© Crown copyright 2011

Yellow Card Reporting – Engaging with patients

Mick Foy Vigilance Intelligence and Research Group 17 June 2011

Slide 2

Contents

• Background and Yellow Card Strategy

• Patient reporting development

• Yellow Card promotional campaigns

• Reporting Trends

• Working with YCCs to increase awareness

Slide 3

YellowCard Helping to make medicines safer

Slide 4

The Evolving SchemeExtensions to Scheme:

Started 1964 – Doctors & Dentists

Coroners (1969)

Pharmacists (April 1997 & Nov 1999)

Nurses, midwives and health visitors (2002)

Patient reporting pilot scheme UK-wide (2005)

Patient reporting established – Feb 2008

Today, reports can be submitted by:

Paper Yellow Card form

Electronic Yellow Card form on www.yellowcard.gov.uk

Telephone

Slide 5

Yellow Card Strategy

• 2004 review of scheme Yellow Card strategy• Recommendation to introduce patient reporting• Focus on:

EducationEducation

MotivationMotivation

FacilitationFacilitation

PromotionPromotion

About the importance of Yellow Card reporting The need to develop and maintain promotion and communication strategies for the schemeIncreasing access to the scheme to meet the needs of reporters e.g. electronic reportingApproaches to incentivise reporting through acknowledgment and feedback

Slide 6

Patient reporting - 2008

• Engaging with patient groups and charities to promote the scheme

• 6 week campaign, supported by RPSGB, in community pharmacies – poster and leaflet distribution

• Launch of redeveloped electronic Yellow Card• Engagement with the media important

• Good coverage received esp. from BBC

050

100150200250300350

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

July

Aug

ust

Sep

tem

ber

Oct

ober

Nov

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r

Dec

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Month received

Num

ber o

f AD

R re

ports 2007

2008

Slide 7

Updated Electronic Yellow Card

• Simple to complete

• Registering on the site is optional

• The Yellow Card can be saved at any time for completing later

• Tested by patient groups

• Easier for us too

Slide 8

Patient awareness and involvement

• Improving visibility of links to eYC and accuracy of data on external websites

• NHS Choices • Medicines.org/electronic Medicines Compendium• MIMS

• Accessibility – translation of basic information into 10 most commonly requested languages

Slide 9

Yellow Card campaigns

• 142,000 patient Yellow Cards distributed

• Displays in GP surgeries across the UK (~200)

• A0 poster shown on screen

• 30 second advert shown regularly on The Life Channel

Slide 10

Slide 11

Stakeholder Communications - Patients

Slide 12

Yellow Card Trends

• Important to understanding impact on ADR reporting

• Trends regularly reviewed

• Presented to CHM and PEAG

• Comparison between reports from health professionals and patients

• Used to shape policy and initiatives

Slide 13

Reporting Rates

Spontanous ADR reporting by source 2004-2010 (including pandemic reports)

0

5000

10000

15000

20000

25000

30000

2004 2005 2006 2007 2008 2009 2010

No.

repo

rts/y

ear

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

Cum

ulat

ive

repo

rts

Patient

HCP

Industry

Patientcumulative

HCPcumulative

Industrycumulative

Note: Patient reporting was introduced in Jan 2005

Slide 14

Patient Reporter Types 2005-2010

0

500

1000

1500

2000

2500

3000

3500

4000

2005 2006 2007 2008 2009 2010

Year

Num

ber o

f Rep

orts

CarerParentPatient

Slide 15

Direct Electronic Yellow Card Reporting 2007- 2010

1667

5122609

9935616

2680

4076

1446

8796

11349508

14876665

574

6737

494

0%

20%

40%

60%

80%

100%

HCP Patient HCP Patient HCP Patient HCP Patient

2007 2008 2009 2010

Year and Type of report

Prop

ortio

n of

Drie

ct A

DRs

PaperElectronic

Slide 16

Regional Yellow Card Centres

• 5 regional centres in UK – Northern and Yorkshire, North West, West Midlands, Wales and Scotland

• Based in hospitals, usually in pharmacy alongside the Medicines Information Service

• Originally established to provide advice, training, education for health professionals

• Presence at local conferences/exhibitions/events

• Increasing role in raising awareness and speaking to patient groups and charities

Slide 17

Public Health Campaign via community pharmacies across Scotland (3rd January to 7th February 2011)

Slide 18

Meetings with Patient Support Groups ~30 last year

• Diabetes

• Prostate

• Osteoporosis

• Respiratory

Regional Yellow Card Centres

Slide 19

Why is it important?

Signals – Regulatory Action

• In the past 2 years 53 signals have included patient reports

• 15 of which the index case was from a patient

Slide 20

Conclusions

Thank You