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HLG conference Anne Gray Commissioning Librarian July 2010
 

HLG conference Anne Gray Commissioning Librarian July 2010

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How library services can support healthcare commissioning in the NHS.

How library services can support healthcare commissioning in the NHS.

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    HLG conference Anne Gray Commissioning Librarian July 2010 HLG conference Anne Gray Commissioning Librarian July 2010 Presentation Transcript

    • The role of the Commissioning  Librarian Anne Gray BSc, PGDipLib, MCLIP NHS Milton Keynes Presentation at HLG Conference 20 July 2010 health:mk
    • The White Paper• The NHS will be held to account against  clinically credible and evidence‐based  outcome measures(1.6) • The Department is committed to evidence‐ based policy‐making and a culture of  evaluation and learning (1.23)• NHS will, wherever possible, use clinically  credible and evidence‐based measures (3.4)(Equity and excellence: liberating the NHS, DOH, 2010) health:mk 2
    • NHS Milton Keynes  Quality Improvement model► Primary care led ‐ clinical leadership and  engagement in strategic planning, pathway  review and commissioning► Evidence‐based care and evidence‐based  commissioning► Patient centred ‐ public and patient  engagement and interaction health:mk 3
    • NHS Milton Keynes model  How are librarians involved?Evidence based care:• IMPACTE groups Improving Medical Practice by Assessing Current EvidenceEvidence based commissioning:• Supporting commissioners health:mk 4
    • IMPACTE model• follow through questions raised in routine  primary care practice and look at the evidence  to answer these• use evidence to close the gaps between  current ways of working and best practice • make the evidence accessible “journal clubs” health:mk 5
    • IMPACTE ‐ What’s in a name? Amouthful Journal Clubs Scary! Evidence Based Discussion Groups Improving Medical Practice Through CurrenT Evidence  IMPACTE health:mk 6
    • What are IMPACTE groups?• Primary care team initiative • Build consensus to support changes across a  whole team / system• Questions raised in routine clinical practice • Track down the best evidence • What does the evidence tell us? • So what? • Establish a sustainable action plan• Audit changes and followup health:mk 7
    • Understanding the research evidenceCentre for Evidence Based Medicine approach – PICO ‐ is the article relevant to the team? – Was the research well done? (critical appraisal) – What can we learn from the results? – Are there any actions we could take to improve our  practice? – Action plan health:mk 8
    • Light touch statistics• Learn to read the results tables• Basic understanding of statistics eg p value,  NNT, OR, funnel plot• Further statistical concepts (hopefully)  explained by session lead or librarian• NOT an in depth critical appraisal session health:mk 9
    • IMPACTE group model• Relaxed, informal sessions • Regular • Topics of general interest with possible practical  outcome• Use “best” evidence eg EBM journal selections,  NICE guidelines, Map of Medicine, “experts”• Follow up actions and report back• Pragmatic health:mk 10
    • IMPACTE group membershipGroup organiserSession lead who has prepared a specific paperHealth professionals eg GPs, nurses, pharmacists,  AHPs, practice managerLibrarian Find the evidence / support understanding eg statistics / write up / prompt for actions and  follow up **Every group is different** health:mk 11
    • Quality MK website• Records of all discussions and analysis by topic• IMPACTE toolkit : including – Hints and Tips on setting up an IMPACTE group – Where to find high quality evidence – Attendance list – Summary template – Attendance certificate/reflection• Evaluation www.qualitymk.nhs.uk/impacte_groups.htm health:mk 12
    • Where next?• New groups across Milton Keynes ‐ for patients & public    ‐ in other General Practices ‐ online forum                 ‐ in other clinical teams• Continued funding to develop the model further• Dissemination of the model – To clinical staff  – To librarians – Paper by Prof Paul Glasziou to be published soon – Available to all on the website health:mk 13
    • Commissioning Librarian a personal story • Commissioners are not aware of support and  resources available• Commissioning Librarian involvment ‐ Service design groups  ‐ Strategic boards ‐ Team  meetings ‐ Talk to people• Give people the information they need ‐ Push and Pull• Don’t wait till people ask but be aware of email  overload health:mk 14
    • What do commissioners need?• Best practice  – guidelines, service specifications, case studies• How to run a clinical service  – location, processes, workforce, competencies• Monitoring – performance, outcomes, audit• How much does it cost? – health economics, cost benefit, prioritisation• Tools  – NICE, DoH, public health health:mk 15
    • Knowledge Zone www.qualitymk.nhs.uk/knowledge_zone.htm – Structure mirrors internal organisation – Dynamic resource, constantly updated  – Links to existing resources • “Where to find …”• “Keeping up to date”• “Commissioning Librarian”• “Local library sources” health:mk 16
    • www.qualitymk.nhs.uk/knowledge_zone.htm health:mk 17