Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what guidance his Department has issued to health boards on the prescription of Ritlecitinib to treat alopecia.

The National Institute for Health and Care Excellence (NICE) is the independent body that makes recommendations for the National Health Service in England on the use of new medicines, based on an assessment of clinical and cost effectiveness. The NHS in England is legally required to fund medicines recommended in NICE technology appraisal guidance, normally within three months of the publication of final guidance.

The NICE issued guidance in March 2024 that recommends ritlecitinib, within its marketing authorisation, as an option for treating severe alopecia areata in people 12 years old and over. Whilst severity is not specifically defined in the guidance, the evidence submission by the medicine’s manufacturer defined ‘severe’ as a Severity of Alopecia Tool score of more than 50 out of 100. The guidance also acknowledges that living with severe alopecia areata can have a profound impact on psychosocial health. At the present time, there are no plans to update this guidance.

As health is a devolved issue, information relating to guidance on the use of ritlecitinib in Scotland would be held by the Scottish health authorities.