A woman holds a box containing an ustekinumab single-dose injection in one hand and a phone showing information on the Crohn's & Colitis UK website in the other

Improving access to medicines in England

Earlier this year, a group of you got in touch to tell us about the difficulties you were having in accessing funding for eight week maintenance doses of ustekinumab (also known as Stelara) in line with the National Institute for Health and Care Excellence (NICE) guidelines.

Ustekinumab is a biologic medicine used to treat moderate to severely active Crohn’s Disease and moderate to severely active Ulcerative Colitis in adults. It can be an option when other treatments including steroids, immunosuppressants or other biologic medicines haven’t been effective, have stopped working or have side effects that are difficult to manage.

After an initial dose of Ustekinumab, you will receive a maintenance dose every 12 weeks.  According to NICE guidelines, if your symptoms return before 12 weeks, you are entitled to have regular doses every eight weeks, if your IBD team thinks it’s right for you. Integrated Care Boards (ICB) are the statutory NHS organisations responsible for funding healthcare services in your local area and will decide whether to approve the funding for these eight week doses.

To support your funding request, we have written a letter that you can send alongside your own personal letter and supporting evidence from your IBD team to your ICB. We will continue to work with clinicians and the British Society of Gastroenterology to understand the solutions to this issue.

If you have been denied funding for biologic treatments, despite recommendations made by your IBD team, let us know at policy@crohnsandcolitis.org.uk.

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We know it can be difficult to live with, or support someone living with these conditions. But you’re not alone. We provide up-to-date, evidence-based information and can support you to live well with Crohn’s or Colitis.

Our helpline team can help by:

  • Providing information about Crohn’s and Colitis.

  • Listening and talking through your situation.

  • Helping you to find support from others in the Crohn’s and Colitis community.

  • Providing details of other specialist organisations.

Please be aware we’re not medically or legally trained. We cannot provide detailed financial or benefits advice or specialist emotional support.

Please contact us via telephone, email or LiveChat - 9am to 5pm, Monday to Friday (except English bank holidays).

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If you need specific medical advice about your condition, your GP or IBD team will be best placed to help.

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