MIlton Keynes LKS support for evidence based pathways, 2008

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Knowledge and library support for the delivery of PCT commissioned evidence-based care pathways. Presentation to NHS SW Librarians in May 2008.

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  • Anne Gray and Ann Skinner are part of a small part-time temporary project team supporting the Quality:MK project. Anne is the part time outreach librarian at Milton Keynes PCT and Ann has been employed since September by the project and between us we are now contracted to work for 30 hours per week on the project, an increase of 10 hours per week from the first year. 15/4/2008
  • Diabetes 15/4/2008
  • Services – podiatry, optical, child and adolescent, in pregnancy,
  • I can carry out literature searches – for guidelines, summaries of evidence, to research into specific aspects of diabetes where appropriate, as well as provide synopses of the evidence as needed. One of my roles will be to set up a new publications bulletin on Diabetes to let you know of new publications, both from the government and in journals.
  • Examples
  • Documents on NHS trust websites Snippets in articles
  • 15/4/2008
  • MIlton Keynes LKS support for evidence based pathways, 2008

    1. 1. health:mk Milton Keynes experience Taunton 20 May 2008 Ann Skinner Anne Gray
    2. 2. health:mk Anne Gray Milton Keynes PCT Knowledge and library support for the delivery of PCT commissioned evidence-based care pathways
    3. 3. health:mk Quality: MK (April 2007)
    4. 4. health:mk Quality: MK Evidence based service redesign Process is supported by Task & Finish Group(s) whose role is to: • facilitate discussion on the technical aspects of the new care pathway and the review process as a whole • provide support to the contract and commissioning teams in developing a new care pathway for the service in MK WHO? HOW? Quality:MK
    5. 5. health:mk Quality: MK Evidence based service redesign: WHO is round the table?  Public health  Patients / voluntary sector  Clinicians (primary care, secondary care, ambulance, social care)  Commissioners  PCT contracts service  Librarian
    6. 6. health:mk Quality: MK Evidence based service redesign: HOW?  Review the evidence base  Identify what practice already exists and does not exist  Identify what prevents this happening  Describe what needs to happen locally in order to deliver the optimal pathway  Create a service specification which can be used to commission new service
    7. 7. health:mk Quality: MK Evidence based service redesign : What is the evidence base?  Health intelligence  Existing pathways  Existing guidelines  Primary evidence (“peer reviewed” jnls)  Tools/organisations/websites  Other service models/services/contacts  …..
    8. 8. health:mk Quality: MK Evidence based service redesign: Diabetes  Changing the way that Diabetes services should be provided across Milton Keynes  Commission new services  Produce new patient pathways (Map of Medicine)  Involve wide range of organisations/ services/ people
    9. 9. health:mk Quality: MK Evidence based service redesign: Diabetes  “This is just a quick note to remind you that I am part of your Diabetes Pathway review team, willing and able to provide information support where I can…..”  “I Iook forward to hearing from you – please don’t forget to let me know about meetings so I can put these in my diary.”
    10. 10. health:mk Quality: MK Examples from work with Diabetes Review pathway: Questions asked  What is the evidence behind the Diabetes QOF indicators?  Recent evidence for psychological support in DM type 2  Benefits of using structured education in DM type 2 through a team approach  Copy of the ABCD algorithm for hypertension from the BHS  Benefits of physical activity for peripheral neuropathy  Increased risk of fall with diabetic foot problems
    11. 11. health:mk Quality: MK Examples from work with Diabetes Review pathway: Questions NOT asked  Examples of models of service for Diabetes  Existing commissioning support resources  Recent evidence  But I gave them the evidence anyway!
    12. 12. health:mk Quality: MK Examples from work with Diabetes Review pathway: Resources  Map of Medicine / NICE / SIGN  DynaMed  Diabetes Specialist Library (NLH)  Clinical databases/Cochrane (Core Resources in Toolkit)  National data from PHO  Google / Yahoo
    13. 13. health:mk Quality: MK Google / Yahoo  Google (Advanced search) model specification diabetes OR diabetic "service“  Yahoo (Advanced search) diabetes "model of service"
    14. 14. health:mk Quality: MK Examples from work with Diabetes Review pathway: Evidence synthesis  Synthesis of the evidence which can be scanned quickly  NOT a list of references – Short informative narrative – Categorise items – Highlight relevant sections of each item – Links to FT wherever useful  Stay within my competence
    15. 15. health:mk Quality: MK Under development  Ways to gather/present relevant new information RSS feeds or other Web 2.0 tools?
    16. 16. health:mk Quality: MK Things to remember:  These people are very busy  Short deadlines  Bullet points, highlight important points  Has someone already done it?  You can sometimes provide information they do not know to ask for We are professionals too!
    17. 17. health:mk Questions?  For further information contact – Anne Gray, Outreach Librarian, MKPCT  Outreach.librarian@mkpct.nhs.uk – Ann Skinner, Information Specialist, Quality:MK  Ann.skinner13@btinternet.com – Sue Lacey-Bryant, Project Manager, Quality:MK  Sue.lacey-bryant@mkpct.nhs.uk  Quality: MK website http://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359 17

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