GAO Weighs in on FDA Inspections Priority

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The U.S. Government Accountability Office (GAO) says FDA should make reducing its inspection backlog caused by the Covid-19 pandemic a high priority. In a recent letter to HHS, GAO says “FDA should, as inspection plans for future fiscal years are developed, ensure that such plans identify, analyze, and respond to the issues presented by the backlog of inspections that could jeopardize the goal of risk-driven inspections.” FDA previously stated that it is actively tracking the list of sites that need to be inspected. “To fully implement our recommendation, FDA should provide documentation that its inspection plans identify, analyze, and respond to the issues presented by the backlog of inspections,” GAO says.

 

Additionally, HHS says that another priority that has been lingering since 12/2016 is for the agency to “assess the effectiveness of its foreign offices’ contributions to ensuring the safety of imported products... FDA reported developing new performance measures for these offices as well as a monitoring and evaluation plan in 2018, but as of March 2021 has not reported additional progress.” GAO emphasizes that the “systematically track information to measure whether the offices’ activities—such as inspections, import alerts, and warning letters—specifically contribute to drug safety-related outcomes. In addition, as part of our ongoing work in this area, we will continue to obtain updated information on the role of FDA’s foreign offices in ensuring the safety of drugs entering the United States.”

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