# \[e-drug\] National pharmaceutical policy for the United Kingdom?

**URL:** https://talk.edrugplus.org/t/e-drug-national-pharmaceutical-policy-for-the-united-kingdom/9885
**Category:** e-drug
**Created:** [December 17, 2000, 11:57pm UTC](https://talk.edrugplus.org/t/e-drug-national-pharmaceutical-policy-for-the-united-kingdom/9885 "2000-12-17T23:57:45Z")
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### Author: ![e-drug2](https://avatars.discourse-cdn.com/v4/letter/e/8dc957/32.png) [@e-drug2](https://talk.edrugplus.org/u/e-drug2)
#### Post date: [December 17, 2000, 11:57pm UTC](https://talk.edrugplus.org/t/e-drug-national-pharmaceutical-policy-for-the-united-kingdom/9885/1 "2000-12-17T23:57:45Z")

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E-drug: National pharmaceutical policy for the United Kingdom?  
---------------------------------------------  
[Interesting that now that the Australian National Drug Policy is under  
attack, the UK is actually thinking about establishing a National Drug  
Policy. For the full text of the below article, take a look at  
[http://bmj.com/cgi/collection/regulation](http://bmj.com/cgi/collection/regulation). HH]

BMJ 2000;321:1523-1526 (16 December)

An integrated national pharmaceutical policy for the United Kingdom?

Tom Walley, Alan Earl-Slater, Alan Haycox, Adrian Bagust  
Prescribing Research Group  
Department of Pharmacology and Therapeutics  
University of Liverpool, Liverpool L69 3GF, Department of Commerce  
University of Birmingham, Birmingham B15 2TT  
Correspondence to: T. Walley \<twalley@liv.ac.uk\>

The UK government wishes to have "joined up" policies to integrate  
areas such as health and social care. Although many of these policies  
impinge on pharmaceuticals, there is no coherent, integrated, national  
pharmaceutical policy. As a result, some policies affecting  
pharmaceuticals seem to contradict or undermine others.  
Pharmaceuticals  
raise issues which are not evident in other areas of health provision:

\* Pharmaceuticals are regulated by law for safety, efficacy, and  
quality  
\* Drugs have become increasingly expensive, both individually and in  
total, but the value derived from some of this expenditure is open to  
question  
\* Drugs are promoted actively by a powerful industry that is also a  
major employer and exporter in the United Kingdom  
\* Drugs are affected by policies in almost every area of health care.  
We believe that there should be a single, clear policy on  
pharmaceuticals that unifies the various strands of relevant existing  
policies. In this article we try to describe what such a policy might  
look like.

Summary points  
\* Medicines are important in NHS treatment and they are expensive  
\* The pharmaceutical industry is important for the NHS and for the UK  
economy  
\* The United Kingdom has no single, coherent, pharmaceutical policy  
\* Recent difficulties have arisen in part from the lack of such a policy  
\* The establishment of the NICE and other recent policies on quality  
could provide the basis of a national pharmaceuticals policy

Conclusions  
The pharmaceutical arena is now far too complex to be enveloped in  
the current balkanised approach to policy. The basis for an integrated  
national pharmaceutical policy now exists, and there is an ideal  
opportunity for government to develop and implement it. The  
alternative, muddling through, is no longer acceptable.  
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