The United Kingdom comprises four nations—England, Scotland, Wales, and Northern Ireland—each with its own devolved government responsible for health policies. Funded primarily through general taxation, the health system has well established processes for horizon scanning, health technology assessment based on demonstration of cost effectiveness, and commissioning and purchasing, with transparent schemes to ensure early access for innovative therapies.

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In this section subscribers can consult descriptions of the following stages of the national access process, with links to key sources of additional information:

  • Healthcare system
  • Access landscape
  • Horizon scanning in England
  • Horizon scanning in Scotland and Wales
  • Scientific advice
  • Regulatory approval
  • Health technology assessment - England
  • Health technology assessment - Scotland
  • Health technology assessment - Wales
  • Health technology assessment - Northern Ireland
  • Price setting and rebate system
  • Early access opportunities 
  • Additional funding opportunities 
  • Innovative medicines