TMS is still a relatively new treatment for depression in the UK, following NICE assessing the safety and efficacy of rTMS for depression in 2015. As a result, it is not widely offered by NHS trusts in England or elsewhere.
The Covid 19 pandemic has set back the development of NHS TMS services even further.
Why should NHS trusts offer TMS?
- TMS is a safe and effective treatment for depression which is approved by NICE and so there is an expectation that treatment will be accessible
- TMS can be used as an alternative to ECT for certain patient groups with less risk of side effects and increased acceptance
- Outcomes are favourable, particularly for the treatment resistant population (including patients resistant to ECT) and those who do not want to take anti-depressants
- It offers a cost-effective treatment option for patient populations where other treatment options are more expensive, are less effective or have stronger side effects
- TMS is not aerosol generating which is a positive consideration given the Covid pandemic
How Smart TMS can help:
Smart TMS is the UK’s largest and most experienced provider of TMS. We have established more TMS clinics than any other UK provider and are thus ideally placed to help NHS trusts establish TMS services. We can provide the following advice to set up a service:
- Advice on whether it makes sense to establish a service at all if patient numbers are low. It may be that outsourcing treatment is more appropriate
- Developing a business plan for the new service
- Which machine to buy, helping to navigate between the competing manufacturers
- Training for the TMS lead and the team
- Ongoing CPD in TMS
NHS Patient Partnership Programme
Based on analysis originally developed with Northamptonshire NHS Foundation Trust, Smart TMS can save a typical Mental Health Trust around 45% of its annual expenditure on TMS patients. The initial treatment has a pay-back period within the annual budget cycle.
Smart TMS has set up a Patient Partner Programme to treat an initial cohort of patients on a success basis, your Trust only pays for those patients that achieve remission.
If you would be interested to learn more, please submit your details here:
Brochure for NHS Professionals
Download more information about transcranial magnetic stimulation.