This page is a printable version of: http://www.enfieldccg.nhs.uk/adherence-to-evidence-based-medicine.htm
Date: 24 May 2017
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:
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.
List of events that have taken place so far:
Wednesday 1 March 2017 10am-1pm, Executive Suite at the Dugdale Centre, 39 London Road, Enfield, EN2 6DS.
Wednesday 22 March 2017 2pm-4pm – Community House,311 Fore Street, Edmonton N9 0PZ Hosted by Healthwatch Enfield
Thursday 30 March 2017 2pm-4pm – Community House, 311 Fore Street, Edmonton N9 0PZ Hosted by Enfield Voluntary Action