Leading article: A nicer side of Nice

Share
Related Topics

The National Institute of Clinical Excellence (Nice), the body that decides which drugs may be prescribed on the NHS, does not often attract positive reviews. When it features in the media at all, it is usually as the impersonal arbiter that has, in effect, unilaterally pronounced the death sentence on someone who is desperately ill. It routinely appears as the villain of the piece, routinely denying pioneering, but very expensive, treatments that are the last best hope of patients near the end of their lives.

This is not, of course, how Nice sees itself, nor is it entirely fair. Nice was set up to examine the benefits of treatments against the costs. It is there not to reduce NHS spending as such, but to help the NHS get the best value for the considerable sums that it does spend, so that it can treat more people more successfully. Nor are the effects always restrictive. There are times when it authorises treatments that require a big outlay but subsequently pay for themselves in lower long-term drug costs and a better quality of life for patients. It receives less publicity for this.

Now, though, there is mounting evidence that Nice's rigorous approach to the costs and benefits of drugs – the approach for which it has received so much opprobrium – may be having a positive effect. Whereas in the past some drug companies were accused of holding the NHS, to ransom, it turns out that the balance of advantage may be moving the other way.

As we report today, Nice will approve an advanced drug for a particular form of cancer, after the Spanish manufacturer agreed to an arrangement that will almost halve the price to the NHS. This is the third such agreement in almost as many months, and it suggests that drug companies now see Nice as the jury they must first convince and the NHS as a customer with clout.

In these three cases at least, drugs have been approved that would not otherwise have been available on the NHS. If the consequence of Nice's reputation for toughness is to make more advanced treatments available to more NHS patients and simultaneously to broaden the market for the manufacturer, this seems eminently satisfactory all round.

React Now

Latest stories from i100
iJobs Job Widget
iJobs General

Recruitment Genius: Project Implementation Executive

£18000 - £23000 per annum: Recruitment Genius: They work with major vehicle ma...

Recruitment Genius: Chiropractic Assistant

£16500 per annum: Recruitment Genius: A Chiropractic Assistant is needed in a ...

Recruitment Genius: Digital Account Executive - Midlands

£18000 - £26000 per annum: Recruitment Genius: They work with major vehicle ma...

Recruitment Genius: Web Developer

£28000 - £30000 per annum: Recruitment Genius: This company provides coaching ...

Day In a Page

 

Errors & Omissions: how to spell BBQ and other linguistic irregularities

Guy Keleny
NHS struggling to monitor the safety and efficacy of its services outsourced to private providers

Who's monitoring the outsourced NHS services?

A report finds that private firms are not being properly assessed for their quality of care
Zac Goldsmith: 'I'll trigger a by-election over Heathrow'

Zac Goldsmith: 'I'll trigger a by-election over Heathrow'

The Tory MP said he did not want to stand again unless his party's manifesto ruled out a third runway. But he's doing so. Watch this space
How do Greek voters feel about Syriza's backtracking on its anti-austerity pledge?

How do Greeks feel about Syriza?

Five voters from different backgrounds tell us what they expect from Syriza's charismatic leader Alexis Tsipras
From Iraq to Libya and Syria: The wars that come back to haunt us

The wars that come back to haunt us

David Cameron should not escape blame for his role in conflicts that are still raging, argues Patrick Cockburn
Sam Baker and Lauren Laverne: Too busy to surf? Head to The Pool

Too busy to surf? Head to The Pool

A new website is trying to declutter the internet to help busy women. Holly Williams meets the founders
Heston Blumenthal to cook up a spice odyssey for British astronaut manning the International Space Station

UK's Major Tum to blast off on a spice odyssey

Nothing but the best for British astronaut as chef Heston Blumenthal cooks up his rations
John Harrison's 'longitude' clock sets new record - 300 years on

‘Longitude’ clock sets new record - 300 years on

Greenwich horologists celebrate as it keeps to within a second of real time over a 100-day test
Fears in the US of being outgunned in the vital propaganda wars by Russia, China - and even Isis - have prompted a rethink on overseas broadcasters

Let the propaganda wars begin - again

'Accurate, objective, comprehensive': that was Voice of America's creed, but now its masters want it to promote US policy, reports Rupert Cornwell
Why Japan's incredible long-distance runners will never win the London Marathon

Japan's incredible long-distance runners

Every year, Japanese long-distance runners post some of the world's fastest times – yet, come next weekend, not a single elite competitor from the country will be at the London Marathon
Why does Tom Drury remain the greatest writer you've never heard of?

Tom Drury: The quiet American

His debut was considered one of the finest novels of the past 50 years, and he is every bit the equal of his contemporaries, Jonathan Franzen, Dave Eggers and David Foster Wallace
You should judge a person by how they peel a potato

You should judge a person by how they peel a potato

Dave Hax's domestic tips are reminiscent of George Orwell's tea routine. The world might need revolution, but we like to sweat the small stuff, says DJ Taylor
Beige is back: The drab car colours of the 1970s are proving popular again

Beige to the future

Flares and flounce are back on catwalks but a revival in ’70s car paintjobs was a stack-heeled step too far – until now
Bill Granger recipes: Our chef's dishes highlight the delicate essence of fresh cheeses

Bill Granger cooks with fresh cheeses

More delicate on the palate, milder, fresh cheeses can also be kinder to the waistline
Aston Villa vs Liverpool: 'This FA Cup run has been wonderful,' says veteran Shay Given

Shay Given: 'This FA Cup run has been wonderful'

The Villa keeper has been overlooked for a long time and has unhappy memories of the national stadium – but he is savouring his chance to play at Wembley
Timeless drama of Championship race in league of its own - Michael Calvin

Michael Calvin's Last Word

Timeless drama of Championship race in league of its own