On 1 April 2013, NHS England took on responsibility for the operational management of the Cancer Drugs Fund (CDF).
The CDF provides an additional £200m each year to enable patients to access drugs that are not routinely funded by the NHS. It was established in 2010 and will run until the end of March 2016.
There is now a single, national list of drugs and indications that the CDF will routinely fund and standard operating procedures for administration of the fund.
The list of drugs and indications has been compiled by NHS England Clinical Reference Group (CRG) for Chemotherapy working with the local clinician leads who oversaw the administration of the ten regional CDFs.
The CRG for Chemotherapy will continue to play a key role in the management of the CDF. The chair will make recommendations to NHS England as to how the list should be developed and the group will adopt a formal process of horizon-scanning for new treatments which could have potential benefits for specific groups (cohorts) of patients.
NHS England will oversee the fund, with day to day administration carried out by the four regional area teams based in the following areas:
The list of drugs and associated indications that will be routinely funded by the CDF. Additionally, NHS England will consider Individual CDF Requests (ICDFRs) for cancer medicines to treat individuals with rarer types of cancers including those affecting children.
The CDF Standard Operating Procedures document sets out how the fund will be managed and the process for applications – both for drugs with an identified cohort of patients and for Individual CDF Requests. It includes further guidance for clinicians and information specifically for patients.
Applications to the fund must be made on behalf of patients by a recognised and accredited cancer specialist and must be supported by the NHS trust/foundation trust’s clinical cancer lead. Each drug and indication has its own application form and all relevant clinical criteria for use have to be satisfied.
Detailed information on eligibility, the evidence required and the procedure for applications can be found in the CDF Standard Operating Procedures. In summary, the process will follow the steps below.
The Individual Cancer Drug Fund Request form can be found here. Application forms and details of how to submit requests to the CDF are also available: