Our submissions and applications

The Breast Cancer Aotearoa Coalition makes submissions and applications to Government, DHBs, PHARMAC and health organisations with the aim of improving the access to, and quality of, treatment for women with breast cancer. 

On this page you can view the recent submissions and applications we've made.


  • BCAC made a submission in May 2019 to the Health and Disability System Review which was announced by the Minister of Health, Dr David Clark, as a wide-ranging review designed to future proof our health and disability services. Read BCAC's submission.
  • In May 2019, BCAC deputy chair Emma Crowley presented to MPs BCAC's petition in her name. The petition calls on the House of Representatives to urge the Minister of Health to provide sufficient funding to PHARMAC to subsidise all of the drugs listed in the European ESMO guidelines for the treatment of advanced breast cancer. The petition was presented to MPs alongside petitions from other health groups, following a march to Parliament from Wellington Library via PHARMAC. See the petition here. Also, see Emma's speech here. The speech was given outside Parliament after the march.
  • In March 2019, BCAC provided a submission and a summary of key messages to the Health Select Committee, for the committee's hearings into petitions from Metavivors for the funding of medicines Ibrance and Kadcyla. See the summary here. A copy of the full submission can be viewed here.


  • In November 2018, BCAC made an application for the funding of palbociclib (Ibrance) for those currently being treated for hormone receptor positive metastatic breast cancer. BCAC made the application because the current recommendation for funding is only for those who haven't already received a hormonal treatment such as tamoxifen or an aromatase inhibitor. This means if this funding recommendation is appproved, funding will only be provided to those who are newly diagnosed and all those currently being treated will be excluded. See the application here.
  • In August 2018, BCAC made a submission to the Health Select Committee in favour of the immediate introduction of intraoperative radiotherapy (IORT) by Intrabeam to the public health system in New Zealand. IORT is a highly effective treatment option for New Zealand women in selected cases of early-stage breast cancer. Read our submission.
  • In July 2018, BCAC made a submission on PHARMAC's Consumer Voice consultation, where it sought input into how it could better incorporate the consumer voice into its work. In our submission we said PHARMAC must collaborate and partner with consumers/patients at every step of the decision making process, in place of the current very formal and closed PHARMAC structure. This would improve decisions leading to enhanced outcomes for all those involved including consumers, family, whānau, communities and PHARMAC. Read the submission here.
  • In July 2018, BCAC and Breast Cancer Foundation NZ made a strongly worded and evidence-based joint submission to PHARMAC requesting that funding for Perjeta (pertuzumab) be extended to all people with HER2-positive advanced breast cancer. Read the submission here. Read the poster referred to in the letter: Final overall survival (OS) analysis of PHEREXA study.
  • In July 2018, BCAC met with the Associate Minister of Health Hon. Julie Anne Genter, Labour’s Health and Wellbeing Caucus member Hon. Louisa Wall and National’s Health spokesperson Hon. Michael Woodhouse. The two key issues highlighted by BCAC in the talks were the need to improve access to medicines; and the need to address inequities for Māori and Pasifika women in breast cancer screening and treatment. Read the submission here.
  • BCAC made an application for the medcine Afinitor (everolimus) to be funded. This is used for the treatment of women with hormone receptor positive HER-2 negative advanced breast cancer (ABC) – in combination with exemestane (or tamoxifen or fulvestrant) in post-menopausal women after recurrence or progression following a non-steroidal aromatase inhibitor. See the application here.
  • BCAC has also made two further applications to PHARMAC in 2018 for other medicines to be funded. One for Abraxane (nab-paclitaxel) which is used to treat advanced breast cancer in people who have already received other medicines. See the application here. The other application is for Faslodex (fulvestrant) which is used to treat hormone-receptor-positive advanced breast cancer in postmenopausal women with disease progression following anti-oestrogen therapy. See the application here.


  • Following the funding of Perjeta by PHARMAC in late 2016, BCAC and the Breast Cancer Foundation NZ made a joint submission to PHARMAC early this year to request extending the funding of Perjeta to include all those being treated with Herceptin (trastuzumab) for metastatic HER2 positive breast cancer. This request was not declined outright but PHARMAC stated they require more clinical trial evidence before extending the funding. Read the submission here.


  • In December 2016, BCAC met with the Minister of Health and presented a briefing which made a case for increased medicines funding and outlined other areas of concern. Read the full briefing here.
  • In November 2016, BCAC made a submission to PHARMAC applauding their decision to fund pertuzumab for HER2+ metastatic breast cancer patients. However, there are some aspects of the proposed Special Authority criteria for access to pertuzumab that we have serious concerns about. Read our submission here.
  • In October 2016, BCAC provided feedback to PHARMAC’s consultation on the implementation of Trans Pacific Partnership (TPP) provisions and other amendments to application Processes. Read our feedback here.
  • Early in 2016 BCAC made a joint submission with the Breast Cancer Network Australia (BCNA) to the Royal Australian and New Zealand College of Radiologists to suggest that the Faculty amend its position that Intra-Operative Radiation Therapy (IORT) is not supported by sufficient evidence to form a view. Read the full submission here.


  • In March 2015, BCAC met with Minister of Health Jonathan Coleman, Associate Minister of Health Peter Dunne and Labour Health spokesperson, Annette King. We highlighted the need for improved access to breast cancer medicines, ensuring the Breast Cancer Standards are implemented, better access to clinical trials, the ability to review the safety and ethical status of clinical trials and the timely introduction of intra-operative radiotherapy. Read the full briefing here.


  • In October 2014, BCAC made a submission to PHARMAC asking that funding of pertuzumab (Perjeta) for the treatment of metastatic HER2 positive patients be given a high priority following the outstanding results from the CLEOPATRA study showing its efficacy. Read our letter to PHARMAC here.


  • In October 2013, BCAC met with the Minister of Health Tony Ryall, the Associate Minister of Health Jo Goodhew and Labour Health spokesperson, Annette King.  We highlighted the need for progress in the following areas: an appropriate body to review the safety of clinical trials involving NZ patients; the need for improvements to lymphoedema care, psychosocial care, subsidised fertility treatment and delayed breast reconstruction; the need for changes to the free breast screening age bands; and funding issues in the public and private sectors.  Read our briefing to the Minister of Health here.
  • In November 2013, BCAC wrote to the National Health Committee, asking it to recommend introducing intraoperative radiotherapy using Intrabeam for selected patients with breast cancer in the public health system.  Read out letter to the National Health Committee here.
  • In August 2013, BCAC made a submission to PHARMAC regarding the decision criteria it uses for funding medicines. Read our response to PHARMAC's Decision Criteria Consultation here.
  • In April, BCAC wrote in support of a PHARMAC proposal to consider funding Pegfilgrastim to prevent neutropenia in patients undergoing chemotherapy.


  • In October 2012, BCAC met the Minister of Health Tony Ryall, the Associate Minister of Health Jo Goodhew, Health Select Committee member Dr Jackie Blue, Labour Health spokesperson Maryan Street and Green Health Spokesperson Kevin Hague to deliver a strong message about the needs of New Zealanders with breast cancer. Read more about what we told the politicians here. 
  • In August 2012, BCAC commented on a proposal by the Government's drug-buying agency, PHARMAC, to create a nationally consistent list of medicines which it would fund for all District Health Boards. Read more about what BCAC had to say on the suggested schedule of pharmaceuticals here.
  • In June 2012, BCAC commented on a proposal by the Government's drug buying agency, PHARMAC, to change it's operating policies and procedures. You can read  BCAC's submission on Pharmac's operating policies and procedures here.
PDF icon BCAC submission on Pharmac OPP 1st June 2012.pdf376.99 KB
PDF icon BCAC Submission to Pharmac re Hospital Pharmaceuticals Consultation August 2012.pdf351.63 KB
PDF icon Ministerial briefing on breast cancer issues from BCAC 2012 FINAL.pdf648.77 KB
PDF icon BCAC Ministerial briefing 2013 FINAL.pdf868.16 KB
PDF icon BCAC Response to PHARMAC Decision Criteria Consultation August 2013 FINAL.pdf353.71 KB
PDF icon TARGIT letter to National Health Committee from BCAC FINAL.pdf512.21 KB
PDF icon Letter to Pharmac Oct14 FINAL.pdf866.96 KB
PDF icon BCAC Briefing for Minister of Health 17th March 2015 FINALv2.pdf1.35 MB
PDF icon BCAC submission PHARMAC Pertuzumab Nov 2016 FINAL.pdf468.79 KB
PDF icon BCNA and BCAC joint submission to RANZCR - Final.pdf336.87 KB
PDF icon BCAC submission Pharmac TPP Consultation 2016 FINAL.pdf497.82 KB
PDF icon BCAC Briefing for Minister of Health 2016 FINAL.pdf1.02 MB
PDF icon PTAC re pertuzumab 160 -final.pdf366.14 KB
PDF icon BCAC Briefing for Minister of Health 2018 FINAL.pdf487.38 KB
PDF icon BCAC submission - PHARMAC Consumer Voice 2018 FINAL.pdf556.67 KB
PDF icon Submission Perjeta (pertuzumab) - JULY 2018.pdf149.47 KB
PDF icon Final overall survival (OS) analysis of PHEREXA study.pdf246.77 KB
PDF icon Application for ABRAXANE Feb 2018 (Final).pdf194.8 KB
PDF icon Application to PHARMAC for fulvestrant May 2018.pdf240.46 KB
PDF icon Application to PHARMAC for everolimus July 2018-Final.pdf585.74 KB
PDF icon BCAC HSC submission - Intraoperative Therapy.pdf435.31 KB
PDF icon ApplicationforIBRANCENov2018_Final.pdf497.08 KB
PDF icon BCAC key points on medicines access.pdf153.17 KB
PDF icon Summary of BCAC submission to HSC.pdf153.17 KB
PDF icon BCAC Submission to the Health Select Committee re T Maize petition FINAL.pdf624.44 KB
PDF icon Speech to health group supporters and MPs - by BCAC deputy chair Emma Crowley.pdf148.34 KB
PDF icon BCAC Submission on Health and Disability System Review 19.05.30.pdf564.76 KB