Four updated pathways for gynecological cancers describe the whole process of management patients – from the first examination for suspicion of cancer to the follow-up and rehabilitation with the management of late effects.

HealthTech Connect, a new online resource provided by NICE to help identify and support new health technologies as they move from inception to adoption in the UK health and care system, was formally launched April 29th, 2019. The system, which is free to use, will help companies to understand what information is needed by decision makers in the UK health and care system, and clarify possible routes to market access.

In April 2019, the Andalusian Agency for Evaluation of Health Technologies, AETSA, has released a report updating the map of genetic tests available in the Spanish National Health System.

The report presents a summary of reimbursement situation for hysterectomy in benign and malignant diseases of uterus. The following types pf procedure will be considered: subtotal hysterectomy, total hysterectomy, radical hysterectomy. The analysis covers procedure coding, payment mechanism, reimbursement tariffs and policy restrictions in 11 EU countries including Austria, Belgium, Denmark, England, France, Germany, Italy, the Netherlands, Norway, Sweden and Switzerland.

On the 5th of April, 2019, NHS Improvement has announced the start of implementation of same day emergency care model, which is a provision of same day care for emergency patients who would otherwise be admitted to hospital. Headaches, deep vein thrombosis, pulmonary embolus, pneumonia, cellulitis, and diabetes are available for the treatment in a framework of same day emergency care model.

Between the 3rd of June and the 15th of July, SwissDRG will be receiving the requests/suggestions regarding the DRG system in the country.

The Federal Joint Committee (G-BA) has signed a further contract for scientific monitoring and implementation of a trial study for NYHA III heart failure therapy optimization by means of continuous blood pressure measurement and monitoring using an implanted sensor in the pulmonary artery.

In April 2019, the Ministry of Health, Consumption and Social Welfare announced the update of the common package of benefits of the Spanish national health system with the inclusion of cervical cancer screening, nipple and areola micropigmentation and update of orthoprosthesis catalog.

The report includes all published reimbursement decisions for IVD tests in 2018 in European countries with established frameworks for out-patient reimbursement laboratory tests (Belgium, France, Germany, Netherlands, Switzerland).

The report includes an overview of funding framework and all (as of May 2019) decisions from ultimate payers and decisions makers in England (NHS England, one CCG), Germany (G-BA), Netherlands (Zorginstituut Nederland), Norway (“New Methods” framework) and Switzerland (Federal Office of Public Health). More than 1000 decisions are included.

At the end of April of 2019, the NHS England has announced the start of routine commissioning of pioneering brain surgery in two UK hospitals. The highly complex procedure involves inserting a device directly into the brain to stimulate hearing pathways, bypassing the cochlea and auditory nerve that have not developed properly. About 15 children per year would be assessed for auditory brainstem implantation, and about nine would go on to have the surgery, which costs around £60,000 per patient.

Statutory health insured with chronic back pain can benefit in the future from a structured treatment program (Disease Management Program, DMP), as the Federal Joint Committee (G-BA) outlined on 18th of April the substantive requirements for the new DMP.