Join the Discussion Thursday 22 March 2017 2pm-4pm
Welcome Patricia Mecinska Chief Executive 2
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 3
Agenda 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 4
Adherence to Evidence Based Medicine (AEBM) Dr Jahan Mahmoodi, Medical Director 5
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 31 st March. 6 Local clinicians working with local people for a healthier future
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. 7 Local clinicians working with local people for a healthier future
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. 8 Local clinicians working with local people for a healthier future
Procedure List in Full PROCEDURE PROPOSED OUTCOME Bunions Hearing Aids Knee Replacement Surgery Introduce new evidence Hernia based criteria for Vasectomy treatment. Uterovaginal Prolapse Revision Mammoplasty Revision of Hypertrophic Scars 9 Local clinicians working with local people for a healthier future
Procedure List in Full PROCEDURE PROPOSED OUTCOME Penile Procedures (Penile Implants) Introduce new evidence Cholecystectomy for based criteria for Gallstones treatment. Chalazions Correction of Ptosis Decommission Homeopathy Treatment 10 Local clinicians working with local people for a healthier future
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. 11 Local clinicians working with local people for a healthier future
Questions and Answers session Ask us anything! Local clinicians working with local people for a healthier future 12
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. Local clinicians working with local people for a healthier future 13
Listening to you • 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 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 Local clinicians working with local people for a healthier future 15
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