ON APPEAL FROM THE HIGH COURT OF JUSTICE
QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
THE HON. MRS JUSTICE CARR
Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE McFARLANE
and
LORD JUSTICE SALES
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The Queen on the application of Roche Registration Limited |
Claimant/ Appellant |
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- and - |
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The Secretary of State for Health (acting through the Medicines and Healthcare Products Regulatory Agency) |
Defendant/Respondent |
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(instructed by Covington & Burling LLP) for the Appellant
Mr George Peretz QC (instructed by Government Legal Department) for the Respondent
Hearing dates : 1 & 2 December 2015
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Crown Copyright ©
Lord Justice Sales:
Introduction
"2. Roche is a wholly owned subsidiary of Roche Holding AG and is the marketing authorisation holder ("MAH") of all centrally-approved medicinal products developed and marketed by the Roche group of companies. The MHRA discharges the Secretary of State's duties and powers as the "licensing authority" for Great Britain under the Human Medicines Regulations 2012 ("the 2012 Regulations") which implement Directive 2001/83/EC of the European Parliament and of the Council ("the 2001 Directive"). The European Medicines Agency ("the EMA") appears as an interested party. The EMA was set up under Regulation (EC) 726/2004 ("the 2004 Regulation") and is responsible for co-ordinating the scientific resources put at its disposal by Member States for the evaluation, supervision and pharmacovigilance of medicines authorised centrally. It includes the Committee for Medicinal Products for Human Use ("the CHMP"), which is responsible for preparing the opinion of the EMA on any question relating to the evaluation of medicines, and the Pharmacovigilance Risk Assessment Committee ("PRAC"), which is responsible, amongst other things, for providing recommendations to the CHMP on any question relating to pharmacovigilance activities for human medicines.
…
4. The Re-Inspection related to Roche's pharmacovigilance system and the extent to which Roche had complied with its reporting obligations. Pharmacovigilance is the science and activities relating to the detection, reporting, assessment, understanding and prevention of adverse effects of a medicine or any other medicine-related problem. The obligation on MAHs, such as Roche, to operate a pharmacovigilance system is a critical element of the system of licensing human medicines in the European Union ("EU"). In broad terms, MAHs are obliged to operate a pharmacovigilance system and to audit that system. They are also obliged to monitor suspected adverse reactions to their product and to record and report suspected adverse reactions to their product which are brought to their attention. These are central safeguards for public safety and health purposes. The duty to protect public health exists independently and separately from any disciplinary issues that may arise.
5. Medicines regulators, such as the MHRA, routinely exercise powers under their respective national laws to conduct pharmacovigilance inspections to check compliance with pharmacovigilance obligations. Where deficiencies are identified, the company under inspection proposes and then implements corrective and preventative actions ("CAPAs"). The regulatory body may then re-inspect at a later date to confirm proper implementation. Roche states that it was (and remains) content to comply with such inspections. Additionally, the CHMP routinely requests that national competent authorities conduct inspections in respect of products for which the CHMP is responsible. Roche states that it was (and remains) content to comply with such inspections.
6. The two principal pieces of EU legislation which impose pharmacovigilance obligations on MAHs are the 2004 Regulation and the 2001 Directive. With effect from July 2012 that legislation underwent material amendment, as did the manner in which the EU laws are implemented into UK law. Prior to August 2012 the key national legislation was the Medicines Act 1968 ("the Act") and the Medicines for Human Use (Marketing Authorisations etc.) Regulations 1994 ("the 1994 Regulations"). The 2012 Regulations repealed and/or replaced the relevant provisions of the Act and the 1994 Regulations. The pharmacovigilance obligations said by Roche to be relevant to this claim are those pre-dating July 2012, largely to be found in the 2004 Regulation. The Re-Inspection was conducted in late 2013 pursuant to the 2012 Regulations.
7. Roche alleges that, when conducting the Re-Inspection, the MHRA was knowingly gathering evidence in the context and for the purpose of infringement proceedings which have been brought against Roche under the Penalties Regulation (EC) No. 658/2007 ("the Penalties Regulation") ("the infringement proceedings"). These proceedings are of a criminal or quasi-criminal nature and carry a heavy potential financial penalty of up to 5% of Roche's annual EU turnover in the preceding year. It appears that this is the first time that an investigation has been launched under the Penalties Regulation.
8. Article 1 of Chapter 1 of the Penalties Regulation identifies various pharmacovigilance obligations which, if infringed, give rise to a risk of a financial penalty being imposed. Chapter II sets out the "Infringement Procedure" which commences with an "Inquiry" by the EMA which leads to the EMA producing a report which summarises its findings. The "Decision-Making stage" follows next. The European Commission ("the Commission") considers the case and may, having followed the procedure provided for in the Penalties Regulation, adopt a decision imposing a fine. The Penalties Regulation also allows for penalties to be imposed for non-compliance with measures of inquiry. It provides at the outset (by recital 13) that, when carrying out the infringement procedure, the EMA and Commission must ensure the respect of the rights of defence. The MAH must have access to the file of the EMA and the Commission and the right to legal representation. The right to silence must also be respected.
9. The Claimant brings three grounds of challenge:
a) first, that the MHRA provided information to the EMA pursuant to formal requests from the EMA under Article 8(3) of the Penalties Regulation. Article 8(3) did not provide a proper basis for such requests. Accordingly the MHRA's compliance with them was and remains ultra vires;
b) secondly, that the MHRA failed properly to explain to Roche, at the time of the Re-Inspection, that the information was being obtained for use in a criminal or quasi-criminal investigation and that it would be making additional submissions to the EMA for that purpose. Had the MHRA done so, Roche would have been able to consider its position, including by seeking legal advice and representation and by asserting its right to silence and not to incriminate itself. The MHRA's conduct was thus procedurally improper and unlawful. There was no or insufficient procedural protection of Roche's rights in breach of the applicable EU, European Convention of Human Rights ("ECHR") and domestic law standards in the context of the infringement proceedings;
c) thirdly, that the material provided by the MHRA to the EMA under the Article 8(3) requests (and otherwise under the Penalties Regulation) contained a number of fundamental errors of law.
These are therefore public law challenges relating to vires, procedural fairness and alleged error of law.
10. Roche now seeks a declaration that:
a) the past and continuing compliance by the MHRA with the EMA's Article 8(3) requests dated 1st October 2013 and 17th October 2013 is unlawful, as would be compliance with any other such request in the context of the infringement proceedings;
b) the MHRA's conduct of the Re-Inspection was unlawful;
c) the transmission of the resulting draft Re-Inspection Report by the MHRA to the EMA for the purpose of use in the infringement proceedings was unlawful;
d) the transmission by the MHRA to the EMA of the final Re-Inspection Report for use in the infringement proceedings was unlawful;
e) any information or other communication between the MHRA and the EMA in the context of the infringement proceedings in which the views of the MHRA are based on information gained during the Re-Inspection (including the MHRA's letter to the EMA dated 13th December 2013) was unlawful;
f) that the findings of the MHRA in the Re-Inspection Report are unlawful."
The legislative framework
"Article 101
Member States shall operate a pharmacovigilance system for the fulfilment of their pharmacovigilance tasks and their participation in Union pharmacovigilance activities…
Each Member State shall designate a competent authority for the performance of pharmacovigilance tasks…..
Article 104
The [MAH] shall operate a pharmacovigilance system for the fulfilment of his pharmacovigilance tasks equivalent to the relevant Member State's pharmacovigilance system provided for under Article 101(1)…"
"…The supervisory authorities for pharmacovigilance shall be responsible for verifying on behalf of the Union that the [MAH] for the medicinal product satisfies the pharmacovigilance requirements laid down in Titles IX and XI of [the 2001 Directive]."
"SUPERVISION AND SANCTIONS
Article 111
The competent authority of the Member State concerned shall, in cooperation with the Agency, ensure that the legal requirements governing medicinal products are complied with by means of inspections, if necessary unannounced, and, where appropriate, by asking an Official Medicines Control Laboratory or a laboratory designated for that purpose to carry out tests on samples. This cooperation shall consist in sharing information with the Agency on both inspections that are planned and that have been conducted. Member States and the Agency shall cooperate in the coordination of inspections in third countries. The inspections shall include but not be limited to the ones mentioned in paragraphs 1a to 1f.
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1b.The competent authority of the Member State concerned shall have a system of supervision including by inspections at an appropriate frequency based on risk, at the premises of the manufacturers, importers, or distributors of active substances, located on its territory, and effective follow-up thereof.
Whenever it considers that there are grounds for suspecting non-compliance with the legal requirements laid down in this Directive, including the principles and guidelines of good manufacturing practice and good distribution practices referred to in point (f) of Article 46 and in Article 47, the competent authority may carry out inspections at the premises of:
(a) manufacturers or distributors of active substances located in third countries;
(b) manufacturers or importers of excipients…
1g. Inspections shall be carried out by officials representing the competent authority who shall be empowered to:
...
(d) inspect the premises, records, documents and pharmacovigilance system master file of the marketing authorisation holder or any firms employed by the marketing authorisation holder to perform the activities described in Title IX.
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8. If the outcome of the inspection referred to in point (d) of paragraph 1g is that the marketing authorisation holder does not comply with the pharmacovigilance system as described in the pharmacovigilance system master file and with Title IX, the competent authority of the Member State concerned shall bring the deficiencies to the attention of the marketing authorisation holder and give him the opportunity to submit contents.
In such case the Member State concerned shall inform the other Member States, the Agency and the Commission.
Where appropriate, the Member State concerned shall take the necessary measures to ensure that a marketing authorisation holder is subject to effective, proportionate and dissuasive penalties.
Article 111a
The Commission shall adopt detailed guidelines laying down the principles applicable to inspections referred to in Article 111."
323.-(1) The Secretary of State must enforce or secure the enforcement of these Regulations and the relevant EU provisions in England, Wales and Scotland.
(2) The Secretary of State may make arrangements for either or both of-
325.-(1) An inspector may at any reasonable time enter premises-
(a) in order to determine whether there has been a contravention of a provision of these Regulations which the enforcement authority is required or empowered to enforce by virtue of regulations 323 and 324;
…
(2) A person may not exercise a right of entry under this regulation in relation to premises used only as a private dwelling unless 24 hours' notice has been given to the occupier.
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Application for warrant
326.-(1) In a case where this regulation applies, a justice of the peace may issue a warrant authorising an inspector to enter premises, by force if necessary.
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Powers of inspection, sampling and seizure
327.-(1) An inspector may inspect anything mentioned in paragraph (2)-
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(2) The things mentioned in paragraph (1) are-
(g) information and documents relating to the safety of medicinal products…"
Findings and reports of inspections
331.- (1) If the outcome of the inspection of things referred to in regulation 327(2)(g) (powers of inspection, sampling and seizure: information and documents relating to safety etc) is that the holder of a marketing authorisation or traditional herbal registration does not comply with the pharmacovigilance system as described in the pharmacovigilance system master file, or any provision of Part 11 (pharmacovigilance), the enforcement authority must-
(a) bring the deficiencies to the attention of the holder;
(b) give the holder the opportunity to submit comments; and
(c) inform the other EEA States, the EMA and the European Commission
…
(3) After every inspection carried out in accordance with regulations 325 (rights of entry) and 327 (powers of inspection, sampling and seizure) in connection with medicinal products other than registrable homoeopathic medicinal products, the enforcement authority must report on whether the activities to which the inspection relates comply with such of the provisions mentioned in paragraph (4) as apply to those activities.
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(5) The enforcement authority must before adopting the report-
(a) communicate the content of the report to the person to whose activities the inspection relates; and
(b) give that person the opportunity to submit comments."
"COMMISSION REGULATION (EC) No 658/2007
of 14 June 2007 concerning financial penalties for infringement of certain obligations in connection with marketing authorisations granted under Regulation (EC) No 726/2004 of the European Parliament and of the Council
…
Whereas:
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(3) Moreover, in view of the provision made by Article 84(1) of Regulation (EC) No 726/2004, under which the Member States are to determine the penalties to be applied for infringement of the provisions of that Regulation or the Regulations adopted pursuant to it and to take the necessary measurers for their implementation, action at Community level should be taken only in cases where the interests of the Community are involved. In that way, the effective enforcement of Regulation (EC) No 726/2004 would be ensured by an appropriate management of the resources available at Community and national level…
(6) In order to ensure the effective conduct of the inquiry stage of alleged infringements, the Agency and Commission should have recourse to the competent authorities of the Member States, designated as the supervisory authorities of medicinal products authorised through the centralised procedure by Regulation (EC) No 726/2004, to carry out the necessary measures of inquiry and to obtain information relating to infringements falling within the scope of this Regulation…
(8) The decision to initiate an infringement procedure under this Regulation should be taken by the Agency, which should first inform the Commission and the Member States. In the course of an inquiry, the Agency should be empowered to require such information to be supplied as is necessary to detect any infringement. It should also be able to rely on the cooperation of national competent authorities. Any supervisory powers entrusted to the Agency by Community law as regards marketing authorisations for medicinal products granted in accordance with Regulation (EC) No 726/2004 may be used by it in the course of the investigation of an infringement…
(13) When carrying out an infringement procedure, the Agency and the Commission must ensure the respect of the rights of defence and of the principle of confidentiality in accordance with the general principle of law, and the case-law of the Court of Justice of the European Communities. In particular, the marketing authorisation holder subject to the infringement procedure should have the right to be heard by the Agency during the inquiry stage and by the Commission once it has been notified a statement of objections as well as to access the file compiled by the Agency and the Commission. While the Commission should be entitled to compel marketing authorisation holders to provide the necessary information and documents relating to a presumed infringement, the right to silence in situations where the holder would be compelled to provide answers which may involve an admission on its part of the existence of an infringement, as developed by the Court of Justice should also be respected…
CHAPTER 1
GENERAL PROVISIONS
Article 1
Subject-matter and scope
This Regulation lays down rules concerning the application of financial penalties to the holders of marketing authorisations, granted under Regulation (EC) No 726/2004, in respect of infringements of the following obligations, in cases where the infringement concerned may have significant public health implications in the Community, or where it has a Community dimension by taking place or having its effects in more than one Member State, or where interests of the Community are involved:
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13. recording and reporting of suspected serious adverse reactions and, in the case of veterinary medicinal products, human adverse reactions, as referred to in Article 24(1) and Article 49(1) of Regulation (EC) No 726/2004;
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15. detailed recording of all suspected adverse reactions and submission of such records in the form of periodic safety update reports, as referred to in Article 24(3) and Article 49(3) of Regulation (EC) No 726/2004;
16. communication of information relating to pharmacovigilance concerns to the general public, as referred to in Article 24/5 and Article 49(5) of Regulation (EC) No 726/2004;
…
Article 3
Cooperation by the competent authorities of the
Member States
1. The competent authorities of the Member States shall cooperate with the Agency and the Commission to enable them to carry out their duties under this Regulation.
2. Information provided by the national competent authorities in response to a request from the Agency or the Commission under this Regulation shall be used by the Agency and the Commission only for the following purposes:
(a) as evidence for the purposes of applying this Regulation
(b) for carrying out the tasks entrusted to them for the authorisation and supervision of medicinal products under Regulation (EC) No 726/2004…
Article 8
Requests by the Agency
1. The Agency may request the marketing authorisation holder to provide written or oral explanations, or particulars or documents.
Requests shall be addressed in writing to the marketing authorisation holder. The Agency shall state the legal basis and the purpose of the request, fix a time-limit by which the information is to be provided, which shall be at least four weeks, and inform the marketing authorisation holder of the fines provided for an Article 19(1)(a) and (b) for failing to comply with the request or for supplying incorrect or misleading information.
2. The Agency may request national competent authorities to cooperate in the investigation in the following ways:
(a) by performing any of the tasks entrusted to the supervisory authorities by Articles 19(1) and 44(1) of Regulation (EC) No 726/2004;
(b) by performing inspections or other supervisory measures in accordance with Articles 111 to 115 of Directive 2001/83/EC and Articles 80 81 and 82 of Directive 2001/82/EC.
Requests shall be addressed in writing and shall state the legal basis and the purpose of the request. The time limit for the submission of the reply or the conduct of the measure of inquiry shall be determined by agreement between the Agency and the national competent authority to which the request is addressed, having regard to the specific circumstances of the case.
3. The Agency may ask any natural or legal persons to provide information relating to the alleged infringement.
Requests shall be addressed in writing and shall state the legal basis and the purpose of the request, and shall fix a time limit by which the information should be provided, which shall be at least four weeks…
Article 14
Requests for information
1. After receipt of a request from the Agency pursuant to Article 10(2) and before adoption of the decision referred to in Article 16, the Commission may at any time request the marketing authorisation holder to provide written or oral explanations, or particulars of documents, relating to the alleged infringement.
Requests shall be addressed in writing to the marketing authorisation holder. The Commission shall state the legal basis and the purpose of the request, fix a time-limit by which the information is to be provided, which shall be at least four weeks, and inform the marketing authorisation holder of the fines provided for an Article 19(1)(c) and (d) for failing to comply with the request or for supplying incorrect or misleading information.
2. The Commission may request the Agency, the national competent authorities or any other natural or legal persons to provide information relating to the alleged infringement.
Requests shall be addressed in writing and shall state the legal basis and the purpose of the request. Where the request is addressed to the Agency or a national competent authority, the time-limit by which the information is to be provided shall be determined by the Commission after consultation of the Agency or the national competent authority to which the request is addressed, having regard to the specific circumstances of the case. Where the request is addressed to other natural or legal persons, it shall fix a time-limit by which the information is to be provided, which shall be at least four weeks.
Article 18
Principles governing the application and quantification of
financial penalties
1. In determining whether to impose a financial penalty and in determining the appropriate financial penalty, the Commission shall be guided by the principles of effectiveness, proportionality and dissuasiveness.
2. In each case, the Commission shall take into consideration, where relevant, the following circumstances:
(a) the seriousness and the effects of the infringement
…
(c) on the one hand, the degree of diligence and cooperation shown by the marketing authorisation holder in the detection of the infringement and the application of corrective action, or during the course of the infringement procedure or, on the other hand, any obstruction by the marketing authorisation holder of the detection of an infringement and the conduct of an infringement procedure, or any non-compliance by the marketing authorisation holder with requests made by the Agency, the Commission or a national competent authority in application of this Regulation;
…
Article 19
Financial penalties
1. The Commission may by decision impose on marketing authorisation holders fines not exceeding 0.5% of their Community turnover in the preceding business year where, intentionally or negligently:
(a) they do not comply with a measure of inquiry adopted pursuant to Article 8(1);
(b) they supply incorrect or misleading information in response to a measure of inquiry adopted pursuant to Article 8(1);
(c) they do not comply with a request for information pursuant to Article 14;
(d) they supply incorrect or misleading information in response to a request for information pursuant to Article 14.
…
The facts
"21. There are four material witness statements addressing the factual background to the claim :
a) for Roche : from Dr Peter De Veene dated 28th January 2014 and Mr Nicholas Phillips dated 28th January 2014. Dr De Veene has been the qualified person for pharmacovigilance ("QPPV") of Roche since June 2011. Mr Phillips has been the head of inspections management at Roche Products Limited since 2007;
b) for the MHRA : Dr Anya Sookoo dated 28th February 2014 and Mr Jonathan Rowell dated 10th April 2014. Dr Sookoo is an expert inspector in Good Clinical Practice and pharmacovigilance for the MHRA. Mr Rowell is a senior pharmacovigilance inspector for the MHRA. It was Dr Sookoo and Mr Rowell who carried out the Re-Inspection, with Mr Rowell acting as lead inspector. In a covering letter dated 28th February 2014 the Treasury Solicitor confirmed to Roche's solicitors that Dr Sookoo's statement gave "a full and fair account of the factual background to the matters of which [Roche] complain[ed]." Documents were exhibited which it was considered, in accordance with the duty of candour, should be disclosed.
22. As explained in paragraph 5 above, there are different types of investigation by the MHRA : inspection following the identification by the MHRA of deficiencies which looks at the implementation of CAPAs and inspections requested by the CHMP and inspections for the purpose of the Penalties Regulation. The EMA refers to the first two categories of inspection in a document titled "PROCEDURE FOR THE PREPARATION OF A RISK-BASED PROGRAMME FOR ROUTINE PHARMACOVIGILANCE INSPECTIONS OF MAHs CONNECTED WITH HUMAN CENTRALLY AUTHORISED PRODUCTS" (April 2009):
"INTRODUCTION
According to the [2004 Regulation] the supervisory authorities shall be responsible for verifying on behalf of the Community that the holder of the marketing authorization of the medicinal product for human use...satisfies the requirements laid down in Titles IV, IX and XI of [the 2001 Directive]…The Competent Authority shall ensure, by means of repeated inspections, and if necessary unannounced inspections., that the legal requirements governing medicinal products are complied with…
According to the volume 9A, the CHMP, in conjunction with the Competent Authority of the Member State in whose territory the MAH's QPPV is located and applicable Pharmacovigilance and Inspectors' Working Parties, will determine a programme for inspection in relation to centrally authorised products. The inspections will be prioritised based on the potential risk to public health, the nature of the products, extent of use, number of products that the MAH has on the EEA market and other risk factors.
Based on this, a written procedure that covers the preparation, revision, implementation and supervision of an annual inspection programme is needed…Sufficient resources must be determined and made available to ensure that the designated programme of inspections can be carried out in an appropriate manner.
In general, it is anticipated that national inspection programmes will fulfil the need for the routine inspections of this programme and therefore it is expected that the programme described in this procedure focused on CAP products will be achieved mainly through the national programmes. However, there will be situations where these inspections might be specifically requested by the CHMP (eg global PhV sites in third countries). Targeted inspections will also be reflected in this programme as they may replace the need for a routine inspection."
23. Roche emphasises that the attitude adopted by Roche (and indeed, it is said, by the pharmaceutical industry generally) in relation to inspections arising out of CAPAs and CHMP requests is one of deferential co-operation and openness. Dr De Veene states that such inspections are regarded as routine pharmacovigilance inspections. He wishes to ensure that Roche lives up to the MHRA's expectations and to maintain a good and cordial working relationship with the inspectors. The MHRA inspectors expect a MAH to act transparently and frankly. MAHs tend to accept the inspectors' findings unquestioningly even if such findings are not based on a strict application of relevant legal requirements or guidance. Rather the focus is on CAPAs. The hope is that by acting in this way MAHs can influence the tone and perhaps even the findings of a final inspection report. As set out above, the final report is shared routinely with the EMA and other Member States.
24. Between 16th and 20th January and 28th February and 1st March 2012 the MHRA conducted a routine inspection of Roche's headquarters in the UK. On 4th May 2012 it sent a draft first inspection report to Roche which included three serious findings of alleged non-compliance that were classified as "critical" ("the first inspection report"). A "critical" finding is "a deficiency in pharmacovigilance systems, practices or processes that adversely affects the rights, safety or well-being of patients or that poses a potential risk to public health or that represents a serious violation of applicable legislation and guidelines" (as defined in the EMA's standard operating procedures) .
25. Roche's non-compliance related, amongst other things, to the processing of safety data that had arisen in the context of non-interventional programmes ("NIPs"). The MHRA had particular concerns relating to a programme called "Access Solutions" which was run by Genentech. Access Solutions offered doctors and patients in the United States assistance and advice relating to insurance coverage and funding for Genentech's products which corresponded to many products marketed by the Roche group of companies in Europe. It made use of a number of service providers, including an organisation called McKesson Speciality Arizona Inc ("McKesson"). The MHRA reported that McKesson and Genentech had received reports of adverse events in relation to relevant products and had failed to pass on these reports. The MHRA took the view that this constituted a breach by Roche of its pharmacovigilance obligations under the 2004 Regulation.
26. On 9th May 2012 the MHRA sent the final first inspection report to the EMA. On 8th June 2012 the Commission requested the EMA to initiate an infringement procedure under the Penalties Regulation.
27. On 13th June 2012 the EMA sent Roche a request for information under Article 6 of the Penalties Regulation. On 19th June 2012 the EMA wrote to Roche with a list of questions and requests relating to improvements in Roche's pharmacovigilance system.
28. On 21st June 2012 the EMA issued a press release in relation to its findings of alleged non-compliance in the first inspection report. It also stated that it was working with national medicines agencies to investigate deficiencies in Roche's medicine-safety reporting system.
29. In July 2012 the MHRA decided not to refer its findings to its Enforcement Group with a view to investigating possible criminal offences.
30. On 19th July 2012 the EMA wrote again to Roche requesting a comprehensive response to questions listed in an attached assessment report. On 23rd July 2012 Roche responded to the EMA's Article 6 request of 13th June 2012.
31. On 23rd October 2012 the EMA notified Roche that it was initiating an infringement procedure under the Penalties Regulation.
32. Between November 2012 and January 2013, the MHRA assisted the EMA and co-operated with it closely in connection with the infringement procedure. It committed to support the EMA in its enforcement activities as was required of it under the Penalties Regulation and in accordance with Article 111(8) of the 2001 Directive. Thus it assisted the EMA with the drafting of a request under Article 8(1) of the Penalties Regulation and discussed with the EMA whether it should conduct a re-inspection to validate Roche's response to that request. However, the EMA in the event did not make any such request.
33. On 19th December 2012 the EMA sent the MHRA an Article 8(3) request to which the MHRA responded on 14th January 2013. On 30th January 2013 the EMA sent Roche an Article 8(1) request, to which Roche responded on 5th April 2013, and on 20th March 2013 a second Article 8(1) request, to which Roche responded on 18th April 2013.
34. On 16th May 2013 the MHRA advised the EMA in the context of the infringement procedure, including as to the type of evidence which might be needed by the EMA and the best plan of action, including whether or not there should be a re-inspection.
35. In the summer of 2013 James Cooke from the MHRA was seconded to the EMA to assist with the infringement procedure and in the preparation of the EMA's draft Article 10 report. As already indicated, the EMA had not carried out an infringement procedure before and did not employ its own inspectors or enforcement officers.
36. Between May and July 2013 Roche wrote several letters to the EMA arising out of the discovery by Genentech of some 1.2 million additional records relating to Access Solutions. On 2nd July 2013 the EMA wrote to the MHRA seeking its view on these newly discovered source documents that might contain safety data. The MHRA responded indicating that the re-inspection timetable needed to be brought forward as a result of the discovery of this new material. It wished to complete an on-site assessment of Roche's review methods. On 3rd July 2013 Dr Williams of the MHRA put to Mr Rowell proposals for consideration of the additional records. She stated that Roche needed to be asked for more information and could be told of the plan to bring the re-inspection forward. She referred to the fact that Mr Rowell was going to speak to the EMA about the implications for the infringement notice.
37. On 4th July 2013 Mr Rowell responded to Dr Williams stating that the EMA was consulting with the Commission as to whether the new failures could be added as an addendum to the existing infringement procedure or whether a second infringement procedure should be started :
"…Whatever the way forward, we aim to include theses additional cases in the ongoing infringement process in some way but are seeking advice. We are considering whether the interim re-inspection needs to take place at the US site as these are largely US Programmes and we may also visit some of the vendors Roche says were holding this additional information..."
38. Further internal MHRA communications were exchanged that day. The view was expressed by Dr Williams that because of the additional records it would not be possible to conclude in July 2013. Ideally a formal CAPA was required. Interim re-inspection might be required in the United States.
39. On 19th July 2013 the EMA emailed Mr Rowell. The new data would need to be considered in the framework of the public health track. It would not form part of the infringement track :
" ..As regards the re-inspection, please go ahead as you, as supervisory authority, decides is the most appropriate way forward (regardless of the ongoing infringement procedure)….Depending on the outcome of the re-inspection findings, it will be up to the [Commission] to decide on how to proceed with the re-inspection findings, if at all, during "decision making phase" in the framework of the penalties procedure."
40. The MHRA submits that this is clear evidence that the re-inspection was not being carried out for the purpose of the infringement procedure.
41. On 22nd July 2013 the MHRA sent an e-mail to the EMA requesting that the EMA adopt the Re-Inspection as a CHMP request and wishing "to know the process for triggering a CHMP-requested inspection at the US (Genentech) site".
42. On 29th July 2013 the MHRA emailed Dr De Veene about re-inspection :
"…With the public health track coming to an end, MHRA are starting to plan for the Roche re-inspection…this will take place at some point between 18 and 29 November 2013…the re-inspection will of course focus on the Non-Interventional Programme remediation project…"
This was, from Roche's perspective, standard procedure following an inspection where the MHRA had taken the view that there were significant failings.
43. The MHRA having set the dates for re-inspection for the end of November 2013, on 8th August 2013 the EMA asked the MHRA for a telephone conference to discuss the re-inspection and whether the dates for such inspection could be brought forward to allow the inspection findings to be available in the context of the EMA's draft Article 10 report. The next day Mr Rowell responded, stating that that was not possible, but the MHRA could aim to provide a comment on the inspection outcome pending the final report.
44. In mid-August 2013 the EMA sent the MHRA a draft CHMP Inspection request ahead of a telephone conference to discuss the Re-Inspection. The telephone conference took place on 15th August 2013 with a discussion that included discussion of the timing of feedback from the Re-Inspection. A final CHMP Inspection Request was issued on 22nd August 2013. On 29th August 2013 the MHRA wrote to the EMA stating that it had already advanced the UK site inspection as agreed, to allow the MHRA "to provide a summary of the findings for the EMA's Infringement Regulation report to the Commission". The EMA responded stating that it would be back in touch in a fortnight "to follow up on specific questions we would like to be included in the inspection….". There was in fact no such follow up.
45. On 30th August 2013 the EMA sent Roche formal notification of the CHMP request for inspection, which included the CHMP IREQ ("inspection request"). The inspection request was limited to four centrally approved products, namely Avastin, Bondronat, Bonviva and Zelbora. As set out in volume 9A of the "Rules Governing Medicinal Products in the EU – Guidelines on Pharmacovigilance for Medicinal Products for Human Use" (dated September 2008) ("volume 9A"), focusing on a sample of products is a standard way of dealing with system issues.
46. Roche states that its understanding was that the Re-Inspection was to serve the dual purposes of meeting the CHMP request and MHRA standard procedure. This was confirmed by MHRA inspectors during a telephone call prior to the Re-Inspection between Mr Phillips and Mr Rowell on 18th September 2013. Roche's notes of that discussion read as follows:
"Scope
Although the CHMP/EMA notification referred to 4 (3) products the lead inspector clarified that the scope of the inspection will be broad and the main focus is the implementation of the CAPA.
UK : Global oversight of NIPs
US : Access Solutions and other US programs. The MHRA do not plan to visit the NIP vendor McKesson but may ask for phone interviews with selected US NIP vendors."
47. Roche thus understood that the Re-Inspection would be broader in scope than the four listed products and would focus on CAPAs and remediation efforts since last inspection.
48. On 1st October 2013 the MHRA received a request from the EMA stated to be under Article 8(3) of the Penalties Regulation. It stated as follows :
"…In the framework of [the investigation] the EMA would like to seek the cooperation of the MHRA in the form of a request for information pursuant to Articles 3(1) and 8(3) of [the Penalties Regulation]…"
REQUEST FOR INFORMATION
This letter is a formal request for information made in accordance with Articles 3(1) and 8(3) of Regulation (EC) No 658/2007 which empowers the EMA to seek the cooperation of the national competent authority to enable it to carry out its duties under this Regulation and, specifically, to ask any natural or legal person to provide information relating to the alleged infringement.
The information you are requested to provide in reply of this request for information is intended to further assess the circumstances of the case in the light of the criteria set forth in Article 18(2) of Regulation (EC) No 658/2007 for the report to be established by the EMA in accordance with Article 10 of Regulation (EC) No 658/2007.
In particular you are requested to provide a response to the following questions:
Can you please confirm that your Member State has not adopted any urgent action in accordance with article 20 of Regulation (EC) No 726/2004 as a result of any of the alleged infringements set forth in the article 7 notification letter dd. 23 October 2012 (Annex I);
Can you please inform the Agency if your Member State has imposed any prior sanctions, including penalties, on the same marketing authorisation holder on the basis of the same legal grounds and the same facts by reference to the alleged infringements set forth in the article 7 notification letter dd. 23 October 2012 (Annex I).
For the purpose of the inquiry the marketing authorisation holder is identified as Roche Registration Ltd with registered office at 6 Falcon Way, Shire Park, Welwyn Garden City, AL71TW, Hertfordshire, United Kingdom, registered at the UK's company house with no. 03028626 and/or any company or entity belonging to the same mother company or group of companies as Roche Registration Ltd.
Can you please inform the Agency on the degree of diligence and cooperation shown by the marketing authorisation holder in the detection of the infringement during the MHRA inspection conducted in January and February/March of 2012, on the one hand, or on the other hand, any obstruction by the marketing authorisation holder of the detection of the infringement during the MHRA inspection conducted in January and February/March of 2012 or any non-compliance by the marketing authorisation holder with requests made by the MHRA during the inspection in January and February/March of 2012.
Can you please inform the Agency on the degree of diligence and cooperation shown by the marketing authorisation holder in the application of corrective action following the MHRA inspection conducted in January and February/March of 2012 or on any non-compliance by the marketing authorisation holder with requests made by the MHRA before, during or following the inspection in January and February/March of 2012 as well as in the context of the follow-up inspection to be undertaken by the MHRA in October/November 2013.
Please note that the information provided by the MHRA will only be used as evidence for the purpose of Regulation (EC) No 658/2007, as appropriate."
49. It can readily be seen that these questions mirror the individual factors identified in Article 18 of the Penalties Regulation.
50. On 17th October 2013 the EMA sent Roche a third request under Article 8(1) of the Penalties Regulation. The EMA also sent a further request to the MHRA again expressed to be under Article 8(3):
" …
In the framework of this investigation the EMA would like to seek the cooperation of the MHRA in the form of a request for information pursuant to Articles 3(1) and 8(3) of Regulation (EC) No 658/2007.
REQUEST FOR INFORMATION
This letter is a formal request for information made in accordance with Articles 3(1) and 8(3) of Regulation (EC) No 658/2007 which empowers the EMA to seek the cooperation of the national competent authority to enable it to carry out its duties under this Regulation and, specifically, to ask any natural or legal person to provide information relating to the alleged infringement.
The information you are requested to provide in reply of this request for information is intended to further assess the circumstances of the case in the light of the criteria set forth in Article 18(2) of Regulation (EC) No 658/2007 for the report to be established by the EMA in accordance with Article 10 of Regulation (EC) No 658/2007.
We would like to request the MHRA to provide the following documents in relation to the Pharmacovigilance (PhV) inspection, which has been requested by CHMP on 22 August 2013 and that the MHRA will conduct at Roche's premises in the UK and the USA in October/November 2013:
Preliminary PhV Inspection Report;
Responses received from Roche on the above mentioned report
Final PhV Inspection Report
Please note that the information provided by the MHRA will only be used as evidence for the purpose of Regulation (EC) No 658/2007, as appropriate."
51. The email covering this request stated that the information was "intended to establish whether certain provisions of [the Penalties Regulation] have been infringed by Roche and to assess the circumstances of the case in the light of the criteria set forth in Article 18(2) of [the Penalties Regulation]. Please note that the information provided will only be used as evidence for the purpose of the [Penalties Regulation]."
52. An internal MHRA email to the Divisional Director stated : "Don't worry about this. This would be something we would do as standard with a CHMP requested inspection".
53. The MHRA responded in part to the Article 8(3) request of 1st October 2013 on 18th October 2013. In summary, the MHRA had not taken action to suspend Roche medicinal products; no sanctions had been imposed by the MHRA on Roche; Roche had co-operated fully with the inspections in 2012, and had been co-operative during the subsequent public health investigation. Roche had responded to all information requests as far as was possible from available data. The MHRA stated that it would respond to additional questions following the Re-Inspection.
54. As set out above, the Re-Inspection of Roche in the United Kingdom took place at the end of October and on 14th November 2013 (and so was brought forward as the EMA had requested). Re-Inspection at Genentech took place between 18th and 22nd November 2013.
55. At the time of the Re-Inspection, as set out in the witness statements of Mr Phillips and Dr De Veene, Roche did not know that the EMA had made Article 8(3) requests of the MHRA.
56. There was reference to the infringement proceedings in the opening meetings. There is a document prepared by Mr Phillips dated 29th October 2013 headed "Daily/Periodic Inspection Debrief". The inspection scope is described as "Implementation of CAPA from MHRA PV Inspection 2012". In the executive summary the following entry appears :
"The lead inspector confirmed that this is a re-inspection due to the critical findings noted from the 2012 PV inspection. CHMP also requested an inspection to verify the extent of CAPA fulfilment. Inspection report will be shared with the member states and EMA. Aspects of the inspection report will be used for the infringement procedure but this is not the primary purpose why they are here."
57. Scribe notes for the 29th October 2013 opening session are also available. The following opening exchange is recorded :
"[Mr Rowell] – Scope – Recap on previous interaction and inspection feedback will distribute to EMA as routine information sharing. Report will also be shared with FDA. CAPA status check; NIP data collection progress; new regulation activities; formal response will be provided after the second visit at USA. Preliminary feedback will be provided at the end of the UK visit.
[Mr Phillips] – Infringement procedure clarification with regards to findings from MHRA from this Inspection.
[Dr Sookoo] – We will just feed into the current infringement process…"
58. Mr Phillips' manuscript notes of the meeting refer to Dr Sookoo stating that the MHRA re-inspection "may" feed into the infringement process. He went on to note the inspectors stating that "parallel action could be taken but would muddy the waters". Mr Phillips states that when told that aspects of the inspection report would be used for the infringement procedure, he thought this was "almost as an aside". It is nevertheless common ground that it was said in terms that the MHRA would (or at the very least might) feed into the infringement process.
59. In response to the letter before action the Treasury Solicitor stated by letter dated 27th January 2014:
"…the MHRA made it clear to Roche at the start of the re-inspection that the re-inspection was for standard pharmacovigilance purposes. Although Jonathan Rowell, MHRA lead inspector, cannot remember the conversation verbatim, he is clear that he did not suggest that the re-inspection was in any part being carried out for the purposes of the infringement procedure under the Penalties Regulation…"
60. Roche states that it believed that the Re-Inspection was a normal routine inspection. As a result, according to Mr Philips and Dr De Veene, no special precautions were taken to protect Roche's position.
61. A similar position existed at the opening of the Re-Inspection at Genentech on 18th November 2013. Mr Phillip's executive summary of the opening meeting in the inspection debrief stated:
"The lead inspector confirmed the inspection scope, and that it is to follow-up on the non-compliances noted from 2012 PV inspection, focusing on [NIPs] and a review of the Access Solution program. It is also request by the EMA to verify the extent of CAPA fulfilment. Inspection report will be shared with the member states and EMA and the FDA. The inspection is to follow-up on the public health track and the impact assessment submitted to PRAC and to ensure that the activities implemented by Roche/GNE are comprehensive. Aspects of the inspection report will be used for the infringement procedure…"
62. The scribe notes for 18th November 2013 read as follows:
"[Mr Rowell] EMA request CAPA follow-up and how CAPAs were addressed by Roche. Inspection report will be shared with FDA…Inspector's interest in an "open dialogue" is mentioned by [Mr Rowell]…Wishes to follow up on "public health track". PRAC wishes to obtain information about NIPs managed by Roche to ensure activities we committed to were addressed comprehensively. Inspectors will share report with EMA/PRAC. EMA may use report for infringement procedure (NB : not further specified how exactly this would be done)."
(According to Mr Phillips, the last comment in brackets was made by the scribe because of the lack of clarity from the inspectors as to how information gathered in the re-inspection was to be used. It does not appear that the inspectors were pressed for any further clarification.)
63. On 19th November 2013 the EMA issued a press release stating that no new safety concerns were identified in relation to the first inspection report.
64. On 22nd November 2013 Roche responded to the EMA's Article 8(1) request of 17th October 2013.
65. On 27th November 2013 Mr Rowell sent a "briefing note" to the EMA, including to the EMA's legal services, setting out the findings of the Re-Inspection. It recorded two critical, two major and at least 2 minor findings. It went on to make proposals for consideration by the EMA and PRAC for a proportionate approach to inspection and reporting of additional safety data.
66. On 2nd December 2013 Mr Rowell circulated a draft Re-Inspection Report internally for peer review, stating that he needed to get it out to Roche as soon as possible "so that the EMA can append it to their report to the Commission".
67. On 3rd December 2013 Dr Sookoo reviewed the draft stating:
"Given that the report is so important for the Infringement Regulation case, I am going to spend most of the day (and possibly the night) reviewing the report…"
She stated that she had tried to address some of the lawyers' comments, but that Mr Rowell might wish to think about how to "stress certain points". In her witness statement Dr Sookoo states that, amongst other things, she bore in mind making the draft clear to all readers, including the EMA's legal team who were not pharmacovigilance specialists. She wanted to ensure that the findings were communicated clearly. There was no resulting change to the nature or grading of the findings or any other fundamental change.
68. Dr Sookoo also, on 5th December 2013, informally reviewed parts of the EMA's draft Article 10 report.
69. On 8th December 2013 the MHRA sent the initial Re-Inspection Report ("the Re-Inspection Report") to the EMA, before sending it to Roche on 9th December 2013. The draft report is confidential. But it can be said that it made critical findings of Roche. Roche made comments on 17th January and 7th March 2014.
70. On 13th December 2013 the MHRA provided the balance of its response to the EMA's Article 8(3) request of 1st October 2013. It stated that Roche had made its personnel and documents fully available at the Re-Inspection. The MHRA considered that Roche had co-operated fully. But Roche had not been fully diligent in the application of the agreed CAPAs. Examples were given.
71. On 20th December 2013 the EMA sent its draft Article 10 report to Roche. It was critical of Roche. Roche submitted its comments on the draft Article 10 report on 14th February 2014.
72. On 19th March 2014 the MHRA sent its final Re-Inspection Report to the EMA ("the final Re-Inspection Report").
73. On 3rd April 2014 the EMA sent Roche the final Re-Inspection Report.
74. On 14th April 2014 the EMA announced that it had concluded its inquiry and sent its Article 10 report ("the Article 10 report") to Roche, to the Member States and to the Commission for its consideration.
75. Before leaving the facts, Roche sounds a general note of concern as to the approach adopted to disclosure by the MHRA and the EMA. It says that the full extent of co-operation between the MHRA and the EMA as set out above has only emerged as a result of repeated document requests and of the MHRA's acknowledgement of its duty of candour. But it is right to record that, for example, only a summary has been given of (and not all documents relating to) the various interactions between the EMA and the MHRA relating to Roche in 2013."
The judgment
"MHRA inspectors consider that [Roche] co-operated fully with the re-inspection conducted in October and November 2013. The re-inspection was conducted according to the inspection plan and Roche made its documentation and personnel fully available to the inspection team (at both the UK and US site)."
"I do not accept the submission that the MHRA was obliged as a matter of fairness to inform Roche in terms on, for example, 18th September 2013, that the MHRA was co-operating closely with the EMA and would provide the EMA with the Re-Inspection report (or an advance briefing note summarising the findings from the Re-Inspection), given the background knowledge and understanding of Roche in any event. Roche knew that the contents of any adverse Re-Inspection Report would reach the EMA. Roche can be taken to have understood the MHRA to be under a duty to co-operate with the EMA. The details of that co-operation were not matters that Roche was entitled to know, let alone did fairness demand that it be told."
Discussion
Ground 1: the Article 8(3) point
"The real complaint of DTF is that Milk Marque is abusing its dominant position by its selling system. This complaint, if proved, can be remedied either directly by one of the three alternative routes already mentioned, or indirectly by obtaining relief against the respondents requiring them to take appropriate steps to eliminate the Art. 86 abuse of Milk Marque. DTF has failed to explain why the indirect route [i.e. by judicial review proceedings] is more effective than the direct route. To assert, as DTF does, that its complaint is against the respondents and not against Milk Marque is merely to invite the question, Why?. In determining whether there are alternative adequate remedies, the court must look at the realities of the situation. The reality here is that the complaint is against the system being used by Milk Marque. The issues raised are ones which the European Commission and/or the MMC are well qualified to determine."
i) I agree with Mr Peretz's submission that the obvious and sufficient reason why Article 8(2) refers explicitly to national competent authorities whereas Article 8(3) does not, is that the matters that may be the subject of requests under Article 8(2) are all matters that require the exercise of powers enjoyed by such authorities alone. Accordingly, there is no basis for assuming that the EU legislature intended that requests as to matters falling within Article 8(2) should be the only requests that the EMA could address to such authorities in relation to investigations under the Penalties Regulation;ii) The language of Article 8(3) is clearly apt to cover natural and legal persons of every kind, including national competent authorities. The language used in Article 14(2) of the Penalties Regulation reinforces the point. It shows that the drafter of the Regulation includes national competent authorities within the category of "natural or legal persons", because after listing the EMA and national competent authorities the drafter completes the list with "or any other legal or natural persons";
iii) As is well known, the CJEU applies a strongly purposive approach in matters of construction, so these linguistic points are not decisive in themselves. But consideration of the objectives of the Penalties Regulation points to the same conclusion. To interpret Article 8(3) as covering requests to a national competent authority for information means that the EMA has power to request provision of relevant information already in that authority's possession or which it will acquire otherwise than by an inspection requested under Article 8(2), simply in the course of carrying out its ordinary pharmacovigilance functions. In light of the importance of the objective of protection of public health which the Penalties Regulation is intended to promote and the full procedural protections provided for in relation to the infringement procedure, it would be extraordinary if the EMA was not intended to be clothed with power to ask for such information.
Ground 2: the fairness point
"In some cases it may not be appropriate or practicable to give notice of proposed disclosure either at all or in time to enable the owner of the documents to have an opportunity to respond. The documents may be urgently required elsewhere, or it may appear that disclosure would hamper investigations. In such a case the designated member of the SFO would not, in my judgment, be acting unfairly if he decided to go ahead without giving the sort of notice which in other circumstances would be required. But, having disclosed the documents, he would then have to consider whether the owner of the documents should be told what had taken place. It may be that he should not be told in order to protect ongoing investigations, but in my judgment the starting point should always be that the owner of the documents is entitled to be kept informed rather than the reverse. That is what, as it seems to me, fairness demands, not only because the documents are his, subject to his right to confidentiality save insofar as his rights have been curtailed by statute, but also because he cannot exercise his remaining rights in any way unless he knows what is going on. If the matter is approached in the right way it may be that in most cases, for good reason, no notice will be given. That seems to me to be immaterial. What is important is to recognise the approach that fairness demands."
"What does fairness require in the present case? My Lords, I think it unnecessary to refer by name or to quote from, any of the often-cited authorities in which the courts have explained what is essentially an intuitive judgment. They are far too well known. From them, I derive that (1) where an Act of Parliament confers an administrative power there is a presumption that it will be exercised in a manner which is fair in all the circumstances. (2) The standards of fairness are not immutable. They may change with the passage of time, both in the general and in their application to decisions of a particular type. (3) The principles of fairness are not to be applied by rote identically in every situation. What fairness demands is dependent on the context of the decision, and this is to be taken into account in all its aspects. (4) An essential feature of the context is the statute which creates the discretion, as regards both its language and the shape of the legal and administrative system within which the decision is taken. (5) Fairness will very often require that a person who may be adversely affected by the decision will have an opportunity to make representations on his own behalf either before the decision is taken with a view to producing a favourable result; or after it is taken, with a view to procuring its modification; or both. (6) Since the person affected usually cannot make worthwhile representations without knowing what factors may weigh against his interests fairness will very often require that he is informed of the gist of the case which he has to answer."
"138. As already stated, the question of fairness is ultimately one of fact to be decided in all the circumstances. Relevant circumstances here include the following factors:
a) first, Roche is and was at all material times a highly sophisticated and resourced commercial organisation acting by personnel expert in the field of pharmacovigilance;
b) secondly, a quasi-criminal infringement procedure against Roche was, to Roche's knowledge, underway under the Penalties Regulation. The ultimate sanction in any infringement proceedings is potentially very significant. The procedure carried with it safeguards, such as the right to silence, the right against self-incrimination and the right to require a warrant. Roche was in fact of course already addressing the infringement procedure under the Penalties Regulation directly, not least because of the EMA's Article 6(1) request of 13th June 2012 and Article 8(1) requests of 30th January 2013, 20th March 2013 and 17th October 2013. Roche responded to each of these requests, including to the request of 17th October 2013 on 22nd November 2013, that is to say actually over the period of the Re-Inspection;
c) thirdly and importantly, Roche can be taken to have known of the relevant legislative background. It can be taken to have known of the MHRA's obligations to co-operate with the EMA as referred to, for example, in the Penalties Regulation, and, for example, of the obligation on the MHRA to provide the EMA report under Article 111(8) of the 2001 Directive. Under Article 111 of the 2001 Directive the MHRA was required to co-operate with the EMA to ensure that the legal requirements governing medicinal products were complied with and required the MHRA to act in co-operation with the EMA. That co-operation was stated expressly to consist in the sharing of information with the EMA on both inspections that are planned and that have been conducted;
d) fourthly, Roche can also be taken to have known of its rights under the Penalties Regulation as referred to in subsection b) above;
e) fifthly, Roche was aware at all material times that the MHRA was in fact working with the EMA for the purpose of investigating deficiencies in Roche's systems, for example from the June 2012 press release;
f) sixthly, Roche can also be taken to have known of relevant guidance such as the general guidance in GVP Module III. In the introduction it is stated:
"The objectives of pharmacovigilance inspections are :
i) to determine that the marketing authorisation holder has personnel, systems and facilities in place to meet their pharmacovigilance obligations;
ii) to identify, record and address non-compliance with may pose a risk to public health;
iii) to use the inspection results as a basis for enforcement action, where considered necessary…"
The third identified objective echoes the "Rules Governing Medicinal Products in the European Union – Guidelines on Pharmacovigilance for Medicinal Products for Human Use" (dated September 2008) ("the volume 9A Guidance") and which Mr Phillips actually exhibits (at least in part) in his evidence. There at paragraph 2.4 it is stated:
"…The [inspection] results will be used to help [MAHs] improve compliance and may also be used as a basis for enforcement action…"
I am un-persuaded by Roche's submission that the reference to inspection results being used "as a basis for enforcement action" suggests only that inspection results could be used to commence enforcement proceedings, rather than be used in those proceedings. That is to take too restrictive an approach to the wording of what was in any event only guidance. And the guidance appears in the introduction section for all types of inspection, re-inspections as well as preliminary inspections. There is also no evidence from Roche stating that this was in fact Roche's understanding at the time. In broad terms Roche can be taken to have known from this guidance that inspection results could be used for enforcement action purposes, including in the context of an already existing infringement procedure;
g) seventhly, Roche can be taken to have known of the considerations for the EMA under the Penalties Regulation, including those of co-operation and diligence as set out in Article 18(2)(c). It can also be taken to have known that under Article 10, where the EMA considered that the MAH had committed an infringement, the Article 10 report would include an assessment of the circumstances of the specific case in accordance with the criteria set out in Article 18(2);
h) eighthly, Roche was told in terms at the outset of the Re-Inspection on 29th October 2013 that the report would be shared with the EMA, and that aspects of the report would (or at the very least might) be used for the infringement procedure. Dr Sookoo is recorded as saying that the report would (or might) feed into the infringement procedure. On 18th November 2013 it was again stated that aspects of the inspection report would be used for the infringement procedure. The report would be shared with EMA.
For the avoidance of doubt, I do not consider there to be any material discrepancy between what was said by the Treasury Solicitor in January 2014, namely that Mr Rowell was clear that he did not suggest that "re-inspection was in any part being carried out for the purposes of the infringement procedure under the Penalties Regulation…" and what is recorded by Roche as having been said by Mr Rowell at the time of the Re-Inspection. He said that the Re-Inspection was routine. Its fruits would be shared with the EMA which would or could use them as part of the infringement procedure;
i) finally in this context, it is important to note that Roche has the full right to be heard and the opportunity in the course of the infringement proceedings to make full representations. It can comment as it wishes on any aspects of the Re-Inspection report or results relied on by the Commission with which it disagrees as a matter of law and/or fact. This right includes the right not only to make written observations with supporting evidence (under Article 12 of the Penalties Regulation) but also to call for a confidential oral hearing (as set out in Article 13 of the Penalties Regulation)."
Ground 3: the errors of law point
Conclusion
Lord Justice McFarlane:
Lady Justice Arden DBE: