Thought you might be interested in what the NICE representative said at the Surrey cardiology Conference I attended today ( as patient lead of our Surrey Arrhythmia support group, i e not a doctor!!)
He said patients have a LEGAL right to NOACS if they prefer them to Warfarin ( I like warfarin but that's not the point!)
He was asked about CCGs with holding on cost grounds but said although they might choose particular NOACS that were less expensive, if patients requested particular ones as they had looked into it and felt they were more suited to an alternative, then they should be prescribed!!
For Surrey, it has been calculated that NOACS will cost 88p extra per head of population (not just those using anti-coag) and that means approx £330,000 extra on the CCG budget, but he explained NICE are not allowed to add in costs like social care of strokes and lost work time for those having strokes etc, so really there will be savings rather than extra costs.
We had an excellent presentation about NOACS from a stroke consultant and also another talk from a professor from King College on NOACS,
The slides for all the talks will be on the website of Ashford and St peters Hospital in a few days time - one goes to R and D apparently to access them
We had a talk from Matt Fay and one from Prof. Camm too so lots of interest on the slides.