There ASDA be a catch?

25 May
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The massive UK supermarket chain, ASDA, is to make expensive cancer treatments available on a non-profit basis and we’re wondering if one day this could make Ireland’s cross-border petrol and dental trades seem like small beer. Certainly the development may represent a long-term barrier to Mary Harney (or any future Irish-style National Institute for Clinical Excellence) deciding to remove expensive drugs from the High Tech Scheme. The retailer says its initiative will give patients increased access to drugs that are not always available on the NHS. ASDA has called on other pharmacists to follow its lead and lower the price of all cancer drugs that are prescribed privately. Having spent some time along the border – engaged in legal activities, I might stress – I’m pretty sure that ASDA’s stores in Northern Ireland don’t usually include pharmacies. But if they did, they could certainly honour a script written by a GP in the Republic.

Charities say that as many as 16,000 UK patients have been denied drugs that could extend their lives because the treatments have not been judged to be cost-effective by the National Institute for Health and Clinical Excellence (NICE). ASDA claims that it can sell Iressa, the lung cancer drug, for £2,168 for a pack of 30, cheaper than Boots and Superdrug. ASDA will also sell the leukaemia drug Glivec, and Nexavar, for kidney and liver cancer, undercutting its rivals in both cases. The disparity in pharmacy mark-ups between north and south would certainly have people flocking north to buy medicines…but only if the products they needed weren’t covered by the High Tech Scheme. So this isn’t going to be yet another windfall for ASDA’s massively profitable Northern Ireland operations just yet.

Staying on the medicines access issue, you may remember that Take Two previously reported how the Conservatives planned to make more expensive medical treatments available on the NHS if they were successful in the 2010 general Election. David Cameron and his party may just have crawled across winning line – with the help of the Liberal Democrats. But yesterday the new administration revealed it would be full steam ahead on improving patient access to those costly meds. The initiative has apparently made it into the coalition manifesto agreed by the new political bedfellows. Will this involve trimming NICE’s remit? And from where will funds for this measure be sourced? Watch this space.

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