The document summarizes the Spanish Network of Health Technology Assessment (HTA) Agencies, which provides a consolidated model for collaborative work across Spain's decentralized healthcare system. The Network aims to inform decision making on health technologies through coordinated assessments across regions to promote equity and sustainability. It is comprised of HTA agencies from each autonomous region, coordinated by the Ministry of Health. The Network collaborates on an annual work plan and common methodology to prioritize assessments, avoid duplication of efforts, and share results.

1. Zaragoza, 27-28 April 2017
The Spanish Network of HTA Agencies:
A consolidated model of collaborative work for the NHS
Paloma Casado Durandez
Deputy Director of Quality and Cohesion
Ministry of Health Social Services and Equality
Spain
PUBLIC HEALTH CONFERENCE
10th anniversary of the Spanish Network of Health Technology Assessment (HTA) Agencies:
Insights for collaborative networking
Towards Patient and public engagement in HTA

2. OUTLINE
• Spanish Network of Agencies for Health Technology
Assessment and Services of the NHS
• Objectives
• Functions
• Members
•Governance and working

3. Common portfolio of services for the National Health System that it is
established by the Commission of Services, main client of the Spanish
Network of HTA Agencies.
Spain has a decentralized healthcare system and the Regions are
responsible for it.

4. General Objective:
To inform decision making on the inclusion, terms
of financing, or disinvestment, and appropriate
use of health technologies through its global
application across the country by appropriate
health services, in order to promote equity and
sustainability of the NHS.
Spanish Network of Agencies for Health
Technology Assessment and Services of the
National Health System

5. Functions
• To collaborate with the Directorate General of the
Portfolio of Services of NHS and Pharmacy, in all
aspects related to the update of services;
• To collaborate in the detection and prioritisation of
needs and opportunities in the assessment of health
technology;
• To ensure a common quality methodological
framework for the evaluation and elaboration of the
work produced by the Network;

6. Functions
• To manage and co-ordinate the elaboration of HTA
reports including economic assessment;
• To disseminate the generated knowledge, share
information, and facilitate collaboration;
• To promote the involvement of the Network in
international forums and bodies;
• To promote initiatives and programs at the
international level.

7. Structure of the Spanish Network of Agencies for
Health Technology Assessment and Services of
the National Health System
General Directorate
of the Portfolio of
Services and
Pharmacy
General Directorate of
Public Health, Quality
and Innovation
Deputy Directorate of
Quality and Cohesion
Presidency
Vice-presidency
Technical Secretariat

8. Technical Secretariat
Deputy Directorate of Quality and Cohesion
• To develop and follow up the Annual Working Plan of
Health Technology Assessment;
• To represent the Network together with the president of the
Network;
• To prepare the meetings in collaboration with the president
of the Network in drafting the agenda;
• To promote the dissemination of the technical information
of the network.
• To coordinate with General Directorate of Portfolio of Services
of NHS in all the process.

9. ASSESSMENT TO THE COMMON
PORTFOLIO OF SERVICES
Autonomous regions
request issues to
evaluate
Interterritorial
Council of the
NHS
ANNUAL
WORKING
PLAN
Assessment
to substantiate
proposals
Prioritization PriTec
Council of the
Spanish HTA
General Directorate
of the Portfolio of
Services and
Pharmacy
Technical Secretariat of the
Spanish Netwoork of HTA
Updating requests
(on demand)

10. Budget
• The Spanish Network of Agencies for Health
Technology Assessment and Services of the
National Health System is supported financially
by the national budget.
Budget

11. Annual Working Plan
Prioritisation co-ordinated from the General Directorate of the
Portfolio of Services and Pharmacy through the Services
Commission
The working lines include:
• REAs
• Post-introduction observation of health
technologies reports
• CPG and other evidence-based products
• Methodological guidelines and tools
• International activities

12. Scientific work of the Spanish HTA Network
• More complexed production
• Common methodology
• Standardised prioritisation of
topics

13. Spanish Network of Agencies for Health
Technology Assessment and Services of
the National Health System

14. What does the Network for Health Technology
Assessment Agencies represent for Spain?
• Health technology assessment to help decision making
• Added value of working as a network
• Institutional reinforcement of the National Network as a
strategic priority
• Do not duplicate efforts
• Share prioritisation (annual work plan)
• Working towards common methodology
• Involve different stakeholders in the Network
• Spread the work of the Network to professionals,
managers, patients…

15. Thank you!