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Safety, Quality, Efficacy: Regulating Medicines in the UK

Safety, Quality, Efficacy: Regulating Medicines in the UK

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SAFETY, QUALITY, EFFICACY: REGULATING MEDICINES IN THE <strong>UK</strong><br />

Appendix 2<br />

Study Methodology<br />

Work at <strong>the</strong> <strong>Medic<strong>in</strong>es</strong> Control<br />

Agency<br />

We reviewed a wide range of performance data and<br />

management <strong>in</strong>formation, reports by o<strong>the</strong>r auditors and<br />

bus<strong>in</strong>ess plann<strong>in</strong>g documents. Where possible, we<br />

shadowed selected Agency staff at <strong>in</strong>ternal meet<strong>in</strong>gs and<br />

<strong>in</strong>spection visits to laboratories.<br />

Work with Agency stakeholders<br />

We <strong>in</strong>terviewed key stakeholders represent<strong>in</strong>g:<br />

! <strong>in</strong>dustry (Association of British Pharmaceutical<br />

Industry Regulatory Affairs Group; British Association<br />

of Research <strong>Quality</strong> Assurance; Proprietary<br />

Association of Great Brita<strong>in</strong>)<br />

! patients/consumers (Consumers' Association;<br />

Macmillan Cancer Relief; National Patient <strong>Safety</strong><br />

Agency)<br />

! healthcare professionals (British Medical Association;<br />

National Pharmaceutical Association; Royal<br />

Pharmaceutical Society of Great Brita<strong>in</strong>)<br />

! European Commission (European <strong>Medic<strong>in</strong>es</strong><br />

Evaluation Agency)<br />

Survey-based work<br />

In August 2002, we commissioned DOCTORS.net.uk<br />

which obta<strong>in</strong>ed <strong>the</strong> views of a sample of 1220 hospital<br />

and General Practice doctors through an electronic<br />

survey. We sought doctors' views on:<br />

! The Yellow Card Scheme and adverse reaction<br />

report<strong>in</strong>g generally;<br />

! The quality of <strong>in</strong>formation provided to healthcare<br />

professionals by <strong>the</strong> Agency; and<br />

! The quality of patient <strong>in</strong>formation leaflets.<br />

We commissioned Ipsos <strong>UK</strong>'s Capibus service to carry<br />

out a representative public omnibus survey of 2000<br />

members of <strong>the</strong> public aged 15 years or over who used<br />

ei<strong>the</strong>r prescription or over-<strong>the</strong>-counter medic<strong>in</strong>es or<br />

both. We sought <strong>the</strong>ir views on:<br />

! Adverse reaction report<strong>in</strong>g;<br />

! Herbal medic<strong>in</strong>es;<br />

! Patient <strong>in</strong>formation leaflets and packag<strong>in</strong>g of<br />

medic<strong>in</strong>es;<br />

! Medical <strong>in</strong>formation sources; and<br />

! Buy<strong>in</strong>g medic<strong>in</strong>es over <strong>the</strong> <strong>in</strong>ternet.<br />

High-level benchmark<strong>in</strong>g<br />

We compared <strong>the</strong> Agency with equivalent medic<strong>in</strong>es<br />

regulatory authorities through visits to:<br />

! L'Agence Française de Sécurité Sanitaire des<br />

Produits de Santé (France);<br />

! The <strong>Medic<strong>in</strong>es</strong> Evaluation Board Agency (The<br />

Ne<strong>the</strong>rlands);<br />

! The Medical Products Agency (Sweden);<br />

! The Drugs and Therapeutics Division (Canada); and<br />

! The Center for Drug Evaluation at <strong>the</strong> Food and Drug<br />

Adm<strong>in</strong>istration (USA).<br />

These comparisons are set out <strong>in</strong> more detail at<br />

Appendix 9.<br />

appendix two<br />

42

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