Mr. Medhurst,
I understand that you may be overwhelmed by the number of questions being thrown at you recently regarding Brauer's homeopathic products. If I may, I would like to focus on a single question posed by Richard in the Homeopathy Under Fire thread.
Richard asked, "How does Brauer do quality testing to make sure that the pills have, for example, Coffea 30C and not Coffea 29C?"
In your answer, you stated "The testing of the substances you mention is done on the basis of the manufacturing procedure involved. This complies with the TGA’s Good Manufacturing Practice code and complies with all other TGA requirements. If you’d like to know more about these requirements, please contact the TGA or look at
www.tga.health.gov.au"
I did look at that site and it has much information obaout the licensing requirements and the frequency of audits that are done to ensure compliance with GMP. However, there seems to be a scarcity of information on what is actually done during an audit. For example, the website lists the following procedure for a typical audit:
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Typical TGA audit of a medicine manufacturer
Before the audit:
Lead auditor is assigned.
The audit team is decided.
Lead auditor notifies the company - no earlier than the week before the audit. An unscheduled audit may be considered where it is believed that the true extent of GMP compliance cannot be assessed otherwise.
Audit team reviews documentation including Site Master File.
Lead Auditor prepares an audit plan for use by the audit team.
At the audit:
Lead Auditor chairs an opening meeting with the auditee's management:
Members of the audit team are introduced.
The scope and objectives of the audit are reviewed.
The audit plan is discussed.
A short summary of the methods and procedures to be used to conduct the audit is provided.
Communication links between the audit team and auditee are established.
It is confirmed that the resources and facilities needed by the audit team are available.
Arrangements for auditor caucus are made.
A tentative time and date for the closing meeting and any interim meetings of the audit team and the auditee's management are established.
The accuracy is verified, in the case of a pre-licence audit, of the licence application details, especially legal name of enterprise, site address(es) and nominated persons and scope of activities.
Audit is conducted.
Audit team meets to discuss and prepare a Deficiency Report (laptop computer).
Exit interview with the company:
Lead Auditor gives overview of the audit and its outcome
Lead Auditor may provide the company with the Deficiency Report and encourages discussion.
Lead auditor requests written response to the Deficiency Report within 4 weeks from the date of receiving the report. Objective evidence of corrective action is required for critical and major deficiencies.
Retention samples may be taken for TGA Laboratory testing.
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My problem is with the sentence "Audit is conducted." I find nothing in those three words that begins to answer the question "How does Brauer do quality testing to make sure that the pills have, for example, Coffea 30C and not Coffea 29C?"
Would you please clarify this for me?