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© 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
embe
r
Dec
embe
r
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
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