Relationship between the volume of robotic-assisted surgery performed and the outcomes achieved

Review of recently published evidence on the relationship between the volume of robotic-assisted surgery (RAS) performed and the outcomes achieved
Scottish Health Technology Group, Healthcare Improvement Scotland 10 February 2021

• An evidence summary on the impact of the number of robotic-assisted procedures (gynaecological, colorectal, urological) per treatment centre/surgeon on the outcomes achieved, and related evidence on the learning curves for these procedures. 
• Only a small number of studies were identified, most of them with methodological issues affecting their validity. Definitions of high and low volumes differ across studies and make comparisons between studies and indications difficult.

Key findings

Making Outcome-Based Payment a Reality in the NHS

Making Outcome-Based Payment a Reality in the NHS
Cancer Research UK and Greater Manchester Health and Social Care Partnership commissioned the Office of Health Economics, RAND Europe and Kings College London, February 2019

• This report explores the feasibility of introducing outcome-based payment (OBP) for cancer medicines into the NHS in England. This model links the price the NHS pays for a medicine to the outcomes it achieves in practice for NHS patients.