MedTech Funding Mandate 2022/2023 Technology Signaling (MTFM)
What is MedTech Funding Mandate:
The MedTech Funding Mandate Policy was launched on the 1st April 2021 and in its first year 2021/2022 supported four NICE-approved, cost saving technologies which will continue to be supported in 2022/2023.
The technologies that were supported are:
These technologies are commissioned as per the requirements of the mandate. For further details please see Annex 1of the MedTech Funding Mandate Policy.
The technologies that will be supported by the policy in 2022/2023 are categorised into two themes:
|Benign Prostatic Hyperplasia||UroLift||
The UroLift system lifts and holds the enlarged prostate tissue away from the urethra, relieving the compression of this organ. It can be performed under local anaesthesia in an outpatient setting or ambulatory care centre, and the patient can return home the same day without a catheter.
The GreenLight XPS vaporises prostatic tissue with a laser. The laser fibre is passed through a cystoscope to photoselectively vaporise the enlarged prostate tissue, leaving a clear urethral channel. GreenLight XPS can be done as a day case procedure, reduces the risk of complications, and allows a quicker return to normal activity.
Rezum is a minimally invasive procedure that uses water vapour (steam) to treat BPH. The technology delivers targeted, controlled doses of stored thermal energy in water vapour directly to the region of the prostate gland with the obstructive tissue causing lower urinary tract symptoms (LUTS). Rezum effectively alleviates BPH and patients can be treated as outpatients.
PLASMA is a bipolar electrosurgery system for transurethral resection and haemostasis of the prostate. The system uses electrodes to cut out (resect) prostate tissue and stop any local bleeding afterwards (haemostasis), which avoids the risk of transurethral resection syndrome and reduces the need for blood transfusion. This procedure can be done as a day case.
|Improving the patient experience during procedures||
XprESS multi-sinus dilation system
The XprESS multi-sinus dilation system is a sterile, single use device for treating chronic sinusitis. Dilation of the XprESS balloon remodels the bony sinus outflow tract by displacing the adjacent bone and paranasal sinus structures. This has the potential to reduce the tissue lost compared to traditional functional endoscopic sinus surgery (FESS) procedures.
Thopaz+ portable digital system
Thopaz+ is a portable digital chest drain system that provides regulated negative pressure close to the patient's chest and continuously monitors and records air leak and fluid drainage. The system comprises an inbuilt, regulated suction pump with a digital display, rechargeable battery, tubing that connects to any standard chest drain catheter and a Thopaz+ disposable fluid collection canister. Sensors in the system turn the pump on and off to ensure the pressure level set by the healthcare professional is precisely maintained.
The Spectra Optia Apheresis System is an apheresis and cell collection platform for the treatment of sickle cell disease. In a typical exchange procedure, Spectra Optia separates and removes sickle red blood cells from the patient's blood using continuous flow and centrifugation. These are replaced with healthy red blood cells according to the user-defined software protocol.
The proposed National Tariff Payment System clarifies the funding arrangements as follows:
The MedTech Funding Mandate (MTFM) program is supported by the NHS England and NHS Improvement Innovation, Research and Life Sciences team, and implementation of the technologies is via the EMAHSN network.
(The above link includes contact details for the local Network).
Innovation and Technology Payment
Additional information has been provided in the Guidance on finance and contracting arrangements for H1 2021/2022 (March 2021)
All other technologies not covered by the MedTech Funding Mandate are not commissioned and require the submission and subsequent approval of a business case as per the Interventional Procedures Guidance Policy.
For Derby and Derbyshire ICB's position on ITP please click on the following link: NHS Derby and Derbyshire Commissioning Statement: NHS England Innovation and Technology Payment Technical Notes
For more information on ITP please click on the following links:
NHS England Innovation and Technology Payment (ITP) 2020/2021