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By:
janeinthehills
Postings:
17
From:
UK
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Posted:
Fri Jun 11, 2010 - 10:43 PM
Does anyone know if individual PCTs set their own QALY (Quality adjusted life years) limits or if it is supposed to be a nationally set limit, presumably by the govt./dept of health?
Can anyone direct me to a reference/document that may provide an answer?
NHS Derbyshire County have refused funding for Sutent (Sunitinib) solely on the grounds it exceeds their QALY limit of £30,000 per year per exceptional case (it would cost £31,286)
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By:
administrator
Postings:
82
From:
n/a
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Posted:
Tue Jun 15, 2010 - 11:40 AM
Individual PCT's do not set their own QALY. NICE methods guides refer to a threshold of £20 000-£30 000 (¤22 000-¤34 000; $30 000-$45 000) per quality adjusted life year (QALY).1 However, this is an arbitrary figure. Evidence on the public’s willingness to pay suggests that it should be higher. On occasion and especially in the case of cancer patients this figure is often exceeded. Sutent for example was approved ny NICE based on a QALY estimate of £54,366. However if your clinician wishes to prescribe Sutent to you for a different indication (other than kidney cancer) known as off or near-label prescribing you will need to go through your PCT's exceptional case procedure and different PCT's operate different protocols. If this is the case the RCF may be able to help you. If you need some help please respond to this post and we will contact you directly.
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