Negotiating MFN - Part 4: The Commercial Opportunity Companies May Be Missing 
Aphra Kite Aphra Kite

Negotiating MFN - Part 4: The Commercial Opportunity Companies May Be Missing 

This is Part 4 of Negotiating MFN, the final and most important piece in the series. Part 1 examined GENEROUS country exposure; Part 2 examined GLOBE and GUARD country exposure; Part 3 examined the strategies available to companies in GENEROUS countries. Now we address the broader strategic game that MFN has created - and the very substantial commercial opportunity that most companies have not yet identified.

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Negotiating MFN - Part 3: Not Every Door Is Closing 
Aphra Kite Aphra Kite

Negotiating MFN - Part 3: Not Every Door Is Closing 

This is Part 3 of Negotiating MFN, a four-part series. Part 1 examined why GENEROUS basket countries are more exposed than policymakers have assumed; Part 2 the eleven GLOBE and GUARD countries outside the basket. This piece is a short read. The accompanying paper, Finding the Edge Cases, goes deeper - and is where the evidence lives.

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Negotiating MFN - Part 2: Access in GLOBE/GUARD countries – False Immunity?
Aphra Kite Aphra Kite

Negotiating MFN - Part 2: Access in GLOBE/GUARD countries – False Immunity?

This is Part 2 of Negotiating MFN, a four-part series examining how companies and policymakers are navigating the new US pharmaceutical pricing landscape. Part 1 examined why GENEROUS basket countries - including the UK - appear more exposed than policymakers have assumed. This piece looks at the eleven countries that sit in the GLOBE and GUARD basket but outside GENEROUS. Parts 3 and 4 turn to what companies can do in response.

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Negotiating MFN - Part 1: inside the GENEROUS countries - why the UK may be the first to lose access
James Dowling James Dowling

Negotiating MFN - Part 1: inside the GENEROUS countries - why the UK may be the first to lose access

US Most Favoured Nation (MFN) pricing is often understood as a technical question of pricing rules. In reality, it reshapes incentives in ways that change company behaviour and may leave the UK more exposed, not less.

As a structurally low price market, the UK risks becoming a rational candidate for launch deferral or exclusion. Addressing this will require moving to more dynamic, negotiation-led strategies that reflect how the system actually operates, writes Negotient’s Chris Brown.

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Building on the Railways Bill: Why Collaborative Rulemaking Matters More Than Ever
James Dowling James Dowling

Building on the Railways Bill: Why Collaborative Rulemaking Matters More Than Ever

Last November’s Railways Bill designed the playing field and broad objectives, but left the detailed playing rules to be agreed. This gap creates both risks and opportunities for future operation of the rail network.

Negotient’s Charles Tarvin sets out how this creates an opening for rail sector partners beyond passenger services to negotiate a reformed operational environment.

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Negotient is two!
James Dowling James Dowling

Negotient is two!

Founding Partner James Dowling reflects on two years of Negotient - and what the next few years might hold.

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From Strategy to Deals: How Local Growth Plans Can Become Deal Platforms
James Dowling James Dowling

From Strategy to Deals: How Local Growth Plans Can Become Deal Platforms

At the Budget, The Chancellor announced that the Local Growth Fund (LGF) would replace the fragmented UK Shared Prosperity Fund, delivering targeted, long-term funding to city regions in the North and Midlands with the highest productivity catch-up potential.

This represented a fundamental shift: from short-term competitive bidding pots to multi-year certainty, from central prescription to local flexibility, from project-by-project grants to integrated settlements. James Dowling sets out how the LGF approach can open the way to new public-private deals with the potential to transform the economic output of English regions.

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How does The Treasury build a Budget?
James Dowling James Dowling

How does The Treasury build a Budget?

In this episode of Negotient’s Negotiating Government podcast, David Gauke (Negotient Chair and former Chief Secretary to the Treasury) and John Hall (Negotient Associate and former senior HM Treasury official) dissect the process HM Treasury follows in creating a Budget and the central strategic choice facing Chancellor Rachel Reeves.

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Strikes Unpacked: UK and US Perspectives on Industrial Action
James Dowling James Dowling

Strikes Unpacked: UK and US Perspectives on Industrial Action

What defines a strike? How do strikes differ between the US and UK? In the latest episode of Negotiating Government, the podcast from Negotient, Former UK and US Government negotiators Miranda Worthington and Josh Flax look at the history and practice of strikes in labo(u)r disputes in both the UK and US.

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U.S. Drug Pricing Negotiations - Pfizer Seizes First-Mover Advantage
James Dowling James Dowling

U.S. Drug Pricing Negotiations - Pfizer Seizes First-Mover Advantage

Pfizer has just demonstrated a classic case of first-mover advantage in the fraught arena of US drug pricing reform. Negotient’s Chris Brown says that by settling early with the Trump administration, the US pharma giant has secured terms that may prove more favourable than those available to peers who continue to resist.

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Could the UK’s new capital grants program for life sciences create opportunities for broader dealmaking?  
James Dowling James Dowling

Could the UK’s new capital grants program for life sciences create opportunities for broader dealmaking?  

The UK government recently launched a new Life Sciences Large Investment Portfolio (LSLIP) scheme, promising £570 million in subsidies for companies investing £250 million or more in UK-based manufacturing and R&D. 

LSLIP launches at a time of unresolved tensions in the commercial environment for pharma in the UK.  But Chris Brown says that for those in a position to move, that very context creates opportunities – with an embattled government seeking to shift toward bespoke, high-value partnerships with individual companies.   

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The View from Inside Government
James Dowling James Dowling

The View from Inside Government

Why is a public-private negotiation so different from a private-private one? In this episode of Negotiating Government, Negotient's Chair, former Cabinet Minister David Gauke, is joined by Negotient Senior Associate Miranda Worthington, former Director of Industrial Relations at the Department for Health and Social Care, to explore the unique challenges and dynamics of negotiating with government.

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Collaborative Rulemaking: A Missing Piece in UK Rail Reform
James Dowling James Dowling

Collaborative Rulemaking: A Missing Piece in UK Rail Reform

The creation of Great British Railways (GBR) under the Labour Government’s 2024 reform agenda represents the most significant restructuring of the rail sector in a generation. But as GBR takes shape, a critical question remains: how will the new framework promote the interests of freight in a system dominated by passenger priorities?

Charles Tarvin and Josh Flax consider how a UK version of negotiated rulemaking can help build a system which works for all participants in the new system.

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How can the Industrial Strategy be used to unlock regional prosperity?
James Dowling James Dowling

How can the Industrial Strategy be used to unlock regional prosperity?

The UK’s new Industrial Strategy sets bold goals for growth in communities across the UK. But, facing tight public finances and even tighter politics, Negotient’s James Dowling says that success requires creative, bespoke, negotiated local deals that align national priorities with local strengths and private investment.

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Behind the Scenes of the US-UK Trade Deal
James Dowling James Dowling

Behind the Scenes of the US-UK Trade Deal

What really happens in a high-stakes negotiation between Donald Trump and Keir Starmer? In this episode of Negotiating Government, Negotient’s Chris Brown and Josh Flax dissect the tactics behind the recent US-UK trade deal—and what it reveals about power, pressure, and process in public-private negotiations. 

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The Spending Review 2025: Capital Growth and Financial Credibility
James Dowling James Dowling

The Spending Review 2025: Capital Growth and Financial Credibility

In the second episode of Negotiating Government, Former Chief Secretary to the Treasury David Gauke and former Senior Treasury spending official John Hall delve into the 2025 spending review, exploring the government's strategic choices and the challenges they face in balancing fiscal responsibility with urgent public service needs.

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The Spending Review 2025: Plugging the gaps and hoping for growth (and private sector money…)
James Dowling James Dowling

The Spending Review 2025: Plugging the gaps and hoping for growth (and private sector money…)

Rachel Reeves has been dealt a tough hand – but, as an economist, has played it reasonably well in choosing which areas to prioritise for extra spending. How her plans land politically, given the relative tight settlements for most public services, is less certain. And unless there is a sustained upturn in the economy, even tougher decisions lie ahead.

Former Treasury spending team leader John Hall identifies the key things that happened (and didn’t happen) when Rachel Reeves addressed the House of Commons on June 11th. What do the choices she made mean for public services, economic growth and future tax bills?

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Mapping out the Spending Review: what does the Spring Statement tell us about HM Treasury thinking on the Spending Review?
James Dowling James Dowling

Mapping out the Spending Review: what does the Spring Statement tell us about HM Treasury thinking on the Spending Review?

In this inaugural episode of Negotiating Government, the podcast from Negotient, hosts David Gauke and John Hall draw on their extensive backgrounds in Government and HM Treasury, to reflect on what the Spring Statement means for the Spending Review - and the challenges and opportunities that lie ahead for those involved in negotiations with the UK public sector.

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How does America ‘regulate for growth’?
Iain Steel Iain Steel

How does America ‘regulate for growth’?

Government is not always best placed to get the balance right between protecting the public and reducing burdens on businesses. The US offers a tried-and-tested alternative, says Joshua Flax.

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Politico interview
Iain Steel Iain Steel

Politico interview

Launched in January this year by a group of experienced former government advisers and ex-public affairs pros, Negotient reckons it has the answer: boosting negotiation skills so good deals are agreed from the very start.

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