In association with

  • Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Research and Evidence Team
  • West of England Academic Health Science Network

The evidence cycle

hexagonsThis evidence cycle provides a visual representation of the key steps that you need to consider when incorporating best available evidence into commissioning decision-making.

It compliments the process of commissioning that guides the development and delivery of strategic plans in stages – strategic planning, procuring services and monitoring and evaluation.



What is the issue I want to address?

What are my evidence needs to help address it?

Go to Step 1: Identify


How do I access the evidence?

Who can help me?

Go to Step 2: Access


Is the evidence appropriate for my setting?

How do I know I can trust the evidence?

Go to Step 3: Appraise


What do I need to think about when applying evidence to my setting?

Go to Step 4: Apply

Share & Manage

How can I share the evidence I have found that helped me in my decision-making?

Go to Step 5: Share & Manage
Start the evidence cycle