ADHERENCE TO EVIDENCE BASED MEDICINES CONSULTATION EVENT Thursday … consultation... · EVIDENCE...

ADHERENCE TO

EVIDENCE BASED MEDICINES

CONSULTATION EVENT

Thursday 30 March 2017

2pm-4pm

1

Welcome

IAN BEEVER

FACILITATOR

On behalf of Enfield Voluntary Action

2

Housekeeping

• A Fire Alarm Test will take place at 2.00pm and will

last for approximately 5 seconds. If you hear the

alarm at any other time, please make your way out

through the main reception area to the assembly point

at the rear of the car park.

• Please turn your mobile phones off or put them on

silent

• The toilets are on this floor out of the door to the left

and through the double doors.

3

Agenda

4

1:30pm-2:00pm Sign in, refreshments and networking

2:00pm–2:10pm Welcome

Ian Beever, Facilitator, on behalf of Enfield Voluntary Action

2:10am-3:50am Adherence to evidence based medicine consultation

Clinical lead- Dr Jahan Mahmoodi, Medical Director

Management lead – Mark Eaton, Director of Recovery

Plus Questions and Answers session

3:50pm-4:00pm Thank you and event closes

Ian Beever, Facilitator, on behalf of Enfield Voluntary Action

Adherence to Evidence

Based Medicine (AEBM)

Dr Jahan Mahmoodi, Medical Director

5

You said………we did! Adherence to Evidence Based Medicine (AEBM) Programme

You said: We would like you to extend the consultation to allow more time for people to review the evidence being presented.

We did: We have now agreed to extend the programme to the 31st May 2017 (this being a full 90 day consultation period).

You said: We would like you to ensure that hospital specialists are more actively involved in the consultation process.

We did: Our pre-engagement and initial consultation did involve the most senior doctors in North Central London and our local GPs but we are now writing to divisional clinical leads within our main hospitals and to providers. The extension to the consultation ensures that there is sufficient time for these senior doctors, providers and other stakeholders to consider our proposals.

Local clinicians working with local people for a healthier future


You said: We would like you to run more events including in the North East and South West localities and to run an evening event.

We did: We will be undertaking the following:

• Event in the North East Locality (Date/Venue TBD)

• Event in the South West Locality (Date/Venue TBD)

• Presentation at the Local Area Forum 18th April (Palmers Green)

• Presentation at the Local Area Forum 27th April (Edmonton)

• Evening Event at Holbrook House on the 26th April

You said: We would like to see all of the Summary Evidence Packs and the information you have used by your clinicians to determine the changes you are proposing.

We did: We have improved our Evidence Packs so that they are easier to follow and also put these and all the supporting evidence on our website for download.



You said: We would like you to ensure more medical input is obtained from specialist doctors working within hospitals.

We did: In addition to our work with the Medical Directors across North Central London and the NCL Clinical Cabinet we are also reaching out to Clinical Directors and non-NHS Providers for their input into our consultation.

You said: We would like to see this programme even more widely advertised.

We did: We will be running further advertisements in our local press and will be contacting all stakeholder groups again including local voluntary and community organisations to help with publicising the consultation further.

You said: We would like to make the changes you are proposing easier to understand.

We did: Although we sought advice and input from the Patient & Public Engagement Committee we recognise that some people may still be struggling to understand the proposed changes so we are preparing a short ‘consultation summary’ to accompany the full consultation document to explain the main changes proposed.


Overview

• As an organisation in Special Measures we are required by NHS England to

look at everything we spend to enable us to live within our means and

ensure we can continue to fund essential services and treatments. We need

to look at value for the money we have available.

• As part of this on-going review we are looking at the evidence associated with a

number of procedures and treatments to see where clinical evidence supports

changing thresholds and access criteria.

• Whilst we are doing this because of our financial position the work is clinically led

and evidence based.

• Enfield CCG are also leading this work across North Central London with our

CCG Colleagues.

• Our formal consultation period started on 1 March and has been extended

to 31 May 2017.

Local clinicians working with local people for a healthier future 9

Scope of Review

We are looking at four main areas:

• The thresholds and criteria associated with existing Procedures of Limited Clinical Effectiveness (PoLCE) where the evidence has changed.

• Additional areas that others have identified as being PoLCE that are not currently in the North Central London policy and where we consider it appropriate to review.

• Procedures where the clinical evidence suggests we should make changes to thresholds to improve outcomes for patients.

• The decommissioning of homeopathic treatments at University College London Hospital.


Preparing for the

Consultation Process In preparing for the consultation we have carried out a wide range of pre-engagement activities including:

• Discussing this with the Enfield Health & Wellbeing Board and Health Scrutiny Standing Workstream

• Engaging with Local GPs via a range of events and with our Secondary Care Consultants via the North Central London (NCL) Clinical Cabinet and direct communications with Medical Directors across NCL.

• Undertaking Pre-Engagement Work with our public.

• Working with our CCG colleagues in North Central London i.e. Barnet, Camden, Haringey and Islington and with the NCL Sustainability & Transformation Plan Team.


Procedure List in Full


PROCEDURE PROPOSED OUTCOME

Bunions

Introduce new evidence based criteria for

treatment.

Hearing Aids

Knee Replacement Surgery

Hernia

Vasectomy

Uterovaginal Prolapse

Revision Mammoplasty

Revision of Hypertrophic Scars

Procedure List in Full


PROCEDURE PROPOSED OUTCOME

Penile Procedures (Penile Implants)

Introduce new evidence based criteria for

treatment.

Cholecystectomy for Gallstones

Chalazions

Correction of Ptosis

Homeopathy Decommission

Treatment

Next Steps

• We are here to answer your questions

• Copies of the consultation document and the questionnaire are

available to take away and a freepost envelope is included for you

to return the questionnaire

• Alternatively the consultation document, evidence and

questionnaire are also available online at www.enfield.nhs.uk

• We will also be taking our NCL Clinical Commissioning Groups

through the same process we are currently undertaking.


15

Ask us

anything!


Questions and Answers session

Key dates for your diaries

Additional Dates for Adherence to Evidence Based Medicine

18th April 2017 (Palmers Green)Presentation at the Local Area Forum ; 27th April 2017 (Edmonton)Presentation at the Local

Area Forum; 26th April 2017; 6pm-7:30pm at Enfield CCG, Holbrook House, Cockfosters Road, Barnet, Herts; Events in the

North East and the South West Localities -Dates/Venues to be confirmed

Governing Body Meetings

All the dates for 2017 can be found on our website:

17 May 2017 1:30pm-3:30pm Venue: Millfield House, Silver Street, Edmonton N18 1PJ

Patient and Public Engagement Meetings:

For all Enfield residents and local stakeholders – details available on our website: http://www.enfieldccg.nhs.uk/patient-and-

public-engagement-events.htm

Wednesday 21 June 2017 10am-1pm, Dugdale Centre Enfield

Wednesday 25 October 2017 10am-1pm, Dugdale Centre, Enfield

Wednesday 7 March 2018 10am-1pm, venue to be confirmed

Patient Participation Group (PPG) network meetings

For Chairs and members of PPGs and staff at member practices who support patient groups only.

Tuesday 6 June 2017, 1.30pm-4pm, Conference Room 2, Dugdale Centre

Tuesday 5 September 2017, 6pm-9pm, Executive Suite, Dugdale Centre

Tuesday 5 December 2017, 1.30pm-4pm, Executive Suite, Dugdale Centre

Details are on our website: http://www.enfieldccg.nhs.uk/PPGnetworkmeetings.htm

Please email [email protected] to be added to our email and be notified of news and events.

All events are advertised on our website: www.enfieldccg.nhs.uk Twitter @EnfieldCCG and in the local press.


http://www.enfieldccg.nhs.uk/patient-and-public-engagement-events.htm









http://www.enfieldccg.nhs.uk/PPGnetworkmeetings.htm

mailto:[email protected]

http://www.enfieldccg.nhs.uk/

We would like you to get more involved with the CCG:

• Join your GP practice’s Patient Participation Group

(PPG). Ask your practice if you can join. We have an

active PPG network and an elected PPG representative

Litsa Worrall who sits on the Governing Body

• Volunteer to be a patient representative and help us

improve services for local patients forms are available.

• Attend a Governing Body Meeting – dates are advertised

on our website, on Twitter and in the Enfield Independent

• Follow us on Twitter @EnfieldCCG

• Sign up to our mailing list – contact

[email protected]

• Visit our website www.enfieldccg.nhs.uk

Listening to you




Thank you for attending

today’s event

For more information www.enfieldccg.nhs.uk

Follow us on Twitter @EnfieldCCG

Contact: [email protected]

0203 688 2814

18 Local clinicians working with local people for a healthier future



ADHERENCE TO EVIDENCE BASED MEDICINES CONSULTATION EVENT Thursday … consultation... · EVIDENCE...

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