At the beginning of August 2021, the European Network for Health Technology Assessment, EUnetHTA, released a final report on the surgical procedures for the treatment of obesity. The results suggest little or no difference in the effects of different bariatric surgery procedures on weight loss and diabetes control. However, the results are based mainly on low to very low certainty evidence, with few or even single studies providing data for many of the comparisons.

On August 05, 2021, NHS England published an update of the Specialized Services Policy Pipeline (covering April 27, 2021 - July 27, 2021). No new MedTech-related Clinical Commissioning Policies were added to the work program. Nine new policies were published; however, only two concerned MedTech (ECMO and brachytherapy). The status of ongoing policies was updated as well.

On August 16, 2021, the preliminary version of OPS 2022 was published. Numerous content updates and new procedure codes concern chapters 5 “Operations” and 8 “Non-operative therapeutic measures”. Also, minor changes were made in chapters 1, “Diagnostic measures” and 3, “Diagnostic imaging”.New codes were introduced in the peripheral vascular, cardiovascular, nephrology and urology, endoscopy, gastroenterology, otorhinolaryngology, interventional radiology, orthopedics, pulmonary and airways, and other fields of care.

Certain medical devices are financed within the DRG tariff but require explicit review to ensure that they are safe and effective. This mechanism is called “intra-DRG” (intra-GHS) coverage. On August 5, 2021, the new version of the intra-DRG list was published by the French Ministry of Solidarity and Health. No new devices were added to the list compared to the version of November 2020.

On August 11, 2021, the Dutch Healthcare Institute (ZIN) published the assessment of Oncotype DX®. The assessment was conducted to confirm whether the test complies with the criteria of "science and practice" to determine if it can be reimbursed under the basic health insurance package. In conclusion, the test can be reimbursed under the basic health insurance package.

In July 2021, the UK Government released its Life Sciences Vision, which sets out a 10-year strategy for the Life Sciences sector to address the coronavirus (COVID-19) pandemic and some of our generation's most pressing healthcare challenges, such as cancer, obesity, dementia. This Vision is a high-level document that does not set out the specific programs. The Government will set out its detailed delivery plan later, and the Sector will have the opportunity to decide where it wishes to co-invest.

The French Ministry of Solidarity and Health constantly announces the new experiments initiated under Article 51 of the Social Security Financing Act. These experiments are focused on various topics concerning medical technologies and the organization of care. At the end of July, three new experiments related to the system of care for people with disabilities, families with overweight children, and homeless drug users were announced.

In July 2021, 31 clinical guidelines were released in Russia: irritable bowel syndrome, rectal prolapse, chronic kidney disease, and others. Furthermore, the orders on the approval of the several standards of medical care entered into force, including standards for the provision of medical care for adults with acute ST-elevation myocardial infarction, hemorrhoids, and anal fistula.

The NHS Digital has opened the application period for changes in the OPCS-4 nomenclature of procedure codes, which is updated every three years. The applications can be submitted via Request Submission Portal not later than October 01, 2021, to be implemented in the OPCS-4.10 version from April 01, 2023.

On July 30, 2021, the final version of the French DRG manual was published on the website of the Technical Agency for Information on Hospitalizations (ATIH). No new DRGs or other changes compared to the preliminary version published in March 2021 have been introduced.

Earlier this year, the Spanish authorities introduced endobronchial valves for persistent air leakage into the Common Package of Benefits of the National Health System. This decision was based on the reports (HTA report and monitoring study) by the Evaluation Unit of the Canary Islands Health Service (SESCS). On July 22, 2021, the Resolution outlining the conditions for the provision of the service was published.

In late July 2021, two new COVID-19 antigen tests were added to the Laboratory Test Nomenclature (Laboratoriotutkimusnimikkeistö) in Finland.