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Medicines shortages – February 2018

Survey activity on shortages

EAHP is increasingly being asked by different stakeholders if we are planning on publishing new shortages data. Our 2014 Shortages Report is being cited in every presentation given in Brussels on shortages.

Bulgarian Council Presidency

The Bulgarian Council Presidency will focus on the following points:

  • negotiations on the proposal for amendment of the Regulation laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency;
  • proposal for adoption Council Conclusions on healthy diet for children, a key priority of the Presidency;
  • promotion of an active debate on the topic of medicinal products, in order to find solutions to the problems related to the shortage of medicinal products for economic reasons, parallel exports and the need to provide medicines that are proven to be effective and at affordable prices.

The last point is the most interesting for EAHP, since it would give us an opportunity to discuss our views on shortages with Bulgaria. I would suggest to the Board to consider approaching Bulgaria in relation to shortages. It needs to be decided what we would like to achieve with a meeting with the Bulgarian presidency.

Medicines for Europe on shortages

In December 2017, Medicines for Europe organised an event in the European Parliament on “Patient access to medicines: how to prevent medicine shortages?”. The session was chaired by MEP Lieve Wierinck and attended by 1 other MEP (Cristian-SilviuBusoi). MEP Andreas Schwab did not make it in the end. Panellists included Agnès Mathieu (COM), Marc-Alexander Mahl (Medicines for Europe), Ortwin Schulte (Health Attaché, German Permanent Representation), Eddy Gilissen (IQVIA), Vlad Voiculescu (Member of Romanian Health Observatory, Romania), Elfi de Weerdt (PhD medicine shortages, COST member).

Presentation HERE
Agenda HERE
Briefing HERE
Medicines for Europe position paper HERE

Procurement/medicines shortages workshop with Medicines for Europe

On 16th January 2017 the JP and RP met with Medicines for Europe to discuss perspectives on the problem of medicines shortages as related to shortages in generic medicine. Discussion naturally turned to procurement-related shortages, and impacts of certain kinds of generic tendering. A conclusion of the meeting was to explore a further, larger meeting bring together procurement specialist hospital pharmacists and MfE representatives to see if any useful shared conclusions could be drawn for preventing and mitigating shortages in the generic sector. SK picked up on this suggestion. RM provided SK with the contacts of procurement specialist hospital pharmacists after the Congress in Cannes. This information was shared with Medicines for Europe. The responsible policy officer – Catarina Lopes Pereira – requested a meeting with EAHP and Medicines for Europe to discuss the possibility of a “workshop”. A conference call was organised on 14th July 2017. During this meeting EAHP clarified that a “workshop” – if it is discussed – should not be built on the assumption that procurement/ generic tendering is linked to shortages. The “workshop” should rather try to identify causes of shortages and if generic tendering is a cause this could be discussed.

A follow up session in late August 2017/ September 2017 was not organised since Catarina Lopes Pereira did not manage to contact her members in time. SK drafted a concept note for a workshop based on the discussion in July 2017 (concept note is available HERE). AB suggested to discuss this outline as well as the general idea of holding a workshop with Medicines for Europe on shortages with the Board.

HMA/EMA task force

SK briefly spoke to one of the chairs of the task force (Kristin Raudsepp, Director General, Estonian State Agency of Medicines). Ms Raudseep indicated that the task force is currently still “finding” itself. However, the members have already discussed the possibility to reach out to stakeholders. This mainly concerns industry, however she highlighted that the views of hospital pharmacists and other healthcare professionals could also be of importance and consequently be considered by the task force. A concrete timeline for this outreach activity has however not been set yet. Provided that we are planning specific actions in the area of medicines shortages, I would suggested to keep Ms Raudseep informed about them.

COST Action – Medicine Shortages

The COST Head of Science Operations has informed the members of COST Action 15105 on 20th January 2018 that a non-compliance procedure has been triggered (notification email HERE). This procedure concerns the chair of COST Action 15105, Prof Helena Jenzer and the disregard of instructions by COST.

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EAHP Forum

All the EAHP team is working on providing a Forum that can help connect all the members in Conversations and Groups to talk about important matters for the European Hospital Pharmacist.

The Forum will be accessible for all the EAHP members, you don’t have to create a new account to browse and participate.

Conversations and groups

The Conversations will be moderated by our team to provide documents and relevant topics for the community.

The Groups will connect all members that share a category. Members who work on the same assocation, on the same hospital, that have the same role, etc.

Stay tuned for the realase of the forum. Soon on EAHP.