Pharmacy considerations

Receipt, storage & issue of advanced therapies

Receipt, storage & issue of advanced therapies

The checklists and forms to ensure the safe receipt, storage, issue and delivery of these therapies across a hospital site.

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Cellular ATMP cryopreserved allogeneic example receipt checklist

This document sets out an example generic checklist for allogeneic, cryopreserved, cellular Advanced Therapy Medicinal Products (ATMPs).
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Cellular ATMP cryopreserved autologous example receipt checklist

This document sets out an example generic checklist for autologous, cryopreserved, cellular Advanced Therapy Medicinal Products (ATMPs)
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Cellular ATMP fresh allogeneic example receipt checklist

This document sets out an example generic checklist for receipt and storage of fresh, allogeneic, cellular Advanced Therapy Medicinal Products
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Cellular ATMP fresh autologous example receipt checklist

This document sets out an example generic checklist for receipt and storage of fresh, autologous, cellular Advanced Therapy Medicinal Products.
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Checklist for receipt of empty shipper

Form to complete when receiving, processing and releasing fresh cells for manufacturing
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Checklist for receipt of frozen product

A checklist to confirm ATMP is received appropriately from the manufacturer prior to administration to a patient
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Competency Assessment: Safe use of dry shippers and/or dry ice

This document can be used to help prompt consideration and recording of the competencies that are needed to work safely with dry shippers and/or dry ice.
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Disposal of IMP or ATMP Product

Form to be completed on the disposal of IMP or ATMP
Online Article

ISBT 128 labels for advanced therapies – eLearning Module

E-learning on the NHS e-learning platform e-learning for healthcare (registration required) giving the user an overview of the requirements for labelling human tissues and cells for use as starting materials for advanced therapy medicinal products using the ISBT 128 system.

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Issue of IMP or ATMP Product

Checklist to be completed on the issue of IMP or ATMP
Online Article

Outsourcing of Storage or Preparation of ATIMPs Across Legal Boundaries

This guidance produced by the Pan UK Pharmacy Working Group for ATMPs describes the legal basis for associated activity and provides guidance for Pharmacy clinical trial sites who may need to outsource these services.  The information provided will guide Pharmacy trial sites in establishing appropriate partnerships and understand the regulatory position with regard to the activities contracted.
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Receipt processing and release of fresh cells as starting material for manufacture

Form to complete when receiving, processing and releasing fresh cells for manufacturing
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Self Assessment questionnaire to perform the storage and release of ATMPs on behalf of Pharmacy

Self-assessment questionnaire to assess regulatory compliance in The Christie Pathology Partnership Laboratories to perform the storage and release of ATMPs
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SOP: Infusion of cellular products

SOP to ensure all nursing and medical staff involved in the infusion of cellular products are aware of their responsibilities, the procedure and any action to be taken in the event of adverse reactions or incident.
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Stem Cell Lab Visit Report – Pharmacy Monitoring Form

An audit template for the oversight of pharmacy with the stem cell laboratory for the storage and handling of ATMPs

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  • Governance

    Governance

    Read more about this section.

    This section is intended to assist NHS organisations to create or modify governance structures to permit the introduction of advanced therapies, encompassing all levels of governance responsibilities and reporting within hospitals.

  • Business and financial planning

    Business and financial planning

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    The introduction of advanced therapies into hospital treatment pathways requires a significant financial investment in resources and facilities. Information available here will help organisations to develop the appropriate business and financial plans as they prepare to deliver advanced therapies.

  • Quality assurance and risk management

    Quality assurance and risk management

    Read more about this section.

    This section provides examples of, and guidance on, the implementation of quality systems and risk assessments for safe delivery of advanced therapies towards preparing for regulatory inspections.

  • Operational delivery

    Operational delivery

    Read more about this section.

    The documents in this section will assist in the implementation of new advanced therapy services in a clinical setting, supporting the transition of guidance into practice.  Documents include process and patient flow charts to map the treatment pathway and information on the in-hospital logistics requirements.

  • Clinical practice

    Clinical practice

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    Information is available here to support the clinical practice of the delivery of advanced therapies to patients, including patient assessment, handling advanced therapies, product administration, infusion, treatment and monitoring and recording treatment and side-effects.

  • Education and training resources

    Education and training resources

    Read more about this section.

    To safely deliver advanced therapies to patients, staff need to be trained in this new modality of therapeutic intervention. This section includes resources that enable staff to learn more about ATMPs including e-learning, facilitating face to face training and competency assessments, and materials to support patient education.

  • Long term follow up

    Long term follow up

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    A regulatory feature of advanced therapies is the need for longer-term follow up than for other therapeutic modalities.  The information provided here speaks to the methods of data collection for extended follow up patients after treatment.

  • Clinical trials

    Clinical trials

    Read more about this section.

    This section has a range of resources – split into 8 sub-sections – which will assist NHS sites to prepare for the set up and delivery of advanced therapy clinical trials. Its objective is to disseminate learnings from the ATTCs regarding the governance, infrastructure and processes which underpin successful trial set up and delivery.