Adherence to evidence based medicine

This consultation has now CLOSED.

Adherence to Evidence Based Medicine Consultation: Enfield CCG statement 24 April 2017

Following the announcement of the General Election, we are now in the pre-election period, which means that as of today, 24 April 2017, Enfield CCG will:

  • be postponing any scheduled public meetings where discussion or decisions on the Adherence to Evidence Based Medicine programme take place
  • not make any public statements or carry out any public engagement on changes to NHS services – this includes social media, websites and traditional media except for routine health messages
  • be extending the consultation period to 30 June 2017 to take into account the pre-election period and allow time for the events that are postponed to be rescheduled. The consultation remains open and you can access the documents and the online survey below.

We want to hear your views about our Adherence to Evidence Based Medicines Programme

Enfield Clinical Commissioning Group, along with our North Central London colleagues, wants to the secure the greatest health impact it can with its resources by adhering as closely as possible to the clinical evidence base available.

There is considerable national and international evidence that many procedures offered routinely by the NHS are of limited clinical benefit to patients in some or all circumstances. Therefore there needs to be careful consideration as to whether or not a procedure is going to be of any benefit to an individual patient before deciding to undertake it. To do this we must use the best and most up to date clinical advice and evidence to ensure we have the best chance of delivering a benefit to each individual patient who is put forward for treatment. This  evidence published by the National Institute for Health & Care Excellence(NICE) as well as available evidence published by the Royal Colleges and other Clinical Commissioning Groups. This will also ensure the best value from the services we commission.

To ensure this decision making process is applied consistently, Enfield Clinical Commissioning Group along with the other Clinical Commissioning Groups in North Central London, adopted a common policy concerning these procedures that have limited clinical effectiveness in 2012 based on the best available evidence at that time.

As the clinical evidence base moves on we are now undertaking a further review to ensure that we are using the best and latest clinical evidence in our decision making. We are also looking at the range of procedures where the evidence base now suggests we need to make changes to the guidance for individual patient situations to avoid the risk of undertaking procedures that have little or no benefit to patients or even where the undertaking of the procedure could result in a risk of harm. We have published the evidence we reviewed here.

Clinical Leaders at the Clinical Commissioning Group with the full support of the Governing Body are leading this review. Enfield Clinical Commissioning Group will engage widely and consult formally on the proposals which emerge, while continuing to work closely with partner Clinical Commissioning Groups in North Central London.

The consultation started on 1 March 2017 and closed on 30 June 2017.

You can download the consultation document on the sidebar, along with the equality impact assessment and you can fill in the questionnaire.

List of consultation events:

Patient and Public Engagement Event: Wednesday 21 June 9:30am-1pm Cockfosters Centre for Spirituality, 29 Bramley Road, N14 4HE
Thursday 15 June 2-4pm Southgate Beaumont Care Home, Southgate House, 15 Cannon Hill, Arnos Grove, London, N14 7DJ
Monday 19 June 6-7:30pm Enfield Island Community Centre, 42 Island Centre Way, EN3 6GS

Friday 23rd June at 2.00pm The Ruth Winston Centre 190 Green Lanes, N13 5UE

Wednesday 1 March 2017 10am-1pm, Executive Suite at the Dugdale Centre, 39 London Road, Enfield, EN2 6DS.

Event flyer

Wednesday 22 March 2017 2pm-4pm – Community House,311 Fore Street, Edmonton N9 0PZ Hosted by Healthwatch Enfield

Event Flyer


Thursday 30 March 2017 2pm-4pm – Community House, 311 Fore Street, Edmonton N9 0PZ Hosted by Enfield Voluntary Action

Event Flyer 


Local area forum Winchmore Hill 19 April
If you would like the document in another format or if you have any other queries, please contact or call 0203 688 2814.