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Cancer Medicines: Appraisals

13 June 2023

Lead MP

Jim Shannon
Strangford
DUP

Responding Minister

Will Quince

Tags

NHSEconomyTaxationNorthern Ireland
Word Count: 12428
Other Contributors: 6

At a Glance

Jim Shannon raised concerns about cancer medicines: appraisals in Westminster Hall. A government minister responded.

Key Requests to Government:

Shannon asked the Government to ensure that medicines currently in the Cancer Drugs Fund (CDF) can be assessed against the same criteria under which they were initially recommended for use in the NHS. He sought reassurance from the Minister regarding the potential reduction of access to certain drugs and requested flexibility in how drugs are allocated based on individual patient needs. The MP asks the government to support her four-point manifesto: (1) targeting 200 glioblastoma patients into clinical trials each year; (2) trialing brain tumour drugs on every licensed drug for other cancers; (3) ensuring medical oncologists are core members of neuro-oncology multidisciplinary teams; and (4) requiring mandatory training on brain tumours for doctors. She also requests that the Minister make a real impact in this area before standing down.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Strangford
Opened the debate
Jim Shannon expressed concern about the UK's health technology appraisal process not keeping pace with cancer treatment innovations. He highlighted that over 320,000 people were on cancer waiting lists in July 2022 and noted that only 35.6% of urgent suspected cancer referrals from GPs began receiving treatment within the 62-day target in Northern Ireland by the final quarter of last year. Shannon also mentioned that NICE guidance is not automatically applicable in Northern Ireland, leading to challenges for cancer patients there. The MP is concerned about the lack of improvement in treating glioblastoma over the past 40 years. She highlights that the survival rate for glioblastoma remains at nine months on average, with only a marginal increase in five-year survival rates from 12% to 13%. The MP points out the disparity in survival rates between brain tumours and other cancers such as lung cancer and breast cancer, where significant improvements have been made. She also mentions that there are zero clinical trials for new glioblastoma drugs and no pharmaceutical companies willing to provide drugs for a new trial without personal intervention.

Government Response

Will Quince
Government Response
Addressed concerns regarding cancer medicine appraisals by NICE, emphasizing that every pound spent on a new medicine is money not available for other services. Noted that the NICE approval rate for cancer medicines is around 92%. Acknowledged the need to collect national data and ensure patient voices are heard in decision-making processes. Discussed ongoing work with the pharmaceutical industry and VPAS negotiations, as well as efforts to improve clinical trials competitiveness through the O'Shaughnessy review. The Minister acknowledged the importance of personal experiences shared by Members, emphasising that the Government remains committed to making innovative and effective cancer treatments available. He highlighted NHS England's ability to negotiate commercial agreements for combination drug therapies and discussed progress in securing such treatments through deals like Keytruda and Lenvima. The Minister also stressed the role of NICE in health technology assessment and acknowledged the need for continuous improvement. He concluded by reiterating that this is not a political issue but one centred on patient care.
Assessment & feedback
Summary accuracy

About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.