In this interview, Ms Man-Chie Chow from the Royal Surrey County Hospital, Guildford, UK gives a brief overview of the NICE drug approval process and the issues with it. Ms Chow suggests ways to overcome these problems, including what pharmacists can do to improve access to the latest drugs. This interview was recorded at the British Oncology Pharmacy Association (BOPA) 20th Annual Symposium 2017 in Glasgow, UK.