Feedback from Inspection Programme

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1 Feedback from Inspection Programme Wholesale Distribution Conference 8 th February 2017 Darren Scully Health Products Distribution Manager

2

3 Wholesale distribution overview wholesale distribution procure hold supply export quality system Directive 2001/83/EC, Article 1(17) Medicinal Products (Control of Wholesale Distribution) Regulations 2007, Schedule 2, paragraph 5A

4 Wholesale distribution overview return/recall storage receipt pick & pack transport delivered quarantine destruction

5 Wholesale distribution overview investigation CAPA deviation deviation process start process end planned change risk management

6 Wholesale distribution overview

7 Wholesale distribution overview investigation CAPA deviation deviation process start process end risk management

8 Inspection programme risk-based inspection planning New application Full GDP inspection (12-18 months) Full GDP inspection (risk assess) Full GDP inspection risk assess

9 Inspection programme risk-based inspection planning

10 method Target range of companies and products small large medium routine inspection only

11 findings Top 5 areas 2014 Top 5 areas 2017 Chapter 5 Operations Chapter 3 Premises & Equipment Chapter 3 Premises & Equipment Chapter 1 Quality Management Chapter 6 Chapter 1 Chapter 2 Complaints, Returns, Suspected Falsified Medicinal Products and Medicinal Product Recalls Quality Management Personnel Chapter 9 Chapter 5 Chapter 6 Transport Operations Complaints, Returns, Suspected Falsified Medicinal Products and Medicinal Product Recalls

12 chapter 3 premises & equipment practical aspects issues - temperature - segregation - risk-based probe location - handling of excursions - calibration

13 chapter 3 premises & equipment practical aspects - temperature - segregation issues - pending decision (physical or electronic) - not intended for patients (physical)

14 chapter 1 quality management practical aspects issues - deviation documentation - CAPAs & effectiveness - management involvement - investigation - risk management - outcome

15 chapter 1 quality management practical aspects issues - deviation documentation - CAPAs & effectiveness - management involvement - root-cause - correct & prevent

16 chapter 1 quality management practical aspects issues - deviation documentation - CAPAs & effectiveness - management involvement - formal process - effectiveness review

17 chapter 9 transport practical aspects issues - validation - technical agreements - route - temperature management

18 chapter 9 transport practical aspects issues - validation - technical agreements - responsibility - audit

19 chapter 5 - operations practical aspects issues - customer approval - supplier approval - traceability - pharmacy - practitioner - WDA holder

20 chapter 5 - operations practical aspects issues - customer approval - supplier approval - traceability - EEA WDA holder - category of product - periodic checks

21 chapter 5 - operations practical aspects issues - customer approval - supplier approval - traceability - reconciliation - expiry

22 chapter 6 complaints, returns, falsified & recalls practical aspects issues - complaints - returns - recalls - product Vs distribution - investigation - trends

23 chapter 6 complaints, returns, falsified & recalls practical aspects issues - complaints - returns - recalls - disposition justification - falsified medicine?

24 chapter 6 complaints, returns, falsified & recalls practical aspects issues - complaints - returns - recalls - identification of customer - decision to recall

25 Wholesale distribution overview

26 Feedback from Inspection Programme text questions to:

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