Letter to NHS England from the medical and patient communities

Efforts continue on bringing about changes to the NHS commissioning policy on nusinersen. Last night almost 40 clinicians and the four UK SMA groups sent another letter to NHS England. The letter underlined our position that nusinersen treatment under the Expanded Access Programme should be provided to all those who have type 1 SMA.

The current NHS commissioning policy limits nusinersen, the first and only approved treatment for spinal muscular atrophy, to a handful of babies who are younger than 7 months and have precisely two copies of SMN2 gene. These criteria have no basis in science or medical knowledge. Nusinersen was repeatedly proven to be effective across much more of the disease spectrum.

The letter was drafted by Professor Francesco Muntoni from the Great Ormond Street Hospital and signed by the members of the NORTH STAR and SMA-REACH clinical networks as well as TreatSMA, SMA Support UK, SMA Trust and Muscular Dystrophy UK.

Read the letter

In addition, TreatSMA sent another letter to NHS England earlier this week in which we made clear our opposition to the current policy.

We hope that all those efforts combined will compel NHS England to amend this disastrous policy.

Latest Posts

  • Calling on all the community to ACT NOW to avoid losing treatments!

    Calling on all the community to ACT NOW to avoid losing treatments!

    Currently, there are two approved treatments for SMA: risdiplam and nusinersen. These treatments were initially approved temporarily under Managed Access Agreements while the NHS and NICE gathered data to assess their cost-effectiveness. Now, as these agreements come to an end, both treatments face a crucial review.

    Read more

  • NICE’s upcoming Multi Technology Assessment for Spinraza and Risdiplam

    NICE’s upcoming Multi Technology Assessment for Spinraza and Risdiplam

    SMA UK are proud to join together with Treat SMA and MDUK to bring you this webinar about NICE’s upcoming Multi Technology Assessment for Spinraza and Risdiplam. 2024 sees the end of the managed access agreements (MAAs) for the two treatments. An expert committee will gather to assess the new clinical and real-world evidence, along…

    Read more

  • Let the battle begin

    Let the battle begin

    This year the Managed Access Agreement for Spinraza and Risdiplam expires. The MAA was put in place five years ago so the pharmaceutical companies could gather more evidence to resubmit to NICE for approval on the NHS with Biogen extending their MAA by a year.

    Read more