1. Overview of this form.

This form is specifically designed for HTAs of health interventions that are not medicines, which we call non-medicines health technologies. The form includes prompts or suggestions to draw out the unique knowledge and perspectives of patients that are most likely to inform HTA. This will help in the assessment of the value of a health technology. This form is intended to help patient groups present the range of experiences and views of patients with the disease/condition for which the health intervention is being assessed.

Please note that the original document “Patient Group Submission template for HTA of health interventions (not medicines)” was developed by HTAi, and has been further modified and adapted to the need of EUnetHTA WP4 patient organisations’ input specifically related to this EUnetHTA JA3 Rapid REA Project ID: OTCA23. Assessment element questions from the EUnetHTA Core Model 3.0 (https://meka.thl.fi/htacore/model/HTACoreModel3.0.pdf) related to the Patients and Socia

What do we mean by ''patient" and ''carer/care-giver''?

In all parts of this form the term “patient” refers to anyone living with, or who has lived with, or who has a high risk of the condition for which the health intervention is indicated. “Carer/care-giver” refers to anyone who assists a patient in an informal or unpaid capacity such as a family member or friend. It does not include those paid to give care such as doctors or nurses.

What information do we value from patient groups?

We recognise that patients and those who support them have unique knowledge about what it is like to live with a specific disease or medical condition. We believe patient groups can help us understand patients’ unique perspectives by collecting and presenting patients’ and carers/care-givers’ views and experiences by engaging with a wide range of patients. They can describe advantages and disadvantages of health interventions based on patients’ experiences and what patients value from a new intervention.

•Section 2 explains how the patient organisation should complete this submission form.
•Section 3 asks for some background information about the patient organisation.
•Sections 4-8 are the main parts of the submission form for patient organisation to complete, describing the views and experiences of patients and/or their care-givers/carers.

Communication plan for this Rapid REA that is going to be produced.

The results of this Rapid REA about obesity surgery will be available on the EUnetHTA JA3 project website and will be further used in the national or regional context.

Patient organisations will be asked whether the patient input template could be published or not as well.