The NHS (UK) Has A Serious Attempt At Assessing The Effectiveness and Value Of Digital Health Technologies (DHT).

I was alerted to this a few days ago and believe it is worth passing on.

Evidence standards framework for digital health technologies

As digital health technologies develop at an increasing pace, we've worked with partners to develop standards that ensure new technologies are clinically effective and offer economic value.

The aim of the standards is to make it easier for innovators and commissioners to understand what good levels of evidence for digital healthcare technologies look like, while meeting the needs of the health and care system, patients, and users.

We created the standards as part of a working group led by NHS England. The group also includes:

• Public Health England
• MedCity
• DigitalHealth.London.

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The standards

Download the evidence standards framework for digital health technologies (PDF)

The evidence standards framework is made up of:

• effectiveness standards
• economic impact standards.

The framework supports the relevant principles of the Department of Health and Social Care code of conduct for data-driven health and care technology.

User guide

Download the user guide (PDF)

This covers:

• the background of the standards
• their development and use
• future priorities identified by stakeholders.

Supporting resources

Budget impact template

To support digital health innovators using the economic impact standards.

 Download the budget impact template (Excel)

Budget impact guide

For more information on budget impact and cost consequences analysis. 

 Download the budget impact guide (PDF)

Case studies

The functional classification case studies show examples of how digital health technologies are classified for the effectiveness standards.

 Download the functional classification case studies (PDF)

The effectiveness and economic impact case studies show examples of the available evidence for some digital health technologies.

 Download the effectiveness and economic impact case studies (PDF)

We commissioned the Newcastle and York external assessment centre to develop the budget impact guide and case studies. 

Here is the link:

https://www.nice.org.uk/about/what-we-do/our-programmes/evidence-standards-framework-for-digital-health-technologies

The aims are very sensible and pragmatic:

The aim of the standards

Provide advice to digital health innovators:

• about how the NHS makes decisions
• about the standards of evidence they will be expected to produce for different types of digital technologies.

Help NHS commissioners:

• to make more informed and consistent decisions by providing a framework for the levels of evidence they should expect to see presented to them.

Improve the approach to developing and commissioning digital health technologies:

• by making it more dynamic and value driven, with a focus on offering real value to patients.

Having read through the evidence framework it seems to me this is work that is virtually directly applicable – and relevant – to all Digital Health projects. Application of these frameworks to what is going on with things like the myHealthRecord would be particularly interesting I believe.

Comments on the NICE approach to what has always been a difficult issue are more than welcome.

David.

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