Section 7 of the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 requires integrated care boards, NHS England and, with respect to their public health functions, local authorities to comply with the recommendations in this evaluation within 3 months of its date of publication.
The Welsh ministers have issued directions to the NHS in Wales on implementing NICE technology appraisal guidance. When a NICE technology appraisal guidance recommends the use of a drug or treatment, or other technology, the NHS in Wales must usually provide funding and resources for it within 2 months of the first publication of the final draft guidance.
When NICE recommends a treatment 'as an option', the NHS must make sure it is available within the period set out in the paragraphs above. This means that, if a patient has systemic juvenile idiopathic arthritis and the healthcare professional responsible for their care thinks that tocilizumab is the right treatment, it should be available for use, in line with NICE's recommendations.
The Department of Health and the manufacturer have agreed that tocilizumab will be available to the NHS with a patient access scheme in which tocilizumab for the treatment of systemic JIA will be available with a discount applied to all invoices. The level of the discount is commercial in confidence. It is the responsibility of the manufacturer to communicate the level of the discount to the relevant NHS organisations. Any enquiries from NHS organisations about the patient access scheme should be directed to Roche Customer Care (0800 731 5711).