Join the Discussion

Thursday 22 March 2017

2pm-4pm

Welcome

Patricia Mecinska

Chief Executive

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Housekeeping

• No fire alarm is planned today. If you hear the alarm,

please make your way outside

• Please turn your mobile phones off or put them on

silent

• The toilets are on this floor.

• Please help yourself to refreshments throughout the

morning

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Agenda

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

2:00pm–2:10pm Welcome

Patricia Mecinska, Chief Executive healthwatch Enfield

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

Patricia Mecinska, Chief Executive healthwatch Enfield

Adherence to Evidence

Based Medicine (AEBM)

Dr Jahan Mahmoodi, Medical Director

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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.

• 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 on 31st March.

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Scope of Review

We are looking at four main areas:

• The thresholds and criteria associated with existing Procedures of

Limited Clinical Effectiveness 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 UCLH.

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Preparing for the

Consultation Process In preparing for the consultation commencing today we have done a wide range of pre-engagement activities including:

• Discussing this with the Enfield Health & Wellbeing Board and Health Overview and Scrutiny Committee.

• Engaging with Local GPs via a range of events and with our Secondary Care Consultants via the North Central London Clinical Cabinet.

• Undertaking Pre-Engagement Work with our public.

• Working with our CCG colleagues in North Central London and with the NCL Sustainability & Transformation Plan Team.

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Procedure List in Full

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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

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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 and to help you

complete the consultation document or you can take the

document away and use freepost to return it or alternatively

use our online survey.

• We are holding one further public event on 30 March 2017

and also discussing the evidence with Local GPs at our

Locality Meetings.

• We will also be taking our NCL CCGs through the same

process we are currently undertaking.

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Ask us

anything!

Local clinicians working with local people for a healthier future

Questions and Answers session

Key dates for your diaries

Adherence to Evidence Based Medicine Next Consultation Meeting

Thursday 30 March 2:00pm-4:00pm Venue: Community House, 311 Fore Street, London N9 0PZ

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 communications@enfieldccg.nhs.uk 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.

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• Your feedback is important to us today

• We want to work closely with local people to develop our plans

• Today we are going to focus on our plans for the next year

• We will ask you to fill in a feedback form (in your pack) about today’s

event. Please tell us what you what think of today and tell us about

topics you would like to see at future events.

We would like you to get more involved in 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 communications@enfieldccg.nhs.uk

• Visit our website www.enfieldccg.nhs.uk

Listening to you

Local clinicians working with local people for a healthier future

Thank you for attending

today’s event

For more information www.enfieldccg.nhs.uk

Follow us on Twitter @EnfieldCCG

Contact: communications@enfieldccg.nhs.uk

0203 688 2814

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