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Select Committee on European Union Twentieth Report


PAEDIATRIC MEDICINES: PROPOSED EU REGULATION

CHAPTER 1: INTRODUCTION

1.  This Inquiry examines a Proposal by the European Commission to introduce a Regulation on medicinal products for paediatric use. It was carried out by Sub-Committee G of the European Union Select Committee which deals with Social Policy and Consumer Affairs[1].

WHY ARE WE CARRYING OUT THIS INQUIRY?

2.  We decided to hold this Inquiry because:

  • the European Commission stated[2] that between 50-90% of all medicinal products used in the paediatric population[3] had never been specifically studied or authorised for their use;
  • we were anxious to be sure that the Proposal satisfactorily addressed the ethical considerations involved and that the overriding priority was the protection of the health, welfare and rights of any children involved in paediatric trials;
  • we also wanted to find out whether the Proposals were soundly-based and would work well in practice; and,
  • we saw the need to draw wider Parliamentary and public attention to the significance of this Proposal and what it entailed.

BACKGROUND

3.  On 29 September 2004 the European Commission adopted a Proposal for a Regulation on Medicinal Products for Paediatric Use[4] which was sifted to Sub-Committee G for scrutiny on 16 November 2004.

4.  We gave our initial reactions to the Proposal to the Department of Health on 9 December 2004[5]. The Department did not reply until 11 July 2005[6]. We responded to the Minister on 21 July[7].

5.  At the same time, we also decided to carry out a selective consultation with relevant professional organisations and other interested parties. We hoped this would give us a better understanding of the ethical and practical aspects of the Commission's Proposal, for consideration after the Summer Recess.

6.  We have drawn on the evidence contained in the responses to that consultation,[8] as well as subsequent oral evidence from Professor Sir Cyril Chantler, the Chairman of the Great Ormond Street NHS Trust[9]. The other main sources have been oral evidence and correspondence from the Minister of State and officials at the Department of Health and details provided by the Minister of a consultation on the Proposal carried out by the Medicines and Healthcare Products Regulatory Agency (MHRA). We are very grateful to all those who have assisted this short Inquiry.

7.  Our Inquiry was carried out in this limited way in a very short timescale because we were aware that the Government were very anxious to try to secure political agreement on the Proposal before the end of the UK Presidency of the European Union. Moreover, the independent evidence demonstrated overwhelming support in principle for rapid progress in setting up the arrangements envisaged by the Commission Proposal.

8.  Ideally, we would have preferred to have spent much longer studying this important and potentially sensitive proposal in greater depth. But we are satisfied, on the basis of the evidence we have had, that we have a sufficient understanding of the key issues to justify the Conclusions and Recommendations we make in this Report.


1   The Members of the Sub-Committee and their declared interests are shown at Appendix 1 Back

2   European Commission Staff Working Paper 13880/04 ADD 1 SEC 2004 1144 dated 25 October 2004 Back

3   The European Commission use the term "paediatric population" in much of their documentation related to this Proposal, whereas the Government and other respondents have tended to use the term "children". Article 2 of the draft Regulation defines "paediatric population" as that part of the population aged between birth and 18 years. The Government also confirmed that the Regulation would apply to anyone under the age of 18 years. (QQ 40-41).  Back

4   Commission document reference 13880/04 COM (2004) 599 final dated 25 October 2004 Back

5   p 31 Back

6   pp 32-34 Back

7   pp 34-35 Back

8   The respondents are listed at Appendix 2 Back

9   In the time available it was not possible to arrange for oral evidence to be given by more than one independent professional witness. Professor Chantler readily agreed to assist the Inquiry. Both his written and oral evidence are based not only on his own professional experience, but also on consulting a number of professional colleagues who are mentioned in the evidence. Back


 
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