Without internal alignment, pharma cannot serve its most important stakeholders as they now expect to be served in today’s multichannel, on-demand engagement landscape.
This is an ambitious undertaking from companies that are only now dismantling the legacy silos that prevented true internal collaboration and it is one that must begin by aligning everyone around a common goal.
Current operational silos cannot serve customers as they now expect, says Konrad Dobschuetz, Head of Digital Innovation, Customer Solutions and BIOME Lead UK at Novartis. “It's not working the way it's set up right now, it's just not working.”
Defining and coalescing around the correct task or problem to be solved is a vital first step to working well collaboratively, says Dobschuetz. “If you define your problem well, your solution is just one step away. Definition is at the heart of everything.”
So, before cross-functional teams are let loose, it’s necessary to step back and look at how customers operate, what their lives look like and what they need from the business. Getting into HCPs’ heads in this way is important, says Paul Dixey, External Consultant, Global Digital Lead, Commercial Operations, Tillotts Pharma, “to understand the real life of our customers, not where they are in deciding whether to prescribe our drug or not.”
The non-fiction book and resulting British TV series This is going to hurt, about the unvarnished experiences of an NHS doctor, is a good example of the kind of insights that pharma should be looking for, rather than a narrow view of their prescribing behaviour.
“That's the real life of one of our clinicians, getting up in the morning, the car doesn't work, getting into the hospital, nothing works. The administrators are giving them a hard time. They're trying to keep a relationship in place,” says Dixey.
“Understanding that and what we can do to help them in their real life and what products and services can help them provide better care for the patient. It's not: ‘where do you prescribe this particular drug in comparison with others’? It's actually, ‘how can do you get home on time and try and keep your relationship alive?’ That's the real life of our customers.”
Gaining insights into what patients need and the context in which they experience care and treatment matters too. Digitally savvy patients can have an impact on a launch and so should now be seen as key external partners that cross-functional teams should be engaging with, says Parveen Jayia, Therapy Area Head, Breast & Gynaecological Cancers, AstraZeneca.
“They want to work with you, but they don't know how to work with you. It's a great opportunity. Let’s explore those opportunities and those different channels. There are new patient charities popping up all the time and they're becoming more and more active.”
How to do this is a challenge since it’s clear that existing insight-gathering methods are no longer sufficient. The industry needs new approaches and part of the answer will lie in collecting insights from truly diverse samples of patient and HCP populations.
Establishing true diversity in external stakeholder interactions in this way is important to truly understanding the needs of all, not just a small subset of them. A good example of where current approaches fail is advisory boards that convene repeatedly with the same individuals, says Dobschuetz. “We get the same insights from the same people and they just like to talk to us. We need to break that mould to reflect the true nature of society.”
As well as broader advisory board representation, it is also useful to capture a representative sample of voices in other ways, such as via social listening and voice-of-the-customer surveys, adds Dobschuetz.
There is then a job to do to put these insights into context by mapping out groupings of customers and their needs, says Dixey. “We need our market research team, or a business insights analytics team, to really help us understand our customers with behavioural segmentation or personas.”
Having gathered these insights and attained clarity on the mission, it is then possible to work out how to help internal teams work to meet it effectively cross functionally.
This includes: