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An anonymous complainant complained about call rates for Serono representatives and provided a copy of `Activity Standards and Definitions', updated 1 January 2006. The call targets were split into four different therapy areas, reproductive health, multiple sclerosis, myalgic encephalomyelitis and dermatology. Details of the call rates which were described as minimum requirements over an average period were provided. The frequency for a cycle from September to December for doctors was three times in one therapeutic area and twice in another. The complainant stated that the document detailed the minimum level of activity expected. The activity levels were per cycle and there were three cycles per year. The Panel noted Serono's submission that the document provided by the complainant had been altered. Nonetheless both the original document supplied by Serono and that provided by the complainant included for some therapy areas the statement `For Sept-Dec 04' which thus implied that the stated call frequency, eg 3 calls for some doctors in rheumatology, was for that period of time only, thus resulting in the possibility of 9 calls a year based on 3 cycles per year. Serono submitted that the statement `For Sept-Dec 04' had been a typographical error; the statement should have read `As agreed with Manager'. The Panel noted that other supporting documents and the training on the Code had made the requirements of the Code clear with regard to call rates. The `Activity Standards and Definitions' document, however, had to stand alone. The inclusion of the typographical error had given the wrong impression about call rates. A breach of the Code was ruled. An anonymous complainant complained about the call rates Serono required of its key account managers KAMs ; . A copy of `Activity Standards and Definitions', updated 1 January 2006, sent with the complaint had a definitions section followed by a section on `Activity Target Levels'. The call targets were split into four different therapy areas, reproductive health, multiple sclerosis, myalgic encephalomyelitis and dermatology. The call rates which were described as minimum requirements over an average period were provided. The frequency for a cycle from September to December for doctors was 3 times in one therapeutic area and twice in another. The tables set out daily call rate, daily contact rate, coverage per cycle, frequency per cycle for various target groups in relation to activity with doctors, nurses and others. COMPLAINT The complainant stated that the document detailed the minimum level of activity expected of all of Serono's KAMs. The activity levels were per cycle and there were three cycles per year. When writing to Serono, the Authority asked it to respond in relation to Clause 15.4 of the Code. RESPONSE Serono stated that the document sent by the complainant was an out of date document which was revised in January 2006 from a previous version in 2004 a copy of which was provided ; and was superseded by additional documentation including: December 2005 Standard Operating Procedures SOP ; , January 2006 Cycle meeting booklet, January 2006 ABPI presentation, January 2006 individual performance objectives detailing activity standards and Serono 2006 policy statements. The updated document sent to the Authority was amended by the sender; Serono provided a copy of the original document. The SOP applicable and relevant during the period dated 21 12 05 ; clearly stated under the heading `ABPI Code of Practice Key points from the Code 2006 ; ', that the number of calls on a doctor should not exceed three in one year. All KAMs were extensively briefed and trained on these SOPs and the new 2006 Code during business unit meetings and the Serono business cycle meeting in January 2006. All employees had completed the ABPI Wellards on-line training and validation course on the 2006 Code, where the level of calls was discussed and was confirmed to all sales staff. The document at issue clearly stated that Serono did not believe in a call rate culture. The tables under `Activity Target Levels' listed daily call rates, contact rates, both of which were `As agreed with manager'. The frequency per cycle bullet point and haloperidol, for example, micronase manufacturer.
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