NICE Appraisal Changes: Confusing, Contradictory & Questionable

New NICE and NHS England appraisal rules regarding timelines and price thresholds could fast-track new cost-effective drugs but then delay them from reaching patients for up to three years. The new regulations, which will come into force in April, have raised a lot of questions around methodology and impact outside of England.

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Concerns and questions have been raised over new UK HTA rules • Source: Shutterstock

A new “budget impact test” that UK pricing watchdog NICE is introducing in April, which could potentially allow NHS England to delay access to certain drugs by up to three years even though they are deemed to be cost effective, has come under fire.

The test, approved on March 15 as part of a package of changes to the drug appraisal process used by NICE (National Institute for Health and Clinical Excellence), marks an...

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