It is for individual clinicians, in discussion with a patient, to decide whether or not it is suitable to prescribe a specific drug. Primary care trusts (PCTs) may need to be involved to decide whether to support the clinician's decision and supply the drug at the national health service's expense. PCTs need to take a range of factors into account, including local factors, when considering the funding of drugs and other treatments.
The Department is aware that Shropshire county PCT has recently revised its policy on individual patient requests for drugs and is currently reviewing the cases of women who have recently been refused funding for Herceptin in line with this. This is a matter for the local health community and the Secretary of State has no plans to meet the PCT to discuss it.