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Deal reached on NHS drug prices Deal reached on NHS drug prices
(about 2 hours later)
The government and the drugs industry have struck a deal which could save the NHS in the UK around £400m a year. The government and the drugs industry have struck a deal which could save the NHS in the UK up to £550m per year.
A flexible pricing scheme will mean new drugs can be initially introduced at a lower price, which could be increased if the medicine proves effective.A flexible pricing scheme will mean new drugs can be initially introduced at a lower price, which could be increased if the medicine proves effective.
There are set to be more schemes where the NHS and drug companies share the cost of innovative treatments.There are set to be more schemes where the NHS and drug companies share the cost of innovative treatments.
An Office of Fair Trading report last year said the NHS spent up to £500m annually on overpriced medicines.An Office of Fair Trading report last year said the NHS spent up to £500m annually on overpriced medicines.
The deal is expected to save the NHS around £350m in 2009/10, and around £550m every year after that.
In 2006/07, £10.6 billion - 12.7% of the total NHS budget - was spent on drugs.
A more flexible approach to pricing is in everyone's interest. Health Secretary Alan JohnsonA more flexible approach to pricing is in everyone's interest. Health Secretary Alan Johnson
Under the current system, a drug company sets a price for a new medicine when it is launched, and there is little opportunity to change that - so firms set the price at what they think a drug will ultimately be worth, even if there is little evidence for that at the outset.
The flexible pricing scheme aims to change that, and means a medicine's cost could go up - or down.
The cost of branded drugs will also be cut.
'In everyone's interest''In everyone's interest'
The cost of drugs is predicted to fall from 3.9% from February 2009 with a further cut of 1.9% from January 2010. Overall, the cost of drugs is predicted to fall from 3.9% from February 2009 with a further cut of 1.9% from January 2010.
The government and ABPI will also look at introducing generic substitution - where doctors will be allowed to prescribe a branded drug even when it has come off patent - from January 2010. The government and ABPI will also look at introducing generic substitution from 2010 - which would mean a pharmacist could give out the cheaper non-branded version of a drug even if the GP had named the branded version on the prescription.
Currently, the NHS requires them to prescribe the generic, non-branded version. At the moment, that is not allowed.
Health Secretary Alan Johnson said of the new arrangements: "A more flexible approach to pricing is in everyone's interest.Health Secretary Alan Johnson said of the new arrangements: "A more flexible approach to pricing is in everyone's interest.
"It gets clinically and cost effective drugs to more patients - providing cheaper options where clinically appropriate - delivers value for money for the NHS and the tax payer, and creates a better market for the pharmaceutical industry while supporting research and innovation.""It gets clinically and cost effective drugs to more patients - providing cheaper options where clinically appropriate - delivers value for money for the NHS and the tax payer, and creates a better market for the pharmaceutical industry while supporting research and innovation."
Dr Richard Barker, director general of the ABPI said it was the first time the pricing agreement between the NHS and the drugs industry had not been purely a financial deal.Dr Richard Barker, director general of the ABPI said it was the first time the pricing agreement between the NHS and the drugs industry had not been purely a financial deal.
"This landmark deal marks a turning point for patients, the NHS and the pharmaceutical industry."This landmark deal marks a turning point for patients, the NHS and the pharmaceutical industry.
"It is an all-encompassing package that encourages the discovery of new, more effective medicines, while at the same time allowing NHS patients to access these treatments more quickly.""It is an all-encompassing package that encourages the discovery of new, more effective medicines, while at the same time allowing NHS patients to access these treatments more quickly."
Risk-sharing
Nigel Edwards, director of policy at the NHS Confederation which represents NHS managers, said throughout the debate over top-up payments for cancer drugs, they had said one part of the solution had to be a new pricing model.
"It is good news that this is now starting to happen although we would caution that there needs to be care taken that this does not land doctors and nurses with a heavier workload of form filling and bureaucracy."
But shadow health minister Mark Simmonds said: "The government, via this process, has both damaged the UK's reputation as a base for the pharmaceutical industry whilst at the same time failed to address the major issues that significant numbers of drugs are available to patients in Europe that are not available here.
"The solution is to move, where appropriate, to a greater use of risk sharing and valued based pricing schemes."