Clinical & cost effectiveness

Clinical and cost effectivess of improvement

Health technology assessment (HTA) is an internationally recognised process.

We use it to advise NHSScotland about a specific health intervention like:

  • medicine
  • equipment
  • or diagnostic tests

Our work assists decision making by clinicians, managers and others throughout NHSScotland.

Considering factors influencing health technologies

Production of HTAs involves consideration of the clinical effectiveness, cost-effectiveness, organisational issues and patient issues relating to the health technology in question.

  • Clinical effectiveness – is the health technology effective in standard NHS practice, producing outcomes which are of importance to patients?
  • Cost-effectiveness – what are the costs/benefits and the likely budget impacts of using the health technology?
  • Patient issues – what are the psychological, social and ethical issues for patients, families and carers?
  • Organisational issues – are there any training, service reorganisation, equipment or legal issues?

HTA also takes account of ethical considerations, equality and diversity.

Advice for planning within NHS boards

The recommendations resulting from HTAs are not mandatory for NHSScotland. However NHS boards should take account of the advice from Healthcare Improvement Scotland when planning services and ensure that recommended drugs and treatments are made available to meet clinical need.