Pills, pricing and growth

Warfarin, toxin of choice to rid us of nasty rats, is also the drug of choice to stop you having a blood clot. Liberally prescribed on the NHS, the tablets cost peanuts. However it’s not perfect. You can’t take it with other common medicines such as aspirin and thyroxine, you can’t eat your greens (spinach, Brussels sprouts, Swiss chard, green beans, asparagus, broccoli etc) and it requires regular blood tests to ensure the dose is ok. These checks also cost the NHS money – in some cases patient’s require weekly appointments with a nurse.

So that’s why companies have been trying to find something better.  Pfizer and BMS have just produced more  results from their contribution. They are not the only ones, but the point is, it will be much more expensive than warfarin, so will our doctors prescribe it even though it will reduce staff costs? And how will patients know to ask for it? Will the government be giving power as well as information?

Meanwhile in Germany, a new drug for Diabetes is sitting on the shelf because changes to the government’s pricing mechanism mean that the proposed price could be so low it might not be worth the producers selling it there. The repercussions are huge: loss of revenue for the company; no access to the medicine for patients; loss of clinical trials opportunities in the future (as new medicines are compared the best in field); an implicit message to industry that innovation isn’t valued.

There are important reasons to remember that there is more to medicines than taking a pill: ensuring we don’t disincentivise risk-taking and the innovative steps that can turn into a breakthrough; offering choice; remembering that although drug development is global, without a strong science base and a fair market we will lose out both economically and medically. If George Osborne is serious about science and innovation being the priority for growth (and the Life Sciences Autumn Package questions are taken seriously), then he also mustn’t ignore DH plans for changes to pricing of medicines. They might not think that pills, pricing and growth are connected, but believing them would risk our recovery.




About Julia Manning

Julia Manning is a social entrepreneur, writer, campaigner and commentator. She is based in London and is the founder and Chief Executive of 2020health, an independent, social enterprise Think Tank whose aim is to Make Health Personal. Through networking, technology, research, relationships and campaigning 2020health has influenced opinion and action in fields as diverse as bioethics, alcohol, emerging technologies, fraud, education, consumer technology and vaccination. Julia studied visual science at City University and became a member of the College of Optometrists in 1991. Her career has included being a visiting lecturer at City University, a visiting clinician at the Royal Free Hospital, working with south London Primary Care Trusts and as a Director of the UK Institute of Optometry. She specialised in diabetes (University of Warwick Certificate in Diabetic Care) and founded Julia Manning Eyecare in 2004, a home and prison visiting practice for people with mental and physical disabilities using the latest digital technology, which she sold to Healthcall (now part of Specsavers) in 2009. Experiences of working in the NHS, contributing to policy development, raising two children in the inner-city and standing in the General Election in Bristol in 2005 led to Julia forming 2020health at the end of 2006. Julia is a regular guest on TV and radio shows such as BBC News, ITV’s Daybreak/ GMB, Channel 5 News, BBC 1′s The Big Questions, BBC Radio, LBC and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week. She is mum to a rugby-mad son, a daughter passionate about Shakespeare, and wife of a comprehensive school assistant head-teacher. She loves gardening, ballet, Zimbabwe, her Westies Skye and Angus, is an honorary research associate at UCL and a Fellow of the RSA.
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