In the United Kingdom, the Licensing Authority responsible for medicines for human use consists of ministers, including the Secretary of State for Health.
Spontaneous
Reporting - UK
INTRODUCTION
In
the United Kingdom, the Licensing Authority responsible for medicines for human
use consists of ministers, including the Secretary of State for Health. The
Authority’s executive function in the control of medicines is performed on a
day-to-day basis by the UK Medicines and Healthcare products Regula-tory Agency
(MHRA). The MHRA was formed on 1 April 2003 from a merger of the Medicines
Control Agency (MCA), previously responsible for monitor-ing the safety,
quality and efficacy of medicines, and the Medical Devices Agency (MDA). The
Agency’s primary objective is to safeguard public health by ensuring that
medicines, healthcare products and medical equipment on the UK market meet
appro-priate standards of safety, quality, performance and effectiveness, and
are used safely.
While
the quality and efficacy of a medicine are fairly well defined at the time of
licensing, the clini-cal trials conducted in support of a licence application
can only provide limited data on a medicine’s safety profile; the safety
profile of a medicine in normal clin-ical use can only be fully assessed after
it has been marketed. The Vigilance and Risk Management of Medicines of the
MHRA is responsible for monitoring the safety of all licensed medicines in the
United Kingdom, in order to identify and investigate possible hazards and take
appropriate action to minimise the risks and maximise the benefits to users,
thus protecting public health. Although data from a wide range of sources are
used (Waller, Coulson and Wood, 1996), it is the UK’s spontaneous reporting
Scheme (commonly known as the ‘Yellow Card Scheme’) that is the cornerstone of
the monitoring process.
The
aim of this chapter is to inform the reader about the past, present and future
of the Yellow Card Scheme. First, the background to the Yellow Card Scheme
since its introduction in the 1960s is outlined, including examples of the
safety hazards identified from spontaneous reporting, and some of the problems
faced by the Scheme in past years. Secondly, we describe some of the recent
initiatives implemented in order to tackle these problems, focusing on areas
such as widening the reporting base, facilitation of reporting and optimising
the use of the data as a research tool. Finally, we outline some of the
possible future directions for the Yellow Card Scheme that are intended to
allow it to continue to fulfil its key role in pharmacovigilance in the years
to come.
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