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Concept Note on the 5th National Conference on “Patient Safety & Drug Regulatory Scenario in India” on Wednesday 20th May 2015 at Gandhi Bhawan, University of Kashmir, Hazratbal, Srinagar, Jammu & Kashmir, 190006 INTRODUCTION: After more than 2 decades, the various stakeholders in the healthcare delivery system in India decided to work together on the issue of accessibility of safe medicines to the consumers in India. A partnership led by the founder of Consumer Online Foundation decided to focus on some simple mechanisms to tackle the menace of spurious medicines as defined under the existing laws in India. The stakeholders intended to engage the civil society to raise the demand for effective implementation of the laws on safety and quality standards of medicines in India. This was the genesis of the Partnership for Safe MedicinesIndia (“PSM-India”), which started functioning from the month of September 2010. The key objective of the PSM-India Initiative is to emphasize the need for NGO’s and other civil society groups to take an active interest in building an effective partnership with all the stakeholders concerned and to launch a National Campaign for Promoting Safe Medicines. The thematic basis of the partnership is a joint initiative between all stakeholders in an equitable manner based on trust, transparency and accountability to each other. It is difficult for the patients and consumers to identify look alike and substandard medicines, which may result in severe toxic effects. This is further compounded often by self-medication and purchase of prescription drugs over the counter from pharmacists and the prevalence of multiple brands for the same or similar combination of molecules forming the medication. Information made available to consumers is too scanty and insufficient to be of any use to them. The electronic and print media also tend to exaggerate the benefits of various medicines and drugs without any scientific or proven backing. Therefore the partners to the initiative advocated strongly the need for educating the consumers and creating awareness amongst them on these aspects. Further, there was a need for physicians to be kept contemporarily updated and that they are not influenced by medical representatives who only highlight the merits of their own products. The Central Drugs Standard Control Organization (CDSCO) is the Central Drug Authority for discharging functions assigned to the Central Government under the Drugs and Cosmetics Act. CDSCO has six zonal offices, four sub-zonal offices, 11 port offices and six laboratories under its control. Major functions of CDSCO: 1. Regulatory control over the import of drugs, approval of new drugs and clinical trials, meetings of Drugs Consultative Committee (DCC) and Drugs Technical Advisory Board (DTAB), approval of certain licences as Central Licence Approving Authority is exercised by the CDSCO headquarters. This conference intends to bring all the stakeholders together to look at the success stories in India on Drug Regulatory Initiatives by the State Governments and agree to a blueprint for the future to ensure safety and quality of healthcare delivery mechanism in the interest of patients. OBJECTIVES: ➢ To collate the success stories of the State Drug Regulatory Authorities in terms of transparent and accountable processes to empower the consumers. ➢ To exchange ideas and look at modern information technologies (ITs) available in India to build capacity with the State Drug Regulatory Authorities ➢ To agree on a draft blueprint on the way forward to enable all the State Drug Regulatory Authorities to adhere to an uniform code of practices as per the existing laws and global best practices RATIONALE: The Indian pharmaceuticals market is third largest in terms of volume and thirteen largest in terms of value, as per a pharmaceuticals sector analysis report by equity master. The market is dominated majorly by branded generics which constitute nearly 70 to 80 per cent of the market. Considered to be a highly fragmented industry, consolidation has increasingly become an important feature of the Indian pharmaceutical market. India has achieved an eminent global position in pharma sector. The country also has a huge pool of scientists and engineers who have the potential to take the industry to a very high level. The Indian pharma market size is expected to grow to US$ 85 billion by 2020. The growth in Indian domestic market will be on back of increasing consumer spending, rapid urbanisation, raising healthcare insurance and so on. Going forward, better growth in domestic sales will depend on the ability of companies to align their product portfolio towards chronic therapies for diseases such as such as cardiovascular, anti-diabetes, antidepressants and anti-cancers are on the rise. The Government of India has unveiled 'Pharma Vision 2020' aimed at making India a global leader in end-to-end drug manufacture. It has reduced approval time for new facilities to boost investments. Further, the government has also put in place mechanisms such as the Drug Price Control Order and the National Pharmaceutical Pricing Authority to address the issue of affordability and availability of medicines. Moreover, the government has been taking several cost effective measures in order to bring down healthcare expenses. Thus, governments are focusing on speedy introduction of generic drugs into the market. This too will benefit Indian pharma companies. In addition, the thrust on rural health programmes, lifesaving drugs and preventive vaccines also augurs well for the pharma companies. All such activities need effective regulatory mechanisms to ensure accessibility to safe and quality healthcare, which is a RIGHT of every Indian. EXPECTATIONS FROM THE CONFERENCE: 1. Data on the existing drug regulatory mechanisms in India and how it protects the health and safety of the Indian Citizen. 2. An agreed plan for implementation emerging from the deliberations of the conference and based on the inputs from experts and policy makers. 3. A detailed report of the Conference capturing the various presentations and the recommendations made by the experts in consultation with all the stakeholders without compromising on the Good Manufacturing and Distribution Practices existing globally as the benchmark for improvement.