REGISTER OF PAYMENTS – CONSULTATION SURVEY

Prepared for: Ethical Standards in Health & Life Sciences Group
By: Jane Flige...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Objectives of the Survey
• To assess reactions of Individuals, Commercial and ...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Methodology
Quantitative
Online Survey

Timings

1055 responses

Survey live

...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Overall Sample
Total Response

1056

Individuals (40+ mentions)

981

•

Secon...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Sample of Healthcare Organisations
Healthcare Organisations (large)
•

Royal S...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Sample of Healthcare Organisations
Healthcare Organisations (small)
•

Bedford...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Other Individuals in Sample
Individuals - not already shown:
•

Allied Health ...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Sectors of Commercial Organisations
Commercial Organisations
14%
8%

47%

31%
...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Sectors of Healthcare Organisations
Large Healthcare
Organisation - 6
Small He...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Membership of Individuals in Sample
Individual membership (top 6 organisations...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Statistical Analysis
• Statistical analysis has been conducted across each res...
Results
REGISTER OF PAYMENTS – CONSULTATION SURVEY
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Scope of Consultation

Issue of
Single,
Transparency
CHALLENGES
Searchable
and...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Transparency of Payments
Almost universal agreement that payments should be tr...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Public Declaration
Widespread agreement that payments should be publicly decla...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Single, Public Database
Widespread agreement that disclosure should involve ce...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Host for System of Disclosure
Mixed views on best way of hosting the system
Co...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

HCP involvement
Members of most HCP organisations are in favour; the Academy o...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Disclosure for all Life Sciences?
Universal agreement that all types of compan...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Impact of Public Disclosure on Future Collaboration
with Commercial Organisati...
REGISTER OF PAYMENTS – CONSULTATION SURVEY

Public Disclosure of Payments could reduce collaboration for 1 in 6 who curren...
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Eshlsg consultation-results-october2013

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The ESHLSG has published the results of the recent consultation in to the public disclosure of payments to health professionals.

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Eshlsg consultation-results-october2013

  1. 1. REGISTER OF PAYMENTS – CONSULTATION SURVEY Prepared for: Ethical Standards in Health & Life Sciences Group By: Jane Fligelstone – The Consortium and Nicky Taylor – Taylor McKenzie
  2. 2. REGISTER OF PAYMENTS – CONSULTATION SURVEY Objectives of the Survey • To assess reactions of Individuals, Commercial and Healthcare Organisations towards the scheme outlined in the Register of Payments Consultation document • And in particular, issues of: • Transparency and public declaration of payments, in a publicly searchable database • Who should host the scheme and what role HCPs should play • Whether payments from all types of Life Science companies should be included • To understand the potential impact that public disclosure of payments could have on Individuals’ collaboration with Commercial Organisations NB: This consultation has been funded by the ABPI.
  3. 3. REGISTER OF PAYMENTS – CONSULTATION SURVEY Methodology Quantitative Online Survey Timings 1055 responses Survey live Including 2 not completed online – BMA and RCGP 28th January – July 5th 2013
  4. 4. REGISTER OF PAYMENTS – CONSULTATION SURVEY Overall Sample Total Response 1056 Individuals (40+ mentions) 981 • Secondary Care Doctor Excluding Psychiatrists 500 • Psychiatrists 185 • GPs 75 • Pharmaceutical Company Employees 63 • Doctors in Commercial Organisation 47 • Other Individuals Commercial Companies 111 64 Healthcare Organisations (large) 8* Healthcare Organisations (small) 3 * Includes two questionnaires not done online, not included in quantitative analysis
  5. 5. REGISTER OF PAYMENTS – CONSULTATION SURVEY Sample of Healthcare Organisations Healthcare Organisations (large) • Royal Society of General Practitioners * • Royal College of Physicians • British Pharmacological Society • Guild of Healthcare Pharmacists • * Includes two questionnaires not done online, not included in quantitative analysis British Medical Association * • 6 College of Optometrists Private Healthcare Organisations (large) • BUPA Health and Wellbeing • AXA PPP Healthcare 2
  6. 6. REGISTER OF PAYMENTS – CONSULTATION SURVEY Sample of Healthcare Organisations Healthcare Organisations (small) • Bedfordshire Clinical Commissioning Group • 2 Heathway Medical Centre Private Healthcare Organisations (small) • HSC Innovations 1
  7. 7. REGISTER OF PAYMENTS – CONSULTATION SURVEY Other Individuals in Sample Individuals - not already shown: • Allied Health Professional 7 • Nurse 3 • Pharmacist 2 • Medical Devices / Diagnostics Company Employee • Healthcare Manager 11 2 ‘Other’ Individuals (not coded): • Academic / Research in Medicine • Retired • Consultant in Pharmaceutical Sector 86
  8. 8. REGISTER OF PAYMENTS – CONSULTATION SURVEY Sectors of Commercial Organisations Commercial Organisations 14% 8% 47% 31% Devices Pharmaceutical What sector does your organisation/company belong to? N=64 Bio-Pharma Other
  9. 9. REGISTER OF PAYMENTS – CONSULTATION SURVEY Sectors of Healthcare Organisations Large Healthcare Organisation - 6 Small Healthcare Organisation - 2 Large Private Healthcare Organisation – 2 Small Private Healthcare Organisation - 1
  10. 10. REGISTER OF PAYMENTS – CONSULTATION SURVEY Membership of Individuals in Sample Individual membership (top 6 organisations) BMA 59% Royal College of Physicians 56% Royal College of Psychiatrists 20% The Royal Society of Medicine 16% Faculty of Pharmaceutical Medicine 12% RCGP 9% 0% Base: 955 Individuals 20% 40% 60%
  11. 11. REGISTER OF PAYMENTS – CONSULTATION SURVEY Statistical Analysis • Statistical analysis has been conducted across each respondent type: • • • • • Individuals, Commercial Companies and Healthcare Organisations Positions of Individuals (HCP, Company employee etc.) Whether HCPs work in NHS or private practice Membership of different organisations Sector of company • Comments have been added to slides where statistically significant differences were evident at a 95% level of confidence
  12. 12. Results REGISTER OF PAYMENTS – CONSULTATION SURVEY
  13. 13. REGISTER OF PAYMENTS – CONSULTATION SURVEY Scope of Consultation Issue of Single, Transparency CHALLENGES Searchable and Public Database FACING PSME Declaration Host for System HCP Involvement Whether applicable to all Life Science Companies Effect on Collaboration
  14. 14. REGISTER OF PAYMENTS – CONSULTATION SURVEY Transparency of Payments Almost universal agreement that payments should be transparent Agree/strongly Should payments from commercial organisations to individually named health care professionals be transparent? Total Neutral/Don’t know 89% Disagree/strongly 3% 7% No difference in views of different respondent type BMA and RCGP agree Q1: Do you agree or disagree with the principle that payments from commercial organisations to individually named health care professionals should be transparent? Base: Total sample – 1054
  15. 15. REGISTER OF PAYMENTS – CONSULTATION SURVEY Public Declaration Widespread agreement that payments should be publicly declared Agree/strongly Should payments from commercial organisations to individually named health care professionals be publicly declared? Total Neutral/Don’t know 77% Disagree/strongly 9% 15% No difference in views of different respondent type BMA and RCGP agree Q2: Do you agree or disagree with the principle that payments from commercial organisations to individually named health care professionals should be publicly declared ? Base: Total sample – 1054
  16. 16. REGISTER OF PAYMENTS – CONSULTATION SURVEY Single, Public Database Widespread agreement that disclosure should involve central, public database Agree/strongly Should system of disclosure take form of single, publicly searchable, central database? Total Neutral/Don’t know Disagree/strongly 79% 17% 4% No difference in views of different respondent type Those in the Faculty of Pharmaceutical Medicine statistically less likely to agree (71%) vs. those in BMA (81%) BMA and RCGP agree Q3: Do you agree or disagree that a system of disclosure of payments should take the form of a single, publicly searchable, central database? Base: Those who strongly/agree or neither agree nor disagree that payments should be publicly declared (Q3) – 888
  17. 17. REGISTER OF PAYMENTS – CONSULTATION SURVEY Host for System of Disclosure Mixed views on best way of hosting the system Commercial Companies Individuals 39% 36% Regulator Who should host any system for declaring payments? 35% Professional Body NHS 16% 16% Government 40% 15% 16% Trade Body• Don't know 6% 40% 9% 0% 10% 12% 20% GMC recommended as 30% 40% 50% regulator by RCGP Q4: Who do you think should host any system for declaring payments? Base: Those who strongly/agree that there should be a single, publicly searchable database (Q4) - Individuals – 651; Commercial Companies - 45
  18. 18. REGISTER OF PAYMENTS – CONSULTATION SURVEY HCP involvement Members of most HCP organisations are in favour; the Academy of MRC are less positive Neutral/Don’t know Disagree/strongly Agree/strongly Total Should HCPs play a role in disclosure of payments? 77% RCGP 82% BMA 11% 8% 78% RCP 76% RCPE Academy MRC BMA and RCGP agree 13% 10% 14% 48% 15% 27% (N=87) 9% (N=561) 11% 14% 66% (N=1054) (N=538) 20% 24% (N=61) (N=29) Those in the Academy and RCPE statistically less likely to agree vs. those in BMA, RCP and RCGP Q5: Do you agree or disagree that individual health care professionals should play a role in the disclosure of payments received from commercial organisations (e.g. submitting information or validating the information submitted by others), alongside the submission of the same information by industry? Base: Total - 1054
  19. 19. REGISTER OF PAYMENTS – CONSULTATION SURVEY Disclosure for all Life Sciences? Universal agreement that all types of company should be involved Agree/strongly Should disclosure apply to all types of commercial life sciences organisations? Total Neutral/Don’t know 90% Disagree/strongly 4% 5% No difference in views of different respondent type or those in different sectors RCGP believes there should be a definitive list of types of companies to which disclosure applies Q6: Do you agree or disagree that disclosure of payments to health care professionals should apply to all types of commercial life sciences organisations (e.g. devices, diagnostics and bio-pharmaceutical industry) and not only the pharmaceutical industry? Base: Total - 1054
  20. 20. REGISTER OF PAYMENTS – CONSULTATION SURVEY Impact of Public Disclosure on Future Collaboration with Commercial Organisations Majority consider that there would be little detrimental effect Effect of public disclosure of payments on relationship with commercial organisations Would be more likely to collaborate Would have no effect on my collaboration 8% 8% 14% Would be less likely to collaborate Don't know • Little difference according to respondent type or level of current collaboration; Psychiatrists tend to consider they would be ‘more likely’ to collaborate (given public disclosure of payments) than Secondary Care doctors (12% vs. 6%) 70% Q8: What impact would the public disclosure of payments have on your relationship with commercial organisations? Base: All individuals - 964
  21. 21. REGISTER OF PAYMENTS – CONSULTATION SURVEY Public Disclosure of Payments could reduce collaboration for 1 in 6 who currently take part in paid activities Effect of public disclosure on relationship with commercial organisations – willingness to collaborate in paid activities: More likely Currently participate Current participation in paid activities with commercial organisations Have participated in the past Have never participated 4% 7% 14% Will have no effect 72% 16% 73% 61% Don’t know Less likely 8% 16% 9% 15% Q7: How would you describe your current level of collaboration with commercial organisations?; Q8: What impact would the public disclosure of payments have on your relationship with commercial organisations? Base: All individuals - 964 5% (N=264) (N=465) (N=236)
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