Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to HCWS1248, how many patients with non-metastatic prostate cancer are expected to be eligible for abiraterone in each of the next three financial years; what clinical criteria determine eligibility; and how NHS England will ensure consistent access across all integrated care boards.

Approximately 2,000 men diagnosed in the last three months with non‑metastatic prostate cancer will now be able to receive abiraterone where it is of clinical benefit, alongside prednisolone. An additional 7,000 men are expected to be diagnosed with prostate cancer each year and will be eligible for the drug. The clinical treatment criteria are available via the Cancer Drugs Fund list at the following link:

https://www.england.nhs.uk/publication/national-cancer-drugs-fund-list/

These national clinical treatment criteria ensure equity of access for patients across England.

NHS England sets national service standards for those elements of cancer care designated as specialised services. Integrated care boards, supported by Cancer Alliances, are expected to plan and organise access to prostate cancer treatment in line with national standards. The integration of specialised and nonspecialised commissioning allows them to join up care and target resources where they can have the greatest impact on outcomes.

The National Prostate Cancer Audit (NPCA) assesses the process of care and its outcomes in men diagnosed with prostate cancer in England and Wales. Further information about the NPCA can be found via the National Disease Registration Service at the following link:

https://digital.nhs.uk/ndrs/our-work/ncras-partnerships/national-prostate-cancer-audit-npca

Information regarding the annual cost of expanding access to abiraterone is commercially sensitive. The availability of generic abiraterone means the National Health Service in England can procure the treatment at a lower cost than Zytiga under patent. NHS England has been able to give the green light to the rollout of generic abiraterone for thousands more eligible patients thanks to the health service buying and delivering treatments at better value, following the clinical advice to roll the treatment out last year.