Full list of technical support documents (TSDs)

All the technical support documents produced by the NICE DSU. The TSDs have the aim of providing further information about how to implement the approaches described in the current Guide to the Methods of Technology Appraisal (2022).

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One-page technical support document (TSD) summaries that have been produced so far.

One-page summaries

TSD 27: Prioritising studies and outcomes for consideration in NICE HealthTech literature reviews 

TSD 26: Expert elicitation for long-term survival outcomes

TSD 25: Evidence Synthesis of Diagnostic Test Accuracy for Decision Making

TSD 24: Adjusting survival time estimates in the presence of treatment switching [Update of TSD16]

TSD 23: A guide to calculating severity shortfall for NICE evaluations (updated Sept 2026)

TSD 22: Mapping to estimate health state utilities (Updated Sept 2026) 

TSD 21: Flexible methods for survival analysis

TSD 20: Multivariate meta-analysis of summary data for combining treatment effects on correlated outcomes and evaluating surrogate endpoints

TSD 19: Partitioned survival analysis as a decision modelling tool

TSD 18: Methods for population-adjusted indirect comparisons in submissions to NICE

TSD 17: The use of observational data to inform estimates of treatment effectiveness in technology appraisal: Methods for comparative individual patient data

TSD 16: Adjusting survival time estimates in the presence of treatment switching

TSD 15: Cost-effectiveness modelling using patient-level simulation

TSD 14: Survival analysis for economic evaluations alongside clinical trials – extrapolation with patient-level data

TSD 13: Identifying and reviewing evidence to inform the conceptualisation and population of cost-effectiveness models

TSD 12: The use of health state utility values in decision models

TSD 11: Alternatives to EQ-5D for generating health state utility values

TSD 10: The use of mapping methods to estimate health state utility values

TSD 9: The identification, review and synthesis of health state utility values from the literature

TSD 8: An introduction to the measurement and valuation of health for NICE submissions 

TSD 7: Evidence synthesis of treatment efficacy in decision making: a reviewer’s checklist 

TSD 6: Embedding evidence synthesis in probabilistic cost effectiveness analysis: Software choices 

TSD 5: Evidence synthesis in the baseline natural history model 

TSD 4: Inconsistency in networks of evidence based on randomised controlled trials 

TSD 3: Heterogeneity: subgroups, meta-regression, bias and bias-adjustment 

TSD 2: A general linear modelling framework for pair-wise and network meta-analysis of randomised controlled trials 

TSD 1: Introduction to evidence synthesis for decision making 

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