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The Interim Cancer Drugs Fund and Cancer Drugs Fund

The Cancer Drugs Fund has been introduced in response to a report by the National Cancer Director, Professor Sir Mike Richards, which showed that the UK (including England) lagged well behind the rest of Europe in access to cancer (and other) treatments.

The aim of the Fund is to address this discrepancy in England - by increasing access to effective cancer treatments that have either been turned down by the National Institute for Health and Clinical Excellence (NICE), usually on cost grounds, or have not yet been appraised by NICE.

A six months Interim Cancer Drugs Fund of £50 million was introduced in October 2010. The £50 million has been divided up between the ten Strategic Health Authorities (SHAs) in England and each SHA has determined its own way of processing the Fund and, in some cases, which treatments should be made routinely available through it.

From April 2011, the Fund will increase to £200 million a year for three years; this period covers that of the current Pharmaceutical Price Regulation Scheme (PPRS), a long standing negotiated, rather than statutory, pricing agreement between the pharmaceutical industry and the Department of Health, which currently ends in January 2014. The plan is to introduce a new Value Based Pricing system from January 2014, which will seek to determine the cost of new treatments in line with their value and agree a treatment's price before it is licensed.

We are grateful to the Rarer Cancers Foundation for the work they have done in summarising the application of the Fund across the country, which we have drawn upon in the context of bowel cancer specifically.