Home
  • Home
  • About Us About Us
    • Overview
    • Who we are
    • Why we provide advice
    • What are health technologies
    • Meetings
    • News
    • Who we work with
    • Contact Us
  • What We Do What We Do
    • Overview
    • Our Strategy
    • Work programme
    • Range of advice products
    • Quarterly Bulletin of advice
    • Early HTA Advice Service
  • Our Advice
  • Request Advice Request Advice
    • Overview
    • Form for requesting advice
  • Get Involved Get Involved
    • Overview
    • Contribute to advice
    • Observe a council meeting
    • Patient and Public Involvement
    • Industry Involvement
    • DOI Form

SHTG Adaptation

  • Home
  • Our Advice
  • gammaCore for cluster headache

Title

Output Type

Speciality

Published

Title

gammaCore for cluster headache

Output Type

SHTG Adaptation

Speciality

Nervous system

Published

14 January 2021

Recommendation for NHSScotland

gammaCore should be available for a 3-month trial for people experiencing cluster headaches. Evidence demonstrates that gammaCore can reduce the frequency and intensity of cluster headache attacks and improves quality of life.

gammaCore is not effective for everyone with cluster headache. Treatment with gammaCore should only continue for people whose symptoms reduce in the first 3 months.

Cost modelling estimates that, in the first year of treatment, adding gammaCore to standard care is cost saving compared with standard care alone by an average of £450 per person. This estimated cost saving:

  • is based on the first 3-month period of gammaCore use being offered free of charge;
  • largely results from less use of subcutaneous sumatriptan by those who respond to gammaCore treatment.

The Scottish Health Technology Group (SHTG) recommendation is based on guidance produced by National Institute for Health and Care Excellence (NICE) in 2019. The original NICE guidance was modified following an SHTG adaptation process.

NHSScotland is required to consider the Scottish Health Technologies Group (SHTG) advice.

What were we asked to look at?

gammaCore is a handheld, patient-controlled, non-invasive vagus nerve stimulator used for preventing and treating cluster headaches. SHTG were asked to consider the guidance produced by the National Institute for Health and Care Excellence (NICE), and whether it could be applied to NHSScotland. 

Why is this important?

The NICE guidance noted the devastating impact that cluster headaches can have on the lives of sufferers and the desperation that can result from ineffective treatment.

Referred by

electroCore Ltd.

Download icon
Download Advice
pdf (286 KB)
Download icon
Download Plain Language Summary
pdf (222 KB)

Connect with Us

Please let us know if you'd like to receive regular updates on our work.


Last Updated: 31 January 2022

Scottish Health Technologies Group

© 2021, All rights reserved

  • Accessibility
  • Respecting your privacy
  • Cookies
  • Healthcare Improvement Scotland Website
  • Find us on Twitter
  • Freedom of Information

Tell us what you think


We'd love to hear your views

Was our advice useful?  Did you find what you were looking for on our website?