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 3<br />
Additional detailed<br />
recommendations<br />
On manag<strong>in</strong>g its own resources<br />
and performance<br />
! The Agency should ensure that on its merger it<br />
ma<strong>in</strong>ta<strong>in</strong>s <strong>the</strong> skills and resources needed to manage<br />
effectively <strong>the</strong> risks to deliver<strong>in</strong>g its IT strategy.<br />
On protect<strong>in</strong>g <strong>the</strong> public<br />
The Agency should:<br />
! carry out an assessment of what level of <strong>Medic<strong>in</strong>es</strong><br />
Test<strong>in</strong>g Scheme sampl<strong>in</strong>g is required to protect<br />
public health, whe<strong>the</strong>r above or below <strong>the</strong> current<br />
level, and what resources are required to achieve it;<br />
! implement <strong>the</strong> national rules scheme for<br />
homoeopathics, draw<strong>in</strong>g on lessons learned from<br />
<strong>the</strong> exist<strong>in</strong>g homoeopathic schemes and on<br />
experiences overseas;<br />
! carry out an assessment of <strong>the</strong> risks to public health<br />
from <strong>the</strong> absence of fully effective arrangements for<br />
distribut<strong>in</strong>g safety alerts for medic<strong>in</strong>es on general<br />
sale to <strong>the</strong> public, and work with <strong>in</strong>dustry and<br />
retailers to manage <strong>the</strong>se risks;<br />
! make optimum use of <strong>the</strong> General Practice Research<br />
Database and o<strong>the</strong>r methods to measure rout<strong>in</strong>ely<br />
<strong>the</strong> effectiveness of its regulatory actions and publish<br />
<strong>the</strong> results;<br />
! identify areas where outsourc<strong>in</strong>g of certa<strong>in</strong> research<br />
to academia could supplement or enhance its own<br />
pharmacovigilance activities, and develop l<strong>in</strong>ks to<br />
facilitate this.<br />
The Department should:<br />
On protect<strong>in</strong>g <strong>the</strong> public by<br />
communicat<strong>in</strong>g <strong>in</strong>formation<br />
about medic<strong>in</strong>es<br />
The Agency should:<br />
! ma<strong>in</strong>ta<strong>in</strong>, for example on <strong>the</strong> <strong>in</strong>ternet, a comprehensive<br />
public list of medic<strong>in</strong>es that are licensed,<br />
<strong>in</strong>clud<strong>in</strong>g herbal and homoeopathic products;<br />
! publish <strong>the</strong> responses to external consultations and<br />
<strong>in</strong>dicate how it has responded to <strong>the</strong> po<strong>in</strong>ts raised;<br />
! consult with health professionals about <strong>the</strong> best way<br />
of present<strong>in</strong>g medic<strong>in</strong>es <strong>in</strong>formation and tailor<strong>in</strong>g it<br />
to <strong>the</strong>ir needs, and build this <strong>in</strong>to <strong>the</strong>ir <strong>in</strong>formation<br />
strategy;<br />
! cont<strong>in</strong>ue to work closely with <strong>the</strong> National Patient<br />
<strong>Safety</strong> Agency to ensure that <strong>the</strong>ir respective adverse<br />
event report<strong>in</strong>g systems complement each o<strong>the</strong>r<br />
effectively and avoid any confusion for health<br />
professionals. Information shar<strong>in</strong>g arrangements<br />
should be formalised as soon as possible.<br />
The Department and <strong>the</strong> Agency should:<br />
! ensure that <strong>the</strong> Agency Board and <strong>Medic<strong>in</strong>es</strong> Act<br />
bodies reflect <strong>the</strong> <strong>in</strong>terests of <strong>the</strong> public, through<br />
properly resourced lay representation.<br />
On provid<strong>in</strong>g a service to <strong>in</strong>dustry<br />
! The Agency should consider <strong>in</strong>ternational benchmark<strong>in</strong>g<br />
(both qualitative and quantitative) of its<br />
activities to learn from best practice overseas and<br />
demonstrate its competitiveness to <strong>in</strong>dustry.<br />
! keep under review <strong>the</strong> areas of medic<strong>in</strong>es<br />
development and production which are not<br />
currently regulated and develop strategies as<br />
necessary to manage any risks to public health.<br />
appendix three<br />
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