Template, Registration form, Guidelines and Tip Sheet

The Patient Organisation Submission of Evidence Template can be accessed as a word document below.

View Template

Patient organisations wishing to make a Submission of Evidence now or in the future, can register with the NCPE using our Database Registration Form (see below). This allows us to notify patient organisations when assessments relevant to their disease area are being conducted.

View form

When making a Submission of Evidence, patient organisations use the template provided by the NCPE. This template has been updated and developed in consultation with patients and patient organisations in 2018. It is to be completed by patient organisations, and is intended to provide a summary of information on the day-to-day experience of living with a disease and the ways in which a new drug may improve this day-to-day experience. This information can help the decision maker, the HSE Drugs Committee, to understand the real-world impact a new drug may have on the quality of life and daily experience of patients and carers. Detailed guidelines including a step by step guide to completing the Submission of Evidence Template are available below. You will also find a two-page tip sheet summarising the key points to include in your submission.

If you have any queries on completing the template please contact the NCPE Stakeholder Engagement Lead Pharmacist: 01 4103427 or email [email protected].

Please send the completed template by email to [email protected].

Guidelines and Tip Sheet

Detailed guidance on the submission process, including a step by step guide to completing the Submission of Evidence Template is provided here.

View Guidelines

A two-page tip sheet summarises the key points for completing each aspect of the Submission of Evidence Template.

View Tip Sheet

These documents may be updated periodically. Please refer to www.ncpe.ie to obtain the most recent version prior to submission.