Meeting of the Parliament 20 June 2018
Everything needs to be looked at to make sure that there are no gaps. I have been outlining the changes that the Government has made. What it has done and what it is looking at will go some way to address that issue and should continue to do so.
With the roll-out of PACS, doctors can, on behalf of patients, seek access to licensed treatments not generally available on the NHS. A new national appeals panel will also be introduced for individual requests to allow for medicines not approved by the SMC. In addition, greater cognisance of lived experience will be taken into account in decisions to fund new medicines.
The issue of negotiation figures prominently in the Labour motion, which
“calls for a new system of negotiation to be implemented”.
The market for medicines, particularly new medicines, is complex. It involves assessments of the recovery of research and development costs, which are essential to ensure that the pipeline of new medicine development is not slowed.
Matters are further complicated by the multilayered processes involved in UK pricing negotiations. The Scottish Government’s calls for the UK’s PPRS to provide full transparency on pricing among the four UK Administrations, to ensure that NHS Scotland is fully engaged in the process and can leverage best pricing as a consequence, is to be welcomed. Given that ultra-orphan drugs are often expensive, it is vital that pharmaceutical companies play their part and bring a fair price first time to the process.
Developments in drug technology will continue apace. That is to be welcomed, because developments in that area have provided cures to conditions that were, until recently, impossible to treat. The needs of sufferers who require access to the latest medicines is a priority and it is critical to ensure that the process in place for approvals delivers for them. Therefore, I welcome the Scottish Government’s continuing steps to improve access to new medicines and its calls for all parties to get around the table to make progress on the specifics.