AbbVie: internal emails seen as endorsing ‘strategic loitering’ to access hospital HCPs (AUTH/3530/7/21)

📅 2021 | 🖉 Dr Anzal Qurbain
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Key facts

CaseAUTH/3530/7/21
PartiesEmployee (complainant) v AbbVie
IssueConcerns about instructions to representatives; internal emails describing/endorsing questionable hospital access tactics; allegations about hospitality/venues and face-to-face targets
Applicable Code year2019
Complaint received07 July 2021
Case completed26 May 2022
Breach clausesClause 9.1; Clause 15.2
No breach clausesClause 2; Clause 9.1 (in relation to other allegations); Clause 15.4
Product mentionedRinvoq (mentioned in the representative’s email)
SanctionsUndertaking received; additional sanctions considered but none required
AppealNo appeal (Appeal Board consideration of case report and potential additional sanctions)

Download the full case report (PDF)


Reviewed by Dr Anzal Qurbain (FFPM) — ABPI Final Signatory

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What happened

  • An AbbVie UK employee complained that senior management was encouraging the salesforce to behave unethically during the Covid-19 pandemic.
  • Screenshots showed an internal email from a sales representative describing how they entered a hospital rheumatology department (security-pass access) and used language such as having a prepared reason to gain entry if challenged and “strategic loitering”.
  • The representative’s manager replied and circulated the response to their entire team; the response included motivational language about “gaining promotional opportunities… deliver our… messaging and win back… opportunities from our competitor” and ended “keep up the great work”.
  • Additional allegations included: being told to meet HCPs in coffee shops/car parks/picnics; texting HCPs offering ice creams/sandwiches; and being targeted/incentivised to achieve face-to-face call numbers (including a Q3 condition of seeing 35 HCPs face-to-face for bonus, with virtual calls not counting).
  • The Authority asked AbbVie to consider Clauses 2, 9.1, 15.2 and 15.4 of the 2019 Code.
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Outcome

  • Breach of Clause 15.2 (representative failed to maintain a high standard of ethical conduct, given the language and implied approach to gaining entry).
  • Breach of Clause 9.1 (manager’s team-wide email was likely to be seen as endorsing/encouraging the conduct; high standards not maintained).
  • No breach of Clause 15.4 (Panel was concerned but did not find, on balance of probabilities, that calls caused inconvenience or failed to observe wishes/arrangements in force at the hospital).
  • No breach of Clause 2 (Panel did not consider the circumstances warranted the particular censure of Clause 2).
  • Allegations about hospitality/venues and face-to-face targets: no breach (insufficient evidence and/or not established that instructions/targets would likely lead to a breach).
  • Appeal Board reviewed the case report (no appeal) and considered whether to impose additional sanctions; it decided none were required.
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