NHS pharmacy opts for a robust quality and compliance management solution

Posted by Emily Hill on Tue, Jul 12, 2016

The pharmacy department at the Royal Free Hospital is deploying a new integrated quality and compliance management system to meet increasing healthcare compliance regulations and reduce operational costs. 


Image: Royal Free Pharmacy

The pharmacy dispenses prescriptions and provides medicines, information, and William_Marsden_17961867_by_Thomas_Henry_Illidge.jpgmanufacture and quality control medicines. The pharmacy also has a manufacturer's "specials" licence, an investigational medicinal products (IMP) licence and a wholesale dealer's licence, which means that Royal Free pharmacy are able to make and distribute a wide range of products.

Escalating Compliance Requirements

The pharmacy department is now partnering with Qualsys Ltd to implement EQMS, an integrated, modular quality and compliance management system.

After a competitive tendering process EQMS was selected for its advanced functionality which will embed compliance into all processes, such as the ability to electronically sign SOPs, access a full audit trail for all documentation and instantly view a KPI dashboard. 

Royal Free will be implementing a number of integrated EQMS modules:

  • EQMS Document Manager will structure, control and distribute policies, procedures and process documents securely to facilitate compliance to ECGMP Annex 11 and GAMP 5 guidelines.
  • EQMS Audit Manager will store evidence of compliance with MHRA requirements and ECGMP Annex 11 and GAMP 5 guidelines.
  • Established in 1828 by William Marsden, a newly qualified surgeon who was shocked when he found that he could not find treatment for a penniless young woman, the Royal Free's founding principle was that they would take in anyone who needed treatment – the first hospital in London to do so and the only London hospital to stay open during the 19th-century cholera epidemics.
    EQMS Training Record Manager will ensure that training records complies with GMP guidelines.  
  • EQMS Risk Manager will support the risk management requirements of GMP.  

Atheal Alwash, Sales and Account Executive for all of Qualsys's NHS accounts, said: 

"From our first discussions with the Royal Free Pharmacy it has been clear that EQMS is a perfect fit and we are delighted to be working with the team.

The entire team work hard to achieve a quality-first culture and this is how they continually provide world-class expertise and local care.

We are really excited about our partnership and are looking forward to inviting the Royal Free team to join us for some of our events in Sheffield."

For more information about how EQMS can support your organisation to meet your quality and compliance objectives, please download the EQMS Datasheets. 


EQMS Datasheets

Tags: Quality Management Software, Annex 11

Validated Computerised Quality Systems in GxP Environments

Posted by Gemma Baldan on Fri, Nov 02, 2012

Is the system fit for purpose?

It’s crucial that organisations operating across the Pharmaceutical and Medical Device industry carefully consider the impact of the introduction of computerised quality system applications. 

The European Medicine Agency's (EMEA) Guidelines to Good Manufacturing Practice (GMPs) - Annex 11, Computerized Systems (aka EU Annex 11) and The Food and Drug Administration's (FDA) rule on Electronic Records/Signatures (21 CFR Part 11 aka Part 11) are crucial in the manufacture of pharmaceutical products.


Businesses operating within the Medical Device and Pharma industries are compelled through the FDA and EMEA to instigate a formal validation process to ensure that all software is fit for purpose.  Whilst the legislation that governs particular sectors may vary, the principles of software validation are consistent and typically demand consideration of the following areas:

  • Software Vendor Development Methodology
  • Customer Requirement
  • Customer System Specification
  • Software Verification
  • System Validation
  • System Change Control and Validation
  • Problem Resolution Process and Tracking

So how can we ensure that a computerised quality system is fit for purpose under either Part 11 or Annex 11?

Whether operating under Annex 11 or Part 11, all computerised systems used in GxP regulated environments require compliance for ensuring integrity of data and records. 

 The FDA suggests that “when computers are used as part of the quality system, the [device] manufacturer shall validate computer software for its intended use according to an established protocol. This has been a regulatory requirement of FDA's medical device Good Manufacturing Practice (GMP) regulations since 1978”

 EMEA Annex 11 goes further into the requirements of computerised systems than Part 11. There are specific points in Annex 11 that relate directly to the supplier and service provider of the software. It addresses formal agreements, software review and supplier audits.  It is important to note that a software supplier cannot sell a validated system; validation requires a risk-based approach that the system performs as intended in its actual environment; however a system can provide the functionality to enable compliance with the specific regulations.

Key considerations:

When evaluating computerised quality systems, consider if the system;

  • Provides access control /user management.
  • Allows only authorised changes to data and documents
  • Ensures data integrity including: prevention of deletion, poor transcriptions and omission. 
  • Provides full time stamped audit trails
  • Provides Disaster recovery / Back up and retrieval
  • Provides the use of Electronic Signatures where necessary
  • Allows for system maintenance and change control
  • Supports management of training documentation


Five tips to help ensure you select the right supplier:

  1. Evaluate the quality methodology of the supplier; how do they design, construct, supply and maintain the software? Do they have relevant ISO9001 and TickIT quality marques in place to underpin the way they work?
  2. Understand the history of the vendor’s suppliers, if they have outsourced work – was all the software built in house? If not, how are the vendor’s suppliers quality checked?
  3. Are any third party apps used within the software? How heavy is the vendor’s reliance upon these apps, and how reliable are the apps themselves?
  4. Consider any known limitations of the software package or versions and the adequacy of any corrective actions by the Supplier.
  5. Has the supplier supplied to GxP regulated industries previously? Was the software compliant in ensuring integrity of records and data
Finding a vendor that you can trust to work closely alongside you is crucial to the success of your project; in our next post we'll be discussing key considerations of vendor selection.
For further help or information, feel free to Get in touch. We'd be happy to hear from you.


Tags: Quality Management Software, Annex 11, Risk Management, Compliance Management Software, Document Management, FDA