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Commissioning

06
Jul 2023

New specialized services specifications in England

In June 2023, NHS England published two new specialized service specifications for pediatric photon radiotherapy and gender incongruence in children and young people. These documents define national standards for the provision of specialized services, including aims, outcomes, model of provision, patient pathway, inclusion criteria, and requirements for the facilities and staff.
22
Jun 2023

Evidence-based Interventions (EBI) Programme List 3 was published in England

In May 2023, the latest set of guidance (List 3) of the Evidence-based Interventions (EBI) Programme was published. The program is run by the Academy of Medical Royal Colleges (AoMRC), supported by NHS England and NICE. Ten procedures were added to the List across a range of medical specialties, including breast surgery, gastrointestinal surgery, cardiovascular, urology, and ophthalmology. It is expected that where treatment criteria outlined in the List for the intervention are met, it would be routinely funded.
15
May 2023

Launch of the Health Technology Navigation Pathway Tool for innovators in England

In late April, NHS Accelerated Access Collaborative introduced the Health Technology Navigation Pathway Tool to help innovators adopt new technologies into the NHS. The Tool breaks the innovation journey down into 25 steps, themed around the five key phases of the product lifecycle, from creation to commissioning and adoption. For each step, the schematic flowchart outlines key organizations to engage with, regulatory insights, best practice approaches, policies, guidelines, to-do lists, and required outputs.
28
Feb 2023

NHS England's new commissioning criteria for TAVI in intermediate and low-surgical risk patients

In February 2023, NHS England released the position statement on Transcatheter Aortic Valve Implantation (TAVI) and Surgical Aortic Valve Replacement (SAVR) for symptomatic, severe aortic stenosis in adults to support elective performance. Previously, NHS England was commissioning TAVI at high surgical risk. This new position statement sets criteria for intermediate and low-surgical risk patients who are eligible for TAVI.
06
Feb 2023

Specialized Commissioning Clinical Commissioning Policies Work Programme updated in England

In late January 2023, NHS England published an update of the Specialized Services Policy Pipeline (as of January 18, 2022). No new MedTech-related Clinical Commissioning Policies were added to the work program. One new policy on catheter ablation for paroxysmal and persistent atrial fibrillation was published since the previous update. The status of ongoing policies was updated as well.
22
Sep 2022

Specialized Commissioning Clinical Commissioning Policies Work Programme updated in England

On September 01, 2022, NHS England published an update of the Specialized Services Policy Pipeline (as of August 24, 2022). Two new MedTech-related Clinical Commissioning Policies were added to the work program (transcatheter edge-to-edge repair of the mitral valve, pectus surgery for really severe pectus), and no new policies were published. The status of ongoing policies was updated as well.
19
Jul 2022

Integrated Care Systems (ICS) became fully operational in England on July 01, 2022

NHS England and NHS Improvement (NHSEI) have been changing the organizational landscape of the healthcare system for several years by developing new geographically-based partnerships called Integrated Care Systems (ICSs), bringing together providers and commissioners of NHS services with local authorities and other local partners to plan, coordinate and commission health and care services. On July 01, 2022, 42 ICSs became fully operational on a statutory basis of the 2022 Health and Care Act. Clinical Commissioning Groups (CCGs) are now abolished and replaced by 42 Integrated Care Boards (ICBs)