SCOTTISH HEALTH TECHNOLOGIES GROUP North of Scotland

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SCOTTISH HEALTH TECHNOLOGIES GROUP North of
Scotland Planning Group Karen Macpherson NHS
Quality Improvement Scotland
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NHS QUALITY IMPROVEMENT SCOTLAND (NHS QIS)

• Special NHS Health Board established by the
  Scottish Parliament in 2003
• NHS QIS leads the use of knowledge to promote
  improvement in the quality of health for the
  people of Scotland

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NHS QUALITY IMPROVEMENT SCOTLAND (NHS QIS)

• Four key functions
• provide advice and guidance on effective clinical
  practice
• set clinical and non-clinical standards of care
• monitor the performance of the NHS against these
  standards
• support NHS staff in improving services
• Central responsibility for patient safety and
  clinical governance
• across NHSScotland.
• Provide support to the Scottish Medicines
  Consortium
• and to the Scottish Health Technologies Group.

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HEALTH TECHNOLOGIES

• Medicines eg herceptin, antidepressants
• Medical devices eg hearing aids
• Procedures eg acupuncture, surgery
• Setting of care eg midwifery led maternity unit
• Screening eg breast cancer
• Processes eg physiotherapy triage of orthopaedic
  referrals

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HEALTH TECHNOLOGY ASSESSMENT (HTA)
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HEALTH TECHNOLOGY ASSESSMENT (HTA)
Scientific evidence
HTA ADVICE
Health professionals judgement
Views of health service users
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HEALTH TECHNOLOGY ASSESSMENT (HTA)

• Evidence-based guidance in NHSScotland
• NICE HTAs
• (Multiple and Single Technology Assessments)
• NHS QIS HTAs
• Scottish Medicines Consortium guidance
• International HTAs
• Guidelines SIGN, NICE, Professional Bodies

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Origin
• Role
• Membership
• Remit
• Delivery of remit

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Origin
• Established in 2007
• Need for more support and assistance for NHS
  boards in planning the introduction of new health
  technologies recommended by NICE and others

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Role
• Advisory group only
• SHTG does not make recommendations but aims to
  provide information to support planning and
  decision making
• Uses member networks to communicate information

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Membership
• SGHD
• Chief Executives Health Boards, Directors of
  Medicine, Public Health, Finance Planning
• National Procurement
• NHS QIS
• Health Economics
• Lay representation

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Current members
• Andrew MacLeod Deputy Director, Patients
  Quality Division, SGHD (Chair)
• Harriet Hughes Service Innovation and
  Transformation, SGHD
• Sara Davies Medical Advisor, Patients Quality
  Division, SGHD
• James Barbour Chief Executive, NHS Lothian
• Robert Calderwood Chief Executive, NHS Greater
  Glasgow Clyde
• Tony Wells Chief
  Executive, NHS Tayside
• Fiona Ramsay Finance Director, NHS Forth Valley
• Alison Graham Medical Director, NHS Lanarkshire
• Heather Knox Regional Planning Director, West of
  Scotland
• Carol Davidson Director of Public Health, NHS
  Ayrshire Arran
• Roseanne Urquhart Head of Healthcare Strategy,
  NHS Highland
• Derek Yuille Assistant Director of Finance, NHS
  Ayrshire Arran
• Philip Rutledge Consultant in Medicines
  Management, NHS Lothian
• Andrew Marsden Medical Advisor, National
  Procurement
• Lesley Holdsworth Head of Health Services
  Research Effectiveness, NHS QIS
• Luke Vale Health Economic Research Unit,
  University of Aberdeen
• Stella MacPherson Lay Representative
• Robert Bell Lay Representative

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Remit
• Horizon scanning
• Identify existing and new health technologies
  with potentially significant impact on patient
  care in NHSScotland, and potential divestment
  areas
• Assessment and appraisal
• Provide assessment and appraisal of health
  technologies as needed, taking account of both
  national and international HTAs
• Facilitating implementation and dissemination
• Support implementation of evidence-based
  recommendations on technologies made in NHS QIS
  HTAs, NICE HTAs and SIGN guidelines

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Delivery of remit
• Quarterly horizon scanning reports of Health
  Technology Assessments

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SCOTTISH HEALTH TECHNOLOGIES GROUP
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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Example
• Hip protectors for patients in long term care
• CADTH, Canada
• Hip protectors are clinically effective for
  those at high-risk of hip fracture where a high
  level of supervision is available. They may be
  cost effective, dependent on the package of
  preventative measures in use.

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Evidence notes
• Short summary of the published clinical and/or
  cost-effectiveness evidence for a health
  technology that is under consideration by
  decision makers within NHSScotland.
• eg Clinical and cost-effectiveness of
  self-monitoring of blood glucose (SMBG) for
  non-insulin treated type 2 diabetes
• HTAs
• eg For which indications is topical negative
  wound pressure clinically and cost effective?

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Resource cost impact statements
• Provide estimates of the resources required and
  associated financial implications, of
  implementing key recommendations in HTAs and SIGN
  guidelines
• eg SIGN obesity guideline
• Scoping reports
• eg. Non-pharmacological management of depression

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• New developments
• Interventional procedures guidance
• Support to the National Planning Forum
• Disinvestment
• Coverage with evidence pilot
• NICE expansion and diversification

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Challenges
• Evidence deficiencies
• Not responding sufficiently on disinvestment
• Information timeliness
• Technology not the solution
• Differing priorities

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SCOTTISH HEALTH TECHNOLOGIES GROUP

• Benefits
• Scotland-wide perspective
• Inter-agency working
• Informed evidence-based planning of services
• Contextualised available evidence to NHS Scotland
• Opportunity to maximise health gain from the
  resources available to NHSScotland

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NORTH OF SCOTLAND PLANNING GROUP

• What areas should we be concentrating on when
  horizon scanning?
• Are there particular topics which planners would
  like us to look at
• How can we best support implementation?

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More Information

• http//shtg.nhshealthquality.org
• SHTG.qis_at_nhs.net
• Tracey Savage Project Administrator Tel 0141
  227 3299