UK–US Arrangement – Jersey & Guernsey

The UK–US Trade Agreement and the NICE threshold changes do not apply in Jersey or Guernsey, which are not part of the NHS and operate their own prescribing frameworks. While the arrangement does not bind either island, both Jersey and Guernsey procure most medicines through NHS supply chains or NHS framework agreements, meaning any increase […]

UK–US Arrangement — Relevance to Northern Ireland

The VPAG rebate is negotiated on behalf of all four UK nations. The reduction of the VPAG rebate from 22.9% to 14.5% therefore applies to NI as does the commitment to increase spending on innovative medicines from 0.3% to 0.6% of GDP. Northern Ireland endorses NICE technology appraisals through a separate DoH NI process. The […]