Are high‐cost drug funding mechanisms fit for purpose? A retrospective study of individual funding requests in an NHS tertiary hospital

Br J Clin Pharmacol

13 July 2020 - This paper reports on a retrospective study of individual funding request submissions from a large tertiary hospital and describe gaps in current mechanisms for funding of high‐cost medicines in England.

In total, 230 individual funding requests (IFRs) were submitted: 112 to NHS England and 118 to a Clinical Commissioning Group (CCG). The decline rate for IFRs was 71% for NHS England and 34% for CCGs. 

Lack of exceptionality was the primary reason cited for declining IFRs submitted between 2016–18 (n = 42/45; 93%).

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Michael Wonder

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Michael Wonder

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England , Medicine , Market access