Lab research

The UK has left the European Union (EU) on 31 December 2020. A trade deal has been agreed between the UK and the EU. 

We’ve been working with drug manufacturers and the Government to make sure men with prostate cancer can still get the medications they need, whatever form Brexit takes. It’s unlikely you’ll have any problems getting your medication for prostate cancer – you should still be able to get the medicines your doctor thinks are best for you, and the way you order and collect or receive them should stay the same.

If you’re worried, or if you do have problems getting your usual prostate cancer medications, get in touch.

Last updated 10 February 2021. 

The cause of the problem

Currently, as of February 2021, the Government is working on a system to reduce the current delays as a result of extra border checks and customers procedures. The Government's plans are being reviewed and updated on a regular basis to ensure that the disruption to medicines is minimised. In particular, goods arriving through Dover – which currently receives around 17% of UK imports – are likely to experience delays in the short-term.

What is Prostate Cancer UK doing?

Understanding the impact that medicines shortages could have on prostate cancer patients, Prostate Cancer UK has been working to highlight this concern to Government and ensure that mechanisms are in place to ensure patients can still receive the medications they need.

This involves speaking with drugs manufacturers and senior officials at the Government’s Department of Health and Social Care, including experts in trade and logistics.

What else is the Government doing?

The Government recognises that the continued supply of medicines is essential to patients and so has taken a number of actions to guarantee this and prioritise the import of healthcare products over other goods. They published a paper on a multi-layered approach to ensure the continuity of medical supplies. 

The Government:

  • Has asked suppliers of medical goods to build up at least 6 weeks’ worth of extra stocks to tackle any short-term shortages.
  • Has worked with manufacturers to encourage them to transport goods by air, which is less likely to be affected than goods moved by sea. There is also an express freight service in place.
  • Is buying extra warehouse and refrigerated storage to store additional supplies of medicines.
  • Is buying extra ferry capacity, particularly for medicines.

 

What about the devolved nations?

All the nations of the UK are working very closely together to deal with any potential problems. In Scotland, they have set up an ‘NHS Scotland Medicines Shortages Response Group’ to feed into wider UK activity. Wales and Northern Ireland are also working closely with the UK nations, and Northern Ireland’s Department of Health has put together a dedicated FAQ on Brexit preparations.

 

Are any specific prostate cancer medications likely to be affected?

In particular, we have sought clarification about the supply of radium-223 (Xofigo®) given to some men with advanced prostate cancer. This is a radioactive medicine that decays over time and so there is a time limit after which it is no longer likely to work if given to the patient. As a result, it cannot be stockpiled. The manufacturer has assured us that this treatment will now enter the UK by air, which should guarantee no shortages.

What about medication for clinical trials?

The Government and NHS are treating clinical trial medication the same as other medicines. Organisations running clinical trials have been encouraged to consider their supply chains and ensure that appropriate supplies of trial drugs are in place. The manufacturers of trial drugs are the same ones that provide medication to the general public, so we don’t expect patients or organisations to experience any additional difficulty in getting the trial medication they need.

Should I ask for more medicine than I normally need?

The official advice is to keep ordering your repeat prescriptions and taking your medicines as normal. It is unnecessary to change how you order and take your medicines.

It's important you don't ask for more medicines than you normally need, doing so risks pressure on availability of medicines for other people.

European Health Insurance Cards

UK residents will continue to have access to emergency and necessary healthcare when they travel to the EU, operating like the European Health Insurance Card (EHIC) scheme, from 1 January 2021.

There is a new UK Global Health Insurance Card (GHIC) will be available from the new year in recognition of the new agreement with the EU, replacing the existing EHIC. However, people will still be able to use their EHIC after 1 January 2021 when travelling to the EU, as current cards will remain valid until their expiry date. Those travelling to the UK from the EU will also be able to continue to use their EHICs.

Planned healthcare arrangements will continue; and eligible pensioners, frontier workers and certain other groups – and their family members – will continue to benefit from reciprocal healthcare arrangements covering their healthcare costs. Providers should continue to use the processes already in place to recover these costs from member states.

Read the latest Government advice on travelling to Europe. 

What is already in place?

Even before any no-deal Brexit, medicines shortages sometimes happen. For instance, batches of medicines may fail their quality control meaning that production has to be re-run; there may be shortages of specific chemicals used to produce drugs; factories may be closed down by safety concerns or industrial action, or transport and logistics issues may make it difficult to transport medicines.

Generic, or off-patent, drugs can be shielded from some of these influences as multiple manufacturers can produce them, however, shortages of generic drugs still occur.

A number of systems are already in place to deal with medicines shortages:

  • DHSC Medicines Shortages Team

There is a team at the Department of Health and Social Care that is responsible for dealing with medicines shortages. It works with the manufacturer(s) to understand the cause of any shortages, what might help, and when the problem should be resolved. Prostate Cancer UK has spoken to this team about their plans and will work with them in the event of any medicines shortages post-Brexit.

  • The PSNC Concessionary Prices Scheme

The UK has a system to stop price fluctuations from impacting patients’ access to these treatments, called the concessionary prices scheme. This system is designed as a short-term measure until prices return to normal.

  • Serious Shortages Protocol

The Government has brought forward legislation to create a serious shortages protocol. This would allow pharmacists to prescribe different treatments in the event of medicines shortages. Alternative treatments would be recommended by clinical experts and explained to pharmacists. This protocol is unlikely to be used unless there are serious and sustained shortages of treatment, along with an alternative treatment that can safely and easily act as a substitute. We would recommend men speak to their doctor about any changes in treatment.