CONSENT FORM FOR USE IN RELATION TO CLAUSE 21.1 OF THE ABPI / IPHA CODE OF PRACTICE
Dr Falk Pharma UK Ltd (the ‘Company’) is required, by the ABPI Code of Practice for the Pharmaceutical Industry (‘the ABPI Code’) and the Irish Pharmaceutical Healthcare Association (‘the IPHA) code of practice, to document and publicly disclose certain transfers of value made to health professionals and healthcare organisations, and these include information about the payments or other transfers of value provided to you during the current calendar year. By signing this Form, you consent to:
- the Company:
- storing and using such information relating to you and arising out of any agreement(s) between the Company and you, for the purposes of meeting its obligations under the ABPI / IPHA Code, (including, without limitation, your name and the amount and/or value of the transfer made to you under the agreement(s));
- making public disclosures of such information consistent with the ABPI / IPHA Code and with applicable laws, from time to time in force; such disclosure may be made using any media, including printed reports, electronic communication, the web-site of the Company or its affiliates or other platforms
- disclosing such information to the ABPI / IPHA, its contractors and sub-contractors as may be required in furtherance of the objectives of the ABPI / IPHA Code which include monitoring the activities of member companies and those agreeing to abide by the ABPI / IPHA Code to ensure compliance with the terms and spirit of the ABPI / IPHA Code, particularly in relation to the prohibition of inducements to supply or prescribe particular products; and
- the Association of the British Pharmaceutical Industry (‘ABPI’) or the ‘IPHA‘) as appropriate:
- making public disclosures of such information consistent with the ABPI / IPHA Code and with applicable laws, from time to time in force; such disclosures will be made on the ABPI / IPHA database hosted on the web-site of the ABPI / IPHA, and will identify you by name as having received payments or other transfers of value from the Company and details of those payments or other transfers of value;
- or its contractors or sub-contractors, contacting you to verify the accuracy of the data transferred to the ABPI / IPHA by or on behalf of the Company;
- or its contractors or sub-contractors, performing statistical analysis on the information provided to the ABPI / IPHA by the Company; and
- using the information to inform the ABPI / IPHA’s engagement with the media around the transparency provisions of the ABPI / IPHA Code.
Further information on how your information may be used and your rights can be found at the Appendix to this Form.
You are not required to consent to the processing of your information and the arrangements pursuant to any agreement or contract continue to be valid, even if you do not consent to the processing of your data
The Company’s address is Unit K, Bourne End Business Park, Cores End Road, Bourne End, SL8 5AS, email@example.com , and is subject to English law. The Company shall use your information as explained in this Form. The Company will be the ‘controller’ of the information you provide to it and that remains in its control.
The ABPI’s address is 7th Floor, Southside, 105 Victoria Street SW1E 6QT, and is subject to English law. The ABPI shall use your information as explain in this Form. The ABPI will be the ‘controller’ of the information provided to it and that remains in its control.
The IPHA’s address is 1st Floor, Wilton Park House, Wilton Place, Dublin 2, Ireland and is subject to EU law. The IPHA shall use your information as explained in this Form. The IPHA will be the ‘controller’ of the information provided to it and that remains in its control.
How long will your information be kept?
The Company will retain the information for a maximum of 7 years, as per current UK accounting requirements. Following the retention period, the information will be securely and completely destroyed.
You have the following rights regarding your information that may apply depending on the circumstances:
|What does this mean?
|1. The right of access
|You have the right to obtain access to your information (if the organization is processing it), and certain other information (similar to that provided in this Form).
|2. The right to rectification
|You are entitled to have your information corrected if it is inaccurate or incomplete.
|3. The right to erasure
|This is also known as ‘the right to be forgotten’ and, in simple terms, enables you to request the deletion or removal of your information where there is no compelling reason for an organization to keep using it. This is not a general right to erasure; there are exceptions.
|4. The right to restrict processing
|You have rights to ‘block’ or suppress further use of your information in certain circumstances. When processing is restricted, the relevant organization can still store your information, but may not use it further.
|5. The right to data portability
|You have rights to obtain and reuse your personal data in a structured, commonly used and machine readable format in certain circumstances.
|6. The right to object
|You have the right to object to certain types of processing, in certain circumstances.
For more information on your rights, please see:
https://ico.org.uk/for-organisations/guide-to-the-general-data-protection-regulation-gdpr/individual-rights/ or https://www.dataprotection.ie/en/individuals, as appropriate
or contact the Company at firstname.lastname@example.org .
If you would like to exercise any of your rights, please contact the Company at Privacy@drfalkpharma.co.uk.
Making a complaint
If you are unhappy with how your information has been handled, please contact the Company at Privacy@drfalkpharma.co.uk
If you are not satisfied with the response to your complaint or believe the processing of your information does not comply with data protection law, you can make a complaint to the Information Commissioner’s Office (ICO).