Arrange nationwide registry to seize pharma firm funds to clinicians and affected person assist teams

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Set up national registry to capture pharma company payments to clinicians and patient support groups

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A national registry to record all pharmaceutical / medical device industry payments and other benefits to all clinicians, health organizations and patient support groups should be urgently established in the UK, an editorial in the Drug and Therapeutics Bulletin emphasizes.

The UK government, despite the recommendations of a key review published last July and the support of most organizations representing medical practitioners, has found its way on the matter, according to dtb's assistant editor David Phizackerley.

One of the nine recommendations of the Independent Medicines and Medical Devices Safety Review (IMMDSR) on the preventable harms caused by hormone pregnancy tests, sodium valproate, and pelvic mesh implants, focused on financial links between drug and medical device companies and clinicians, hospitals, and other organizations.

The evidence presented to the review has shown that there is a lack of transparency regarding industry payments / in-kind services and that these links may have implications not only for individual practice but also for the organizations involved in the provision of advice, guidance and support Regulation are involved, he writes.

The review requested that physician registration include a statement of financial and non-financial interests, as well as mandatory reporting of commercial payments to teaching hospitals, research institutions and individual clinicians.

Dtb also raised the issue in February of last year. "This is not a new topic that we and many individuals, magazines and organizations recognize as important and believe that it should be promoted widely," writes the author.

"However, in the UK it is still not easy to find information about the relationship (financial or otherwise) between pharmaceutical and medical device companies, as well as clinicians, healthcare providers and patient support organizations.

"In addition, it is not clear whether patients are made aware when a service is funded, supported or supported by a pharmaceutical or medical device manufacturer," he emphasizes.

Doctors have set up the Sunshine UK website so they can collect their financial and commercial interests. However, it is voluntary and does not cover any other health professional, organization, or service, he says.

Similarly, Disclosure UK, the UK Pharmaceutical Industry Association's database of payments and benefits to healthcare professionals and organizations, "is not comprehensive and has been reported in reports criticized for inadequate information on payments and beneficiaries and the ability for clinicians to opt out his, "he explains.

Several other countries, including the US, France, Portugal and Latvia, have managed to put in place mandatory reporting systems. It is time for Britain to do the same, he says.

"We believe that a national registry should be set up that requires pharmaceutical and medical device manufacturers to report all payments (and other benefits) to all health professionals, health organizations and patient support organizations by law.

"Access to the registry should be made public so that details of counseling, financial interests and sponsorship agreements are easy to find. In addition, healthcare providers should be required to inform patients when they have received support from pharmaceutical and medical device companies," he writes .

And he concludes: "Despite the recognition from the (Department of Health and Social Affairs) that it will consider the issue of the publication of declarations of interest, it has not set a timetable or work program to ensure that this happens."

"This is a missed opportunity to demonstrate more openness and transparency, and one that needs to be corrected quickly. The public has a right to know."

Widespread conflicts of interest between patient advocacy organizations identified in the study

More information:
Editorial: Time for Transparency, Drug and Therapeutics Bulletin, DOI: 10.1136 / dtb.2021.000008

Provided by
British Medical Journal

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Establishment of a national register to record payments by pharmaceutical companies to doctors and patient support groups (2021, April 19)
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