I think that the point about time to market for new drugs is important but not always entirely clear whether this is negative or positive. I know that there has been much scaremongering with claims that "people will die", e.g. particularly in relation to cancer therapies https://www.independent.co.uk/life-...-cancer-specialist-paul-workman-a7573851.html. However, the counter to this is in the very small number of meta studies the outcome has been that most drugs that have entered the market with recent EMA approval have no benefit in quality of life or survival rates (e.g. http://www.bmj.com/content/359/bmj.j4530):
Conclusions This systematic evaluation of oncology approvals by the EMA in 2009-13 shows that most drugs entered the market without evidence of benefit on survival or quality of life. At a minimum of 3.3 years after market entry, there was still no conclusive evidence that these drugs either extended or improved life for most cancer indications. When there were survival gains over existing treatment options or placebo, they were often marginal.
There is also a very strong argument that it is beneficial to get real human data before adopting new agents. The most oft quoted example is thalidomide where a delay in approval allowing pertinent patient-use data to become available would have had a very positive outcome. Evidence-base is the key thing, not the regulatory approval mechanism, where large-scale, and preferably prospective longitudinal studies can really evaluate efficacy. So, I guess that there is a real incentive for the EU to co-operate although from a professional point of view it is probably easier and more effective for the UK to engage in closer co-operation with our partners in the US and Canada. There's also no reason why new theraputic agents should be slower to the UK markets with closer alignment with the USA although no evidence that this will lead to better outcomes. This should be about good science not politics.
Interesting points. I have some thoughts but I’ll get back to you later....I have a few hours work then I am on my way to Liverpool for the weeekend.