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Has NICE been nice to cancer?
Maxwell Summerhayes1, Paul Catchpole
1Medical Department, Roche Products, Hexagon Place, 6 Falcon Way, Shire Park, Welwyn Garden City AL7 1TW, UK. max.summerhayes@roche.com <max.summerhayes@roche.com>
Summary
England's National Institute for Health and Clinical Excellence (NICE) has appraised over 20 cancer drugs since 1999, with most approved for NHS patients. However, access inequalities persist for some cancer treatments and during NICE guidance development.
Area of Science:
- Health economics
- Oncology
- Health policy
Background:
- The National Institute for Health and Clinical Excellence (NICE) was established in 1999 to guide the National Health Service (NHS) in England and Wales.
- NICE evaluates the clinical and cost-effectiveness of therapeutic interventions to promote evidence-based care.
- A significant role of NICE involves determining the availability of new cancer drug treatments for NHS patients.
Purpose of the Study:
- To review the work of NICE in cancer treatment appraisals since its inception.
- To assess the impact of NICE guidance on cancer drug availability and patient access.
- To identify ongoing challenges and inequalities in accessing cancer therapies under NICE evaluations.
Main Methods:
- Review of NICE appraisals for anticancer drugs.
- Analysis of NICE guidance documents and their outcomes.
- Examination of access issues related to NICE evaluations.
Main Results:
- Over 20 anticancer drugs have undergone appraisal by NICE.
- The majority of appraised anticancer drugs have received positive recommendations for NHS availability.
- Despite positive guidance, inequalities in patient access to cancer drugs remain a concern.
Conclusions:
- NICE has largely endorsed the availability of new cancer drugs, benefiting many patients.
- Challenges persist regarding access to drugs during NICE's appraisal process.
- Inequalities in access are also noted for less common cancers not referred for NICE appraisal.
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