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Rare Cancers Bill

Lords3rd reading
Last updated: 12 February 2026 ยท Analysed: 15 February 2026
This bill mandates the Secretary of State to review marketing authorisation laws for orphan medicinal products and explicitly requires the promotion of research into rare cancers within the NHS, including the appointment of a National Specialty Lead. It also amends the Health and Social Care Act 2012 to permit NHS England to disclose patient information for the specific purpose of identifying and contacting eligible participants for clinical trials related to rare cancers.

๐Ÿ“Š Impact Analysis

By mandating a review of marketing authorisations and creating specific infrastructure (the National Specialty Lead) to facilitate research, the bill signals a pro-innovation regulatory environment. This reduces the transaction costs for pharmaceutical companies seeking to run clinical trials in the UK. Consequently, this could increase foreign direct investment in the biotech sector and create high-value jobs, although the niche nature of rare cancers limits the aggregate macroeconomic impact.
The bill imposes direct costs through the requirement to conduct a legal review, publish reports, and fund the new 'National Specialty Lead' position and associated support structures. Furthermore, by successfully incentivising the development of treatments for rare cancers, the NHS will likely face downstream pressure to fund these 'orphan drugs,' which are typically priced very high due to their limited market size, potentially straining NHS procurement budgets in the long term.
Patients with rare cancers are structurally disadvantaged because standard market incentives often fail to drive drug development for small populations (the 'orphan' drug problem). By legally mandating focus and resources for this minority group, the bill seeks to correct this inequity. It ensures that citizens suffering from rare conditions receive a level of research attention and potential treatment access comparable to those with common conditions, thereby aligning with principles of distributive justice.
On one hand, the bill significantly enhances positive liberty by creating mechanisms to notify patients of clinical trials they would otherwise be unaware of, potentially saving their lives. On the other hand, Clause 3 expands the powers of NHS England to disclose patient data for research recruitment. While the bill includes safeguards referencing data protection legislation, it represents a shift toward presumed consent for data processing in this context, which some privacy advocates may view as an erosion of information privacy.
For individuals with rare cancers, the current lack of treatment options often results in poor prognoses. By facilitating faster identification of trial participants and streamlining research governance, the bill accelerates the development pipeline for new therapies. This will likely lead to extended life expectancy and improved palliative care options for sufferers, providing significant welfare gains for the specific demographic defined by the 1 in 2000 prevalence threshold.
The provisions concern legal reviews, administrative appointments, and data processing rules within the NHS and government. While an increase in pharmaceutical research and manufacturing has a carbon footprint, the marginal environmental impact attributable specifically to this legislative change is negligible and too indirect to assess as positive or negative.