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Post-Transition Brexit: UK Competent Authority 2021 guidance

Wed 27 October 2021Reading time: 5 minutes

Guidance was published in 2020 and updated in January 2021 by the MHRA concerning regulation of drugs and devices in the UK (GB and NI) that needs to be complied with from 1st January 2021, marking the end of the Brexit Transition Period.

The Guidance

The guidance relates to the new regulatory environment in GB (being England, Scotland, Wales) and Northern Ireland for clincial trials, devices, medicine licensing, supply chain considerations (including manufacturing, importation, exportation), IT systems, pharmacovigilance and paediatrics.

Guidance is split between GB and NI since NI is now aligned with EU regulations (from 1st January 2021). On 5th November 2020, at the fourth meeting of the Ireland/NI Specialised Committee, co-chaired with officials from UK and the European Commission, the UK and EU agreed to a phased approach to implement medicines regulation in NI up to end 2021, avoiding the potential “cliff-edge” in terms of medicines supply to NI from 1 January 2021 and as stated in the associated Press Release, providing the addition time needed for businesses to prepare in relation to batch testing, importation and Falsified Medicines Directive requirements.

It was warned that the impact of the changes, if they were not accounted for, would be felt by patients or users of medicinal products or devices in GB. Also, manufacturers who supply the GB market needed to prepare for the relevant changes in regulations.

The following looks at some of the more notable changes that were addressed in the MHRA guidance, with a specific focus on those products that are currently registered and supplied in GB and NI.

Pharmaceuticals

Northern Ireland continues to follow EU guidance and therefore be part of EU procedures (centrally authorised medicines, MR/DC procedures). The UK could only be a CMS during the transition period and can no longer be part of EU procedures from 1st Jan 2021 (where UK is GB and NI). Although the MHRA will be taking all decisions and performing all functions as the UK regulator, as previously done by the EMA or EU Competent Authorities at EU-level, it will not have any decision-making ability with respect to Marketing Authorisation Applications or existing authorisations made by EU procedures, where marketed in Northern Ireland. Medicinal products in GB will follow GB law, which in the main is a direct transposition of EU law, implemented through SI 2012 No. 1916, The Human Medicines Regulations (HMR) 2012, as amended by The Human Medicines (Amendment etc.) (EU Exit) Regulations 2019.

The direct transposition is of course good news, however there are some particular exceptions for new ‘generic’ marketing authorisations in terms of comparator and reference products.

Centrally Authorised Products (CAPs) and Products authorised under EU Decentralised or Mutual Recognition Procedures

Existing centrally authorised Marketing Authorisations were automatically converted into UK national MAs (these “converted EU MAs” are effective in GB only) on 1st January 2021 (known as “grandfathering”) and allocated UK Product Licence (PL) number(s). This protects the supply into GB of important medicines, previously authorised by EMA. The MA holder did have the option to opt out of this automatic conversion, but this needed to be done by 21st January 2021. There were no fees associated with the conversion process.

Existing centrally authorised EU MAs remain valid for the purposes of marketing in NI as a result of the Northern Ireland Protocol. The MHRA does not issue a separate MA for NI.

Existing products authorised under EU Decentralised or MR Procedures, where NI is specifically included will be authorised for use in NI, in which case a UK MA will be issued by MHRA in respect of NI. Where the product is authorised in GB as part of a DC/MP procedures, this will retain it’s existing national UK MA numbers and are now handled as nationally approved products, from 1st January 2021.

In order to effectively manage lifecycle changes of the converted EU MAs for GB, the MHRA requires the submission of a single eCTD initiating sequence representing the currently authorised and approved position, which must be provided by 31st Dec 2021 (see the following guidance). This is understood to be a potentially significant and important task for the Industry, not least because it will generally not be be possible for MA holders to renew and/or submit variations in respect of such converted MAs until this sequence is provided.

The current legal requirement for suppliers of pharmaceutical products, holding marketing authorisations, is to establish a legal entity in the EU. Following the end of the transition period, marketing authorisation holders for GB-licensed products must establish a legal presence in GB. On conversion of the EU MA, holders must establish a GB legal presence within 24 months of date of 1st Jan 2021.

Sourcing of medicines for Great Britain (Importation)

Holders of a wholesale dealers licence, granted in GB, are permitted to import medicinal products from a country which is on an approved country for import list provided certain conditions are met. The listed countries include EEA Member States. Additionally for those non-EEA countries with existing Mutual Recognition Agreements, quality control testing is accepted without the need for repeat testing in GB. Please refer to Regulink’s detailed insight into importation requirements into the UK.

The guidance allows a GB wholesaler to import medicines from the EEA that have been batch certified by an EU Qualified Person (QP), without the need to re-test or re-certify in GB, provided certain checks are made by a nominated Responsible Person (import) (RPi).

Being a new role player in the pharmaceutical supply chain, the MHRA has provided detailed guidance for an RPi and a timeline by which the nomination is to be made (by 1st Jan 2023) and the name included on the existing wholesale dealers licence. For new wholesale dealers licences issued after 1st Jan 2021, an RPi must be in place at submission.

EU Reciprocation

Unfortunately, we are a way off the UK-EU Mutual Recognition Agreement that Industry, amongst many other bodies, have been passionately advocating for since Brexit became part of our common lexicon.

It is hoped in time mutual accord can be reached, for the benefit of patients across the continent. Until then, Regulink are happy to advise and support you, having hands on practical experience with both the preparation for and transitioning after the departure of the UK from the European Union.