Mental

Draft revised Heads of Medicines Agency / European Medicines Agency guidance document on the identification of personal data and commercially confidential information within the structure of the marketing authorisation application dossier

Retrieved on: 
Thursday, April 18, 2024
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See websites for contact details

Key Points: 
    • See websites for contact details
      Heads of Medicines Agencies www.hma.eu
      European Medicines Agency www.ema.europa.eu

      11

      Table of contents

      12

      Abbreviations .............................................................................................. 3

      13

      Definitions ................................................................................................... 4

      14

      1.

    • redaction, masking,

      68

      hiding) in such a manner that the recipient can no longer attribute the resulting information to a data

      69

      subject and make it identifiable.

    • 81

      Contract Manufacturing Organisation (CMO): shall mean an arrangement under which a

      82

      manufacturer provides upstream manufacturing services under contract on behalf of third-party

      83

      pharmaceutical companies.

    • 94

      Protected Personal Data (PPD): shall mean any personal data which should be protected from

      95

      disclosure.

    • ?Finalised? shall mean that the marketing

      102

      authorisation (MA) has been granted or refused or that the MAA has been withdrawn.

    • The application of the general principles laid down in this guidance is without prejudice to

      106

      national rules on transparency.

    • The guidance should be read in conjunction with the relevant applicable

      107

      legislation and case law on transparency and data protection.

    • 117

      This guidance document is intended to apply to information/documents on medicinal products for

      118

      human use, for which the procedure has been finalised under the national, mutual recognition,

      119

      decentralised and centralised procedures.

    • Third

      124

      parties shall be informed or consulted as needed depending on respective national and European legal

      125

      frameworks.

    • 140

      In the following sections, the agreed principles on PD and CCI are presented, including guidance on

      141

      whether such information can be disclosed.

    • EMA/131365/2024

      Page 5/50

      142

      Any information identified as PD or CCI must be subject to a preliminary review by the EMA/NCA prior

      143

      to the possible disclosure of the information/documents.

    • Principles on the protection of personal data (PD)

      145

      The protection of PD is enshrined in EU legislation; it is a fundamental right of EU citizens.

    • In

      146

      compliance with the applicable European/national legislation, PD should be anonymised in order to

      147

      avoid the disclosure of the document undermining the privacy and integrity of any individual.

    • EMA/NCA applies a risk-based approach to assess which PD elements are to be

      152

      removed from the information/documents in order to limit the risk of re-identification.

    • are included in the MAA dossier because they have a legally

      164

      defined role or responsibility and it is in the public interest to disclose this data.

    • 168

      Applicants are advised that non-essential information (e.g., personal address, personal phone number)

      169

      should not be included in the MAA dossier.

    • The

      183

      confidentiality of records that could identify subjects should be protected, respecting the privacy and

      184

      confidentiality rules in accordance with the applicable regulatory requirement(s).

    • 185

      The applicant remains responsible for compliance with the relevant legislation in cases where such data

      186

      is inadvertently included in the MAA dossier.

    • 188

      EMA/NCA applies a risk-based approach to assess which personal data elements need to be removed

      189

      from the information/documents in order to limit the risk of re-identification.

    • 194

      EMA/NCA applies a risk-based approach to assess which personal data elements need to be removed

      195

      from the information/documents in order to limit the risk of re-identification.

    • 205

      Any proposal to consider information as commercially confidential should be properly justified by the

      206

      owner of the information.

    • In this respect, any reference(s) to the risk of that interest being

      209

      undermined should be foreseeable and not purely hypothetical.

    • 210

      Information that is already in the public domain is not considered to be commercially confidential.

    • Information on the Quality and Manufacturing of medicines

      226

      A general principle regarding quality and manufacturing information is that detailed information could

      227

      be considered commercially confidential but general information should be disclosed.

    • 234

      In general, and if not in the public domain, the names of manufacturers or suppliers of the active

      235

      substance or the excipients are considered commercially confidential.

    • 248

      A general description of the type of test methods used and the appropriateness of the specification is

      249

      not commercially confidential.

    • General information on the fermentation and purification process

      259

      is not commercially confidential, although details including operating parameters and specific material

      260

      requirements are commercially confidential.

    • 273

      A general description of the type of test methods used and the appropriateness of the specification is

      274

      not commercially confidential.

    • In general, the data included in clinical trial study reports is considered to be data that can be

      283

      disclosed once PD has been anonymised.

    • 338

      In each module, a non-exhaustive list of information that may be considered protected personal data (PPD) or commercially confidential information

      332
      333

      339

      (CCI) is included.

    • ?

      Direct contact details such as telephone

      Therefore, please refer to the appropriate sub-

      number, fax number, email, postal address,

      modules hereafter for guidance.

    • ?

      Information that may reveal strategic
      (contractual) agreements

      ?

      Any quality information on the clinical batches

      principal investigator

      that might be included here (such as e.g.

    • ?

      Information that may reveal strategic
      (contractual) agreements

      principal investigator

      Study Reports
      5.3.3.3

      as the evaluation of new formulation, innovative

      number, fax number, email, postal

      Paediatric Development Plan (PIP), etc.

    • This may include taking into

      More Than One Study
      5.3.5.4

      Other Clinical Study Reports

      5.3.6

      Reports of Post-Marketing
      Experience

      5.3.7

      Direct identifiers such as name,
      signature, contact details, etc.

NZ’s mental healthcare is in crisis – but research shows us how to shorten wait times and keep staff

Retrieved on: 
Wednesday, April 10, 2024

New Zealand’s youth mental healthcare continues to experience a rolling crisis with long waiting times for services.

Key Points: 
  • New Zealand’s youth mental healthcare continues to experience a rolling crisis with long waiting times for services.
  • There have been calls to expand the mental health workforce and to diversify the range of available services.
  • As our research shows, it can help to shorten bulging waiting lists and retain staff in the workforce.

Training is necessary, but not sufficient

  • These are often talking therapies that have been proven effective for most people through research studies such as clinical trials.
  • Many mental health services deliver therapies based on dialectical behaviour therapy to help young people and adults improve their emotional regulation.
  • There will always be a need to develop and adapt therapies, but a central challenge is better implementation of those we already have.

Better implementation of proven therapies

  • It studies methods to enhance the adoption, implementation and sustained delivery of evidence-based practices to improve the quality of routine care.
  • Rather than asking tired clinicians to do more, implementation science can identify the influences on clinician behaviour and target supports accordingly.
  • Implementation science teaches us that providing guidelines or training in evidence-based therapy is necessary, but often not enough to achieve quality care.

Quality in action

  • Their aim is to promote national standards for care quality in partnership with whānau, consumers and local communities.
  • Beyond mental health, apparently simple solutions such as surgical checklists have been shown to substantially improve quality, even in resource-limited settings.
  • Service leaders, funders and policymakers must urgently consider how we can best equip existing and new staff to deliver quality care, based on insights from implementation science.


Melanie Woodfield works as a clinical psychologist for Te Whatu Ora (Health New Zealand). She receives funding from the Health Research Council of New Zealand. Hiran Thabrew does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

For World Mental Health Day, Jack.org Calls on Communities Across the Country to Come Together to End the Youth Mental Health Emergency

Retrieved on: 
Wednesday, April 3, 2024

TORONTO, April 03, 2024 (GLOBE NEWSWIRE) -- In response to the intensifying youth mental health emergency unfolding across the country, Jack.org and presenting sponsor Bank of America are calling on people from coast-to-coast-to-coast to join Jack Ride, Canada’s Ride for Youth Mental Health. The funds raised at Jack Ride support critical mental health education programs for young people across Canada, teaching them how to recognize the signs of mental health struggle, have supportive conversations with their peers, and when and where to seek professional support.

Key Points: 
  • TORONTO, April 03, 2024 (GLOBE NEWSWIRE) -- In response to the intensifying youth mental health emergency unfolding across the country, Jack.org and presenting sponsor Bank of America are calling on people from coast-to-coast-to-coast to join Jack Ride, Canada’s Ride for Youth Mental Health.
  • The funds raised at Jack Ride support critical mental health education programs for young people across Canada, teaching them how to recognize the signs of mental health struggle, have supportive conversations with their peers, and when and where to seek professional support.
  • Mental health is health, but Canada ranks among the bottom third of wealthy nations when it comes to youth mental health outcomes and has one of the highest rates of adolescent suicide.1 While one out of every five young people will experience a mental health disorder, many of them lack the mental health education that would help them get the support they need.
  • In the past 15 years, Jack Riders have raised over $10 million dollars to support young people’s mental health.

Beacon Behavioral Partners Expands to Florida with the Addition of The Neuropsychiatry & TMS Group

Retrieved on: 
Wednesday, March 27, 2024

"We are thrilled to have joined Beacon Behavioral Partners and expand throughout the state," says Dr. Faizi Ahmed, the leading physician at Neuropsychiatry and TMS Group.

Key Points: 
  • "We are thrilled to have joined Beacon Behavioral Partners and expand throughout the state," says Dr. Faizi Ahmed, the leading physician at Neuropsychiatry and TMS Group.
  • Established in 2016, The Neuropsychiatry & TMS Group, led by Dr. Ahmed, has been dedicated to delivering exceptional mental health services.
  • With the support of Beacon, The Neuropsychiatry & TMS Group anticipates continued growth opportunities, including expanding its TMS services and recruiting additional physicians.
  • “I am pleased to announce our recent expansion into Florida, a natural progression for Beacon,” says Beacon Behavioral Partners CEO Sean Wendell.

Southeastern Bank and Federal Home Loan Bank of Atlanta Award $270,000 Grant to Support Temporary Housing for Homeless Veterans

Retrieved on: 
Wednesday, March 27, 2024

DARIEN, Ga., March 27, 2024 (GLOBE NEWSWIRE) -- Southeastern Bank and the Federal Home Loan Bank of Atlanta (FHLBank Atlanta) announced today that a $270,000 grant has been awarded to Golden Isles Veterans Village, a development of 30 tiny homes and a community center for homeless veterans in Brunswick, Georgia.

Key Points: 
  • DARIEN, Ga., March 27, 2024 (GLOBE NEWSWIRE) -- Southeastern Bank and the Federal Home Loan Bank of Atlanta (FHLBank Atlanta) announced today that a $270,000 grant has been awarded to Golden Isles Veterans Village, a development of 30 tiny homes and a community center for homeless veterans in Brunswick, Georgia.
  • The funds from FHLBank Atlanta’s Multifamily Housing Bridge Fund (Bridge Fund) were awarded to Golden Isles Veterans Village through Southeastern Bank, which is a member of FHLBank Atlanta.
  • “Southeastern Bank has a long history of serving our communities beyond our financial products and services,” said Jay Torbert, CEO of Southeastern Bank.
  • Golden Isles Veterans Village is among 28 projects that received funding from FHLBank Atlanta through member banks like Southeastern Bank, which applied for Bridge Fund grants to support their communities.

Glaring Omission: Ford Government Budget Ignores Teachers, Failing Students Yet Again

Retrieved on: 
Tuesday, March 26, 2024

It is Ontario’s teachers that make our schools world class, and this budget does nothing to support the critical work that they do.

Key Points: 
  • It is Ontario’s teachers that make our schools world class, and this budget does nothing to support the critical work that they do.
  • But to be at our best, we need a government that makes education and students a priority.
  • A government that makes the real investments necessary to foster healthier schools for students and teachers alike.
  • Instead, Ontarians have the Ford Conservative government, which would rather use the budget to paper over its failings with cheap accounting tricks to hide its growing inflationary cuts to education.

ZCG-Backed Unimed Launches Telemedicine Solution to Further Enhance Technology Solutions For Maritime Medical Platform

Retrieved on: 
Monday, April 8, 2024

Universal Marine Medical Supply International (“Unimed” or the “Company”), the leading global provider of pharmaceutical and medical solutions to the maritime industry, today announced the launch of comprehensive telemedicine capabilities, further strengthening the Company’s technology-enabled maritime medical platform.

Key Points: 
  • Universal Marine Medical Supply International (“Unimed” or the “Company”), the leading global provider of pharmaceutical and medical solutions to the maritime industry, today announced the launch of comprehensive telemedicine capabilities, further strengthening the Company’s technology-enabled maritime medical platform.
  • Unimed’s telemedicine solution bridges this gap, providing 24/7 global access to experienced maritime doctors and nurses stationed at the Company’s medical health center in Athens, Greece.
  • The telemedicine solution is integrated into Unimed’s proprietary medScale+© digital platform, currently utilized by over 5,500 vessels through a mobile app or web browser.
  • Our telemedicine solution offers both customers and their crew members assurance of convenient access to medical care from anywhere in the world,” said Søren Andersen, CEO of Unimed.

eLuma, a Leeds Equity Partners portfolio company, Appoints Andy Myers as Chief Executive Officer

Retrieved on: 
Monday, April 8, 2024

LEHI, Utah, April 8, 2024 /PRNewswire/ -- eLuma, a leading provider of online special education and mental health services to K-12 districts, schools and their students, announced today the appointment of Andy Myers as Chief Executive Officer.

Key Points: 
  • LEHI, Utah, April 8, 2024 /PRNewswire/ -- eLuma, a leading provider of online special education and mental health services to K-12 districts, schools and their students, announced today the appointment of Andy Myers as Chief Executive Officer.
  • Myers brings to eLuma deep domain expertise in scaling education and SaaS technology companies.
  • Prior to that, he was the Chief Strategy Officer of Renaissance Learning, and also held leadership roles at Scientific Learning and Pearson.
  • Eric Geveda, Managing Director of Leeds Equity, said, "We are thrilled that Andy is joining as the new CEO of eLuma.

Family Care Center Opens Clarksville Clinic to Increase Access to Outpatient Mental Health Care

Retrieved on: 
Friday, April 5, 2024

CLARKSVILLE, Tenn., April 5, 2024 /PRNewswire/ -- Family Care Center, one of the nation's premier mental health providers, is expanding with a new outpatient clinic in Clarksville, TN, making integrated mental health care more accessible to Montgomery County.

Key Points: 
  • CLARKSVILLE, Tenn., April 5, 2024 /PRNewswire/ -- Family Care Center, one of the nation's premier mental health providers, is expanding with a new outpatient clinic in Clarksville, TN, making integrated mental health care more accessible to Montgomery County.
  • Family Care Center offers therapy, psychiatric care and transcranial magnetic stimulation (TMS) in an outpatient setting
    "As we continue our expansion throughout Tennessee, we're committed to breaking down stigma and delivering compassionate mental health care for all ages," said Chief Executive Officer Wayne Cavanaugh.
  • "Whether you're a child, individual, couple, or a family, everyone can now access the mental health support they need at a single, convenient location."
  • "TMS is a groundbreaking treatment that is not often available in outpatient mental health clinics," said Family Care Center Founder and Chief Medical Officer Dr. Chuck Weber.

More mental health support in schools makes sense – but some children may fall through gaps

Retrieved on: 
Tuesday, April 9, 2024

This is something the government has been doing in England through the creation of mental health support teams.

Key Points: 
  • This is something the government has been doing in England through the creation of mental health support teams.
  • The first 58 mental health support teams went live in 2020, working in and with more than 1,000 schools and colleges.
  • Mental health support teams are intended to provide support to young people with “mild to moderate” mental health difficulties, such as anxiety and low mood.
  • This is a new role in the mental health workforce, created specifically for mental health support teams.
  • We also spoke to young people at schools with mental health support teams.

Through the gaps

  • We heard that some young people were at risk of falling between gaps in provision.
  • They had mental health problems that were neither “mild to moderate”, nor were they judged serious or urgent enough to meet the threshold for specialist NHS help.
  • I am now co-leading a second, much larger, study of almost 400 mental health support teams, assessing their impact and cost-effectiveness.
  • As the study progresses, we will know more about how well this support works and who it works for.


Jo Ellins receives funding from the National Institute for Health and Care Research.