The Times (KC) 26-Oct-08
From Kidney Cancer Resource
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10,000 set to pay for top-up cancer drugs
Sarah-Kate Templeton, Health Editor Up to 10,000 patients will pay to top up their care when Alan Johnson, the health secretary, lifts the ban next month on National Health Service patients buying drugs that the state does not fund.
Johnson’s U-turn, reported in last week’s Sunday Times, will end the policy of withdrawing NHS care from cancer patients who pay privately for life-prolonging drugs. It follows a campaign by the paper to end the practice.
Until now the government has resisted pleas for top-ups to be allowed by claiming that the system will create a two-tier NHS.
The controversy is also expected to force Johnson to ask the National Institute for Health and Clinical Excellence (Nice), the government’s drug rationing body, to review the way it calculates whether life-prolonging cancer drugs should be funded by the taxpayer.
Related Links Johnson in U-turn on patients’ top-up care Review into top-up fees for drugs Top-up fees for drugs herald two-tier NHS Thousands of NHS patients are denied drugs that could prolong their lives because Nice has ruled that they are not good value for money.
In August Nice ruled that four life-prolonging kidney cancer drugs should not be funded on the NHS because, although they could halt the spread of the cancer for six months, this would be at a cost of up to £35,000 a year.
Nice will now be asked to take greater account of how precious this extra time is for terminally ill patients.
At the moment, patients who have chosen to use their savings to pay for drugs to give them extra months of life with their families have their NHS care withdrawn.
Johnson will argue that by ordering Nice to make more of these drugs available on the NHS, it will reduce the number of patients who need to pay to top up their care.
Healthcare at Home, a private company, says it is already selling cancer drugs to 1,000 patients from about 30 NHS trusts that have broken ranks and allowed patients to buy additional drugs while receiving NHS care.
A company spokesman said that once the ban was lifted and more than 170 hospital trusts in England allowed top-ups, up to 10,000 patients could decide to supplement their NHS care with additional drugs.
Johnson’s change of policy follows an inquiry launched by the government in June after The Sunday Times revealed the tragedy of Linda O'Boyle, 64, a grandmother from Billericay, Essex, who died in March after her NHS care was withdrawn because she had paid privately for cetuximab, the bowel cancer treatment.
At least three other cancer patients have died after their NHS care was withdrawn because they had paid for drugs.
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