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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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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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