Safety, Quality, Efficacy: Regulating Medicines in the UK
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 />
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