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8.5.2.1 Proposed policy statement on sustainable and equitable access to medicines across Europe

Related to January 2014 Board Meeting, agenda item 8.5.2.1

 

Proposed policy statement on sustainable and equitable access to medicines

Public spending austerity measures have placed pressure on the systems of medicines pricing and reimbursement across Europe, with impacts for both patients, and the ability of hospital pharmacists to access the most efficacious medicines on behalf of patients.

Added to this, suggested distortions to external reference pricing due to crisis pricing in some European countries, the growth of health technology assessment as a pricing and reimbursement tool, and the emergence of value based pricing and other innovations (e.g. risk sharing agreements), mean that systems of medicines pricing are in the midst of a period of potentially great change across Europe.

Hospital pharmacists and patients are impacted by these changes, and EAHP is being invited for opinion within the debates taking place in Brussels on this question.

However, without a policy statement covering this area, EAHP does not have a mandate from its member to enter discussions or give opinion on behalf of the profession.

The draft statement (v1) below attempts to address this by making a series of simple points on some of the topics subject to debate, namely:

– putting cost burden directly on to the patient should be avoided

– systems should be more transparent

– generic tendering should be used with care and attention in respect of supply chain impacts

It is very much a first draft, with room for expansion and Board Member views are sought in a number of areas (highlighted in yellow).

[r] indicates where reference material will be added in subsequent drafts.

Policy and Advocacy Officer also suggests a period of pre-consultation with members on a draft in advance of the 1 May deadline for GA papers.

FIRST DRAFT OF EAHP STATEMENT ON MEDICINES PRICING

 

RF comments on first draft here.

 

**Further to this, the PAO would like to discuss with the Board the potential for short statements on antimicrobial resistance, ehealth/mhealth, both areas of Brussels/EU activity and debate where opportunities exist to profile and promote hospital pharmacy roles (antimicrobial stewardship), other areas of interest (e.g. bedside scanning), and worthwhile notes of caution (e.g. the need for elements of regulation within the ehealth agenda, e,g. health apps and sources of online medicines advice). Vaccination is one other similar area.**

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