UK Pharma Deal Offers Some Relief, But Reality Remains: US Dominance Persists
The UK government's recent agreement to raise prices paid by the National Health Service (NHS) for new medicines has been touted as a victory, but for pharmaceutical companies like GSK, the reality remains that the United States remains the leading market in terms of launching new drugs and vaccines.
GSK CEO Emma Walmsley's comments on the matter are not surprising. The US is still the gold standard for life sciences investment, with a much deeper research pipeline and manufacturing base than the UK. Despite claims of Britain becoming a "superpower" in this field, the reality is that the US has been outspending the UK on new drugs for years.
While Walmsley's comments have caused some stir, they are largely a reflection of the current state of affairs. The deal struck between the UK and the US does offer some benefits, including zero tariffs on pharmaceutical exports to the US for three years and a capped rebate payment rate of 15%. This is seen as a step in the right direction, but not necessarily a five-star review.
Critics have argued that the terms represent a capitulation to big pharma and Trump-era protectionism. However, this view overlooks the fact that the alternative – no deal at all – would have led to even less investment in UK pharmaceuticals, potentially further straining NHS budgets over time.
The post-2029 "voluntary" scheme is another area of uncertainty. While some projects are underway, such as the £600m-backed Health Data Research Service, the pace of progress on this front seems slow by comparison.
One issue that was a major point of contention in these negotiations was the unpredictability of rebate payments. In 2022, these payments made up 23% of sales – significantly higher than comparable rates in other large European countries. The new deal aims to cap these payments at 15%, but it's unclear how effective this will be.
While there are valid concerns about NHS budgets and access to new medicines, the alternative – doing nothing – would have led to further pressure on front-line equipment and hospitals down the line.
Ultimately, the UK's position in life sciences is precarious. The US pull remains undeniably strong, but any deal that's struck represents a trade-off. The government seems to have landed in roughly the right spot, at least for now.
The UK government's recent agreement to raise prices paid by the National Health Service (NHS) for new medicines has been touted as a victory, but for pharmaceutical companies like GSK, the reality remains that the United States remains the leading market in terms of launching new drugs and vaccines.
GSK CEO Emma Walmsley's comments on the matter are not surprising. The US is still the gold standard for life sciences investment, with a much deeper research pipeline and manufacturing base than the UK. Despite claims of Britain becoming a "superpower" in this field, the reality is that the US has been outspending the UK on new drugs for years.
While Walmsley's comments have caused some stir, they are largely a reflection of the current state of affairs. The deal struck between the UK and the US does offer some benefits, including zero tariffs on pharmaceutical exports to the US for three years and a capped rebate payment rate of 15%. This is seen as a step in the right direction, but not necessarily a five-star review.
Critics have argued that the terms represent a capitulation to big pharma and Trump-era protectionism. However, this view overlooks the fact that the alternative – no deal at all – would have led to even less investment in UK pharmaceuticals, potentially further straining NHS budgets over time.
The post-2029 "voluntary" scheme is another area of uncertainty. While some projects are underway, such as the £600m-backed Health Data Research Service, the pace of progress on this front seems slow by comparison.
One issue that was a major point of contention in these negotiations was the unpredictability of rebate payments. In 2022, these payments made up 23% of sales – significantly higher than comparable rates in other large European countries. The new deal aims to cap these payments at 15%, but it's unclear how effective this will be.
While there are valid concerns about NHS budgets and access to new medicines, the alternative – doing nothing – would have led to further pressure on front-line equipment and hospitals down the line.
Ultimately, the UK's position in life sciences is precarious. The US pull remains undeniably strong, but any deal that's struck represents a trade-off. The government seems to have landed in roughly the right spot, at least for now.