Strategic Plan 2021 2025 - Delivering for patients through collaborative health product regulation - HPRA
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Introduction This Strategic Plan sets out our ambition for Scientific and technological innovation has the next five years to deliver better outcomes accelerated dramatically in recent years with for people and animals through value-driven advances in personalised medicines, convergence of regulation and partnerships. health products with digital information, and novel manufacturing technologies. Innovative products Building on our partnerships with others is a key can greatly improve patient outcomes but may pose theme of this five-year strategy. The twin challenges challenges to the current regulatory system as well as of Brexit and Covid-19 have demonstrated the need create the need for appropriate supports. Working for, and value of, working collaboratively across together with European and international partners, Europe and internationally, with the health system in we will contribute to more timely and consistent Ireland, and with patients and the public. Working approaches to regulating innovative products. We with national agencies, professional bodies and will also need to develop the necessary expertise to patient groups can help us regulate more effectively regulate effectively in a digitised environment. taking into account the needs of the health system, while our input into relevant parts of the system can The Strategy has been developed in a highly influence the safe use of health products in clinical collaborative way, involving all staff and the practice. The pandemic has also highlighted the members of the Authority and the statutory advisory importance of the interconnectedness of the health committees. A public consultation provided of people, animals, plants and the environment, feedback from many stakeholders to help guide the known as the One Health concept. development of the plan. We would like to thank all those who took the time and effort to make Patients are the users of medicines, devices and submissions which have been taken into account in health products and our most important stakeholder the preparation of this plan. group. Regulators are increasingly mindful that the views of the public and patients must be Implementation will require a high level of incorporated into the regulatory process. While we commitment and effort from everyone, enabled have taken forward specific initiatives over recent by continuing development of our people, ways of years, we are committed through this plan to working and a digital transformation programme. building greater engagement with patients which we Key targets will be included in the Performance believe will contribute to broader-based and better- Delivery Agreement with the Department of Health. informed regulatory decisions. Detailed activities will be planned and delivered through the annual business planning cycle, and Major legislative changes will occur over the next five implementation monitored through reporting to years, with the implementation of EU Regulations senior management and the Authority. on clinical trials, veterinary medicines, medical devices and in-vitro diagnostics, and each Regulation We look forward to working with the Authority, will impact significantly on the operation of the the advisory committee members and our staff relevant regulatory system. For the HPRA, these in delivering on this strategy in a time of some constitute major projects which require contribution uncertainty but great potential for enhancing the to national legislation, extensive engagement with value of health product regulation for people, all stakeholders, and development of information animals and the healthcare system. resources for those affected by the legislation. We are living in a time in which public demand for information is increasing, and numerous, sometimes unreliable, information sources exist. Conflicting information and multiple channels of communication can undermine the critical Ann Horan Lorraine Nolan importance of the regulatory system. We will Chairperson Chief executive maintain a focus on increasing understanding of the work we do, being transparent around decision- making, communicating via suitable channels in a timely manner, and identifying and appropriately managing emerging risks. 2 HPRA Strategic Plan 2021 – 2025
What we regulate How we regulate Human We inspect companies and medicines facilities which test, make or distribute health products to ensure that they comply Veterinary with relevant standards and medicines legislation Medical devices for human use We grant licences to companies to make, Clinical distribute and market trials medicines after a review of their safety, quality and effectiveness Blood and blood components Human tissues We continuously monitor and cells medicines, medical devices and other health products, Human organs for responding quickly to any transplantation safety or quality concerns Controlled substances We produce safety and quality information to Cosmetics support the safe use of health products The use of animals for scientific purposes HPRA Strategic Plan 2021 – 2025 3
Our mission, vision and values Our mission We regulate medicines and devices for the benefit of people and animals Excellence in health product Our vision regulation through science, collaboration and innovation Patient focused Collaboration Excellence We put the interests of We work with others We work to the highest those who use health in partnership, respect personal, professional Our values products first and trust and scientific standards Integrity Inclusion Innovation We are independent, We believe in the power We continually learn, transparent and of diversity, where adapt and improve accountable everyone is equal 4 HPRA Strategic Plan 2021 – 2025
Our strategy Delivering for patients through collaborative health product regulation Goal 1 Goal 2 Goal 3 Goal 4 Our goals Health system Progressive Communication Enabling partnerships regulation and engagement innovation Strengthening Increasing our use of Improving Enhancing our our proportionate and our models of supports for collaborations adaptive approaches engagement innovation from across all areas of for better patient to strengthen discovery through the health system outcomes public trust and to regulatory confidence approval Address current and Maximise the Engage with Promote an emerging public opportunity stakeholders to agile approach health challenges presented by drive improvements to appropriate and priorities new legislation to in regulatory regulation of enhance regulation activities innovations Enhance the role of health products Where our focus will be of the HPRA as Strengthen Contribute to Irish a partner and Strengthen use trust in the research through contributor within of risk based regulatory system outreach and the health system, approaches to through greater engagement to optimise safe regulation transparency and and effective use of clarity Prioritise areas health products Respond to the of innovation for globalised industry Further develop organisational Enhance national and markets information development systems to better resources and regulate animal communication health products and platforms scientific animal use Goal 5 What we need to do to succeed Great people, great processes Developing our organisation and people to successfully achieve our goals Develop and empower our people to achieve and succeed Improve organisation effectiveness through extended and enhanced use of digital technologies Create better ways of working for the organisation, its stakeholders and the environment Ensure financial stability and capacity to meet the future needs of the organisation HPRA Strategic Plan 2021 – 2025 5
Goal 1 Health system partnerships Strengthening our collaborations across all areas of the health system
Goal 1: Health system partnerships Strengthening our collaborations across all areas of the health system Objectives Specific actions Outcomes 1.1 Address Improve preparedness for significant Formalised mechanisms and systems with current and change, threats and crises impacting in regulatory and health system partners emerging health product regulation and availability. provide greater responsiveness, continuity public health and resilience. challenges and Collaborate with government, the health The impact of Brexit on availability of health priorities system and other stakeholders to manage products is minimised and measures are in the regulation and availability of health place that strengthen integration with other products post Brexit. European markets. Collaborate nationally and internationally Covid-19 diagnostics, therapeutics and on the regulation and surveillance of vaccines used in Ireland are robustly medicines, medical devices, diagnostics regulated and monitored, with up-to-date and vaccines for Covid-19. information provided to all stakeholders. Contribute to One Health initiatives Improved understanding of wider impacts including antimicrobial resistance and of health products, and actions taken to impacts of health products on the reduce adverse effects. environment. 1.2 Enhance Strengthen systems for exchange of Better quality and diversity of data enhance the role of information and reporting on health monitoring and surveillance over the the HPRA as products between health system partners, lifecycle of a health product. a partner and healthcare professionals, members of the public and the HPRA. contributor within the Leverage collaborative efforts to promote Engagement across stakeholders enables health system, and support system-wide responses to cohesive and coordinated responses to to optimise important health product issues. important health product issues. safe and effective use Enhance understanding of how important Approaches developed to evaluate the of health regulatory action is best embedded impact and effectiveness of significant products and implemented into clinical practice regulatory action at national level. nationally. Contribute to the implementation of the Health system developments informed and Sláintecare programme for healthcare enhanced by regulatory requirements for delivery. health products. Support the continued development of the Clinical researchers have access to clinical research infrastructure in Ireland. integrated supports and a streamlined system for clinical study approvals. 1.3 Enhance Embed the application of 3R principles in Projects and clinical trials conducted in national animal-based research in Ireland. Ireland meet international best practice in systems to 3Rs. better regulate animal health Strengthen the pharmacovigilance system The pharmacovigilance system is more through new methods and tools for responsive and effective, with increased products promotion and analysis of reports and reporting by healthcare professionals and and scientific dissemination of safety information to animal owners. animal use healthcare professionals and animal owners. HPRA Strategic Plan 2021 – 2025 7
Goal 2 Progressive regulation Increasing our use of proportionate and adaptive approaches for better patient outcomes
Goal 2: Progressive regulation Increasing our use of proportionate and adaptive approaches for better patient outcomes Objectives Specific actions Outcomes 2.1 Maximise Develop stakeholder partnerships to Implementation delivers value to all the support implementation of new legislation stakeholders, reduces regulatory burden opportunity for medical devices, clinical trials and where appropriate, while ensuring presented by veterinary medicines. protection for the users of health products. new legislation Promote European network approaches, Strengthened cooperation across the to enhance expertise development and mutual EU regulatory network with measurable regulation reliance among regulators in line with new impacts. of health requirements. products Influence the development of national Gaps in regulatory approaches and areas legislation to enhance standards and not covered by regulation identified and regulation. actioned. 2.2 Strengthen Further develop internal capabilities to Increased organisational competency use of identify areas of risk through greater use of in risk and risk management principles. risk based intelligence sources. Intelligence sources identified for proactive approaches to management of emerging risks. regulation Adapt assessment, compliance monitoring Risk-based strategies increase use of and enforcement approaches in line with proactive approaches, and reduce the level identified risks. of non-compliance. Enhance focus on lifecycle management in Demonstrated use of data-driven, risk- our regulatory approach. adaptive approaches to support regulatory decisions pre and post approval. 2.3 Respond to Promote greater use of mutual reliance Demonstrated influence on the European the globalised among global regulators. and international networks’ strategic industry and objectives on mutual reliance. markets Drive the development of greater Active participation and contribution in international convergence and relevant international committees and harmonisation on regulatory standards. projects. Promote greater communication of risk Demonstrated influence on the and intelligence sharing among global establishment of infrastructure to support regulators. intelligence sharing among global regulators. HPRA Strategic Plan 2021 – 2025 9
Goal 3 Communication and engagement Improving our models of engagement to strengthen public trust and confidence
Goal 3: Communication and engagement Improving our models of engagement to strengthen public trust and confidence Objectives Specific actions Outcomes 3.1 Engage Develop new engagement and Stakeholder analysis is regularly conducted, with communications strategies in consultation their views are valued and taken into stakeholders with stakeholders. account across corporate and regulatory to drive activities. improvements Use the voices of patients and the public to Demonstrable proactive partnership model in regulatory inform our regulatory and safety monitoring based on listening, understanding and activities programmes. communicating with the public. Establish a greater level of ongoing Engagement with healthcare professionals engagement with healthcare professionals contributes to greater patient safety and and their representative bodies. optimal use of health products. 3.2 Strengthen Promote awareness and understanding of Greater public profile of the agency and trust in the the HPRA’s role in protecting the health of perception of trust in health product regulatory people and animals. regulation. system through Increase proactive publishing of clear, Additional information and data sets relevant and understandable information. published, with greater transparency greater around the evaluation process. transparency and clarity Incorporate current best practices in Improved ability to communicate in clear communicating science and risk. terms with the recipient in mind. 3.3 Further Develop our website as a key Communications with stakeholders develop communication tool for interacting with integrated into organisational processes. information stakeholders and an authoritative source of Timely website content in plain language, resources and reliable regulatory information. accessible in formats appropriate to the different stakeholder groups. communication platforms Increase use of social media and other Increased reach and diversity of content communication methods including across different audiences and channels, traditional and non-media where supporting key safety messaging. appropriate. Contribute to educational programmes for A range of resources is available for key target groups. patients, and for healthcare professionals and researchers at relevant points in their careers. HPRA Strategic Plan 2021 – 2025 11
Goal 4 Enabling innovation Enhancing our supports for innovation from discovery through to regulatory approval
Goal 4: Enabling innovation Enhancing our supports for innovation from discovery through to regulatory approval Objectives Specific actions Outcomes 4.1 Promote an Actively contribute to EU and international The regulatory system is well positioned agile approach horizon-scanning initiatives. to respond to the dynamic life sciences to appropriate environment. regulation of Support regulatory science tools and Novel therapies and technologies are innovations approaches that effectively respond to effectively regulated while facilitating safe scientific and technological innovation. and timely access. Promote cooperation and integration Regulatory standards and guidance provide between regulatory networks and for consistent and integrated evaluation of frameworks to facilitate harmonisation and borderline/combination products. avoid duplication. 4.2 Contribute Work with national partners to use existing Established mechanisms in place for to Irish networks to raise awareness of regulatory systematic outreach to relevant research research supports among Irish life sciences communities. through researchers. outreach and Provide advice and guidance for researchers Regular use by researchers of regulatory engagement that can be accessed throughout the and scientific advice provided by the HPRA development cycle. or the European regulatory system. Engage with Irish researchers and Input from researchers informs the developers to identify mechanisms and development of new or improved support initiatives that facilitate the regulatory supports. Irish researchers translation of research into clinical practice. participate in initiatives aimed at this sector. 4.3 Prioritise Develop and implement a strategy that A programme of activities for competence areas of identifies key areas of innovation for development in focus areas relevant to innovation for organisational specialisation. patients, the research community and the organisational life sciences sector in Ireland. development Develop knowledge and skills to regulate Capabilities contribute to and keep pace in a digitised environment encompassing with the advances in digitisation in the regulatory processes, products, regulatory environment. manufacturing, wholesaling, and healthcare delivery. Engage with EU regulatory network to Increased levels of advice provided within maximise contribution of key expertise. areas of specific expertise. HPRA Strategic Plan 2021 – 2025 13
Goal 5 Great people, great processes Developing our organisation and people to successfully achieve our goals
Goal 5: Great people, great processes Developing our organisation and people to successfully achieve our goals Objectives Specific actions Outcomes 5.1 Develop Design and implement a new people An organisation-wide strategy based on and empower strategy. developing the skills and competencies our people to needed to ensure a resilient, evolving achieve and workplace. succeed An enhanced employee experience and wellbeing at work. Values based, purposeful working. Define key areas of expertise and future Agreed development pathways to access skills needs. key skills, e.g. training programmes, recruitment, contract workers. Enhance leadership capability to manage A resilient organisation, flexible, responsive the organisation through change and and adaptable to meet emerging growth. challenges. 5.2 Improve Consolidate case management onto a Streamlined operational processes organisation single, optimised platform. Enhance data and analytics. Reduced complexity of effectiveness quality and decision support capabilities. technology environment. through Extend digital integration with stakeholders, Enhanced engagement with stakeholders extended and providing integration with core applications. and contribution to the national health enhanced system. Improved integration with the use of digital European regulatory network. technologies Improve performance and resilience of Improved technology risk profile and the technology infrastructure. Enhance the enhanced operational flexibility. Reduced security of the digital infrastructure. risk of cyber intrusion or data loss. 5.3 Create Define the optimal organisational design to A sustainable organisational structure better ways support delivery of our remit now and into underpinned by a robust succession plan of working the future. and people strategy. for the Develop models of working that meet the Flexible approaches to support organisation, changing environment and future of work. performance and productivity conducive to its an adaptive model of working. stakeholders and the Improve cross-organisational Balanced resource utilisation, consistency of environment methodologies for better management of processes, and enhanced use of expertise capacity and organisational performance. across different functional areas. Continue to take actions that sustain more Government targets for public sector environmentally friendly practices. energy efficiency are met, staff encouraged to reduce their own energy usage and CO2 emissions, and goods purchased reflect environmental considerations where possible. Ensure ongoing compliance with the public Equality of opportunity and treatment sector equality and human rights duty. for staff, stakeholders and those we communicate and interact with. HPRA Strategic Plan 2021 – 2025 15
Goal 5 Objectives Specific actions Outcomes 5.4 Ensure Update financial and fee modelling to take Stable financial systems allowing financial account of the changing environment for management of the organisation in a stability and the organisation and for regulated sectors. steady state and with ongoing changes in capacity the external environment. to meet the future Conduct a structured review of the use of Sustainable and efficient use of resources needs of the the infrastructure and utilisation plans to including the building. organisation reflect the new paradigms of working. 16 HPRA Strategic Plan 2021 – 2025
Health Products Regulatory Authority Kevin O’Malley House Earlsfort Centre Earlsfort Terrace Dublin 2 Ireland D02 XP77
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