The article reviewed here is a Department of Health document titled ‘Topic Selection Process for Technology Appraisals. A Consultation Document’ and freely available here. The interesting question to ask before reading this document is how would an organisation efficiently choose health technologies to review – what process would they use for this? One approach to answering this can be found in the current document.
The document begins with many notable objectives. The objectives address the technology selection process and these include transparency and providing professionals and the public with the opportunity to contribute. Cutting the time for selection down to 3 months is of the goal with a simple outcome measure.
Following on from this is some background to this consultation. The document follows on from ‘High Quality Care For All’ (freely available here) in which references are made to the technology appraisal process. The current process is described in part 3 which illustrates this with a flow diagram. There are many steps in the process and health ministers are involved at the later stages. In the diagram it is noted that the minimum time for drug licensing is 9-12 months for instance. After this is a summary of each stage of the process. For instance there is a National Horizon Scanning Centre at the University of Birmingham which plays role of ‘horizon scanning’ for ‘pharmaceutical and biopharmaceutical products’. We learn about NICE’s ‘topic selection team’. A number of different panels convene to discuss the technologies and these are rated. The ratings are then used in the selection process. Various roles are also expanded upon in this section.
The revised process is then described in part 4 which identifies 5 decision points in the process and highlights those which are new. These changes are further discussed in subsequent sections. New criteria were selected when filtering technologies as well as at other stages. Another change occurs with the topic selection consideration panels who no longer use a 5 point scoring system but instead consider the scores from the NICE topic selection team. The third decision point involves some steps being removed and the decision for forwarding technologies to the next stage being retained within NICE. Decision point 4 involves a meeting between ministers and the NICE team and the final decision point is the ministerial referral.
In section 5, the selection criteria are discussed and as well as the evidence base, the role of ‘professional judgement and experience’ is emphasised. Under the criteria there are a number of factors for consideration which were either not included previously or have since been modified and these include ‘burden of disease’, ‘potential for therapeutic benefit’, ‘patient population’ for small populations, resource impact, ‘variation in practice’, ‘timeliness and urgency’ and ‘policy importance’. There follows a section on key questions for the consultation process and instructions on responding to the document. Finally there are two appendices one for the existing selection criteria, another for the proposed new criteria and one containing summary details of the consultation process itself.
This is a consultation document which encourages contributions from those with an interest in this area and gives insights into some of the complex processes that take place in the appraisal of new technologies.
Responses
If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk
Disclaimer
The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.
[…] Topic Selection Process for Technology Appraisals. A Consultation Document […]
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Thanks for your comments. Perhaps I could have been clearer in my article – this is a review of a paper on topic selection for technology appraisals. I don’t remember reading anything in the paper about pancakes. As for pancake recipes, I’m afraid I don’t really have any pancake recipes. Perhaps you might try adding some lemon juice or else try one of the celebrity chefs?
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Certainly and thank you!. I’m intrigued – what will you be writing on? Regards Justin
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Thanks for those profound thoughts. This consultation document on a topic selection process for technology appraisals has certainly stimulated some interesting responses Regards Justin
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If you have a plan to visit Poland you have to see our site where you will find the best places in Poland.
Poland it’s a beautifull country aspecialy small villages near the sea. We present the best places you have to sea if you are in Poland.
Country sitemap
Best regards
Martin rozwoj
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Hi Everybody, i would just like to make an intro to everyone at theamazingworldofpsychiatry.wordpress.com
Your forum is fantastic! Usually when I visit forums, I just come across junk, but this time I was very surprised, finding a informative forum containing great information.
Thanks people at theamazingworldofpsychiatry.wordpress.com and keep this fantastic effort up.
modern sculptures Finger Puppet modern Soft Furnishings kids science parties modern coffee tables
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Where is a FAQ?!.
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Now a days i just have cereal with milk and sugar or toast with marmalade, jam, or honey, marmalade and jam are not the same, marmalade is made from oranges and jam is made from other fruit. 🙂
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Absolutely brilliant post guys, been following your blog for 3 days now and i should say i am starting to like your post. and now how do i subscribe to your blog?
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I have afternoon tea, with sandwiches, cakes, and, of course, a cup of tea.
At the weekends i often invite their friends to have a chat over a cup of tea. =)
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Dear Fetleldlaft,
Thank you for your considered response to the above paper. Yours is a unique perspective which appears to have been overlooked by the authors who make no mention of baked desserts or aromatic beverages in their analysis of topic selection processes for technology appraisals.
Regards
Justin
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Recently in Poland to hear a lot of celebration commemorating the creation of Solidarity. There are many discussions on this subject and some of them are very controversial. I wonder whether in other countries, people know what it is and if they have solidarity on this issue a sentence?
br
Matt
odżywki
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Am new here, found theamazingworldofpsychiatry.wordpress.com trough bing and definitely like it here, will enjoy my stay for sure hehe 🙂
I’m not certain whether this is allows but I am considering educational software, and thus I am living a link in my signature that has a lot usefull material about that issue.
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Very good to be here, one of the best looking forms I’ve seen in terms of design.Wish I can get to meet a lot of you, read a lot of great information and also making contributions my own share.
I have a internet site about forex robot and if the person is considering about that idea I wish they will pay a visit to it.
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I suck coz I only appear to be able to think of one joke and one joke alone…
Why did the plane crash into the house????
COZ THE LANDING LIGHT WAS ON!!
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Hello everybody
If you have an expirience with making graphic to web on-line shop please let me know.
I’m looking for somebady hwo can create and implement graphics to on-line shop.
Best Regards
Family
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Heya guys and girls, can somebody if possible help me out? I come here another day through google but now can’t discover once again the post I have been reading that day :(. And before somebody asks, no I am not blond merely not that excellent with computer systems hehe.
Muack 🙂
I just come from an other site with a couple of very usefull guidance about Mobile Phone Recycling, if someone also prefers to know about that field see my signature.
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I am new here.Never been in forum before.Please accept me to be a part of this forum.I guarantee to share.
I just now come from an other site with lots of very usefull important information about Symptoms of Diabetes, if someone also does need to know about that topic see my signature.
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My warm regards to all members. Nice of being here! 🙂
In those who need to get it, in my signature there is some interesting information about Office Chair.
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New here, got to theamazingworldofpsychiatry.wordpress.com by searching google and really like it here, will enjoy my stay for sure hehe 🙂
I have a websites about colon cancer and if the person is curious about that idea I wish they will view it.
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Hello !
I’m new on this forum so I introduce me…
My name is Max I’m 21 years old, I’m a Deutsch in USA.
My hobbies : holdem poker, baseball and video games...
Nice to meet you.
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Hello !
I’m new on this forum so I introduce me…
My name is Max I’m 21 years old, I’m a Deutsch in USA.
My hobbies : holdem poker, dogs and video games.
PLease visit my website : Assurance temporaire
Nice to meet you.
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Hi, it’s nice here so I am just saying hi. I’ve been watching website for a moment now and decided to register. Hope that my english will be good enough to communicate with you :). My hobby are internet contests and my hobby page – instantempo it’s about them.
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Hip Mean – Intimate Draft, Ideas, Styles, Architecture
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Of course, what a great site and informative posts, I will add backlink – bookmark this site? Regards, Reader
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I REALLY liked your post and blog! It took me a minute bit to find your site…but I bookmarked it. Would you mind if I posted a link back to your post?
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