Date of preparation March 2013 Page 1

Medical Education Grants paid by Pfizer in 2012 to UK Organisations, Associations and Institutions that are comprised of health professionals and /or that provide healthcare or conduct research The ABPI Code of Practice requires that companies declare annually (starting in 2013 for payments made in 2012 calendar year) Medical Education Grants (MEGs) provided to healthcare organisations, institutions and associations comprised of healthcare professionals and / or that provide healthcare or conduct research. Companies are required to publish the financial amount provided and recipient institution. Pfizer is disclosing an additional level of detail to include a brief summary about each grant to provide context and make the data more meaningful to the general public. This is consistent with the format we follow for our disclosure of the support we provide to Patient Advocacy Groups. Pfizer is disclosing Medical Education Grants provided to UK healthcare organisations made by Pfizer UK, as well as payments made to UK healthcare organisations by overseas affiliates, our European brand teams and our New York head office. The types of activities which are supported through MEGs are grants for which there is no specific benefit to Pfizer in return for providing the support. They are provided to healthcare organisations to either benefit patients or benefit the NHS, whilst maintaining patient care. Pfizer s involvement in providing MEGs is strictly limited to provision of the grant and projects supported by MEGs are not controlled in any way by Pfizer. MEGs must relate to continuing professional education, patient or community education or community projects that promote better healthcare (e.g. disease screening programmes). Date of preparation March 2013 Page 1

Recipient Organisation An outline of the project which Pfizer s Medical Education Grant (MEG) supported Amount Paid by Pfizer to the recipient organisation (in s) Aintree University Hospital NHS Foundation Aneurin Bevan LHB Aneurin Bevan LHB Aneurin Health Board Ashford and St Peters NHS Belgrave Medical Centre, Sheffield Betsi Cadwaladr University Health Betsi Cadwaladr University Health Board Blakeney Surgery, Blakeney Bristol PCT Bristol Royal Hospital For Children Bristol Royal Hospital for Children Cambridge University Hospital NHS Foundation Cambridge University Hospitals NHS Foundation Cardiff and Vale Univsersity Health Board Caritas Health Partnership Central Manchester University Hospital Central Manchester University Hospitals NHS Foundation Central Manchester University Hospitals NHS Foundation Workshop to support senior management to understand 3100.80 their current environment. A Medical Education Grant to support the development of 20000 educational patient interface materials for VTE (Venous Thromboembolism) in cancer. Medical Education grant to support the delivery of patient 5000 and carer focus groups to improve outpatient care. Support with the implementation of a campaign to 5000 promote dignified care on hospital wards. Medical Education Grant provided for printing of antibiotic 816 wall charts and advice cards. Healthcare Worker-led Long Term Conditions Stop Smoking 4500 Project. Payment for an external speaker to train multi disciplinary 700 team on best practice in improving ultrasound techniques. Support provided to enable a review of patients with 1900 cardiovascular disease to improve the management in line with National Guidelines. Medical Education Grant to identify and manage high risk 500 cardivascular patients. Provision of support to the Cancer Network with 280 educational materials and books. A Medical Education Grant to understand patients 15450 experiences of being treated in a non PAH (pulmonary arterial hypertension) centre. To support the with how they are providing care for patients. Service evaluation and gap analysis for pulmonary arterial 51000 hyperension patients' pathway. Fungal diagnosis pathway development and evaluation. 53135 To support the development and expansion of the clinical 8200 service provision in the Institute of Metabolic Science. To support the University healthboard to develop a pilot 17000 for a hospital smoking cessation service. Medical Education Grant provided to support the 840 implementation of an audit on high risk cardiovascular patients in line with Local and National guidance. Financial support for healthcare professional education. 155 Project support around organisational development and maximising efficiencies within the Pharmacy team. Funding for entering patient data onto the Biologics Audit Tool. 9000 Date of preparation March 2013 Page 2

Chelsea and Westminster NHS Christie Hospital NHS Christie Hospital NHS Christie NHS Foundation City Hospitals Sunderland NHS Foundation City Hospitals Sunderland NHS Foundation College of Occupational Therapists Community Integrated Care Division Countess of Chester Hospital NHS Demontfort University School of Pharmacy Dental Spa, Westerham, Westerham Derbyshire LPC Doncaster and Bassetlaw Hospitals NHS Foundation Dudley Group of Hospitals NHS East Kent Hospitals Foundation NHS East Kent Hospitals Foundation NHS East Kent Hospitals University NHS Foundation East Lancashire Hospitals NHS East Lancashire Hospitals NHS Essex Local Pharmacy Committee Funding provided towards an event which enabled sharing 8502.22 of pharmacy knowledge, best practice and building a plan for new ways of working in NHS hospital pharmacies to realise potential efficiencies and enhance patient experience and care. Pfizer provided a Medical Education Grant which 40000 contributed towards the maintenance of a renal cancer database. Support for data entry into the database to expand 4197 awarness of Growth Hormone disorders. Contribution towards the development and provision of an 26500 Endocrine Clinical Service. Medical Education grant to evaluate and promote 27000 Rheumatology training for doctors at Newcastle. Support provided to fund disease recognition for patients 650 with Ankylosing Spondylitis. Sponsorship for a workshop organised by the North West 1508 Branch of the College of Occupational Therapists Specialist Section in Rheumatology. Medical Education Grant to support the implementation of a web based pain management tool The provision of funding to support the input of 4950 retrospective data entry into a biologics audit tool provided by Pfizer. Provision of funding towards an event which supports the 955 development of pharmacists, including audit review and sharing best practice. Financial support for an oral cancer awareness campaign, 150 to raise the profile of Smoking Cessation and Oral Cancer. Provision of funding to audit the management of Smoking 2500 Cessation support within Community Pharmacy. The provision of funding to support the input of 4200 retrospective data entry into a biologics audit tool provided by Pfizer. Support to increase awareness and knowledge of the 3975 resources available to improve the management of diabetes and promote best practice. Financial support to input data of patients on to a 2500 database, (Electronic Patient Record System). Financial support provided to enable a training and education for Rheumatology Team in 2012. Funding to deliver four (4) leadership development 4000 workshops. Funding for the printing of patient information leaflets. 373.20 Funding for two events for patients recently diagnosed with Rheumatoid Arthritis. A Medical Education Grant to suport the delivery of a Healthy Living Pharmacy Project to improve patient care. 1050 4000 Date of preparation March 2013 Page 3

Fairfield Surgery, Port Talbot Resource Centre, Port Talbot Fit For Work Team, Voluntary Action Leicestershire Gloucestershire Hospitals NHS Goldenhill Medical Centre, Stoke on Trent Guys & St Thomas' NHS Foundation Guys & St Thomas' NHS Foundation Hampshire and IOW LPC Health First ALW Community Interest Company Heart Of England NHS Foundation Support provided to enable a review of patients with 2000 cardiovascular disease to improve their management in line with National Guidelines. Support evaluation of a Pain tool within vocational 3000 rehabilitation. Medical Education grant to print leaflets which promote 1500 smoking cessation. Support with the implementation of a campaign to 1530 increase the numbers of smokers presenting to the Stop Smoking Service. Funding provided to support pharmacists to develop 5000 themselves to better serve patient needs Funding to support the development of an innovative 1000 patient safety project To support an educational meeting focused on the 250 treatment of Alzheimer's, including case studies to embed learnings & improve knowledge. To provide support to audit and identify long term condition patients who smoke. Provided support for data entry enabling the existing 6000 cohort of patients to be added onto the Biologics Audit Tool. Support for antibiotic awareness event. 156 Heatherwood and Wexham Park Hospitals Highland Health Board Support provided to upskill and train Diabetic Specialist 1800 Nurses (BERTIE). Highnam Surgery, Highnam To provide financial support to print patient educational 48 booklets on the subject of chronic back pain. Hospital of South Manchester A third party facilitator was paid by the trust to facilitate a 3308.76 manager development workshop, Pfizer contributed towards this with a Medical Education Grant. Hospital of South Manchester A third party facilitator was paid by the trust to facilitate a 3500 series of organisational development workshops, Pfizer contributed to this with a Medical Education Grant. Hospital of South Manchester A third party facilitator was paid by the trust to facilitate a 700 Musclular Skeletal workshop, Pfizer contributed to this with a Medical Education Grant. Hospital of South Manchester A third party facilitator was paid by the trust to facilitate a 700 Insights Discovery workshop, Pfizer contributed to this with a Medical Education Grant. Hull and East Yorkshire The provision of funding to support the recruitment of 3500 Hospitals NHS administration staff to input retrospective data entry into a biologics audit tool provided by Pfizer. Hywel Dda Local Health Board Support of database improvements for easier access to 10600 patient data in clinics. Imperial College Healthcare Medical Education Grant provided to support the 23750 NHS development of an electronic referral system to the local Stop Smoking service. Imperial College Healthcare Medical Education Grant to support medical education of 500 Date of preparation March 2013 Page 4

Intrahealth Ltd Isle of Wight NHS Primary Care Keele University Keele University Kellgren Centre For Rheumatolog Kent Community Health NHS Kent Community Health NHS King's College Hospital King's College Hospital Kings College London Lancashire Care NHS Foundation Leeds Teaching Hospitals NHS Leicestershire Partnership NHS Liverpool Community Health NHS Maidstone & Tunbridge Wells NHS Manchester University Newcastle University Newcastle Upon Tyne Hospital NHS Foundation General Practitioners on the subject of Ankylosing Spondylitis and Psoriatic Arthritis. Support provided to fund disease recognition for patients with Ankylosing Spondylitis. Support an audit programme of all General Practitioner registers to identify gaps in patient outcome. Develop a bespoke educational programme for clinicians to manage patients with heart failure. Provision of funding towards an event which supports the development of pharmacists, including audit review and sharing best practice. Financial support for the production of Modules for the Prescriber NMP e-learning resource designed to meet the continued professional development (CPD) needs of healthcare professionals in therapeutics in the UK. Support for a perceptorship to learn about Behcet's disease. Objective of the event was to raise the profile of Smoking Cessation and COPD. Support to deliver workshops to help improve the efficiency, effectiveness and quality of the newly formed service team. Laptop on Wheels for department to record PROMS (Patient Reported Outcome Measures). Funding for admin time for new database to record PROMs (Patient Reported Outcome Measures). Financial support provided to support a dermatology training and education programme for General Practitioners across London Support for a primary care education event led by the Preston rheumatology service based at the Minerva centre. Joint support with Department to fund establishment and implementation of Psoriasis care pathway. Support with making every contact count (MECC) campaign, to allow healthcare professionals to engage their patients who smoke with making a quit attempt. A local Innovaton skills workshop run by Pfizer NHS Training Solutions. To enable the delivery of an endocrine service for patients in London & Kent. Provision of support towards a meeting which enabled pharmacists to share best practice across the region. Development of toolkit to enable healthcare professionals in the field of Juvenile Idiopathic Arthritis (JIA) to educate General Practitioners, Paediatric Doctors & nurses about JIA. Financial support provided to enable training and education event for North East Senior Pharmacists. 4592 4500 2450 8500 600 100 980 1400 24000 500 2523 38000 12000 1597.80 20757 7000 200000 909 Date of preparation March 2013 Page 5

NHS Buckinghamshire Primary Care NHS Central Lancashire NHS Central Lancashire NHS Central Lancashire NHS Fife NHS Greater Glasgow And Clyde NHS Hertfordshire NHS Hertfordshire NHS Lothian NHS Midlands and East NHS South East Coast NHS Suffolk NHS Surrey NHS West Leicestershire Clinical Commissioning Group NHS Wiltshire Primary Care Norfolk and Suffolk Foundation North Somerset Community Partnership North Tyneside Health Care Community Interest Company Northampton General Hospital NHS Northern Health and Social Care To support the 'no smoking policy' across NHS Buckinghamshire with training on brief intervention. Education programme to support NHS Central Lancashire, to enhance the skill and capability of all GP surgeries in the 3 Clincal Commissioning Groups within Central Lancashire. Educational Training for community Pharmacists within respiratory. Materials to promote medicines use reviews post discharge to reduce 28 day readmissions. Funding to support an audit to analyse number of rheumatology patients that have stopped smoking since the launch of smoking and Rheumatoid Arthritis campaign. To part fund the production of a paediatric rheumatology data management component. Financial Support provided to the medicines management team to train and upskill on innovation techniques and support the development of closer working with CCGs Provide leadership training to Public Health team in Hertfordshire Financial grant to support development and printing of materials for a local educational chronic pain programme. Provision of a health bus to promote 'self management' to patients with long term conditions. Medical Education Grant provided to support with the development of a campaign to increase the numbers of smokers presenting to the Stop Smoking Service. Medical Education Grant to support the team development and increase the effectiveness of the Anglia Cancer Networks MDTs (multi disciplinary teams). To support a stakeholder engagement programme to develop the Clinical Commissioning Group. Educational training to provide Insights Training for new Clinical Commissioning Group members. Financial support for Wiltshire Stop Smoking Service to develop and run two community quit programme pilots. Medical Education Grant provided to raise awareness of the local anxiety and depression guidelines Medical Education Grant provided for printing of the local Diabetes Integrated Care Pathway for both primary and secondary care healthcare professionals. Medical Education Grant to deliver 'Very Brief Advice' training for all healthcare professionals in North Tyneside Clinical Commissioning Group. Financial support for a data entry role to enable implementation of a new patient database. To support a Heart Failure audit within primary care to ensure improvements in management of patients diagnosed with Heart Failure. 500 400 1500 1000 9600 770.83 2450 442.80 26198.40 5000 2100 5000 1750 500 4775 250 10169.04 17618 20000 Date of preparation March 2013 Page 6

Northern Lincolnshire And Goole Hospitals NHS Foundation Northern Lincolnshire And Goole Hospitals NHS Foundation Northumbria Healthcare NHS Northwick Park Hospital Nottinghamshire Healthcare NHS Nottinghamshire Local Pharmaceutical Society Oxford Radcliffe Hospital NHS Oxford University Hospitals NHS Oxfordshire Primary Care Papworth Hospital Papworth Hospital NHS Foundation Peninsula Community Health Pennine Acute Hospital NHS Pennine MSk Partnerships Ltd Plymouth Primary Care Poole Hospital NHS Foundation Poole Hospital NHS Foundation Powys Teaching Health Board Prinwest Limited Patient education meeting. 300 The provision of funding to support the input of retrospective data entry into a biologics audit tool. Medical Education Grant to support adherence project with Northumberland NHS Stop Smoking Service Medical Education Grant to support pilot triage scheme for Ankylosing Spondylitis. Stop Smoking initiative reaching out to areas of high deprivation within the Bassetlaw Local Health Economy. Financial support for Nottinghamshire LPC to run a Drug Tariff Training Workshop on the 11th Oct 2012. The meeting provides an opportunity to review the audit presentations of the pharmacists from across the South Central Region. The committee recognise various presentations, whilst providing an opportunity to share best practice across the Region. Medical Education grant to support with costs of developing a service communication plan. Support for workplace health screening of South Asian men who do not access healthcare services. Support to attend international course to enable best practice sharing and subsequent service development. Financial Support provided to the to enable increased awareness of PAH (pulmonary arterial hypertension) to healthcare professionals in the locality. Support the development of Long Term Condition nurses with clinical updates in 8 clinical domains. Funding for entering patient data onto the biologics database, TA Monitor. Funding for entering patient data onto the Biologics Audit Tool. Support a practice level audit to improve the management of patients with heart failure Provision of financial support for Heart Failure nurse and healthcare professional education programme to deliver patient awareness and education. Provision of support to expand compliance and to raise awareness of the risk of VTE (Venous Thromboembolism) and how to reduce this. Support a project aimed to improve stop smoking services across Powys. A Medical Education Grant to support the delivery of a training workshop for pharmacists, to enable more effective communication skills within both the pharmacy and the primary health care teams, enabling improved patient adherence to prescribed medicines. 8000 3817.20 30000 4500 1462 309.60 6300 1010 8000 20000 4242.48 22400 3456 5000 16640.40 25000 900 1155.75 Date of preparation March 2013 Page 7

Rajja Limited Riverside Surgery, Port Talbot Resource Centre, Port Talbot Rotherham NHS Foundation Royal Berkshire NHS Foundation Royal Brompton And Harefield Foundation Royal Cornwall Hospital NHS Royal Cornwall Hospital Royal Free London NHS Foundation Royal Marsden Hospital NHS Royal National Hospital For Rheumatic Diseases Royal Surrey County Hospital Royal Wolverhampton Hospitals NHS Sainsbury's Supermarkets Ltd Sandwell Primary Care Sheffield Hospitals Charity Smoke Free South West South Tees Hospitals NHS Foundation South Tees NHS Foundation South Tees NHS Foundation Provision of support towards building and enhancing the skills of community pharmacists in understanding the New Medicines Service and local implementation. Support provided to enable a review of patients with cardiovascular disease to improve the management in line with National Guidelines. The provision of funding to support the input of retrospective data entry into a biologics audit tool provided by Pfizer. Contribution towards the development and provision of an Endocrine Clinical Service at the Royal Berkshire Hospital. Funding support to enable database development and entry of data to align the trust with the wider organisation. Medical Education grant for research into pharmacy 'attitudes' through conducting stakeholder focus groups to develop a 'vision for pharmacy'. Medical Education Grant to Support the training of rheumatology nurses with brief intervention training. Medical Education Grant to support the costs of holding a day long symposium with international speakers at the Royal College. Provision of support to improve General Practitioner awareness of the early signs of cancer. Medical Education Grant to support purchasing and setting up a pilot project to enable electronic capture of outcomes data in the outpatient clinics. Provision of a Medical Education Grant to audit the current renal cancer service, agree new structure and support evaluation following the implementation to improve the renal cancer service. Development of a business case for the Rheumatology Service Redesign, specifically relating to Psoriatic Arthritis, through commissioning a Project Manager. Support with the delivery of the New Medicines Service being offered to patients of this pharmacy group. A workshop to provide education and training on lipid and diabetes management. Funding provided to support MDT Chair training and Lung MDT. Medical Education Grant to support the identification of high risk COPD patients across the South West. Support provided to enable data input into Rheumatology database. A series of workshops to support leadership and development of pharmcy staff. Review of Rheumatoid Arthritis service by experienced external consultant to make recommendations for service improvements to the trust. 714.80 425 3000 12000 25000 5400 1000 4000 25000 35000 15000 500 850 8000 5346 6000 6600 14700 Date of preparation March 2013 Page 8

Southport and Ormskirk Hospital NHS Surrey and Borders Partnership NHS Foundation Surrey and Borders Partnership NHS Foundation Surrey PCT Systemic Lupus International Collaborating Clinics Target Health and Well Being LTD The British pain Society The Kellgren Centre Of Rheumatology The Locala Stop Smoking Service The Mount View Family Practice, London Street Medical Centre, London The Mount View Family Practice, London Street Medical Centre, London The Newcastle Upon Tyne Hospitals The Queen Elizabeth Hospitals Kings Lynn NHS Foundation Medical Education Funding provided to support evaluation on a community pain service, and demonstrate insights and outcomes. Medical Education Grant provided to promote and raise awareness of a website which supports the management of anxiety and depression. Medical and Education Grant provided to promote and raise awareness of a website which supports the management of anxiety and depression Medical Education Grant provided to NHS Surrey to develop a web based tool to support HCP access to protocols and guidelines. Support for Systemic Lupus International Collaborating Clinics research network meeting to promote Research & Development and therapeutic development in lupus. To provide financial support to Target Health and Wellbeing LLP Health for the printing of 2000 Stop Before the Op leaflets. Medical Education Grant provided to support the British Pain Society in the creation of patient pathways for pain. Funding for a meeting for carers and young adults with Juvenile idiopathic Arthritis across Manchester. Support with the implementation of a campaign to increase the numbers of smokers presenting to the Stop Smoking Service. To support the identification and signposting of smokers to Stop Smoking Services. To support identification, review and audit of heart failure patients. Support provided towards the annual pharmacist development meeting, programme included audit techiques and best practice across the North East. Production of the Pharmacy Anti-Microbial Prescribing aide memoire bookmark to support safe and appropriate use of anti-microbial medicines within the trust. 5000 5000 3000 12000 2000 350 1500 12000 2500 2000 1160 200 The University Of Edinburgh Funding for a residential 'Teach the Teacher' Ultrasound 20000 course for mentors from across Scotland. The University Of Manchester Support for the Psoriatic Arthritis Genetics European (PAGE) Consortium meeting held in Manchester. Tregaron Surgery, Tregaron, Support provided to enable a review of patients with 1425 Ceredigion cardiovascular disease to improve the management in line with National Guidelines. Trinity Medical Centre, Blythe Support with the implementation of a campaign to 1117 Bridge increase the numbers of smokers presenting to the Stop Smoking Service. United Lincolnshire Hospitals Financial support for the development and printing of 1000 Date of preparation March 2013 Page 9

NHS United Linolnshire Hospital NHS University College London Hospitals University College of London Hospitals University Hospital Birmingham NHS Foundation University Hospitals Bristol NHS Foundation University Hospitals Coventry And Warwick NHS University Hospitals of Leicester NHS University Hospitals of Leicester NHS University of Aberdeen University of Glasgow University of Glasgow University of Leeds University of Leeds University of Leicester Medical School healthcare professional and patient materials to raise awareness of the dedicated AS (ankylosing spondylitis) clinic. Support provided to enable the development of an ECG ruler to enable quicker diagnosis of Myocardial Infarction by ambulance staff, and improve patient care. Medical Education Grant to support implementation of an online audit tool. Medical Education Grant provided to support database development project. Production of patient booklets, one to support patients prior to their hospital intervention, and another patient booklet to support patients after their hospital intervention. Provision of support towards a meeting which provides an opportunity to review the audit presentations of pharmacists from across the South West Region. The committee recognise presentations, whilst providing an opportunity to share best practice across the region. A review assessing the implementation of a revised patient pathway for patients with Inflammatory Arthritis, improving access to appropriate treatment at the appropriate time. Training interventions to support Pharmacy Clinical Trial Team development Financial support for a data entry role to enable implementation of a new patient database. Provision of bursary funds to those attending Intensive Applied Epidemiology Course to enhance future health research prospectives. To enable the Ayrshire Maternity Unit (AMU) SGA (Small for Gestational Age) project to be written up and published and the infrastructure put in place to support a Scotlandwide initiative. Finanical support provided towards a SGA (Small for Gestational Age) service development project. Provision of funding to support trainee doctors for EULAR (The European League Against Rheumatism) online training in Rheumatology. To support the annual pharmacist meeting for education and development across the North West. Financial support to backfill Consultant Pharmacist as part of research to support hospital doctors at all levels, focusing on junior doctors behaviours to support their acquisition of enhanced thinking processes, skills, behaviours and knowledge for safe prescribing 1000 15000 125114 4000 850 2800 4000 25000 2200 15000 15000 4600 3500 20000 University of Sussex To support delivery of General Practitioner training events 1107.60 in rheumatology. Walsall Hospitals NHS Project to improve patient access to diagnosis and 15000 Date of preparation March 2013 Page 10

Welsh School of Pharmacy Welsh School of Pharmacy Western General Hospital, NHS Lothian Wexham Park Hospital Whipps Cross University Hospital Worcestershire LPC Worcestershire Primary Care Wrightington, Wigan And Leigh NHS Foundation Yorkshire and the Humber SHA treatment. It included a combination of disease awareness, General Practitioner education and appropriate service redesign within the Rheumatology department. Provision of funding towards an event which supports the development of pharmacists, including audit review and sharing best practice. Provision of funding towards an event which supports the development of pharmacists, including audit review and sharing best practice. Support for set up of an online resource to support patients aged 16 to 25 with rheumatoid arthritis. To support the development of an audit tool within Rheumatoid Arthritis. Medical Education Grant provided to support North East London and City public health to provide a joint injection workshop. To support Worcestershire LPC to launch their Healthy Living Pharmacy Campaign. Medical Education Grant provided to enable GPs to access educational presentations developed and held within the Worcestershire GP education portal. Funding for entering patient data onto the Biologics Audit Tool. A Medical Education Grant to support development of COPD6 materials. 774 820 63792 500 2000 9000 10800 1500 Date of preparation March 2013 Page 11