The US UK trade deal will cost the NHS billions, and only serve to increase pharma profits

The US UK trade deal will cost the NHS billions, and only serve to increase pharma profits

Author: The BMJ May 1, 2026 Duration: 43:18
The new trade deal struck between the UK and US came into force in April.  The deal will double the amount that the NHS spends on new medicines, by the end of 2036 (from 0.6 - 0.6% of GDP).  increase the threshold that the National Institute for Health and Care Excellence (NICE) sets for drug approvals - which will allow more to be approved, but will also allow companies to charge more for their pharmaceuticals,  include a change to the rebate the NHS receives, to ensure that the extra drug spend occurs. Cumulatively this will increase our drug spend by £56 billion in the next 10 years, which will have to come out of current healthcare spending - which experts are calling a catastrophe for the NHS. Joining Kamran Abbasi to discuss are Sally Gainsbury, a senior policy analyst Nuffield Trust and Karl Claxton, professor of economics at the University of York. We also hear from Francis Ruiz, policy analyst at the London School of Hygiene and Tropical Medicine. Reading list The UK government must publish a detailed impact assessment of the costs and benefits of the US-UK medicines partnership A budget apart: the case for ringfencing medicines in the UK        

Produced by The BMJ, this weekly audio series delves into the pivotal research and urgent clinical debates shaping modern medicine. Each episode moves beyond the published page, bringing together the authors, critics, and practitioners directly involved to dissect a new study or a pressing health question. The conversation is rigorous and nuanced, designed for those who appreciate the complexity behind headlines. You’ll hear unscripted discussion about methodology, implications for practice, and the occasional healthy disagreement that drives science forward. This isn't just a summary of the latest findings; it's a critical appraisal in real time, offering listeners a front-row seat to the evolving discourse that defines evidence-based care. The Medicine and Science from The BMJ podcast serves as an essential audio companion for clinicians, academics, and anyone keen to understand the ‘why’ and ‘how’ behind medical news. It transforms the latest evidence from the journal into an accessible, thought-provoking dialogue, ensuring that busy professionals can stay deeply informed. Tune in for a direct, intelligent, and often surprising take on the science that matters most.
Author: Language: en-gb Episodes: 100

Medicine and Science from The BMJ
Podcast Episodes
Child mortality has reduced, but there are worrying trends [not-audio_url] [/not-audio_url]

Duration: 41:02
New estimates of Global Patterns in Neonatal, Child, and Adolescent Mortality have been published - and while there has been a huge improvement, those gains are in danger - and we’re seeing worrying trends. Kate Strong,…
How to make healthcare more human [not-audio_url] [/not-audio_url]

Duration: 36:19
Does healthcare have a moral emergency? In this episode of the Medicine and Science podcast, Kamran Abbasi sits down with healthcare leaders Maureen Bisognano, president emerita of the Institute for Healthcare Improvemen…
What does Wes Streeting's exit mean for the NHS modernisation bill? [not-audio_url] [/not-audio_url]

Duration: 36:54
It has been a tumultuous time in UK health politics. UK Health Minister ,Wes Streeting, has freshly resigned. What does this mean for his newly introduced NHS Modernization Bill as it heads through Parliament? Together w…
The Trump administration is an international health emergency [not-audio_url] [/not-audio_url]

Duration: 51:07
Covid 19 was the last Public Health Emergency of International Concern (PHEIC). Our guests in this podcast think that the Trump Administration should be declared the next one. Joining Kamran Abbasi are, Fatima Hassan, hu…
The 15th strike, and bringing compassion back to A&E [not-audio_url] [/not-audio_url]

Duration: 39:21
Coming up in this week’s episode: The 15th Strike: As the latest six-day walkout by resident doctors in England concludes, the BMJ's news team examines the state of the ongoing dispute over pay and training places. Iain…