Management Support

Parliamentary questions answered

Organised meetings

New

The Strategic Coordination provides transversal policy support to the Executive Council on strategic issues. All activities are carried out in support of and after validation by the Executive Council. This new service has been developing incrementally since 1 September 2022.

The Strategic Coordination seizes signs of innovation and change to anticipate strategic choices. These are some of its core tasks:

  • organise strategic committees and follow up on the decisions and actions that result from them;
  • handle strategic cases and set up consultation meetings;
  • develop and monitor a strategic plan.

The goal is to support an internal dynamic within the FAMHP and contribute to a strong position of the agency, both on the national and international stage.

A strategic case developed in 2022 analysed internally the proposal for a regulation of the European Parliament on standards of quality and safety for substances of human origin intended for human application.

ICT Division

Projects and Development Entity

Distribution by activity (in number of hours)

Operations Entity

Service Desk Team

Requests handled through the ServiceNow ticketing system

Applications by entity

Infrastructure Team

Activities (in number of hours)

Budget and Management Control Division

Expenses
Budget 2022
Implementation 2022
Balance 2022
Percentage
Personnel expenses
55 386 402
48 643 176
6 743 226
88 %
Other personnel costs
708 507
597 755
110 752
84 %
Sciensano’s expertise
6 999 590
5 735 753
1 263 837
82 %
Other expertise
1 964 395
1 172 642
791 753
60 %
ICT investments
9 702 495
11 975 776
– 2 273 281
123 %
Other investments
7 563 393
2 643 425
4 919 969
35 %
Allocation 1FM
2 608 684
2 608 684
0
100 %
ICT capital expenses
159 778
53 555
106 223
34 %
Non-ICT capital expenses
225 374
177 286
48 088
79 %
Subsidies for NAT blood tests
8 487 969
6 099 176
2 388 793
72 %
Subsidies and other expenses
12 164 622
12 126 180
38 442
100 %
Reimbursements to the Federal State
/
5 387 289
– 5 387 289
/
1 059 712
97 220 696
8 750 513
92 %

*ICT Information and Communication Technology
**1FM Joint Facility Service of the FAMHP, the RIZIV-INAMI and the FPS Health
***NAT Nucleic Acid Amplification Test – Blood test using the nucleic acid amplification technique

Revenue
Budget 2022
Implementation 2022
Balance 2022
Percentage
Fees for medical devices
14 281 825
11 677 040
2 604 785
82 %
Fees for packaging
17 505 171
13 670 150
3 835 021
78 %
Fees authorisations
7 970 845
5 851 632
2 119 213
73 %
Fees inspections
5 443 294
5 170 865
272 429
95 %
EMA revenues
5 984 418
7 790 868
– 1 806 450
130 %
Revenues from clinical trials
4 977 277
4 244 987
732 290
85 %
Revenues from registrations
10 336 002
9 779 310
556 692
95 %
DSUR revenues
/
1 016 594
– 1 016 594
/
Revenues from clinical research
2 548 936
952 774
1 596 162
37 %
RIZIV-INAMI revenues
3 287 860
3 269 860
18 000
99 %
Other revenues
6 012 514
6 273 550
– 261 036
104 %
Allocation
27 623 067
27 523 067
100 000
100 %
105 971 209
97 220 696
8 750 513
92 %

*EMA European Medicines Agency
**DSUR Development Safety Update Report

Communication Division

277
press questions recorded
88
news items on the website
328
internal newsletters
> 40000
interactions (reactions, likes, shares, etc.) on our social media channels

Trend

The number of press questions answered declined sharply in 2022. In 2021, the Communication Division answered as many as 928 press questions, most of which were about the coronavirus crisis.

Top 5 of the most frequently asked press questions in 2022:

  • questions related to COVID-19 self-testing (types of tests, quality and safety);
  • questions related to adverse reactions after booster shot;
  • questions related to the reporting of adverse reactions to COVID-19 vaccines and the interpretation of vaccine adverse reaction databases;
  • questions related to transparency in clinical trial results;
  • questions related to medication shortages and unavailable medicines.

Legislation and Litigation Division

Publication of legislation

96
requests relating to the public nature of administration

New

Henceforth, there are no mandatory paper processes within the Legislation and Litigation Division. The transition to a paperless way of working is almost complete.

Trend

The Legislation and Litigation Division worked on important public health legislation in 2022. The division also observed a further increase in the number of requests relating to the public nature of administration.

Personnel and Organisation Division

Distribution by level

Distribution by language

New

In July, August and September 2022, the FAMHP welcomed 34 job students. The job students were set to work within various agency divisions and at the One Facility Management (1FM). The number of students in each language group was equally divided: 17 French-speaking and 17 Dutch-speaking job students. The job students were on average 18 years old.

Distribution by working regime

Staff turnover

Quality Division

Quality audits

11
quality audits conducted by the FAMHP

Non-conformities in internal audits

External audit by the Court of Audit

1
audit on the policy of prescribing and dispensing antibiotics
2
recommendations for antibiotics delivery measures

Internal audit by the Federal Internal Audit Service

1
follow-up audit on the process of "Change Management" within the Redesign project of healthcare in 2019

New

Audits formerly called “internal audits” are now called “quality audits” to distinguish them from internal audits conducted by the Federal Internal Audit Service.

External complaints

Received complaints

Status of the received complaints

Distribution of complaints by entity

Quality documents

23
new quality documents

Types of new quality documents

21
modified quality documents

Types of modified quality documents

International Relations Unit

International cooperation in 2022

New

On November 28, 2022, Belgium notified the Grand Duchy of Luxemburg that the internal procedures had been completed within the scope of the Cooperation Treaty on medicines and health products between Belgium and the Grand Duchy of Luxemburg. The Consent Act was published in the Belgian Official Gazette on December 27, 2022.

Regulation (EU) 2022/123 on crisis preparedness and management for medicinal products and medical devices was published in 2022.
European negotiations were also launched on the proposals for a regulation on standards of quality and safety for substances of human origin intended for human application.

Within the scope of development cooperation, a framework agreement for medicinal and health products was signed on May 30, 2022 with Enabel. This agreement creates the possibility of entering into specific agreements for development cooperation projects implemented by Enabel.

In 2022, the International Relations Unit began preparations to ensure the Belgian presidency of the Council of the European Union in 2024. One of which was to set up a working group to discuss unmet medical needs. To prepare for the presidency, the FAMHP organised an event in 2022, namely a meeting of the Clinical Trial Coordination Group (CTCG) of which the FAMHP was vice-chair.

Project and Portfolio Management Office Coordination

23
projects supported by our experts

The Project and Portfolio Management Office (PPMO) Coordination supported several projects with different objectives selected by the Executive Council.

Most projects prepare our agency for new European legislation such as Regulation (EU) 2019/6 on veterinary medicinal products, Regulation (EU) 2017/745 on medical devices and Regulation (EU) 2017/746 on in vitro diagnostic medical devices.

Other projects have been launched on the initiative of our agency and aim primarily to improve our services to the public. For example, the launch of a new module on the FAMHP web portal, for the registered pharmacist in charge of a pharmacy open to the public (digitalisation of the inspection cycle) or the launch of a second version of the SMT platform (‘stock monitoring tool’). This tool allows the agency to monitor the evolution of medicinal product stocks kept by certain key players in order to act more effectively against the risk of unavailability.

As technology evolves, the FAMHP also needs to update a number of applications. Our old medicinal product management system (Mesea) is being replaced by MPM (Medicinal Product Management) and HIRS (Health Intelligence Reporting System). This project will be completed in 2023 with the implementation of the Dossier Tracking System (DTS).

New

The FAMHP coordinates a joint action, called CT-CURE, initiated by the European Commission (EC). This joint action aims to jointly and simultaneously accelerate clinical trial procedures in several European countries, while maintaining patient safety. This initiative is co-funded by the EC.

Spearheads

Early stage development

152
applications for phase I clinical trials or phase I/II clinical trials

of which

79
applications are for first-in-human trials

Oncology

184
applications for clinical trials with oncologic medicinal products
20
for a paediatric population
6
with advanced therapy medicinal products

Vaccines

29
applications for clinical trials with vaccines in Belgium

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https://annualreport.fagg-afmps.be