Is NICE providing faster access to modern treatments?

November 29, 2001

Despite the hostile publicity it receives when it tries to deny new drugs, the National Institute for Clinical Excellence (NICE) approves many more treatments than it bans, at a net cost to the NHS of around £200m, according to James Raftery, Professor of Health Economics, in this week's BMJ.

He reviewed NICE's published guidance on health technologies up to March 2001 against three set criteria: clinical benefits, cost per quality adjusted life year (QALY), and impact of cost on NHS.

Of the 22 technologies on which NICE had issued guidance by March 2001, three were not recommended (with a change of judgement on the new flu drug, zanamivir). The guidance recommending use of the other 19 technologies all cited evidence of clinical benefits, while only around half cited cost per QALY. This suggests that economics had a lesser role than evidence of clinical benefits, says the author.

Many of its recommendations specified conditions for use, such as subgroups of patients most likely to benefit, which have generally helped keep the cost per QALY below £30,000, adds the author. For example, the provisional recommendation against the use of beta interferons and glatiramer for multiple sclerosis cited their high cost per QALY (£40,000 to £90,000).

The combined net cost of these 22 judgements was £200m-£214m or around 0.5% of annual NHS spending in England and Wales.

Overall, however, NICE's guidance recommending use of most technologies appraised will arguably lead to "faster and more uniform access" to these technologies rather than to denial access, he concludes.
-end-
NICE: faster access to modern treatments? Analysis of guidance on health technologies BMJ Volume 323, pp 1300-3

BMJ

Related Economics Articles from Brightsurf:

A century of misunderstanding of a key tool in the economics of natural resources
In the past few weeks, oil prices have fallen to record lows.

What comes after COVID-19? Special issue in the journal Population and Economics
At this alarming time, when the COVID-19 pandemic is on everyone's mind, a new special issue in the open-access peer-reviewed journal Population and Economics provides a platform for discussion on the impact of the pandemic on the population and economics, both in Russia and worldwide.

Challenges for Russia's agriculture: new special issue in Russian Journal of Economics
While Russia seems to have tackled its historic problem: food shortage -- with the agri-food sector becoming one of the most steadily developing of the national economy in the last decade -- there is a new set of challenges.

Brief entrance test can predict academic success within first year of study in economics
German researchers at Johannes Gutenberg University Mainz (JGU) and Humboldt-Universität zu Berlin found that even a short test can reliably predict students' success within their first year of study in economics -- much better than an intelligence test or predictions based on school grades.

The case for economics -- by the numbers
In recent years, criticism has been levelled at economics for being insular and unconcerned about real-world problems.

Scientists develop open-source software to analyze economics of biofuels, bioproducts
Perennial grasses can be converted into everything from ethanol to bioplastics, but it's unclear which bioproducts hold the greatest potential.

Life data economics: calling for new models to assess the value of human data
After the collapse of the blockchain bubble a number of research organisations are developing platforms to enable individual ownership of life data and establish the data valuation and pricing models.

SCAI and ACVP release consensus statement on cardiovascular catheterization laboratory economics
A newly released expert consensus statement provides recommendations for optimizing the financial operations of the cardiovascular catheterization laboratory (CCL) while providing cutting-edge patient care.

Shocking economics
Understanding economies in times of crises? Modern macroeconomics failed so far.

When does one of the central ideas in economics work?
Many situations in economics are complicated and competitive; this research raises the question of whether many theories in economics may suffer from the very fundamental problem that the key behavioral assumption of equilibrium is wrong.

Read More: Economics News and Economics Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.