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Developing a Celtic Connections Regional HTA Alliance
Dr Susan Myles, Director Health Technology Wales (HTW) Mr Edward Clifton, Unit Head, Scottish Health Technologies Group (SHTG) Dr Anne Dee, Chair Health Technology Assessment Group (HTAG) Dr Mairin Ryan, Director of HTA, Health Information & Quality Authority (HIQA) @HealthTechWales
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Outline Background to developing the Alliance
Methods to establish the Alliance Early results of the Alliance Learning and conclusion @HealthTechWales
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Background HTW origins
Access to medical technologies in Wales (Dec 2014) A Health Technology Adoption Hub for Wales (Apr 2016) Velindre NHS University Trust to host Renamed “Health Technology Wales” “Technoleg Iechyd Cymru”
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Background HTW Launch 27 November 2017
“HTW is an independent, arms-length organisation that will deliver authoritative evidence-informed advice to health boards in Wales about the value for money of non-medicine health technologies,” said Mr Gething. “It is an exciting development that will support the identification of new non-medicine health technologies that are important to Wales”
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Background
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Methods: Formalise collaboration & partnership working
Improve shared understanding of work programme & processes Co-produce or adapt evidence reviews of mutual interest Promote knowledge exchange & transfer Enhance professional & personal development for each agency’s staff
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Methods: Memorandum of Understanding
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Methods
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Results: Adapting Appraisals
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Results: Adapting Appraisals
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Results: Co-producing Appraisals
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Results: Sharing Intelligence
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Results: Senior Staff Secondment
8 month secondment work on ATMPs Directly relevant for work of HTW & HIS Invaluable learning for SHTG & SMC Enhanced knowledge of qualitative research & PPI Co-produced the Synovasure appraisal with HTW researchers NICE Meta Tool training & conference attendance Shared experience on SOPs & impact evaluation Case study on HTW website
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Results: Training Enhanced professional & personal development for staff Opened up training on CE marking & medical device regulations SHTG secondee opportunity to develop qualitative research skills & qualify as a NICE Meta Tool Facilitator HTW Information Scientist bespoke 121 training at SHTG Enhanced access to methodological advice Forum for discussion & peer support
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Results: Other Regular sharing of work programmes
Reciprocal observer membership on each country’s national committees Enhanced access to independent experts & broader stakeholders Improved quality assurance & ‘critical friend’ peer review Reduced duplication of effort
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Future Benefits Building & broadening capacity through shared learning
Ongoing access to a wider professional peer group Potential aid to recruitment & retention Divide and conquer through smarter joint working Future joint evidence appraisals, publications & dissemination
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Learnings Significant time to sign-off MoU. Avoid the lawyers!
Demarcating evidence review and guidance crucial Adapting and co-producing evidence reviews easier than expected Is possible to adapt economic & resource impact models Potential collective bargaining power
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Conclusions Co-produced evidence reviews but bespoke guidance
Realised demonstrable economies of scale and scope Genuinely improved knowledge exchange & transfer Increased the profile of each nations work & HTA body
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Contact HTW
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Contact HTW, HIQA, HTAG, SHTG
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