Innovative etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
Innovative etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

23 Ekim 2016 Pazar

NHS access to innovative drugs could be cut by four years, says review

Patients could get drugs and treatment sooner under an “ambitious” plan, according to a new report.


The UK has been known to be slower than other countries when it comes to providing life-changing treatments as soon as they are available, officials said. Making the newest treatments available more quickly is among the recommendations in the Accelerated Access Review.


The report, commissioned by the government, suggests patients could have medications four years sooner than at present if NHS processes were streamlined. Officials said the report will help the UK “embrace new opportunities” as it prepares to leave the European Union.


The review said patients and medical staff become frustrated as they wait for much-needed treatments and said innovators have to “navigate multiple processes” to get their products to the market.


Chair of the Accelerated Access Review, Sir Hugh Taylor, said: “This ambitious plan will prepare the health system for an exciting era in medical innovation. We’ve listened to the views of the NHS, patients, clinicians, the life sciences industries and academia – and it is clear we need to act now to make the most of the tidal wave of new drugs and technologies that are being developed.”


NHS England chief executive, Simon Stevens, said the review could help create opportunities as Brexit approaches. “Across the NHS we’re going to create headroom for faster and wider uptake of important new patient treatments. In doing so we’re going to create new opportunities in the run-up to Brexit for our globally successful UK life sciences sector. If we get this right there are huge gains within our grasp, for patients across the NHS and for the wider success of our country.”


Health charities have welcomed the recommendations. Cancer Research UK’s chief executive, Harpal Kumar, said: “The voices of patients have been crucial to this review. They have a critical role in advising how research priorities should be set and how they would like to be involved in developing new treatments to meet their needs.”


Hilary Evans, chief executive of Alzheimer’s Research UK, said the review has come at a “crucial” time for thousands of dementia patients awaiting the results of trials of a number of potential new treatments. “If these are shown to be positive then the recommendations in this report, including the creation of a new strategic commercial unit, could help these treatments get to patients more rapidly, while ensuring that appropriate reimbursement to innovators is balanced against good value to the NHS.”



NHS access to innovative drugs could be cut by four years, says review

14 Ağustos 2016 Pazar

NHS cancer patients missing out on innovative drugs

Thousands of NHS cancer patients in the UK are missing out on innovative treatments available in countries of comparable wealth partly because of a failure by medicines regulators to negotiate with the pharmaceutical industry on the price of drugs, charities have said.


Breast Cancer Now and Prostate Cancer UK have reviewed different drug systems and the availability of drugs for breast and prostate cancer and concluded that the UK approach is not fit for purpose.


Related: Can the NHS really not afford second transplants for cancer patients like me? | Hannah Partos


One of the main flaws they identify is that Nice (the National Institute for Health and Care Excellence) in England and Wales, and the SMC (Scottish Medicines Consortium), decide not only the clinical value of a drug but also its cost-effectiveness. However, the latter decision is based solely on the price quoted by the manufacturer, whereas in other health systems one public body makes clinical recommendations and then it is left to another to negotiate to the best of its ability.


Sally Greenbrook, policy manager at Breast Cancer Now, said: “What we found happening elsewhere is one organisation like Nice is doing the analysis of clinical excellence and quality of life, length of life and giving it a quality rating and that feeds into a negotiation process. When we consider the benefits of a drug, we should consider the clinical benefits and not how much it costs at that stage. That should then inform what we’re willing to pay for it. If we have a bit more flexibility in the negotiation scheme, we can perhaps see some of these drugs made available.”


A report, published by the two charities on Monday, compared the availability of treatments in England, Scotland and Wales with that in Germany, France, Australia, Canada and Sweden.


One of the drugs highlighted is Kadcyla, which can offer women living with incurable secondary breast cancer an average of an extra six months of life. It was launched two-and-a-half years ago and is now available in Germany, Canada and France. However it is only available through application to the Cancer Drugs Fund (CDF) in England, and is not available at all in Scotland or Wales.


The value of the CDF as a fallback is diminishing however as it has been reformed because of concerns over its finances and can no longer prescribe drugs not approved by Nice. It will limit what the CDF can approve in future and is likely to see drugs withdrawn from the fund.


The report points out Nice has not approved a single new breast cancer drug for routine use in the NHS in the last seven years, while just two treatments have been approved by the SMC in that time. “We know cancer outcomes are worse than in some other countries in Europeand part of that is going to be access to treatment,” said Greenbrook.


Nice said three-quarters of cancer drugs it has recommended this year have been discounted. The organisation’s chief executive, Sir Andrew Dillon, said: “Nice, working with NHS England, has been successful in encouraging companies to improve their offers, but they need to go further to help us to enable access to the most expensive new medicines.”


A Department of Health spokeswoman said: “Our existing approval process through Nice allows pharmaceutical companies to be flexible on price, which ensures that we improve access to the latest treatments.”


A SMC spokeswoman said price negotiation was not part of its evaluation process, but the Scottish government said it had commissioned an independent review on access to new medicines, to report later in the summer.



NHS cancer patients missing out on innovative drugs

19 Ağustos 2015 Çarşamba

Innovative answers to the NHS funding gap – cartoon

comments


Signal in or generate your Guardian account to join the discussion.


This discussion is closed for remarks.


We’re carrying out some servicing right now. You can still read through remarks, but please come back later on to add your very own.


Commenting has been disabled for this account (why?)



Innovative answers to the NHS funding gap – cartoon