
Years Ending 31st December 2006-2008
Weleda (UK) Ltd
Profitability
Table 9.11: Financial Results for Weleda (UK) Ltd (£000),
Years Ending 31st December 2007-2009
Other Brands, and Retailers’ Own Labels
AROMATHERAPY OILS
10. The Future
FUTURE TRENDS
The Economy
Population
Table 10.1: Forecast UK Resident Population by Sex (000), Mid-Years 2010-2014
Gross Domestic Product
Table 10.2: Forecast UK Growth in Gross Domestic Product
in Real Terms (%), 2010-2014
Inflation
Table 10.3: Forecast UK Rate of Inflation (%), 2010-2014
Unemployment
Table 10.4: Forecast Actual Number of Unemployed Persons
in the UK (million), 2010-2014
Herbal and Homeopathic Remedies and Aromatherapy Oils
FORECASTS 2010 TO 2014
Table 10.5: The Forecast UK Market For Herbal and Homeopathic Remedies
and Aromatherapy Oils by Value at Current Prices (£m at rsp), 2010-2014
Herbal Remedies
Figure 10.1: The Forecast UK Herbal Remedies Sector
by Value at Current Prices (£m at rsp), 2010-2014
Homeopathic Remedies
Figure 10.2: The Forecast UK Homeopathic Remedies Sector
by Value at Current Prices (£m at rsp), 2010-2014
Aromatherapy Oils
Figure 10.3: The Forecast UK Aromatherapy Oils Sector
by Value at Current Prices (£m at rsp), 2010-2014
11. Further Sources
Associations
Publications
General Sources
Government Sources
Major Manufacturers and Suppliers
Key Note Sources
Understanding TGI Data
Number, Profile, Penetration
Social Grade
Standard Region
- Bee Health Ltd
- Bioforce (UK) Ltd
- Chefaro UK Ltd
- Diomed Developments Ltd
- GR Lane Health Products Ltd
- A Nelson & Co Ltd
- NeutraHealth PLC
- New Nordic Ltd
- Potters Ltd
- Seven Seas Ltd
- Weleda (UK) Ltd
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