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From · opinion parliamentary committee · 2024-02-12 ENVI-AD-754678 on discharge in respect of the implementation of the general budget of the European Medicines Agency for the financial year 2022
To · Adopted text · 2024-04-11 TA-9-2024-0245 Discharge 2022: European Medicines Agency
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P9_TA(2024)0245

SUGGESTIONS

Discharge 2022: European Medicines Agency

The Committee on the Environment, Public Health and Food Safety calls on the Committee on Budgetary Control, as the committee responsible, to incorporate the following suggestions into its motion for a resolution:

Committee on Budgetary Control

1. Reiterates the key role of the European Medicines Agency ('the EMA') in protecting human and animal health by assessing and supervising medicines for human or veterinary use and protecting public health by raising awareness on key issues including antimicrobial resistance and prevention of communicable diseases through vaccination;

PE753.524

2. Notes that the EMA's total final appropriations for 2022 amounted to EUR 421 815 000, representing a 11,22% increase compared to the 2021 budget,

1. European Parliament decision of 11 April 2024 on discharge in respect of the implementation of the budget of the European Medicines Agency for the financial year 2022 (2023/2156(DEC))

3. Recalls that the EMA is a fee-funded agency, with 88,27 % of its 2022 revenue stemming from fees paid by the pharmaceutical industry for services provided, 11,70 % stemming from the Union budget and 0,02 % from various other sources; Stresses that despite the majority of funding coming from private sources, the EMA is a public authority; underlines that public trust and guarantee of the Agency’s independence and integrity is crucial and therefore a high degree of transparency needs to be ensured through all its activities to avoid regulatory capture and ensure citizens maintain their faith in the pharmaceutical legal and regulatory framework in the EU;

– having regard to the final annual accounts of the European Medicines Agency for the financial year 2022,

4. Notes with concern ongoing property-related obligations in regards to the Agencys former premises in London; takes good note of the fact that the Agency and its Management Board are concerned that the Agency must on top of its tasks also manage commercial property in a third country leading to a diversion of its human and financial resources from its public health responsibilities for the EU citizens; Notes with concern that this situation on subletting its former London premises will continue until 2039; takes note that on 31 December 2022, the total estimated outstanding rent, associated services charges and landlord insurance to be paid by the Agency up to the end of the lease term was €366 million; welcomes the efforts of the Agency to sublet its former premises since July 2019 to a company belonging to the WeWork group; notes with concern the uncertainties surrounding the financial performance of the WeWork group which, on 6 November 2023, filed for Chapter 11 of the US Bankruptcy Code for its branches in the US and Canada. Acknowledges that subletting the Agency’s premises in a third country is not in line with its founding Regulation (EC) 726/2004 and that it requires the Agency to divert significant resources from its public health activities; notes that the situation has not been resolved after four years since the European Parliament first asked for a political resolution on the matter; urgently calls on the Commission to secure a long-term political resolution of this issue and to allow the Agency to fully focus its efforts on its public health mission;

– having regard to the Court of Auditors’ annual report on EU agencies for the financial year 2022, together with the agencies’ replies,

5. Notes however that inadequate resources for the EMA may undermine the ability of the Agency to deliver on its mission and calls on the Commission and Council to allocate adequate EU funding to ensure the Agency has enough resources to carry out all of its activities on the wide range of regulatory mechanisms including facilitating the development and access to medicines, supporting research and innovation and its responsibilities for monitoring and mitigating potential or actual shortages of critical medicines without any delay;

– having regard to the statement of assurance as to the reliability of the accounts and the legality and regularity of the underlying transactions provided by the Court of Auditors for the financial year 2022, pursuant to Article 287 of the Treaty on the Functioning of the European Union,

6. Notes that 658 of the 662 authorised posts were occupied on 31 December 2022, compared to the 644 posts out of 657 in 2021;

– having regard to the Council’s recommendation of 22 February 2024 on discharge to be given to the Agency in respect of the implementation of the budget for the financial year 2022 (06180/2024 – C90094/2024),

7. Welcomes the extension of the EMA’s mandate; underlines that this addition of new tasks and its increasing workload needs to be accompanied by adequate corresponding increases in the staff and resources, and that a shortage of staff puts the continuity of its operations under significant pressure and threatens the quality of the EMA’s work.

– having regard to Article 319 of the Treaty on the Functioning of the European Union,

8. Acknowledges that 2022 was still characterised by a significant level of COVID-19 related activities, with a shift from pre and initial marketing authorisation activities to post-authorisation activities

– having regard to Regulation (EU, Euratom) 2018/1046 of the European Parliament and of the Council of 18 July 2018 on the financial rules applicable to the general budget of the Union, amending Regulations (EU) No 1296/2013, (EU) No 1301/2013, (EU) No 1303/2013, (EU) No 1304/2013, (EU) No 1309/2013, (EU) No 1316/2013, (EU) No 223/2014, (EU) No 283/2014, and Decision No 541/2014/EU and repealing Regulation (EU, Euratom) No 966/2012, and in particular Article 70 thereof,

9. Notes that EMA recommended in 2022 marketing authorisation for 89 new human medicines, including 41 new active substances, and 10 new veterinary medicines, including 3 new active substances and 2 vaccines; reiterates that transparency and the timely release of information about medicines is key to reinforcing public trust in regulatory decisions and the medicines placed onto the EU market;

– having regard to Regulation (EC) No 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Union procedures for the authorisation and supervision of medicinal products for human use and establishing a European Medicines Agency, and in particular Article 68 thereof,

10 Welcomes the fact that, following the cyberattack in December 2020, EMA has taken various measures to further enhance its cybersecurity capabilities, including the establishment in 2021-2022 of the Information Security Management Steering Committee, a senior-level governance board with the primary responsibility to oversee the implementation of the Agency’s Information Security Strategy;

– having regard to Commission Delegated Regulation (EU) 2019/715 of 18 December 2018 on the framework financial regulation for the bodies set up under the TFEU and Euratom Treaty and referred to in Article 70 of Regulation (EU, Euratom) 2018/1046 of the European Parliament and of the Council, and in particular Article 105 thereof,

11. Notes that in 2022, the Agency received 676 requests for access to documents less compared to 2019 (783 requests) or 2021 (710 request) and released 216,666 pages, more compared to 165,943 in 2021 but considerable less than the 318,013 in 2019; notes that the Agency applies a queuing mechanism to manage processing of multiple access to documents requests from the same requester representing a bottleneck for a timely access to documents held by EMA and discouraging requesters to introduce new requests; calls on the Agency to provide detailed information on the number of access to documents requests remaining inactivated in the queuing system and the average time spent in the queuing system before being activated; calls on for a launch of an audit on EMA rules to process access to documents requests, the queuing mechanism, their evolution over time and the effects on applicants;

– having regard to Rule 100 of and Annex V to its Rules of Procedure,

12. Notes with satisfaction that the EMA cooperates with other agencies, in particular with the European Centre for Disease Prevention and Control and with the European Food Safety Authority, including on the European Vaccination Information Portal, for monitoring vaccine safety and reporting side effects, as well as on antimicrobial consumption and resistance;

– having regard to the opinion of the Committee on the Environment, Public Health and Food Safety,

13 Stresses that the replacement of animal testing shall be a priority in medicine development during the application of the 3Rs - replace, reduce and refine animal use for the development, manufacturing and testing of medicines– principles; notes that in November 2022, EMA activated a new Joint 3Rs Working Party of the Committee for Medicinal Products for Human Use (CHMP) and the Committee for Veterinary Medicinal Products (CVMP).

– having regard to the report of the Committee on Budgetary Control (A9-0133/2024),

14. Notes with regret that the publication of clinical data and clinical study reports, initiated in 2016, was put on hold at the end of 2018 due to the relocation from London to Amsterdam and subsequently due to the Covid-19 pandemic; welcomes the announcement for a phased restart of clinical data publication for centrally authorised medicines beyond the scope of COVID-19. Calls on the Agency to stick to the transparency rules and obligations laid down in the Clinical Trials Regulation adopted in 2014 as well as in the Regulation 1049/2001;

1. Grants the Executive Director of the European Medicines Agency discharge in respect of the implementation of the Agency’s budget for the financial year 2022;

15. Calls on the Commission to ensure that EMA receives adequate resources to implement the tasks that were assigned to the Agency by adoption of the Clinical Trials Regulation and avoid staff shortages that will negatively affect the Agency’s transparency policy, including in regards of timely publication of clinical data, meeting minutes and timely responses to the access to documents requests;

2. Sets out its observations in the resolution below;

16 Welcomes EMA’s implementation of the EU Regulation 2019/6 on Veterinary Medicinal Products Regulation, aiming to boost innovation and increase availability of safe and high-quality veterinary medicines for treating and preventing animal diseases, as well as the implementation of the EU Regulation 536/2014 on Clinical Trials;

3. Instructs its President to forward this decision, and the resolution forming an integral part of it, to the Executive Director of the European Medicines Agency, the Council, the Commission and the Court of Auditors, and to arrange for their publication in the Official Journal of the European Union (L series).

17. Welcomes the fact that the Court of Auditors has stated that it has obtained reasonable assurances that the EMA’s annual accounts for 2022 are reliable and that the underlying transactions are legal and regular;

2. European Parliament decision of 11 April 2024 on the closure of the accounts of the European Medicines Agency for the financial year 2022 (2023/2156(DEC))

18. Notes that in March, the EMA started to operate under a new extended mandate which recognises the role played by the Agency during the pandemic and gives it additional responsibilities in the area of coordination and crisis response; notes, in this context, that it is essential to ensure funding commensurate with this extended mandate in the future;

– having regard to the final annual accounts of the European Medicines Agency for the financial year 2022,

19. Notes that this extended mandate also provides the framework for the creation of DARWIN EU, a model for gathering real evidence from across the EU on diseases, populations and the use and efficacy of medicines and vaccines throughout their lifecycle; sees this as a potentially major change in medicines regulation;

– having regard to the Court of Auditors’ annual report on EU agencies for the financial year 2022, together with the agencies’ replies,

20. Welcomes the fact that 52% of applicants who have been granted a positive opinion for their medicinal product have received scientific advice or protocol assistance from the EMA during the development phase of their product, with this figure rising to 78% for applicants for medicinal products with new active substances; is of the opinion that early advice has the potential to significantly streamline the approval process and lead to the development of safe and effective medicinal products;

– having regard to the statement of assurance as to the reliability of the accounts and the legality and regularity of the underlying transactions provided by the Court of Auditors for the financial year 2022, pursuant to Article 287 of the Treaty on the Functioning of the European Union,

21. Invites the EMA to continue promoting cooperation with other Union agencies and international organisations, and fostering dialogue with stakeholders and citizens;

– having regard to the Council’s recommendation of 22 February 2024 on discharge to be given to the Agency in respect of the implementation of the budget for the financial year 2022 (06180/2024 – C90094/2024),

22. Recommends, based on the facts available, that discharge be granted to the Executive Director of the European Medicines Agency in respect of the implementation of the EMA's budget for the financial year 2022.

– having regard to Article 319 of the Treaty on the Functioning of the European Union,

ANNEX: ENTITIES OR PERSONS FROM WHOM THE RAPPORTEUR HAS RECEIVED INPUT

– having regard to Regulation (EU, Euratom) 2018/1046 of the European Parliament and of the Council of 18 July 2018 on the financial rules applicable to the general budget of the Union, amending Regulations (EU) No 1296/2013, (EU) No 1301/2013, (EU) No 1303/2013, (EU) No 1304/2013, (EU) No 1309/2013, (EU) No 1316/2013, (EU) No 223/2014, (EU) No 283/2014, and Decision No 541/2014/EU and repealing Regulation (EU, Euratom) No 966/2012, and in particular Article 70 thereof,

The Chair in his capacity as rapporteur has received input from the following entities or persons in the preparation of the opinion:

– having regard to Regulation (EC) No 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Union procedures for the authorisation and supervision of medicinal products for human use and establishing a European Medicines Agency, and in particular Article 68 thereof,

Entity and/or person

– having regard to Commission Delegated Regulation (EU) 2019/715 of 18 December 2018 on the framework financial regulation for the bodies set up under the TFEU and Euratom Treaty and referred to in Article 70 of Regulation (EU, Euratom) 2018/1046 of the European Parliament and of the Council, and in particular Article 105 thereof,

European Medicines Agency

– having regard to Rule 100 of and Annex V to its Rules of Procedure,

The list above is drawn up under the exclusive responsibility of the Chair in his capacity as rapporteur.

– having regard to the opinion of the Committee on the Environment, Public Health and Food Safety,

INFORMATION ON ADOPTION IN COMMITTEE ASKED FOR OPINION

– having regard to the report of the Committee on Budgetary Control (A9-0133/2024),

Date adopted

1. Approves the closure of the accounts of the European Medicines Agency for the financial year 2022;

24.1.2024

2. Instructs its President to forward this decision to the Executive Director of the European Medicines Agency, the Council, the Commission and the Court of Auditors, and to arrange for its publication in the Official Journal of the European Union (L series).

Result of final vote

3. European Parliament resolution of 11 April 2024 with observations forming an integral part of the decision on discharge in respect of the implementation of the budget of the European Medicines Agency for the financial year 2022 (2023/2156(DEC))

+:

– having regard to its decision on discharge in respect of the implementation of the budget of the European Medicines Agency for the financial year 2022,

–:

– having regard to Rule 100 of and Annex V to its Rules of Procedure,

0:

– having regard to the opinion of the Committee on the Environment, Public Health and Food Safety,

67

– having regard to the report of the Committee on Budgetary Control (A9-0133/2024),

9

A. whereas, according to its statement of revenue and expenditure, the final budget of the European Medicines Agency (the ‘Agency’) for the financial year 2022 was EUR 421 815 000, representing an increase of 11,23 % compared to 2021; whereas the Agency is a fee-funded agency, with approximately 88 % of its 2022 revenue stemming from fees derived from the evaluation of medicines and other business-related activities, and 12 % stemming from the Union budget and miscellaneous income;

9

B. whereas the Court of Auditors (the ‘Court’) in its report on the annual accounts of the Agency for the financial year 2022 (the ‘Court's report’), states that it has obtained reasonable assurance that the Agency’s annual accounts are reliable and that the underlying transactions are legal and regular;

Members present for the final vote

C. whereas with regard to the Agency’s procurement sector, no issues requiring corrective actions were reported for 2022, nor are there ongoing or outstanding corrective actions from previous years’ audits and assessments;

Catherine Amalric, Maria Arena, Hildegard Bentele, Sergio Berlato, Michael Bloss, Delara Burkhardt, Pascal Canfin, Sara Cerdas, Mohammed Chahim, Nathalie Colin-Oesterlé, Maria Angela Danzì, Esther de Lange, Christian Doleschal, Bas Eickhout, Pietro Fiocchi, Heléne Fritzon, Malte Gallée, Gianna Gancia, Catherine Griset, Teuvo Hakkarainen, Anja Hazekamp, Martin Hojsík, Jan Huitema, Karin Karlsbro, Petros Kokkalis, Peter Liese, Javi López, César Luena, Elżbieta Katarzyna Łukacijewska, Marian-Jean Marinescu, Lydie Massard, Liudas Mažylis, Marina Mesure, Silvia Modig, Dolors Montserrat, Alessandra Moretti, Ville Niinistö, Ljudmila Novak, Nikos Papandreou, Francesca Peppucci, Stanislav Polčák, Jessica Polfjärd, Erik Poulsen, Nicola Procaccini, Frédérique Ries, María Soraya Rodríguez Ramos, Maria Veronica Rossi, Silvia Sardone, Günther Sidl, Ivan Vilibor Sinčić, Maria Spyraki, Edina Tóth, Achille Variati, Petar Vitanov, Alexandr Vondra, Mick Wallace, Emma Wiesner, Michal Wiezik

Budget and financial management

Substitutes present for the final vote

1. Notes that budget monitoring efforts during the financial year 2022 resulted in a budget implementation rate of current year commitment appropriations of 96,80 %, representing a decrease of 0,42 % compared to 2021; regrets that the current year payment appropriations execution rate was 71,48 %, representing a decrease of 0,88 % compared to 2021;

Asger Christensen, Christophe Clergeau, Margarita de la Pisa Carrión, Martin Häusling, Billy Kelleher, Ska Keller, Danilo Oscar Lancini, Sara Matthieu, Dace Melbārde, Marlene Mortler, Manuela Ripa, Idoia Villanueva Ruiz

2. Observes that for one audited payment of EUR 2 million, the Agency authorised the related budgetary commitment only after the legal commitment was accepted; recalls that this goes against Article 73(2) of the Agency’s Financial Regulation; calls on the Agency to take immediate action and to implement measures to ensure that all financial transactions are in compliance with the Agency’s Financial Regulation;

Substitutes under Rule 209(7) present for the final vote

3. Recalls that potential liabilities arising, until 2039, from the lease on the Agency’s former office premises in London remain an ongoing issue; notes with concern that, on 31 December 2022, the total estimated outstanding rent, associated service charges and landlord insurance to be paid by the Agency up to the end of the lease term was EUR 366 million, that is approximately EUR 23 million annually; notes that in July 2019, the Agency reached an agreement with its landlord, and sublet its former premises to a subtenant with effect from July 2019, under conditions that are consistent with the terms of the head lease; acknowledges that the term of the sublease lasts until the Agency´s lease expires in June 2039 and that, since the Agency remains a party to the head lease, it could be held liable for the entire amount remaining payable under the contractual obligations of the head lease, if the subtenant fails to meet its obligations; draws attention to another element highlighted in the Agency’s accounts, namely the uncertainties surrounding the financial performance of the subtenant’s ultimate parent company as a result of the deterioration of its credit rating and the recent debt restructuring, which lead to stopping of its payment; takes note that the Agency and its Management Board are concerned that the Agency, instead of focusing its full effort on its mission of protecting and promoting public health, now must also manage commercial property in a third country, diverting its human and financial resources from its public health responsibilities in relation to Union citizens; is aware that, on 11 January 2024, Parliament’s Committee on Budgets held an exchange of views with the Agency regarding the potential amendment to the Agency’s sublease for the Agency’s former premises in London; insists on the need for a political decision in order to secure a long-term resolution of this issue; insists that while a long-term resolution is being pursued, a short-term measure should be found and deployed to address and contain the problem, given that the subtenant continues to fail to pay its rent;

Mazaly Aguilar, Katarina Barley, Daniel Buda, Ana Collado Jiménez, Marie Dauchy, Matthias Ecke, Paola Ghidoni, Peter Jahr, Thierry Mariani, Nora Mebarek, Sara Skyttedal, Michaela Šojdrová, Veronika Vrecionová, Thomas Waitz, Stefania Zambelli

Performance

FINAL VOTE BY ROLL CALL IN COMMITTEE ASKED FOR OPINION

4. Notes that the Agency in 2022 reported on 41 performance indicators, estimating an implementation rate of 92,60 %; notes that in 2022 the Agency leveraged its position as chair of the International Coalition of Medicines Regulatory Authorities to make progress with regard to the work on the harmonisation of international regulatory systems; observes that it has also delivered the implementation of three major pieces of legislation (Regulation (EU) No 536/2014, Regulation (EU) 2019/6 and the extended mandate in Regulation (EU) 2022/123) and progress work on data governance;

Key to symbols:

5. Welcomes the fact that, on 1 March 2022, the Agency’s mandate was extended with the entry into force of the Regulation (EU) 2022/123 reinforcing its role in crisis preparedness and management of medicinal products and medical devices; notes that that Regulation required the Agency to set up new bodies, such as the Medicine Shortages Steering Group and the Emergency Task Force (ETF) and, in addition, the Agency took on the management of the expert panels on medical devices which were transferred to the Agency from the Commission’s Joint Research Centre; notes furthermore that the Agency, under Regulation (EU) 2022/123, is responsible for monitoring events that may lead to a crisis, reporting and coordinating Union responses to shortages of critical medicines, medical devices and in vitro diagnostics during a crisis;

6. Highlights the fact that other key achievements in 2022 include the approval of two new vaccines and two COVID-19 treatments, the ETF recommended the temporary use of the US-approved monkeypox vaccine Jynneos for Monkeypox to support vaccination efforts by national EU authorities, alongside an extension of the use of Imvanex to also protect adults from monkeypox; takes note that additionally, the Agency collaborated with Erasmus University Medical Center in Rotterdam to establish the Coordination Centre for the Data Analysis and Real World Interrogation Network (DARWIN EU®), serving as a pathfinder for the proposed Regulation for a European Health Data Space (EHDS) and connecting to EHDS services for use in medicines regulation; notes furthermore that the Scaled Agile Framework implementation involved transitioning the Agency's IT portfolio to the Agile way of working, establishing value streams aligned with its core mission, and operationalising product teams within them; calls on the Agency to learn from those experiences and to make use of the best practices derived from them in the future;

7. Reiterates the key role of the Agency in protecting human and animal health by assessing and supervising medicines for human or veterinary use and protecting public health by raising awareness on key issues including antimicrobial resistance and prevention of communicable diseases through vaccination;

8. Notes however that inadequate resources for the Agency may undermine the ability of the Agency to deliver on its mission and calls on the Commission and the Council to allocate adequate Union funding to ensure the Agency has enough resources to carry out all of its activities on the wide range of regulatory mechanisms, including facilitating the development of and access to medicines, supporting research and innovation and its responsibilities for monitoring and mitigating potential or actual shortages of critical medicines without any delay;

9. Acknowledges that 2022 was still characterised by a significant level of COVID-19 related activities, with a shift from pre- and initial marketing authorisation activities to post-authorisation activities;

10. Welcomes the fact that 52 % of applicants who have been granted a positive opinion for their medicinal product have received scientific advice or protocol assistance from the Agency during the development phase of their product, with this figure rising to 78 % for applicants for medicinal products with new active substances; is of the opinion that early advice has the potential to significantly streamline the approval process and lead to the development of safe and effective medicinal products;

Efficiency and gains

11. Is aware that during 2022 the Agency continued the implementation of its strategy to achieve efficiency gains, focusing on process improvement and digitalisation;

12. Notes that, through the work of its Digital Innovation Lab (DigiLab), the Agency explored opportunities to realise automations of administrative work; observes that DigiLab initiated 14 automation projects, prioritised and endorsed by the Digital Acceleration Leadership Team, alongside the Analytics Center of Excellence (ACE), including automations for email categorisation, clinical breakpoints list generation, and a pilot EU Reference Dates List Database for efficiency gains in maintenance and publication on the Agency's website; observes that the DigiLab also worked with ACE to pilot five potential solutions to business challenges;

13. Welcomes the fact that, as part of its digitalisation efforts in 2022, the Agency completed the integration of good clinical practice and good pharmacovigilance practice inspections into its IT platform, IRIS, enhancing efficiency, transparency, and collaborative work in line with the Agency's digital transformation programme, which oversees inspections for human and veterinary medicines under the centralised procedure or referral process upon request from the Committees for Medicinal Products for Human Use or Veterinary Use; invites the institution to find more internal procedures that could be streamlined via digitalisation;

14. Notes that, as part of the process improvement dimensions, during 2022 the Agency worked on the Agile transformation, with the aim of providing increased transparency, a reduced administrative burden and clearer accountability, through a new governance model and way of working in Information Management/IT;

15. Points out that in 2022 the Agency gradually resumed on-site activities at its building while maintaining flexible working arrangements, allowing up to 60 % teleworking monthly; temporary rules for business travel prioritised virtual participation in conferences, meetings, and trainings, with physical attendance considered for added strategic value, and a decision was implemented to alternate virtual and physical settings for scientific committee meetings and working parties to manage on-site capacity and contribute to carbon footprint control, resulting in lower carbon dioxide emissions compared to pre-pandemic years despite the resumption of physical activities;

16. Recalls the importance of increasing the digitalisation of the Agency in terms of internal operation and management but also in order to speed up the digitalisation of procedures; stresses the need for the Agency to continue to be proactive in this regard in order to avoid a digital gap between the agencies; draws attention, however, to the need to take all the necessary security measures to avoid any risk to the online security of the information processed; insists on the need to step up action against cyberattacks or infiltration attempts particularly those originating from Russia or China;

17. Notes with satisfaction that the Agency cooperates with other agencies, in particular with the European Centre for Disease Prevention and Control and with the European Food Safety Authority, including on the European Vaccination Information Portal, for monitoring vaccine safety and reporting side effects, as well as on antimicrobial consumption and resistance;

18. Invites the Agency to continue promoting cooperation with other Union agencies and international organisations, and fostering dialogue with stakeholders and citizens;

Staff policy

19. Notes that, on 31 December 2022, the establishment plan was 99,39 % implemented, with 658 temporary agents appointed out of 662 temporary agents authorised under the Union budget (compared to 657 authorised posts in 2021); notes that, in addition, 192 contract agents, 25 seconded national experts and 114 interims worked for the Agency in 2022;

20. Regrets the lack of gender balance on the Agency’s management board, where 36 out of 67 (54 %) are men, while for the overall staff, 568 out of 865 (66 %) are women; regrets furthermore that in senior management positions, 17 out of 27 (63 %) are men; is strongly of the opinion that the gender balance among the members of the Agency’s senior and middle management and the administrative staff needs to be improved with a faster paste;

21. Raises concerns about the geographical balance among the Agency’s senior and middle management having only one managerial member of staff from Central-Eastern Europe; insists that improvements have to be made; asks the Agency to report back on this to the discharge authority;

22. Recalls the importance of ensuring gender balance and acknowledges in this regard that the Agency is implementing various initiatives in addressing the gender gap in senior management positions, including a management development programme, internal mobility opportunities, and the creation of management communities to encourage and support female staff; notes that a pipeline is being built from the Heads of Office/Service/Work stream, with a progressive increase in female managers; notes furthermore that the retirement of key senior male managers provides recruitment opportunities for females, complemented by an enhanced employer branding strategy, targeted recruitment marketing, the establishment of a Diversity and Inclusion Working Group and the endorsement of the diversity and inclusion charter in March 2022;

23. Notes that in 2022 the overtime declared of 72 463 hours was 30 % lower compared to 102 912 hours reported in 2021; notes furthermore that the average overtime in 2022 was 4,3 % compared to the 6,3 % reported in 2021, which is close to the average of 4,0 % recorded during the period 2016-2019; highlights the importance of a good work-life balance, flexible working hours, teleworking, and the right to disconnect, in relation to improving the wellbeing of the staff;

24. Welcomes the fact that in 2022 the Agency conducted a comprehensive well-being survey, and the resulting recommendations have been integrated into the Agency human resources strategy for 2023-2025;

25. Notes that the Agency has a policy on protecting the dignity of the person and preventing psychological and sexual harassment, and that the Agency is part of the interagency task force of confidential counsellors; looks forward to receiving their report and recommendations; notes that there were no reported cases of harassment in 2022 and encourages the Agency to continue and develop the work to prevent cases in the future as well;

Prevention and management of conflicts of interest and transparency

26. Observes that, to maintain impartiality and objectivity in the Agency's operations, it regularly adjusts the policies’ scope and implementing processes vis-à-vis emerging risks stemming from new activities and/or interactions with new categories of stakeholders; notes that in 2022, as a result of the Agency’s new responsibilities in the area of medical devices, in vitro medical devices, as well as the responsibilities under its extended mandate, the policy on competing interests for members of the Management Board, policy on competing interests for experts, and the implementing rules on handling declared interests of staff and candidates before recruitment, have been revised;

27. Notes that the Agency has a breach of trust (BoT) procedure, which sets out how it deals with incorrect or incomplete e-DoIs by experts and committee members, as well with disclosure of confidential information; observes that the BoT procedure was revised in December 2022; highlights the fact that the revised BoT procedure states that it also applies to the other bodies that have been established within the Agency under the extended mandate (e.g. ETF and both Shortages Steering Groups);

28. Observes that in 2022 two BoT procedures were initiated for experts; notes that one case involved a committee member failing to disclose a lecture honorarium, resulting in revised declarations and a three-year restriction and the second case concerned a committee member omitting a close family member interest, leading to a 9-month restriction from the Agency’s activities;

29. Highlights that departing Agency staff sought permission for post-employment occupations, with 22 applications in 2022 resulting in varied authorisations, including both unrestricted and restricted cases; acknowledges that the Agency has been publishing decisions on senior members of staff that leave the organisation on its corporate website since December 2020, contributing significantly to transparency in handling competing interests;

30. Notes with satisfaction that the Commission’s Internal Audit Service report, which was published during 2022 and focused on human resource matters, confirmed the robustness of the system in place based on a very high staff awareness of the risks involved and the maturity of the internal controls to manage potential conflicts of interest;

31. Notes that, as a technical, scientific body of the Union, the Agency does not formally engage or meet with lobbyists, however, the Agency does engage and meet with stakeholders in accordance with its formal stakeholder frameworks; notes furthermore that meetings with external stakeholders are public and the details are published on the events page of Agency’s website;

32. Acknowledges the visibility that the Agency has achieved; is of the opinion that there is still room for it to achieve greater visibility in the media, internet, and social media in order to make its work and the dangers to our environment known to the citizens;

33. Notes that in 2022 the Agency received 676 requests for access to documents, fewer than the number of requests received in 2019 (783 requests) or 2021 (710 requests) and released 216 666 pages, more than compared to 165 943 in 2021 but considerably fewer than the 318 013 pages in 2019; notes that the Agency applies a queuing mechanism to manage the processing of multiple access to documents requests from the same requester representing a bottleneck for timely access to documents held by the Agency and discouraging requesters from introducing new requests; calls on the Agency to provide detailed information on the number of access to documents requests remaining inactivated in the queuing system and the average time spent in the queuing system before being activated; calls for the launch of an audit on the Agency’s rules to process access to documents requests, the queuing mechanism, the evolution of requests over time and the effects on applicants;

34. Calls on the Commission to ensure that the Agency receives adequate resources to implement the tasks that were assigned to the Agency by the adoption of Regulation (EU) No 536/2014 and avoid staff shortages that will negatively affect the Agency’s transparency policy, including with regard to timely publication of clinical data, meeting minutes and timely responses to access to documents requests;

Internal control

35. Observes that a questionnaire was prepared to assess the implementation, functioning, and improvement of the 17 principles within the internal control framework; notes that managers and staff responsible for specific principles or elements received the questionnaire, and interviews were conducted for further clarification; notes furthermore that the overall conclusion is that the internal control system is deemed to be effective and efficient, its components and principles are generally present and functioning reasonably well, while some principles could benefit from minor clarifications or additional information, and adjustments and improvements are suggested;

36. Draws attention to the fact that, as result of its relocation in 2019, the Agency leased a building in Amsterdam, which was fully fitted and furnished using the Dutch government’s EUR 15 million incentive scheme, including the donation of furniture and catering equipment; notes that the Court found that the Agency had not assigned clear identification (such as labels with bar codes) to some of those assets, mainly furniture; notes furthermore that four inventory counts the Agency had carried out since relocation repeatedly showed discrepancies (which, with time, decreased from EUR 534 331 to EUR 15 000) between the list of assets donated by the Dutch government, the Agency’s asset register and the assets found on the premises; highlights the fact that the absence of a complete and updated inventory list, specifying the location of tangible assets, is contrary to Article 87 of the Financial Regulation, and adversely affects the Agency’s ability to ensure its assets are safeguarded; welcomes the fact that, with a view to continuously improving its processes, the Agency will release updated internal guidance for the management of its assets inventory, adopt a risk-based approach to the labelling of furniture and release a rolling physical checks plan to continuously confirm the accuracy of its inventory;

37. Notes the observation from the Court’s report regarding the Agency’s contribution towards certain types of staff childcare costs, such as pre- and after-school care in the Netherlands; notes that for school meals, the Court found that the Agency was not able to provide full evidence of the checks done to ensure that the costs of school meals were excluded, therefore putting into question whether such checks were systematically carried out; observes from the Agency’s reply that meal costs are excluded from school fees and the Agency will file the evidence that school meal costs are excluded from the calculation of the contribution;

38. Notes the result of the activities carried out by the Agency’s internal audit capability, with 6 critical and 19 very important recommendations issued in 2022; calls on the Agency to address the 14 major recommendations awaiting an improvement action plan as of 31 December 2022 and report back to the discharge authority on the developments in this regard;

Other comments

39. Welcomes the fact that the Agency aligned its long-term climate objectives with the target laid down in Regulation (EU) 2021/1119 of a 55 % net reduction of greenhouse gas emissions by 2030 (compared to 1990 levels) and achieving climate neutrality by 2050; notes that for energy and water consumption, the Agency translated those objectives into a 15 % reduction per square metre of office space to be achieved between 2012 and 2021; observes that this target took into account the Agency’s growth in that period, and the fact that it had moved into a bigger but also more energy-efficient building, following its relocation from London to Amsterdam; notes that the target was exceeded both for energy and water achieving a 45 % reduction in energy consumption and 63 % in water use per square metre;

40. Notes that the Agency is preparing for the Eco-Management and Audit Scheme certification;

41. Welcomes the fact that in 2022, in order to increase cybersecurity, the Agency adopted the Information Security Strategy and the related implementation plan aiming to enhance the existing safeguards and security processes to protect the Agency’s information assets whilst supporting new business and technological challenges; notes that other important measures were also implemented in 2022 including the establishment of the security training and awareness programme and the implementation of the Security Operation Centre, which aims to continuously monitor and improve the Agency’s security posture while preventing, detecting, analysing, and responding to cybersecurity incidents; notes furthermore that the Agency has been working in close collaboration with the Computer Emergency Response Team for the EU institutions, bodies and agencies and the European Union Agency for Cybersecurity covering many aspects of the information security and cybersecurity domains, also including discussions and regular updates on the upcoming cybersecurity regulation for Union institutions, agencies, and bodies;

42. Commends the Agency for issuing initial advice for sponsors on how to manage the conduct of clinical trials in the context of the disruptions caused by the Russian invasion of Ukraine;

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43. Refers, for other observations of a cross-cutting nature accompanying its decision on discharge, to its resolution of 11 April 2024 on the performance, financial management and control of the agencies.