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The report is available in English with a French summary - KCE

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106 Plasma <strong>KCE</strong> Reports 120<br />

Table 44: <strong>The</strong> Plasma Products Agreement between CSL-Ltd and the<br />

Australian National Blood Authority<br />

Head<strong>in</strong>g Content<br />

Section A: Interpretation and Term Def<strong>in</strong>itions, rules of <strong>in</strong>terpretation<br />

Section B: Relationship Management Relationship between the parties, Contacts and notices,<br />

Management meet<strong>in</strong>gs and reviews, Public Affairs<br />

Management, Variations to the Deed, CSL contracts <strong>with</strong><br />

other Nat. Blood Suppliers<br />

Section C: Products / Services Obligations Prov<strong>is</strong>ion of products (quantity; notice obligations, etc..)<br />

Exclusive right to fractionate plasma, Report<strong>in</strong>g obligations,<br />

Obligations under <strong>The</strong>rapeutic Goods Act, CSL general<br />

obligations (as a manufacturer and where CSL <strong>is</strong> not a<br />

manufacturer)<br />

Product compliance and return,<br />

Performance requirements for goods and services<br />

Section D: Payment Obligations Payments by the NBA, Invoic<strong>in</strong>g obligations, Recovery of<br />

money by the NBA,<br />

Section E: Ownership Issues Possession of products, Intellectual property, Moral rights<br />

Section F: Protection of Information Confidentiality, Data security, Privacy, Conf. of Interest<br />

Section G: Treatment of R<strong>is</strong>ks R<strong>is</strong>k Manag. Warranties, Indemnities, Undertak<strong>in</strong>gs,<br />

Insurance, Supply cont<strong>in</strong>uity plans & options<br />

Section H: Other Requirements of CSL Records, Access to <strong>in</strong>formation & Prem<strong>is</strong>es, Audit.<br />

Section I: Term<strong>in</strong>ation and D<strong>is</strong>putes Term<strong>in</strong>. for default, for change of policy, Handover<br />

obligations, D<strong>is</strong>pute Resolution,<br />

Section J: M<strong>is</strong>cellaneous Assignment (by CSL, by NBA), Execution of separate<br />

documents.<br />

CSL Limited <strong>is</strong> also <strong>in</strong> charge of ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g the National Reserve of plasma products for<br />

the NBA, under a contractual arrangement separate to the PPA.<br />

4.2.2.2 In France<br />

<strong>French</strong> Approach of self-sufficiency<br />

In France, there <strong>is</strong> no official and legal def<strong>in</strong>ition of “self-sufficiency” as such. However, a<br />

general approach of th<strong>is</strong> concept could be def<strong>in</strong>ed as the turnover of LFB (national<br />

fractionator enjoy<strong>in</strong>g the monopoly of EFS plasma fractionation) compared to the total<br />

turnover of fractionators operat<strong>in</strong>g <strong>in</strong> France. One must bear <strong>in</strong> m<strong>in</strong>d that the plasma<br />

product market <strong>is</strong> subject to competition. LFB must therefore compete <strong>with</strong> other firms<br />

(Baxter, Octapharma, etc…).<br />

Consider<strong>in</strong>g th<strong>is</strong> approach, it must be outl<strong>in</strong>ed that LFB meets 75% of the needs of the<br />

<strong>French</strong> market. However, it must be underl<strong>in</strong>ed that LFB corporate objective <strong>is</strong> to be <strong>in</strong><br />

the position to fulfil 100% of these needs <strong>in</strong> 2011 (specific <strong>in</strong>vestments have been<br />

planned accord<strong>in</strong>gly).<br />

Another important po<strong>in</strong>t <strong>is</strong> the very last update of the <strong>French</strong> regulation framework. In<br />

Summer 2009, the new <strong>French</strong> Law on Health Care organization (Loi Hôpital Patients<br />

Santé et Territoire – Loi HPST) officially stated that fulfill<strong>in</strong>g the <strong>French</strong> patients’ needs<br />

must be LFB’s priority (<strong>in</strong> return of its monopoly of EFS plasma fractionation).<br />

Supply of blood and plasma-derived products: the <strong>French</strong> monitor<strong>in</strong>g system<br />

Follow<strong>in</strong>g the shortage of Factor VIII <strong>in</strong> France <strong>in</strong> 2000-2001 (and consequential<br />

problems for haemophilia patients), the <strong>French</strong> Department of Health decided to set up<br />

a long-term monitor<strong>in</strong>g system -National Steer<strong>in</strong>g Committee- to address th<strong>is</strong> specific<br />

k<strong>in</strong>d of problems. <strong>The</strong> latter has been organized s<strong>in</strong>ce 2001 (by means of a Department<br />

of Health’s Circular dated 28 June 2001) under the leadership of the AFSSAPS Agence<br />

França<strong>is</strong>e de Sécurité Sanitaire des Produits de Santé– <strong>French</strong> Agency for the Safety of<br />

Health Products.<br />

Follow<strong>in</strong>g the meet<strong>in</strong>gs of these groups, and depend<strong>in</strong>g on the likelihood of shortage of<br />

plasma derivatives, national official recommendations – <strong>in</strong>clud<strong>in</strong>g priority orders - can be<br />

officially set out and publ<strong>is</strong>hed by the AFSSAPS and to rationalize the use of these<br />

products accord<strong>in</strong>gly (eg: Fibr<strong>in</strong>ogene-derived products <strong>in</strong> December 2008 and the<br />

follow<strong>in</strong>g months).

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