Sustainability report 2019 - Report based on facts from 2018 - Mölnlycke
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CONTENTS Our sustainability approach 2 CEO statement 4 About the company 8 Responsibility for our products 16 Our people 19 Minimising environmental impact 24 Health and safety 32 Corporate Social Responsibility 35 Code of Conduct 37 Anti-bribery and corruption 41 Working with suppliers 42 Managing sustainability risks 43 Our sales offces 45 2
Sustainability report 2018 Our sustainability approach In 2015, countries within the the UN adopted These priorities have also been informed by a set of 17 sustainable development goals materiality assessment reviews, the policy of to be achieved by 2030; national and supra- our owners, Investor AB, requirements from national regulations are also tackling these. EU directives, legal reporting and public tender At the same time, companies and other requirements. organisations, including our customers, are driving sustainability through procurement Report aim, scope and structure practices, by ensuring that the companies The report covers Mölnlycke’s main operations they use take responsibility for their around the world and our market sites people, suppliers, the environment and the between January and December 2018. Our communities where they operate. previous Sustainability Report covered the 2017 calendar year, and our report is issued In today’s world, it’s essential for Mölnlycke annually. to have a sustainable long-term vision – and to constantly monitor and refine our actions We take inspiration from the Global Reporting and strategies to meet the needs of all our Index (GRI) guidelines to structure our report. stakeholders. The content for 2018 has been gathered from different internal specialists and approved by As a healthcare company and a significant our Executive Management Team. We have employer and user of suppliers, we have also carried out analyses of our sustainability chosen to focus on UN sustainable develop- impact, preventative work, and the areas in ment goals ‘#3: ‘Good health and wellbeing which we need to improve. for all’ and #8: ‘Decent work and economic growth’ as we believe that this is where we can We have assurance processes to ensure our create the most value. sustainability reporting is transparent and reliable. Our Executive Management Team have further focused on six strategic priorities, We have set out to be as transparent as we can after assessing how we can create most value in disclosing information. This report intends from a sustainability perspective and after to give readers a picture of our sustainability reviewing, together with internal specialists, approach, performance and risk assessments. where the company and our solutions can have While we are ahead in some areas, we recog- the greatest impact: nise we have work to do in others. • Product quality We will strive to review the scope of our • Minimising environment impact reporting over time to continuously improve • Anti-bribery and corruption our performance – while leveraging the value • Sustainable supply chains and supply chain creation opportunities that a sustainable resilience perspective gives. • Health and safety • People diversity and equality. We encourage feedback from our stakeholders to help us improve our sustainability work as well as to improve the report. If you have any comments or feedback, please email us at: corporate.communication@molnlycke.com 3
CEO statement
Responsibility: towards our customers, our environment and our people We live in a time of global transformation. As people live longer and enjoy higher standards of living, they are demanding more from their healthcare – increasing the pressure on already burdened systems. patient suffering and is expected to have a Our purpose statement positive impact on health economics by freeing Mölnlycke is a world-leading medical up staff time. solutions company. Our purpose is to advance performance in healthcare across the world, Additionally, we are now offering our and we aspire to equip everybody in healthcare customers the haemoglobin spray Granulox®, with solutions to achieve the best outcomes. which by accelerating healing reduces patient suffering. It is also estimated to reduce the cost of treating diabetic foot ulcers by up to 60%. As a world-leading medical solutions company, we have a key responsibility to help providers There are examples within our surgical worldwide meet this demand in a way that’s portfolio too. In particular, Mölnlycke® sustainable over the long term. Through Procedure Trays are recognised for improving advances in wound management and surgical health economic outcomes by reducing solutions and strong clinical evidence to surgery preparation time by 40% and thereby support decision-making, we aim to empower increasing the number of surgeries that can healthcare professionals to deliver better care take place. for more people. Our goal is to increase the overall health economic value of our solutions In a small way, by improving health and health for society while reducing patient suffering. economic outcomes, we believe our work contributes to the UN’s global sustainability Reducing unnecessary cost and goal #3: ‘Good health and wellbeing for all’. suffering Mölnlycke’s investment in solutions to treat Implementing ethical standards chronic wounds demonstrates examples Sustainability is central to our whole business of this. Today foot ulcers and other chronic approach. We aim to be a long-term partner wounds have a higher mortality rate than both in society. That means acting in a socially breast and prostate cancer. responsible and ethical way, not just with our customers and patients, but also towards the Our new wound care product Mepilex® Border environment, our people and the communities Flex, which we launched in 10 markets we serve. worldwide during 2018, promotes undisturbed healing of chronic wounds. This minimises 5
CEO statement We take product responsibility very seriously. constantly evaluate our procedures, looking for We're passionate about developing strong new and better ways to do things. We also seek clinical evidence to back up our solutions – to become more rigorous about measuring and empowering healthcare professionals by following up opportunities for improvement supporting their decision-making. using the most appropriate tools. Our standards are underpinned by rigorous We are investing to improve our production compliance with the laws and regulations and distribution facilities, create efficiencies applicable to the regions where our products and ensure quality for customers and patients. are sold, including the FDA Quality System In 2018, we introduced a new transportation Regulation, and the EU 93/42/EEC and 2007/47 management system, which has optimised our EC Medical Devices Directive, with transition supply chain and flows worldwide. in 2020 to the EU Medical Device Regulation. We also meet key industry standards such as Efficiency is key to our business. We strive the quality management systems ISO 9001, to become more efficient and less wasteful the Medical Device Single Audit Program every year. This also favours our customers, (MDSAP), ISO14001 for environmental as the increasing demand on healthcare management, ISO13485 for medical devices, organisations means they operate in a cost- and Occupational Health and Safety Standard constrained environment. (OHSAS) 18001 for health and safety. Reducing our environmental impact Our Code of Conduct sets out the high As a growing business, we are aware that, standards we expect from ourselves and our to be sustainable, we need to minimise the suppliers. We carry out regular audits of our impact of our activities on the environment. performance to ensure we live up to the spirit We constantly look for ways to reduce our and letter of the Code and follow up if we’ve consumption of materials and resources, fallen short in any area. avoiding waste wherever possible, as well as driving down CO2 emissions from our We have an established whistleblowing hotline transportation network. that our employees can use if they spot bad practice in any of our operations. And if we find We set targets for improvement and, where we incidents, or if incidents are reported, we follow miss them, we investigate the reasons, so that up with appropriate actions. we can implement corrective actions. Continuously improving what we do An example of our progress in this area is that As a responsible company, our goal is to in 2018, we succeeded in increasing the part continuously improve so that we can create of our waste that is recycled or reused from 39 long-term value for all our stakeholders. We percent to 43 percent. It is all small step in the 6
Sustainability report 2018 right direction on our journey to do more with to these causes and have provided volunteers less as a responsible company. for Operation Smile’s surgical missions in developing countries over many years. A responsible employer As an employer, we aim to provide the best I truly believe that sustainability is a core working environment, with safe and fair part of our business approach and key to our working conditions, where we show respect continued success. We are committed to acting for every individual. Our approach relates to in a socially responsible way that benefits the UN’s global sustainability goal #8 ‘Decent customers, patients and society over the long work and economic growth’. We make sure term. that everyone has the chance to develop their potential and give them the pay, working conditions and support they need to improve. And we have quality procedures to ensure that suppliers treat their staff well – which is particularly important in developing countries. In 2019 and beyond, we will continue to focus on increasing diversity throughout the organisation, ensuring that we don’t Richard Twomey discriminate on the basis of race, nationality, religion, age, disability, gender, marital status, Chief Executive Officer sexual orientation, union membership or political affiliation. We will place a particular focus on growing the number of female leaders. Read more in Our people, page 19. Doing more for our communities Our company and our people always strive to do better for the communities we serve. We have made long-term commitments to support our charity partners Operation Smile and DEBRA, which represent some of our core patient groups. During 2018, our efforts resulted in a total donation of USD 180,000 to both charities – from fundraising efforts by colleagues and matched by donations from the company. We also donate products and time 7
About the company Mölnlycke is a world-leading medical products and solutions company. We aspire to equip everybody in healthcare to achieve the best clinical, patient and economic outcomes. Our solutions Our business model Our medical solutions enhance performance in We offer around 20,000 different stock items healthcare – from the hospital to the home. to our customers around the world. While we manufacture the large majority of them, Wound management we buy in raw materials and components. We advance wound healing with wound care We use more than 550 direct suppliers and solutions that are backed by clinical evidence, contract manufacturers. In 2018, there were including dressings with Safetac® and negative over 600,000 deliveries to 15,000 partners pressure wound therapy systems. We also worldwide. provide education and expert support. Commercial We reduce the risk of pressure ulcers with Our Commercial strategy teams map market prevention solutions such as prophylactic and customer needs in order to determine dressings, devices that help healthcare how we can best assist our customers to professionals turn and reposition patients deliver their objectives, and which markets and supporting educational and consultancy and product segments to expand. This work is services. supported by our Research and Development (R&D) function. Our Commercial strategy Surgical solutions function is based at our headquarters (HQ) in We improve safety and efficiency in and around Gothenburg, Sweden. the operating room with surgical procedure trays including surgical instruments. We also Within Commercial, our sales and marketing protect staff and patients from infection with teams are responsible for identifying, targeting surgical drapes, staff clothing, antiseptics and and engaging with our customers around surgical gloves, and provide education and the world. Our global sales and marketing expert support. teams set strategies and are based at our HQ in Gothenburg. Our sales and marketing Our customers operations are carried out with regional setups Our surgical solutions are marketed to in the US, Asia Pacific (APAC) and emerging hospitals and healthcare providers in the markets in Europe, the Middle East, Latin acute sector, while our wound management America and Africa. UK, France, Germany/ and pressure ulcer prevention solutions are Austria and Region North are also managed aimed at both the acute and the community directly. In 2018, there were 38 sales offices healthcare sectors. In many markets, tenders around the world and our products are are used to procure our solutions. We also sell available in over 100 countries. some of our wound management solutions directly to patients through pharmacies. 8
Sustainability report 2018 Our main brands WOUND MANAGEMENT Mepilex®. A wide range of dressings for acute and chronic wounds. Mepitel®. A gentle, effective wound contact layer. Exufber®. A gelling fbre dressing to manage the challenges of highly exuding wounds. Mepilex® Border. Prophylactic dressings for targeted areas of the body such as the sacrum and heel. Mölnlycke® Tortoise™ Turning and positioning system. A support surface making it easier for caregivers to reposition patients and redistribute pressure. Mölnlycke® Z-Flo™ Fluidised positioner. Positioners that conform to the body and remain in place. Mepilex® Border Flex SURGICAL SOLUTIONS BARRIER® staff clothing. A wide range of protective clothing for the safety and comfort of healthcare professionals and patients. BARRIER® drapes. A range of drapes specifcally designed for different types of surgical procedures. Biogel® surgical gloves. For protection and double-gloving, featuring a puncture indication system. Also the preferred choice for ft, feel and comfort. Mölnlycke® surgical instruments. A wide assortment of single-use instruments, including trocars, for minimally invasive surgery. Mölnlycke® Procedure Trays. All the single-use items needed for a specifc surgical intervention, conveniently assembled in a sterile pack to give healthcare professionals a truly customised and complete solution. Hibi® antiseptics. Solutions for preventing infection include Surgical instruments hand hygiene, disinfectant and pre-surgery whole body wash. Research and Development Supply Chain Management, Our R&D team is responsible for developing Manufacturing and Procurement and upgrading our products and solutions Supply Chain Management is responsible for in consultation with our manufacturing, the management of supply planning, inventory procurement, regulatory and commercial planning and replenishment. teams. We also collaborate with external partners to strengthen our in-house R&D We have 15 manufacturing sites around resources. Our R&D function is based at the world: in Belgium, the Czech Republic, our HQ in Gothenburg. Denmark, Finland, Malaysia, Thailand, the United Kingdom and the US. We produce some of the components for our products in-house, such as the hydrophilic polyurethane foam for our wound treatment solutions. We also buy 9
About the company in from around 40 contract manufacturing • five in Europe: Waremme, Belgium; Lyon, suppliers. Our procurement teams support France; South Normanton, UK; Landskrona, our manufacturing team and are responsible Sweden; and Sosnowiec, Poland for the identification and selection of suppliers • one in Asia Pacific: Malaysia. of raw materials, components and services, contract negotiations and supplier relationship Our five European distribution centres serve management. our distribution centres in the US as well as our customers in Westen Europe and Canada, Operations: Distribution, logistics and customers in the rest of the world and our 14 customer care local warehouses. Our two US distribution Our distribution and logistics teams are centres serve our US customers and also responsible for warehousing and distributing house solutions manufactured in the US for our solutions. We distribute both directly non-US markets. to customers and to third parties, such as distributors and logistics partners. We use third-party suppliers to move raw materials, components and finished solutions, Our supply chain is complex. It varies by sea, air and road. We strive to keep the depending on the different products that number of journeys our solutions take are produced, the customers and countries throughout the supply chain to a minimum. delivered to, and the kind of healthcare Where possible, we move goods by sea, but system in the country we are delivering to. as they near their destination, we rely more Finished goods are usually shipped to our eight heavily on road. Very occasionally, we use air distribution centres: freight when customers have an urgent need for our solutions. • two in the US: Anderson, South Carolina; and Sparks, Nevada Our customer care team is responsible for after-sales activities, such as order OUR BUSINESS MODEL INPUTS MANUFACTURING LOGISTICS COMMERCIAL CUSTOMER We buy in raw materials We have 15 manufacturing Finished goods are usually Our sales and marketing Surgical solutions are sold and components from sites around the world. shipped to our distribution teams are responsible to hospitals and healthcare more than 550 direct We also buy in from around centres. We use 3rd-party for identifying, targeting, providers in the acute sector. suppliers and contract 40 contract manufacturing suppliers to move materials and engaging with our Wound management solutions manufacturers. suppliers. and finished goods, by sea, customers. are sold to both acute and air, and road. community health sector. 10
Sustainability report 2018 management, order processing, reverse INVESTOR'S SUSTAINABILITY MODEL logistics, post-sales follow-up, complaints handling and product recall management. INVESTOR'S They also provide customer analytical support SUSTAINABILITY GUIDELINES to our sales and marketing teams. Describe our ten basic expectations, applicable to all our companies Our sustainability model S SO INES PPOR BU T Ownership COMPANY SPECIFIC UN REPORTING TE FOCUS AREAS CRE A I Mölnlycke Health Care AB is a limited liability TIES Our sustainability work Long-term, Are included in the value is included in our Annual responsible and creation plan for each company and was acquired by Investor AB Report, on our website and in the Communication active owner listed core investment and vary depending on each in January 2007. Today, Investor AB owns 99 of progress company's opportunities S RE (UN Global Compact). ST and challenges. UC percent of the company, with the remaining CO D ER ISK S A ND minority share owned by management. CONTINUOUS FOLLOW-UP Through a sustainability questionnaire, we annually monitor our sustainability guidelines, Our sustainability approach and the company specific focus areas are monitored by our analysts on an ongoing basis and reported annually to the Investor Board of Directors. We compile the As a long-term, responsible and active owner, companies' sustainability work in an internal index, to evaluate, monitor and develop our Investor AB sets out sustainability guidelines companies long-term. for their holdings, which we follow. These consist of ten expectations to: • act responsibly and in an ethical manner Our structure, history and • comply with all applicable laws, regulations performance and industry standards Core and support functions • continuously improve social, environmental Our core functions include Commercial, and economic impact Operations and Research and Development. • support and invest in innovation These are backed by a wide range of support • analyse risks, formulate objectives and have functions including Regulatory, Quality adequate processes to manage and monitor Assurance, Environment, Health and Safety, sustainability risks Finance, IT, Legal & Compliance, Human • sign and adhere to the UN Global Compact Resources, Corporate Communications, and its 10 principles as well as the OECD Corporate Strategy and Business guidelines for multinational enterprises Development. • in an appropriate form, transparently report sustainability objectives, risks and progress Additionally, the company has five cross- • encourage and promote diversity functional franchises: Wound care, Operating • have an active dialogue with stakeholders Room (OR) solutions, Antiseptics and Surgical such as suppliers and trading partners Gloves. Additionally, during 2018, Mölnlycke • have a secure and anonymous reporting acquired the German oxygen therapy company channel (helpline) in place. SastoMed, which complements our Wound management offering and adds another franchise, Biologics, to our structure. 11
About the company History Executive Vice President (EVP) Commercial: Mölnlycke was founded in 1849 in Sweden global sales, commercial excellence, EVP as a textile manufacturer and pioneered the Marketing and Wound care: global marketing, industrial manufacture of wound dressings. marketing communications and branding, and Since then, the company has grown through Corporate Social Responsibility (CSR) innovation and acquisition into the global company we are today. EVP Operations and RQA: global end-to-end supply chain process, Mölnlycke Business Our name, Mölnlycke (pronounced ‘Monlicka’), Model (MBM) process, lean standardised reflects the town of Mölnlycke, which grew up manufacturing, procurement, distribution, around the company. We are now based nearby logistics, customer care, quality assurance, in the city of Gothenburg. Environment, Health and Safety (EHS), Quality and Regulatory Affairs Financial performance Our net sales during 2018 were EUR 1,491 EVP Research and Development and MCMA: million. Operating costs amounted to EUR R&D, portfolio management, Medical, Clinical 431 million, employee compensation EUR 345 and Market access (MCMA) million, retained earnings EUR 1,195 million, paid interest EUR 19 million and paid taxes EUR EVP Finance, IT and Business Development: 32 million. EUR 450 million was distributed to finance business partners, finance expertise the owner Investor AB. teams, transactional finance teams, IT and business development There were no financial implications due to climate change activities, nor did the company EVP Legal and Compliance and General receive any direct financial assistance from Counsel: legal affairs, compliance, intellectual governments. property and trademarks Our governance EVP Human Resources and Corporate The board Communications: HR business partners, HR In 2018 the company operated under a ten- expertise teams, working environment and member board of directors, comprising of internal and external corporate communication six independent members, our CEO, one member from Investor AB and two employee EVP Operating Room (OR) Solutions: full representatives. The chairman is one of the organisational responsibility for the product independent board members. In 2018 the areas of Mölnlycke® Procedure Trays, staff board held eleven meetings. clothing and drapes The Executive team When determining the composition of the In 2018, the nine-member Executive team had highest governance body and its committees, day-to-day responsibility for the operational an adequate mix of qualification, gender and parts of the business: nationalities are prioritised. CEO: overall corporate responsibility 12
Sustainability report 2018 Compliance Officer, the EVP Human Resources and the The Global Compliance Committee (GCC) General Counsel. This team decides on what consists of the CEO (chairman of the department is most appropriate to investigate committee), the EVPs and the Chief Compliance and escalate each incident. We investigate Officer. The GCC defines our Compliance reported incidents and take appropriate Programme framework and related principles disciplinary action following defined as promulgated in our Code of Conduct, policies procedures and follow-up measures where and procedures. The GCC is complemented by necessary. regional as well as local affiliate compliance committees. The Compliance committees Our relationships with others promote a compliant culture and maintain the Our stakeholders standard of compliance governance across We define a stakeholder as anyone who has an Mölnlycke. This ensures compliance with all interest in, or interaction with Mölnlycke. We applicable laws and regulations and industry have conducted extensive stakeholder analysis standards where Mölnlycke does business. to define our stakeholders and our obligations to them. Corporate governance In terms of corporate governance, we comply We are committed to doing business in a with Swedish company law. sustainable manner to benefit stakeholders: our customers, consumers, employees, We ensure our employees and shareholders suppliers, authorities, non-governmental have a say in decision-making at the highest organisations (NGOs), the media, and the local level of governance in accordance with Swedish communities where we operate. law. We employ staff to guarantee that we meet all the necessary rules in areas such as We are committed to comply with applicable employment and environmental impact. laws, regulations and standards around the world. The safety of the people who use Dealing with complaints, accusations our products is paramount and we comply and concerns with inter alia, local laws and regulations, There are multiple mechanisms that allow the EU 93/42/EEC and 2007/47 EC Medical employees (who may also be shareholders) Devices Directive as well as other standards to report concerns related to legal, financial, relating to product responsibility. We also set environmental ethical and social issues: the objectives and target our efforts to prevent Compliance Committees, the CSR Panel, our harm to employees and others who come on local Environment, Health and Safety (EHS) to our sites. Our community support approach teams and our global EHS team in Gothenburg. is designed to benefit both communities worldwide and local communities in the places We also deploy a helpline through which where we do business. employees around the world can anonymously report any incidents of corruption, illegal or Strategic partnerships unethical behaviour whenever they occur We have always had strong relationships with in local language. The helpline connects to our suppliers. As a large medtech company, a team consisting of the Chief Compliance we are also in a position to strengthen our 13
About the company innovation offer through external strategic In 2018, we actively engaged in MedTech- agreements. sanctioned and - driven lobbying and public policy activity. Understanding our stakeholders In several of our markets, important stakeholders – such as healthcare organisations, hospital purchasers, healthcare professionals and patients – have high expectations of the environmental, ethical and social standards of their suppliers. We conducted around 10 substantial market research projects during the year – mostly among healthcare professionals – to gain a greater understanding of their needs. At Mölnlycke, we are dedicated not only to living up to, but also to exceeding those expectations. Therefore, we engage in written and oral communication, advisory panels and surveys in order to get a better understanding of issues that are most important so that we can take appropriate action. While we still have some way to go in reaching some of our targets, we are, and always will be, transparent in our reporting. Engaging in public policy We take an active role in promoting good practice within the medical supply and healthcare industries through engagement with public policy. We develop public policy positions and take part in responsible lobbying, principally through our membership of the MedTech Europe, which represents the medical technology industry in the EU. We are also a member of the following trade associations: the Advanced Medical Technology Association (AdvaMed) in the US, the Medical Technology Association of Australia, Canada’s Medical Technology Companies and Swedish Medtech. 14
Sustainability report 2018 Our global footprint 1 global HQ and R&D Gothenburg, Sweden 15 manufacturing sites 36 sales offces countries with sales through distributors 15
Responsibility for our products Mölnlycke provides medical solutions for wound treatment, prevention and for use in surgery. The quality and safety of our products is at the core of our business. Through our process-based quality management system, we constantly analyse and review quality throughout the product life cycle and seek to continuously improve everything we do. • defining roles and responsibilities for each Our quality policy step of the process. Mölnlycke® is a world leading medical solutions company. Our purpose is to advance The systematic approach gives us a high performance in healthcare across the world. level of transparency, allowing us to view and analyse the way we work in detail. This, in turn, Every Mölnlycke employee shares ownership provides a solid foundation for improvements and maintains the effectiveness of our quality and change management. management system, we strive for continuous improvement and maintain and encourage Mölnlycke operates a global quality system an environment which promotes proactive and our sites have complementary local quality change. systems and staff who are responsible for local quality management and compliance. We aspire to equip everyone in healthcare with solutions to achieve the best outcomes Quality – how we monitor through our commitment to patient safety and performance compliance to applicable regulatory and quality To continuously deliver customer requirements. improvements and benefits, we focus on the following: Design controls Our quality management system During R&D, we follow a product development Mölnlycke has established, documented, process to ensure that our ideas not only and implemented a process-based quality meet customers’ needs but also satisfy safety management system as a means of providing standards. All ideas are thoroughly assessed, a structure for maintaining effectiveness and and those that receive positive evaluation initiating continual improvement. The quality continue to the development phase where system is defined and managed as a series of potential design hazards are identified and interlinked processes based on: risks are eliminated or minimised. We conduct clinical trials to test our product solutions • identifying the inputs and outputs required at and follow all applicable regulations and each step in the process standards. We restrict the use of animal testing • determining what activities are needed to get in clinical trials and work actively to develop from input to output alternative test methods. We only test our 16
Sustainability report 2018 products and materials on animals when this is and comply with local laws such as fair required by law. remuneration, minimum age of employees and working hours. We visit suppliers to ensure Quality control that the materials and products we purchase Mölnlycke production facilities operate an from them are being produced in a way that effective quality system including quality provides dignity and respect for workers in the control (QC) processes. The quality teams supply chain. operate under stringent controls, continuously monitor processes and products during the Customer feedback production phase to make sure our products We consider all customer complaints related meet the quality specifications, and proactively to the quality and safety of our products. look for opportunities to improve. We review, evaluate, investigate, and take corrective and preventive actions, where Corrective action and necessary. And we periodically measure preventive action customer satisfaction through surveys to We drive continuous improvements via our make sure we continue to meet customer corrective and preventive action (CAPA) expectations. process. We conduct root cause investigations of any process issues, followed by corrective Post-production surveillance action to resolve the issue and prevent the After product launch, we monitor products problem recurring. through our post-clinical follow-up, product risk management, and post-market sur- Audits veillance processes. We review product use We verify conformance and effectiveness and determine if it meets customer needs and of the quality system and our ability to meet quality standards. We use this feedback and regulatory and quality requirements through the insight it generates to adapt and improve internal and external audits. the product design. Management review Managing our products’ life cycle Mölnlycke management undertakes a review We take a 360-degree approach to product starting at the corporate and executive level manufacture, considering our customers’ and extending through our manufacturing health and safety as well as our environmental sites and distribution centres. We document impact at every stage of the product life cycle. and escalate quality and process issues, as We have internal processes that govern how appropriate. we develop, manufacture and supply our products to minimise risk to users and patients Managing suppliers in accordance with ISO 14971. Our primary suppliers are assessed to ensure they meet our quality requirements. We In production evaluate suppliers and use third-party auditors During implementation, we set up systems to conduct supplier assessments, where for the supply of materials, production and necessary. The suppliers’ manufacturing sites distribution of the product, as well as how we should provide a safe working environment will handle any waste generated. 17
Responsibility for our products The steps in the product development process Promoting industry standards are documented and stored in product data Mölnlycke has a strong track record of helping management. to develop industry standards and awareness. In the 1980s, we worked to establish Eucomed, Labelling and marketing the trade association for medical device The labelling of our products follows regu- manufacturers in the EU. Mölnlycke continues lations applicable to the regions where our to contribute to developing and raising industry products are sold. Our marketing material standards, especially within wound care and undergoes a review process including approval surgical equipment. by our legal and regulatory departments. Certification and compliance Professional sponsorships Our quality, environment, health and safety Sponsorships and interactions with healthcare systems are certified to standards applicable professionals are governed by our Compliance to the products we manufacture. As a global Programme policies and procedures. The medical solutions company, Mölnlycke Corporate Compliance Committee (made up complies with the regulations applicable to the of our Executive team and Chief Compliance regions where our products are sold. Officer), are responsible for approving and implementing the Compliance Programme policies and procedures. OUR CERTIFICATIONS INCLUDE: ISO ISO OHSAS ISO 9001 14001 18001 13485 Quality Environmental Occupational Quality MDSAP Management Management Health and Management Safety System Management Medical Devices 18
People Mölnlycke ensures that all of its employees worldwide have basic human rights with regard to their employment with the company. We also strive to create an environment where our people feel empowered to develop to their full potential, wherever they work. Hotline reports are promptly investigated, and Our policy appropriate corrective action is taken. It is Mölnlycke’s policy to support and respect Overall responsibility for setting appropriate the protection of internationally proclaimed anti-slavery and human trafficking policies sits human rights and make sure that the company with the Global Compliance Committee (GCC). is not complicit in human rights abuses. Human rights – To this end, Mölnlycke is committed in its Our performance 2018 global business practices to the elimination None of our operations were subject to a of all forms of forced or compulsory labour, human rights review or impact assessment. the effective abolition of child labour, and the We conducted human rights training in our elimination of discrimination in respect of high-risk markets, as well as within our employment and occupation. manufacturing, legal, procurement and regulatory teams. Social conditions and human rights We received no report of wrongdoing in 2018 Workers’ rights are set out in our Code of through our helpline. We have dealt with all Conduct and Modern slavery statement: human rights grievances in an appropriate way. • Employment should be freely chosen, and Social conditions – no individual should be subject to forced, Our performance 2018 bonded or compulsory labour. We follow employer regulations and local • No form of child labour under 15 years is laws in all countries. We act as a responsible accepted. employer and have salaries and benefits • Employees should not be prevented from that correspond to market levels. In factories associating freely. where there are unions, we have collective • Working conditions should be safe and bargaining agreements and as applicable by hygienic. country, we have work councils. • Wages and working hours should meet national legal standards. Diversity • Discrimination is prohibited. With almost 8,000 employees spread across the world in a wide variety of jobs, we are a Social conditions and human rights – our diverse, multicultural organisation. We know approach a good mix of employees in a global company To help make sure that human and social rights has different characteristics, experiences, are respected, we have a whistleblowing hotline backgrounds and mindsets. We believe our available to our employees in local languages. diversity enables us to truly understand and 19
Our people deliver what healthcare professionals and Talent development patients need around the world. When we enter Part of our HR strategic focus on Capabilities new markets, we invest in local employees on and Leadership excellence is to identify, all levels, including management, to ensure recognise, develop and promote internal full understanding of local market conditions. talent. During 2018, 60 percent of director This is balanced with the multicultural ambition positions were recruited from inside the of our company to promote a mix of people company, compared to an average 50 percent of different cultures, ages, sexes, religions, in 2017 and 35% in 2016. Developing leaders working patterns, and abilities to facilitate and employees with top class capabilities is innovation and out-of- the-box thinking. In crucial for Mölnlycke to stay competitive in a 2018, women made up 65 percent of our staff, demanding global environment. We have set were strongly represented in our factories and an aspirational target for 70 percent of our performed 45% of our middle-management director level and above positions to be filled roles, however they made up a third of our with internal talent by 2023. This represents senior leaders. We therefore recognised that a healthy ratio of internal versus external we need to take action on gender diversity, recruitments, as there will always be a need particularly at a senior leadership level. During to attract talent from outside Mölnlycke to the year, we launched a gender diversity stay abreast of external market dynamics and charter. Our ambition is for women to make up acquire new capabilities where necessary. 40 percent of our senior leaders (Director level and above) by 2023. Talent acquisition To support our growth and deliver on our Learning and development strategy, Mölnlycke continues to build a To drive our business forward, we have four diverse, multi-cultural global workforce and high-performance behaviours we expect of as the talent market remains competitive and all our employees, and which we use to recruit challenging, we look for new ways to attract and manage them: Customer at heart; Own the the right talent with the right capabilities to our outcome; Appropriate urgency; and Teamwork. business and deliver on the right candidate experience. Leadership capabilities Four leadership capabilities have been During 2018, we prepared to launch our new developed, applicable for all managers of Talent acquisition model in the first quarter of people. These will be used to inform and 2019. We introduced a new careers page in our improve recruitment, training, development website, advertising our vacancies globally and internal promotions for future leaders alongside other widely used recruitment in 2019 and beyond. Our four Leadership channels and where applicants can apply Capabilities are: quickly online as well as complete a candidate profile and create job alerts. This will improve • Set direction our candidate reach and build a talent • Motivate and inspire community for those interested in working for • Be authentic Mölnlycke. Internally it will automate, speed • Develop talent and capabilities up and streamline our overall recruitment and selection process. 20
Sustainability report 2018 We also updated our Employer Value • instructor-led and e-learning courses that Proposition (EVP) to truly represent our relate to employees’ specific jobs such as ambitions as a global employer. In addition, health and safety, sales management and we have introduced a dedicated recruitment product launch training programmes. team working across 24 countries. We have contracted with Korn Ferry Recruitment We train our employees regularly to ensure Process Outsourcing to deliver this specialist that they are aware of our Code of Conduct, our team. They partner with our hiring managers Global Code of Ethics and Integrity and what and HR to deliver the Mölnlycke global talent is required of them. We further invest in those acquisition strategy by sourcing and attracting who have the potential and willingness to do talented people who have the skills we need more by supporting their development through attracting talented people who have the skills global leadership programmes. and capabilities we need. Learning and development – Overall, these new ways of working simplify Our performance 2018 our internal processes; provide greater A total of 93 percent of our employees visibility of our opportunities externally; deliver completed and signed the Code of Conduct the right candidate experience and build our training. Mölnlycke talent community with individuals who are also committed to improving Employee surveys outcomes for healthcare professionals and We perform regular employee surveys patients. to understand the level of engagement employees have with the company and the Learning and development – drivers affecting that engagement. The our approach information collected in the surveys is Our learning philosophy is based on the 70–20– extremely valuable to support the sustainable 10 principle that states learning is gained: development of our company, our culture and our employees. • 70 percent from on-the-job experiences • 20 percent from coaching and feedback In autumn 2018, we conducted a cultural • 10 percent from instructor-led courses or survey among 2,806 white-collar workers e-learning courses. across the globe, and 93 percent of our employees responded. The next survey will Some of the learning available includes: take place in autumn 2019. • mandatory e-learning courses for all Engagement Index employees, covering topics such as our In the 2018 employee survey, we achieved quality and information security policies an Engagement Index (a composite of four • e-learning and instructor-led courses engagement-related questions) of 74 percent. offering training in topics such as IT The global external benchmark for 2018 was knowledge and soft skills 72 percent. 21
Our people People data Female Male Globally, total 7,807 Gender split Employees globally Leaders (Director level and up) Male 2,718 35% Male 94 68% Female 5,089 65% Female 45 32% Total 7,807 100% Total 139 100% Employees Employees Americas Employees Asia/Pacific Europe, Middle East/Africa Male 398 55% Male 1,015 28% Male 1,248 36% Female 320 45% Female 2,584 72% Female 2,212 64% Total 718 100% Total 3,599 100% Total 3,460 100% Leadership diversity Approximately 34 percent (46 of 136) of our most senior leaders (director and above) are women. Mölnlycke Board of Directors, 31 December 2018 0–30 years: 0; 30–50 years: 3; 50+ years: 7 Gunnar Brock, Swedish, M Sharon James, British, F Carolin Jakobsen*, Swedish, F Christer Eriksson, Swedish, M Johan Malmquist, Swedish, M David Valham*, Swedish, M John Hepburn, Canadian, M Karl-Henrik Sundström, Swedish, M Clare Hollingworth, British, F Richard Twomey, British, M * Employee representative on the Board Mölnlycke Executive Management Team, 31 December 2017 0–30 years: 0; 30–50 years: 4; 50+ years: 5 Richard Twomey, British, M Stefan Fristedt, Swedish, M Martin Lexa, German, M Anders Andersson, Swedish, M Kristin Hedlund, Swedish, F Barry McBride, British, M Cathy Dalene, Norwegian, F Eric de Kesel, Belgian, M Gavin Wood, Canadian, M By employment type Blue collar/white collar Americas Asia/Pacific Europe, Middle East/Africa White collar 543 76% White collar 625 18% White collar 1,991 56% Blue collar 175 24% Blue collar 2,892 82% Blue collar 1,579 44% Total 718 100% Total 3,517 100% Total 3,570 100% Permanent/temporary employment Americas Asia/Pacific Europe, Middle East/Africa Permanent 709 98.7% Permanent 3,501 99.5% Permanent 3,056 85.6% Temporary 9 1.3% Temporary 16 0.5% Temporary 514 14.4% Total 718 100% Total 3,517 100% Total 3,570 100% 22
Sustainability report 2018 2,015 By location 1,197 1,020 550 653 541 372 364 157 155 122 99 64 49 48 17 60 44 38 22 26 25 24 23 22 22 19 9 31 9 10 Europe, Middle East/Africa Americas Asia Pacific Europe, Middle East/Africa Americas Czech Republic 1,020 Poland 49 US 653 Finland 550 Norway 26 Brazil 48 Sweden 541 Netherlands 25 Canada 17 Belgium 372 Austria 24 Total employees 718 UK 364 Hungary 23 France 157 Switzerland 22 Asia Pacific Germany 155 Denmark 20 Spain 99 Malaysia 2,015 United Arab Emirates 19 Italy 64 Thailand 1,197 Saudi Arabia 9 China 122 Other 31 Australia 60 Total employees 3,570 Japan 44 Singapore 38 India 22 Republic of Korea 9 By function Other 10 Total employees 3,517 Operations 5,236 5,236 Commercial 1,467 Quality Affairs 360 R&D 238 Finance 220 HR/Communication/Support 134 Information Technology 95 Regulatory Affairs 42 1,467 Legal/Compliance 10 Corporate Strategy & Business Development 5 360 238 220 134 95 42 Total employees 7,807 10 10 For the purpose of this report, the number of employees is our headcount: all employees, including temporary employees, with an employment contract with Mölnlycke, who are also paid through the company pay-roll. 23
Minimising environmental impact Managing the environmental impact of what we do is a high priority for Mölnlycke. We continuously work to prevent harm to the environment by adopting and implementing best practice through our supply chain. As a result of this, we have a global ISO14001 certifcation for environmental management since 2002. We continuously monitor our environmental performance and compliance with relevant laws and regulations wherever we operate. Environmental management – Our policy our approach We want our business to be conducted in Environmental management is a core part a long-term sustainable way. In the short of our corporate management system. At a and long term, we take responsibility for global level, we develop strategies, policies protection of the environment from impact and and objectives to ensure fulfilment of our pollution caused by our activities, products compliance obligations and continuous and services. We contribute to sustainable improvement. At a local level, all of our development by: sites are responsible for complying with environmental legislation, implementing • our commitment to fulfilment of compliance our Sustainability policy and meeting obligations our environmental objectives. We have • conducting our business activities to systems and procedures in place to monitor minimise our impact on the planet and performance against environmental targets its natural resources. We strive for at all of our manufacturing sites and certified continuous reduction of the environmental offices. impact caused by our business through setting and continuously monitoring Climate impact suitable environmental objectives. We use We are firmly committed to reducing climate environmental resources as effectively impact. To achieve this, we are actively working as possible and strive to minimise use of to reduce air freight, to optimise the fill rate substances and materials that are harmful of trucks and to optimise transport routes to humans and our environment and deliveries to our customers, so fewer • securing our company's future and business product transport journeys are needed. In position in the best way by taking into collaboration with our transportation partners, account our stakeholders’ expectations and we measure climate impact from transport requirements of raw materials to factories, goods travelling • striving for continuous improvement of our between factories, and finished goods going to environmental performance, maintaining our warehouses. and encouraging an environmental management system which promotes We have included energy in our measurement proactive change. of climate impact and are working on expanding it further. 24
Sustainability report 2018 Energy consumption However, the primary purpose of our We measure and monitor our consumption products is to heal wounds, prevent medical of energy. Some of the processes required conditions, or enable improved results in the to produce high-quality, sterile medical and operating room. We can never endanger the surgical products are energy-intensive and we health outcomes of patients only to minimise are constantly evaluating how we can make environmental impact. For example, the these processes more energy efficient. process we use to sterilise our products may lead to small increases in our use of chemicals Waste management and electricity – but it is essential to guarantee We seek to use materials more efficiently to patient safety. This means that we have to be reduce the amount of potentially harmful waste cautious but also curious when looking at new we generate. This includes reviewing the type chemicals, materials or products. and quality of materials we source as well as the way we make and package our finished How we assess new materials and goods. chemicals We comply with the EU regulations and Since the majority of our products are single- directives that apply to our products, such use and must be burnt to prevent the spread of as REACH – Registration, Evaluation, infections and bacteria, it is often not possible Authorisation and Restriction of Chemicals, for our clients to recycle the used products. Restriction of Hazardous Substances (RoHS), We are, however, committed to good recycling and the Waste Electrical and Electronic practices in our factories and have targets and Equipment (WEEE) directive. During product actions in place to reduce waste. development, we categorise raw materials according to potential harm to the environment We also recommend that our customers and we strive to minimise or substitute the recycle packaging materials such as plastics, ones that are potentially hazardous. All our cardboard and corrugated board. We take factories continuously monitor the amount responsibility for waste from our electrical of chemicals used on site to minimise their products, such as negative pressure wound consumption. treatments, and have systems in place for the collection of waste electronics and used Water consumption batteries. We continuously strive to reduce the amount of fresh water we use for our production Materials and chemicals processes. We strive to remove potentially hazardous chemicals from our manufacturing processes and products, and replace them with equally effective, but less harmful solutions. We systematically strive to minimise the environmental impact of our products. 25
Minimising environmental impact Our environmental management level, throughout the organisation, to the system manufacturing sites. We document and Mölnlycke has established, documented, and escalate identified issues, as appropriate. implemented a process-based environmental management system which is integrated In production with our quality management system. This The environmental performance is frequently system provides a structure for maintaining followed up and discussed in our factories. For effectiveness, continuous proactive change example, we conduct regularly inspections and improvement. Mölnlycke operates a high- of all our manufacturing sites, we discuss level management system at a global level and, environmental issues in different forums, we in addition, our operational sites also have local measure environment-related parameters in systems established. the factories and ensures our environmental protection equipment is sufficient. Environment – How we monitor and improve our performance Reporting To continuously improve our environmental Our environmental performance is monitored performance, we focus on: systematically and measured at our manufacturing sites, distribution centres Corrective action and preventive action operated by us and certified offices. The results We drive continuous improvement through are presented in a global report and evaluated our corrective and preventive action (CAPA) with regard to set objectives and targets. process. We conduct root cause investigations of any process issues, followed by corrective Training actions to resolve the issue and prevent the We have programs of regular and ad-hoc problem recurring. environmental training courses for employees, subcontractors and visitors at our sites. Accident investigation We conduct root cause investigations of all Certification and compliance environment-related accidents at our sites, As a global company, Mölnlycke complies followed by corrective actions to resolve root with local regulations as well as relevant causes and prevent them from happening global frameworks. Mölnlycke is globally again. Experiences from accidents are shared certified for fulfilling ISO14001:2015 standard between our sites in the global EHS team. requirements. Audits Legal compliance We carry out internal and external audits to We have policies, processes and procedures to verify the effectiveness of our environmental assure legal compliance. management system and our ability to fulfil compliance obligations. Management review Mölnlycke’s management conducts reviews of our environmental performance regularly, starting at the executive management 26
Sustainability report 2018 Environment – Our objectives • Reduce emissions from product transport During 2018 we set ourselves six objectives: related carbon dioxide by working internally and with our external partners to drive • No legal proceedings for environmental efficiency throughout the entire supply chain related issues • Strive to remove hazardous chemicals • No accidents resulting in external from all areas of the business and replace environmental pollution them with chemicals less hazardous to the • Improve utilisation of working materials, environment thereby continuously reducing • Get all relevant manufacturing sites certified manufacturing waste, manufacturing for ISO 14001 by end 2019 emissions harmful to the atmosphere, water or land and use of environmental resources How we performed: Climate impact Target 2018 to changes at our manufacturing sites, particu- To reduce CO2 from product-related transpor- larly the start up of our new factory in Havirov. tation by 2 percent in relation to the produced weight of finished goods CLIMATE IMPACT FROM TRANSPORTS Our performance 2018 0.4 0.2 0.3 0.5 0.0 0.6 0.1 Climate impact from transports 2018 0.39 CO2 emissions from transportation increased 2017 0.37 by 3% in 2018 to 22,177 tons. This was mainly due to a temporary increase in the use of air CO2e (ton) per produced ton of finished product freight, as shown in the table below. Improvements begun at our distribution Transport method 2018 2017 Diff [ton] Diff [%] centres in 2018 will help to reduce transport- Air 1,050 469 581 124% related emissions in the coming years. These Boat 9,668 9,782 -114 -1% include: Truck 11,459 11,216 243 2% • Switching from truck to intermodal rail and motor transport between our distribution We used air freight as a fall back because of centres in Waremme, Belgium and temporary capacity problems at some of our Landskrona, Sweden. This has already key suppliers. We have now resolved these is- resulted in a truck related product transport sues and expect air freight to be reduced again CO2e saving of 60%. Since the metric does in 2019. Emissions from truck transportation not yet include outbound logistics from also increased slightly over 2017. This was due distribution centers, this is not reflected in the target outcome for 2018. 27
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