Friday, August 14, 2015

NICE plots takeover of England's Cancer Drugs Fund

England's Cancer Drugs Fund (CDF) has been sliding down a slippery slope lately, dealing with budget overruns and backlash from drugmakers and patients unhappy with the fund's decision to ax certain meds from its list. Now, in light of these problems, the country's cost watchdogs are planning to take the reins and give the fund a much-needed makeover.
The National Institute of Health and Care Excellence (NICE) will turn the CDF into a "managed access" fund for cancer drugs, setting out "clear entry and exit criteria" to determine which meds should be funded, according to a recent NHS England board meeting paper. Instead of simply rejecting a drug outright, like the CDF does now, NICE will give "conditional approval" to a med while it weighs evidence. At the end of a waiting period, the drug will go through a shortened approval process. A cancer med will either get a positive recommendation, moving into mainstream use, or a negative recommendation, which would restrict the drug to individual patients.
NHS England will release its plans for a new CDF model to the public in September 2015, it said in its board meeting paper. The current CDF fund is set to end in March 2016, and if everything goes accordingly, a new model should be in place by next April, it added.

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