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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 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 />

43

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