Hospitality, Gifts and Sponsorship Policy and Primary Care Rebate Schemes

The CCG has a duty to ensure that all its dealings are conducted to the highest standards of integrity and probity. Our hospitality and gifts policy sets out the procedure that staff of the CCG must follow when receiving gifts and/or hospitality.

Download the  Hospitality, Gifts and Sponsorship Register August 2019

Download our Policy on Hospitality and Gifts – update September 2019

This register is updated only when there are new entries to be published.

Primary Care Rebate Schemes

What are Primary Care Rebate Schemes (PCRS)?

These are contractual arrangements offered by pharmaceutical companies, or third party companies, which offer retrospective financial rebates to the CCG on GP prescribing expenditure for particular branded medicine(s).

Some schemes may attract a rebate for both the CCG and primary care member practices, whereas others attract a rebate only for the CCG.  Conflicts of interest may arise where there is a clear financial pecuniary benefit for CCG clinical directors who are also partners in member practices, and so will be managed accordingly.

Governance arrangements

Pharmaceutical Industry Scheme Governance Board (PISGB) and PrescQIPP

Governance arrangements include delegated authority by the CCG Executive Committee to accept participation in schemes where they are assessed by the Pharmaceutical Industry Scheme Governance Board (PISGB) as appropriate through meeting pre-determined assessment criteria (“grey” rated schemes). The role of the PISGRB is only to provide an independent assessment of any particular scheme.  The process for assessment through PISGB is managed by PrescQIPP, an NHS funded not for profit organisation (https://www.prescqipp.info/). The criterion for assessment of schemes by the Pharmaceutical Industry Scheme Governance Board (PISGB) is:

  1. The therapeutic initiative has a place in clinical practice
  2. The arrangements for the scheme are simple and easy for the NHS to implement
  3. There is a transparent, sensible plan for payment and tracking
  4. The governance on what the scheme is, and is not going to be used for is robust
  5. There is a plan for ongoing review

The outcome of assessment against criteria will result in recommendation to commissioners that the scheme is deemed:

  • Grey – Scheme considered: No significant reservations
  • Amber – Scheme considered: Not fully appropriate
  • Red – Scheme considered: Not appropriate

CCG delegated authority

The delegated authority is currently held by the CCG Medicines Optimisation Lead and Associate Director of Medicines Management as CCG voting members of the Integrated Care Partnership (ICP) Medicines Optimisation Board, which takes the role of managing the local formulary (a list of drugs approved for prescription to patients).

Escalation to the CCG Executive Committee for decision on acceptance to participate

This will occur where assessed by the Pharmaceutical Industry Scheme Governance Board (PISGB) as rated amber of red. Were decision to participate deemed to involve a direct and material conflict of interest for member, a decision to participate may be further escalated to the CCG Governing Body.

Scheme participation – 2019/20

The CCG is currently participating in the following rebate schemes (2019/20), which offer rebate only to the CCG and not to primary care member practices:

 

Drug Condition /Type Company Frequency Start date Finish date Notice to end from CCG
Gluco-RX Diabetes Gluco_RX Limited Quarterly The CCG was in receipt of this rebate, but it has since been discontinued
Edoxaban Anticoagulant The Free Radical Network Quarterly  22/05/2018  31/12/2022  Either party 12 months
Resource Thicken Up Contract (RTUC) Dietetics Nestle UK Ltd Quarterly 29/04/2019 28/04/2021 Three months
Sitagliptin Diabetes Merck, Sharp and Dohme Ltd

(MSD Ltd)

Quarterly 01/05/2019 30/04/2020 Three months
Clenil Modulite Asthma Chiesi Ltd Quarterly 01/07/2019 30/06/2021 Six months