On this page:
Succinct description of the medical condition/s (in plain English)
Please limit the description to 150 words. Ensure it is clear to a person without a scientific or clinical background. Examples of descriptions of medical conditions can be found on individual application webpages on the MSAC website.
Once MSAC ‘suitability’ has been determined, the description of the medical condition will be published on the MSAC website. However, the Department retains the right to alter/finesse wording provided. The Department retains the right to refuse to publish information provided by the Applicant, if the Department considers the information to be inaccurate, misleading or advertorial in nature.
Succinct description of the proposed medical service (in plain English)
Please limit the description to 150 words. Ensure it is clear to a person without a scientific or clinical background. Claims of therapeutic or diagnostic performance, cost effectiveness or strength of evidence should not be included in this description. Examples of succinct descriptions of medical services can be found on individual application webpages on the MSAC website.
Once ‘MSAC suitability’ has been determined, the description of the proposed medical service will be published on the MSAC website. However, the Department retains the right to alter/finesse wording provided. The Department retains the right to refuse to publish information provided by the Applicant, if the Department considers the information to be inaccurate, misleading or advertorial in nature.
List all appropriate professional bodies / organisations representing the group(s) of health professionals providing the health technology/service
List all appropriate professional bodies/organisations representing the health professionals that provide the proposed service.
Listed professional bodies/organisations will be targeted (i.e. contacted) at a later date, by the Department. The Department will provide a redacted version of the Application Form to identified stakeholders (so they can provide their feedback), along with others that may not have been identified by the Applicant.
Note: if your organisation/the applicant organisation is a representative body for the providers of the proposed service or health technology, you may list your organisation in this field.
List all appropriate professional bodies / organisations representing the group(s) of health professionals that may be impacted by the health technology/service
List any impact on different/other professional groups, as well as alternatively-funded programs/products that those other groups provide services under.
Listed professional bodies/organisations affected will be contacted by the Department, in order to participate during the consultation period. It is recommended that the Applicant provide a thorough list of all impacted professional bodies/organisations that may be impacted by the proposed medical service.
Note: if your organisation/the applicant organisation is a representative body for the requestors of the proposed service or health technology, you may list your organisation in this field.
List the patient and consumer advocacy organisations or individuals relevant to the proposed health technology
Identify consumer organisations relevant to the proposed medical service. Although MSAC’s assessment is based on clinical trial evidence, MSAC and the Department place high importance on considering the views of consumers (and their experiences with the proposed service).
The Department will contact these groups, during the ‘Targeted Consultation’ stage of the MSAC process.
Note: if your organisation/the applicant organisation is a representative body for consumers, you may list your organisation in this field.
List the relevant sponsor(s) and / or manufacturer(s) who produce similar products relevant to the proposed service or health technology
Identify relevant sponsor(s) and/or manufacturer(s) that produce similar products/technologies to the one that will be delivered during the proposed service.
Nominate (at least) two experts who could be approached about the proposed service or health technology and the current clinical management of the service or health technology. Include justification of expertise for each expert
Please provide contact details for two clinical experts that can be contacted by: the Department; HTA Groups contracted by the Department; and/or MSAC and its sub-committees. These experts must have the capacity to spend some time providing clinical advice during MSAC’s assessment (usually by email).
Also, given Applicants are invited to attend the PICO Advisory Sub-Committee Meeting (where their PICO Confirmation will be discussed), Applicants are encouraged to have appropriate experts attend with them.
It should be noted that the Department, HTA Groups, MSAC and its sub-committees may seek further advice from clinical experts who have not been nominated by the Applicant. It is recommended that you contact any experts you intend to nominate in advance so that they are made aware they may be contacted by the Department in relation to your application.
Need further support?
If you have any questions or feedback, please contact HPP.support@health.gov.au