Health Technology Assessment, Consumers and Communities
Why is health technology assessment (HTA) important?Consumers have multiple reasons for ensuring that Australia has an effective, efficient HTA system. As patients, they want timely access to safe, affordable appropriate treatments for their condition. As carers, family members and friends they are affected by the impact of technologies on the patient’s ability to participate in family and community life. As members of the community and tax payers, they want to be confident that government funds are spent appropriately and, for technologies that do not pose other environmental or health risks.
In Australia, the Therapeutic Goods Administration (TGA) assesses the safety, quality and efficacy of new health technologies for entering on the Australian Register of Therapeutic Goods (ARTG). Once a health technology is on the ARTG, it can be marketed for use in Australia.
The manufacturer or sponsor of a technology may also submit an application for their health technology to undergo HTA for reimbursement if they wish to seek public or private subsidy under an Australian Government funding program(s). This process assesses the technology for comparative clinical (including comparative safety) and cost-effectiveness compared to existing healthcare interventions. The Australian Government has three HTA expert advisory committees providing advice on whether health technologies should receive government funding:
- the Pharmaceutical Benefits Advisory Committee (PBAC) for pharmaceuticals to be funded under the Pharmaceutical Benefits Scheme (PBS) and vaccines to be funded under the National Immunisation Program (NIP);
- the Medical Services Advisory Committee (MSAC) for medical services involving new procedures or health technologies to be funded under the Medicare Benefits Schedule (MBS) or other programs (for example, blood products or screening programs); and
- the Prostheses List Advisory Committee (PLAC) for prostheses to be funded through private health insurance arrangements under the Prostheses List.
The government considers advice from these committees to inform decisions about which health technologies it should subsidise for Australians to provide them with safe, effective and quality health technologies, and which provide the best value for money for the Australian taxpayer.
Consumers expect the HTA system to provide:
- rigorous safety assessment;
- access to cost–effective health technologies; and
- consumer choice of a range of reimbursed health care interventions.
How can consumers get involved?The department works in partnership with the Consumers Health Forum of Australia and other consumer organisations to ensure consumers are represented on the HTA expert advisory committees.
Consumers are able to report an adverse event arising from use of a health technology directly to the TGA, which will investigate the report and implement appropriate action if required.
The Pharmaceutical Benefits Advisory Committee (PBAC) publishes a list of applications due for consideration at the Pharmaceutical Benefits Advisory Committee (PBAC) meeting six weeks prior to each meeting. Consumers are able to provide comments on the item from a personal or group perspective for consideration by the PBAC when the submission is considered.
A formal targeted public consultation is conducted at the start of the MSAC process for an application; however consumers are able to provide comments on an application at any time throughout the MSAC process. All comments will be provided to MSAC and its sub-committees when the application is considered. The applications scheduled for consideration by MSAC and its two sub-committees are published approximately four weeks prior to each meeting.
HTA Consumer Consultative CommitteeRole
Related committees and groups
RoleThe HTA Consumer Consultative Committee (the Committee) was established in 2017 to provide strategic advice and support to the principal Health Technology Assessment Committees and the Department of Health. The Committee work plan has included activities especially relating to consumer engagement and participation in Health Technology Assessment processes.
The Committee’s key functions are to:
- Assist the Department to work more closely with consumers and communities in HTA decision making
- Bring consumer and community evidence and views into HTA processes
- Inform policy on consumer and patient matters in HTA of significance to Australian consumers and community
- Creating opportunities to promote greater public understanding of HTA processes
- Enhance methods for formal patient inputs.
For more detail, please see:
- Membership of the Committee includes consumer representatives from the TGA, PBAC, MSAC, PLAC and their related sub-committees.
- CCC Communique - 12 November 2018 (PDF 249 KB) - (Word 20 KB)
- CCC Communique - 13 August 2018 (PDF 191 KB) - (Word 18 KB)
- CCC Communique - 14 May 2018 (PDF 90 KB) - (Word 18 KB)
- CCC Communique - 12 February 2018 (PDF 104 KB) - (Word 16 KB)
- CCC Communique - August 2017 (PDF 67 KB) - (Word 24 KB)
- CCC Communique - October 2017 (PDF 65 KB) - (Word 29 KB)
- CCC Communique - December 2017 (PDF 64 KB) - (Word 29 KB)
Consumer Evidence and Engagement UnitIn 2019 a designated “Unit” to allow the development of structured projects of engagement with consumer and patient groups was established within the Department of Health. The HTA Consumer Evidence and Engagement Unit is led by Dr Sally Wortley as the inaugural “Lead” to provide expert coordination and development to this work.
This work, in partnership with the Department of Health, will focus on expanding opportunities for consumers and patients to be central to ensuring that robust decision making can also support better transparency and understanding of HTA decision making processes.
The work commenced of the unit commenced in March 2019, and further updates of the 2019 program will be issued over the next month through this web page.
ContactConsumer Evidence and Engagement Unit (HTAconsumerengagement@health.gov.au).
Page currency, Latest update: 15 April, 2019