Healthy Skepticism Library item: 16047

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Cohen D.
Academics criticise plan to allow new drugs to bypass NICE
BMJ. 2009 Jul 21; 339:
http://www.bmj.com/cgi/content/extract/339/jul21_2/b2938

Abstract:

Plans drawn up by the government to boost the life sciences industry have been criticised by some academics for eroding the cost effectiveness model of the National Institute for Health and Clinical Excellence (NICE) and for undermining academic impedance.

In their life sciences blueprint, innovative drugs will be approved for NHS use for a set period without having first gone through NICE’s appraisal process to allow data to build up to show cost effectiveness. After a predetermined period they will then go through the usual NICE appraisal process.

The so called innovation pass will be piloted in 2010-11, with a budget of £25m (29m; $41m), and then evaluated. Although what constitutes a successful pilot has yet to be decided, NICE will play a key role in developing and applying eligibility criteria for the pass and is set to enter discussions with industry and the NHS.

Mike Rawlins, chairman of . . .

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909