Radiotherapy

Since March 2025, the Dutch Healthcare Institute (ZIN) has been establishing new standards for vascular surgery and cancer treatment, resulting in the centralization of complex interventions only in hospitals that consistently demonstrate a high volume of such procedures. In November 2025, the seven regions agreed on which hospitals would provide complex cancer and vascular procedures starting in 2026, with a one-year transition period before the new care distribution began on January 1, 2027.

On October 27, 2025, the annual update of the Swedish procedure coding system (KVÅ) was released to come into force on January 1, 2026. A total of 35 new surgical (KKÅ) procedure codes were added in the fields of nephrology and urology, obstetrics and gynecology, interventional radiology, men’s health, and radiotherapy. Furthermore, 90 new medical (KMÅ) procedure codes were introduced concerning diagnostic imaging, radiology, gastrointestinal, and other fields.

In November 2025, NHS England released a final summary of core changes between OPCS-4.10 and OPCS-4.11, a procedure coding classification updated every three years. Multiple changes were implemented, including 572 new four-character (subcategory) codes in various fields, such as cardiovascular, peripheral vascular, diagnostic imaging, endoscopy, gastroenterology, urology and nephrology, obstetrics and gynecology, men’s health, neurology and neurosurgery, pulmonology, orthopedics, spine, interventional radiology, and radiotherapy. OPCS-4.11 is expected to take effect on April 1, 2026.

In October 2025, the Swedish Dental and Pharmaceutical Benefits Agency (TLV) launched two new thematic horizon scans focusing on cancer care. The scans aim to identify innovative medical technologies that may be evaluated within the national Orderly introduction framework for medical technologies. Stakeholders, including industry representatives, are invited to submit proposals by November 30, 2025.

On October 14, 2025, the National Agency for Regional Health Services (AGENAS) published the list of technologies prioritized for evaluation within the National HTA Program for Medical Devices in 2025. Technologies from the fields of endocrinology, men’s health, neurology/neurosurgery, and radiotherapy have been identified as priorities and are currently undergoing health technology assessment.

The Danish Health Data Authority quarterly updates the Health Care Classification System (SKS). The latest version was published in mid-September 2025 to come into force on October 1, 2025. Among other changes, four new procedure codes were introduced concerning men's health, radiotherapy, and surgical procedures.

In August 2025, Health Technology Wales (HTW) accomplished two full appraisals on long-length peripheral intravenous catheters (LPCs) for difficult intravenous access and photo-plethysmography for managing atrial fibrillation. In addition, two Med Tech-related Topic Exploration Reports were published in the radiotherapy and e-health fields.

In August 2025, the National Institute for Health and Care Research (NIHR) in England released three Med Tech-related assessments in its HTA Journal, which concerned nephrology and urology, endocrinology, radiotherapy, and neurosurgery fields.

On July 31, 2025, the Swiss Federal Statistics Office (UFS) released the systematic version of the Swiss classification of surgical interventions (CHOP) for 2026. The CHOP classification is now available in German and will come into force on January 1, 2026. Multiple new procedure codes were introduced in various fields, including the cardiovascular, ENT, extracorporeal treatments, interventional radiology, nephrology and urology, orthopedics, peripheral vascular, and radionucleide therapy.

In June-July 2025, Health Technology Wales (HTW) accomplished one full appraisal on implantable tibial neuromodulation devices for urinary incontinence. In addition, seven Med Tech-related Topic Exploration Reports were published in the e-health, diagnostic imaging, in-vitro diagnostics, neurology, and radiotherapy fields.

In July 2025, the Finnish classification of procedures (THL) was updated. Forty-five procedure codes concerning ophthalmology, radiology, e-Health, radiotherapy, nuclear medicine, interventional radiology, and some other fields were introduced to come into force on January 1, 2026.

In March-April 2025, Health Technology Wales (HTW) accomplished one full appraisal of permanent implant brachytherapy devices for unresectable pancreatic cancer. Five Med Tech-related Topic Exploration Reports were published (on superior rectal artery embolization, glucose monitoring systems in neonates, gender-affirming surgery, telemetric intracranial pressure monitoring, tumor-profiling tests to guide bisphosphonate treatment in cancer).