Saturday, April 20, 2024

Five-Year Strategy for Implementing Hybrid Closed Loop Technologies in England

Similar articles

NHS England has announced a comprehensive five-year implementation strategy for Hybrid Closed Loop (HCL) technologies, a significant development following the NICE technology appraisal (TA943). This extended timeframe, deviating from the usual three-month period for implementing NICE TA recommendations, is designed to accommodate the necessary training and development of specialist competencies within the clinical workforce and to secure HCL technologies at cost-effective prices.

The five-year implementation strategy for Hybrid Closed Loop technologies, meticulously crafted by NHS England, is directed toward a diverse group of healthcare leaders and professionals, including integrated care board (ICB) leads, trust clinical leads, regional diabetes leads, and clinical network leads. This strategic plan delineates a comprehensive and multifaceted approach to the seamless adoption and integration of Hybrid Closed Loop technologies within the NHS framework, marking a significant leap forward in diabetes care management.

Central to this strategy is the concerted effort to enhance the workforce’s capacity and competencies. This entails providing targeted training and development opportunities for healthcare professionals to equip them with the necessary skills and knowledge to effectively implement and manage Hybrid Closed Loop technologies. By investing in the professional growth of the clinical workforce, the strategy aims to ensure that the deployment of these advanced diabetes management tools is both efficient and effective.

NHS England’s Holistic Approach to Hybrid Closed Loop Technology Implementation and Support

Another pivotal aspect of the strategy focuses on education for both patients and professionals. This includes the development and dissemination of informative materials and programs designed to increase awareness and understanding of Hybrid Closed Loop technologies. By empowering patients with knowledge about their treatment options and educating healthcare providers on the latest advancements in diabetes care, NHS England seeks to foster a more informed and engaged healthcare community.

Addressing commercial requirements constitutes a key element of the implementation strategy. This involves navigating the procurement processes to secure HCL technologies at cost-effective prices, ensuring that financial constraints do not impede access to these critical healthcare innovations. Additionally, the strategy outlines measures for providing resources to support mobilization, thereby facilitating the practical aspects of integrating HCL technologies into clinical practice.

A significant innovation within the strategy is the establishment of ICB reimbursements for HCL technologies. Recognizing the financial challenges associated with adopting new medical technologies, NHS England commits to contributing towards the costs of HCL, offering reimbursement funding to ICBs. This financial support is designed to alleviate the economic burden on healthcare providers and ensure that patients across England can benefit from the latest advancements in diabetes management.

Furthermore, the strategy emphasizes the importance of setting protocols for activity and outcomes reporting. By establishing clear guidelines for monitoring and evaluating the implementation and impact of Hybrid Closed Loop technologies, NHS England aims to ensure transparency and accountability. This data-driven approach will enable continuous improvement in diabetes care, fostering an environment of innovation and excellence within the NHS.

Hybrid Closed Loop

NHS England Sets a New Standard in Diabetes Care with a Five-Year Plan for Hybrid Closed Loop Technology

Overall, the five-year implementation strategy for Hybrid Closed Loop technologies represents a holistic and forward-thinking approach to revolutionizing diabetes care in England. By addressing key areas such as workforce development, patient and professional education, commercial requirements, mobilization support, financial reimbursements, and outcomes reporting, NHS England is laying a solid foundation for the successful integration of Hybrid Closed Loop technologies. This strategic plan not only aims to enhance the quality of care for people with diabetes but also sets a precedent for the adoption of innovative healthcare solutions across the NHS, ultimately improving health outcomes for patients nationwide.

ICBs are tasked with the crucial role of implementing HCL technologies and ensuring equitable access across their respective local populations. In support of this initiative, NHS England has committed to contributing towards the costs of HCL technologies through a reimbursement funding model:

  • Starting from the 2024/25 financial year, NHS England will allocate capped funding to all ICBs. ICBs can seek reimbursement for 75% of the incremental costs associated with HCL, including both technology expenses and the operational delivery of services.
  • The maximum funding available to each ICB will be determined based on data from the National Diabetes Audit and National Paediatric Diabetes Audit, focusing on the total eligible population. NHS England plans to conduct retrospective quarterly reimbursements to ICBs based on HCL activity, categorized as Service Development Funding. Should an ICB not fully utilize its allocation within a year, NHS England retains the option to reallocate the remaining funds to other ICBs, contingent upon regional team agreements.
  • To qualify for HCL reimbursement, ICBs are required to adhere to specific criteria, notably purchasing technologies from the national framework of HCL technologies managed by NHS Supply Chain, expected to be operational in the 2024/25 financial year.

In December 2023, NHS England further bolstered the initiative by introducing a £2.5 million HCL mobilization fund, allocating £60,000 to each ICB. This fund is intended to support the activities outlined in the implementation strategy, facilitating a structured and effective rollout of HCL technologies across England.

This five-year strategy represents a pivotal move by NHS England to embrace innovative diabetes management solutions, aiming to enhance patient care and outcomes through the integration of advanced HCL technologies. By laying out a clear, structured plan for implementation, training, and funding, NHS England is setting the stage for a transformative period in diabetes care, underscoring its commitment to improving health services and ensuring that patients across England have access to the latest advancements in medical technology.


Resource: Med Tech Reimbursement Consulting, February 19, 2024

Subscribe to our newsletter

To be updated with all the latest news, offers and special announcements.

Latest article