Presentation at Health Libraries Group conference, Scarborough September 2016, looking at the research behind evidence based commissioning - the evidence used, how it is found and how it is used - and a case study of a Commissioning Librarian.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
We recently hosted four regional events ‘Evidencing the quality and productivity of AHPs care’ with a target audience of Allied Health Professional leads in NHS provider organisations.
These slides outline sessions from the events and provide an introduction to the Model Hospital, AHP job planning and the early findings of a deployment tracker metric ‘Therapy Hours to Contacts’ that is being implemented.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
We recently hosted four regional events ‘Evidencing the quality and productivity of AHPs care’ with a target audience of Allied Health Professional leads in NHS provider organisations.
These slides outline sessions from the events and provide an introduction to the Model Hospital, AHP job planning and the early findings of a deployment tracker metric ‘Therapy Hours to Contacts’ that is being implemented.
The leadership difference - Jan Sobieraj, Managing Director, NHS Leadership Academy
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Making difficult decisions to ensure the future of quality health care for you.
A Derbyshire Dales District Council Area Community Forum presentation (October 2014) by Northern Derbyshire Clinical Commissioning Group
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
Greater Manchester's visionary approach to integrated care
Delivered by the Greater Manchester Health and Social Care Partnership
Day Two, Pop-up University 8, 16.00
The leadership difference - Jan Sobieraj, Managing Director, NHS Leadership Academy
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Making difficult decisions to ensure the future of quality health care for you.
A Derbyshire Dales District Council Area Community Forum presentation (October 2014) by Northern Derbyshire Clinical Commissioning Group
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
Greater Manchester's visionary approach to integrated care
Delivered by the Greater Manchester Health and Social Care Partnership
Day Two, Pop-up University 8, 16.00
A description of the Quality MK website, developed to support a Health Foundation funded quality improvement programme across Milton Keynes (UK) health economy.
Quality MK : a whole system approach to quality improvement. CKO Workshop,Lon...Anne Gray
A description of the Quality MK programme around whole system improvement in a health trust. A presentation of the critical success factors and some of the tools used.
Leading a library review and developing a strategic plan through evidence and...Anne Murphy
Murphy, McMahon, Peakin. 6 June 2017. parallel paper, leadership 3. ICML/EAHIL 2017
Introduction
Tallaght Hospital is a teaching Hospital of Trinity College, Dublin and within this structure, the Library plays a vital role in maintaining that status. When the Library faced a period of fiscal uncertainty and potential closure due to a loss of clarity with regards to its role within the organisation, the Hospital Executive commissioned a review of the service to be led by the Head Librarian and terms of reference were agreed.
Objective
The objective was to review the service and make recommendations about its future development, and to utilise a strategic framework to guide this development, highlighting the Library as a service which is essential to the standing of the Hospital.
Methods
A Library Review Group was established, composed of a broad and representative cross-section of stakeholders. The values underpinning the review were evidence and engagement. Bryson’s Strategic Change Cycle was adopted as the strategic framework to structure the review process. The Group took a multi-faceted approach to gathering the evidence, using benchmarking, stakeholder feedback and a comprehensive literature review. The Group used the opportunity afforded by the review to engage a diverse range of hospital staff who voiced their requirement for the development and expansion of library services. Contemporary best practice was considered as was the strategic context outlined in Tallaght Hospital’s Clinical Service Strategy 2016-2018 and Trinity Health Ireland’s strategic objectives.
Results
The Library Review Group completed its work in July 2016 with the submission of its report and recommendations to the Executive. The Report and Library Service Strategy outlines how the Hospital can build on the quality of its existing Library service. At the time of writing in October 2016, a meeting with the CEO is scheduled and it is anticipated that the report recommendations will be adopted and resourced by the Hospital.
Conclusion
The strategic planning involved in leading a review such as this showcases the variety of approaches that can be taken and by analysing this process, a framework can be considered for similar projects. This type of strategic management requires librarians to fully embrace leadership roles as they look to guide their own service and integrate themselves into the healthcare environment.
Abstract written 19th October 2016
IMPLEMENTACIÓN DE GUÍAS DE PRÁCTICA CLÍNICA. LA EXPERIENCIA DEL NICE (Reino U...GuíaSalud
IMPLEMENTACIÓN DE GUÍAS DE PRÁCTICA CLÍNICA. LA EXPERIENCIA DEL NICE (Reino Unido, videoconferencia). Ponente: Steve Sparks. Director Asociado del Equipo de Trabajo y Especialista en Implementación del Suoreste de Inglaterra en el NICE (National Institute for Health and Care Excellence).
Elective Care Conference: keynote speech from Adam Sewell-JonesNHS Improvement
Outlining NHS Improvement's national priorities and how we'll support providers.The slides accompanied NHS Improvement's Executive Director of Improvement's keynote speech.
iHV regional conference: Josephine Johnson - Health Visitors as leaders in th...Julie Cooper
Presentation by Josephine Johnson at the Institute of Health Visiting Regional Professional Conferences 2015 - on behalf of Sabrina Fuller, Head of Health Improvement NHS England.
Josephine Johnson is Project Lead, NHS England.
Evidence to Care: Mobilizing Childhood Disability Research into Practice
Dr. Shauna Kingsnorth
Evidence to Care Lead
Clinical Study Investigator
Assistant Professor (status), Department of Occupational Science
and Occupational Therapy, University of Toronto
Holland Bloorview Kids Rehabilitation Hospital
skingsnorth@hollandbloorview.ca
Presented at: Canadian Knowledge Mobilization Forum
Saskatoon, Saskatchewan June 9, 2014
PEN, Patient Experience Network, NHS IQ, NHS Improving Quality, Ruth Evans, Patient Experience, Lesly Goodman, Samina Allie, Rachel White, NHS England, Midlands and Lancashire CSU, Black Country Partnerships NHS Foundation Trust, Using insight across a health system to improve care, What's the story with storytelling within the NHS, Digital story telling workshops
The Many Faces of Embedded Librarianship: How do we Evaluate Effectiveness?Kim Mears
Objective: The health sciences library of a comprehensive research university implemented embedded librarianship two years ago by placing librarians in the adult and children’s hospitals, in four colleges and on a partnership campus. The embedded librarians have spent the past year reviewing practices and working to create an evaluation tool to assess effectiveness.
Methods: Embedded librarianship has been implemented in the Colleges of Allied Health Sciences, Dental Medicine, Nursing and Medicine as well as the Health System, and a satellite campus. Each librarian’s embedded model is different and based on the approach of the individual librarian and the needs of the areas served. Embedded librarians created a survey to measure the extent of embedded practices in other health science and hospital libraries. Librarians wanted to create a tool which would help evaluate our program with vastly different models from one are to the next and which could also help other institutions do the same.
Results: A preliminary survey was distributed to health science librarians in early 2014 after IRB approval was obtained. Survey information was used to gauge interest in the need for a tool to evaluate embedded practices and form the basis of what evaluation has already been done in other programs. The survey showed a great deal of interest in embedding librarians and the need for a comprehensive way to evaluate program effectiveness. Librarians then worked to build an embedded program evaluation toolkit based on academic health science institutions.
Conclusion: The toolkit consists of various parts with can be used in combinations that fit the embedded program being evaluated. The evaluation toolkit was created to fit with academic health science institutions and will be piloted in the Fall of 2014. Later expansion of the toolkit may include hospital specific measures, which will require partnership with hospital librarians.
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
iHV regional conference: Josephine Johnson - Health Visitors as leaders in th...Julie Cooper
Presentation by Josephine Johnson at the Institute of Health Visiting Regional Professional Conferences 2015.
Josephine Johnson is Project Lead at NHS England.
Similar to Evidence based commissioning - now and moving forward (20)
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Evidence based commissioning - now and moving forward
1. Evidence based commissioning -
now and moving forward
Anne Gray, Knowledge Officer, Arden & GEM CSU
HLG Conference September 2016
2. What is commissioning?
• Commissioning is the process of procuring health
services.
• It is a complex process, involving the assessment
and understanding of a population’s health needs,
the planning of services to meet those needs and
securing services on a limited budget, then
monitoring the services procured.
[Faculty of Medical Leadership and Management, 2012]
4. Analysis of items in 4 Knowledge@lerts July 2016
• 20 - “expert” groups (Kings Fund, Nuffield Trust, Health
Foundation, NIHR)
• 13 - NHS England/DH/PHE
• 10 – clinical peer groups (Royal Colleges, Diabetes UK
etc)
• 6 – Guidelines/standards (NICE,CQC,NHS Improvement)
• 5 – Local Government Association
• 3 - case studies (CCG board papers, magazines)
• 1 – peer reviewed journal
5. Looking for the evidence
What the research says:
• Commissioners look for themselves or rely on
colleagues
• Email discussion lists & alerts
• NHS sources are constantly changing and confusing
• Difficult to find commissioning/ management evidence
• Don’t ask the library unless they have had previous
contact
• Library staff also found it difficult
[Edwards 2013, Wye 2015]
6. [Wye et al. 2015, Wilson 2016]
Using the evidence
7. A Commissioning Librarian
• Service model to help my customer
• Searching skills to identify the plurality of
evidence
• Report formats to meet the business need
8. Lessons learnt – Know your customer
• What is business critical?
• Understand national and local drivers
• Speak the language
• Tailored service
Rather than merely searching for relevant articles,
Anne reflected on the problem areas, searched
for evidence of a range of successful
interventions achieved elsewhere and provided a
new measurable solutions for the CCG to adopt.
This saved me time and added real value and a
new angle of approach. CCG Director
10. Lessons learnt – Synthesis&Summary
• “Highlights …with an overview but also a link so I
can go into more depth if interested
• For busy people, as we all are, the snippets are
great as you don’t have to wade through a whole
load of words to understand what the info is about
• Having everything in one email instead of having to
remember where I saw this that and the other!!!”
[Ass Dir CCG]
11. Resources to build on
• Alerting services (CASH, Kings Fund)
• Evidence Works Toolkit (Avon Primary
Care Research Collaborative)
• Commissioning Handbook for Librarians
• Mailing lists
• Embedded librarians / knowledge services
12. Skills to build on
• Graduate Evidence Assistant pilot (Avon
Primary Care Research Collaborative)
• Knowledge for Healthcare
– Synthesis techniques
– Evidence for managers/commissioners training
• Communities of practice across NHS
knowledge staff
13. Moving forward
• What can your library build on?
• How can you work with other libraries?
• What can you do next week?
14. Bibliography 1/2
• Faculty of Medical Leadership and Management, 2012
http://www.nhs.uk/NHSEngland/thenhs/about/Documents/Commissi
oning-FINAL-2015.pdf
• Epilepsy Commissioning Toolkit http://www.epilepsytoolkit.org.uk/
• Swann J et al Evidence in Management Decisions (EMD) NIHR
Health Services and Delivery Research programme; 2012.
http://www2.warwick.ac.uk/fac/soc/wbs/projects/emd
• Wye et al. BMC Health Services Research (2015) 15:430
http://www.biomedcentral.com/1472-6963/15/430
• Wilson PM, Effects of a demand led knowledge translation service
on the uptake and use of research evidence by NHS commissioners
compared with lower intensity untargeted alternatives. HS&DR -
12/5002/18 http://www.nets.nihr.ac.uk/projects/hsdr/12500218
15. Bibliography 2/2
• Edwards et al Explaining Health Managers’ Information Seeking
Behaviour and Use. Final report. NIHR Service Delivery and
Organisation programme; 2013)
http://www.nets.nihr.ac.uk/projects/hsdr/081808243
• CASH portal http://www.netvibes.com/keeping-up-to-date#Home
• Evidence Works (Avon Primary Care Research Collaborative) (Avon
Primary Care Research Collaborative, AHSN, NIHR CLAHRC West
http://www.nhsevidencetoolkit.net/
• Commissioning Handbook for Librarians (NHS Librarians)
http://commissioning.libraryservices.nhs.uk/
• KfH Learning Zone http://kfh.libraryservices.nhs.uk/learning-
zone/specialist-and-technical-skills/
Editor's Notes
My experience supporting day to day activity in a PCT/CCG
But this should be useful to librarians from across the NHS especially in the light of current government policies such as Sustainability & Transformation Plans (STPs) and the Carter review which affect every NHS trust.
Managers across the NHS will be looking for evidence to support transition, not just commissioners.
As EPB is about ensuring the best practice for individual patients, Evidence based commissioning is about doing the best for the whole population, taking into account local and national context, public and patient opinions, demography and of course money.
So if we think about the environment commissioners (and trust managers) are working in, health services are a business with business pressures, and activity targets and financial targets. They have political constraints as well as workforce and demographic issues.
Commissioners are constantly in meetings, reading and writing reports with tight schedules, CCGs have many legal obligations around managing their business as well as issues relating to wider services, and shifting political goal posts.
A study by Swann surveyed 345 individuals across 11 PCTs in 2010. - Demonstrated a plurality of evidence
Clinical evidence we would all recognize, guidelines, clinical research, Royal Colleges, professional peer groups.
Non clinical evidence – supporting evidence in terms of policies, toolkits, intelligence , benchmarking.
Implementation Narrative resources –Include opinions, advice, stories, case studies.
While clinical research usually aims to eliminate confounders and variables, these variables of setting are critical to understanding the workings of health services across different geographies. For example service availability, distances, workforce, and demography. You rarely get this level of detail when people describe services in research. Therefore case studies or talking to people may be the best way to understand the “evidence” behind a service.
I looked at my weekly alerting bulletins for commissioners and CCGs over July. These do not include items on clinical practice, but service delivery.
Out of 58 items non clinical “expert” groups comprise nearly a third, many of which will include case studies.
The significance of much of this evidence is determined by who wrote it.
Definitely not resources you find through an HDAS search alone.
Clearly commissioners rely heavily on colleagues and personal experience. Informal sharing is an important part of the commissioning process.
Mailing lists / alerts – keeping ahead of the curve/horizon scanning are important
They look for the evidence themselves and that means google and all of its pitfalls, but judicious use of google is a good way to get some of the evidence they need.
The research into info seeking behaviour always highlights how difficult it is to find the evidence. It is not conveniently placed or organised. NHS sources are constantly changing – think of NeLH, Specialist Collections, NHS Improvement (the old one), NHS III and the DH website itself.
The exception is public health trained staff who have had training in finding and appraising evidence. But since the HSC Act and their move to LA they are one step removed from the informal commissioning discussions.
Commissioners don’t think to ask libraries for this type of evidence, unless they have had previous contact with the library – a training course, induction etc.
Finally- librarians too find it difficult to locate evidence for commissioners and managers.
It is interesting to look at how evidence is used during the commissioning process.
The epilepsy commissioning cycle I showed you earlier made the process moving evidence through the commissioning pipeline look smooth and unaffected by organisational processes.
But, the reality is different.
Evidence is constantly modified, added, discarded and reshaped throughout the commissioning process.
The lack of evidence can lead to lengthy discussions do not lead to consensus and delays.
Research shows that evidence is both gathered and used in a non systematic way throughout commissioning.
All of this research matches my experience on the ground
So how can librarians help?
Over my time supporting commissioners I worked to develop:
Develop a service model tailored to this customer base
understand their information needs
to provide the evidence is the most appropriate way.
Some of the lessons I learnt:
Find out what is business critical to my commissioners.
Specific issues eg A&E, services under development, QIPP plans
CQUINs, co-commissioning, NHS Improvement, Keogh, vanguards, PACS, MDT, Five year forward View, STP, Carter
So if you are asked you understand the issues and ask sensible questions and tailor your services
How are you going to find this evidence?
HSJ (no print after next year). The key news resource
Most commissioners/managers will get the daily news alerts. Their comms people should be keeping them abreast of the news and media stuff. Dig down to find the documents behind the story eg CCG board paper, report etc. Also helps up keep up to date with what is going on
National policies -NHS E/ CQC /PHE/ NHS Improvement
Expert bodies eg KF, Nuffield, Royal Colleges etc. Magazines/board papers – to find case studies
Google – a key resource to dig into board papers and reports, much better than search engines on websites. Become a google expert.
A real mixture of resources which you should not try to scan yourself. Use existing RSS feeds or alerting services eg NHS England has a number of different bulletins, Kings Fund Health Management & Policy Alert is a key resource both for their own and other resources.
But sometimes it is useful to know if a page is updated, rather than an RSS feed, I use Watch That page where you are alerting if a particular page changes.
Research says that for day to day business they want business style reports. And preferably before they know they need it.
Commissioners want evidence presented in such a way that they can pick up the key points at a glance, can read a little more if it is interesting then look further using any links they are given. Look at Kings Fund reports – headlines in the form of bullet points, an executive summary and then the full report with references.
The style I developed was very much in this pattern, both for research reports and alerting services.
In CAS I aim for a title, author, date and three lines max (in which I make it clear why I have included the item) and a link.
The research reports I produce usually took between 3 and 8 hours, so quite short. Clarify the topic, note exclusions and sources checked. Bring related material together (could be different reports, a website and case study) and highlight what makes the item relevant. I often include extracts from the reports themselves. That means you have to read the resources but commissioner may not. Organise the material in a logical way (theme, format, data) geographically or by topic. But it is important that it can be skimmed quickly. Include how long it has taken to prepare.
Alerting services – really important to commissioners. Available to commissioners/manager and library staff. A quick win if you get it on target. Tell your contacts about alerts you think are relevant to them eg Kings Fund Health Management Alert, KF Integrated Care Bulletin. Sign up yourself. Don’t duplicate this scanning work.
Current Alerting Service for Health (CASH) site under Health Functions & Management.
Evidence Works Toolkit (Avon Primary Care Research Collaborative) - a guide to finding, appraising and applying the evidence aimed at commissioners across the West of England. A sister website on evaluations. Includes links to local NHS librarians.
Commissioning Handbook - A resource specially for NHS Library Knowledge and Information staff to help you support commissioners more effectively. Brings together useful resources about the NHS, commissioning process and relating to specific diseases, populations and services. Includes searching advice and hot topics.
Mailing lists – Commissioning list, LIS Medical
Embedded librarians / Library services – need to be protected because experience is vital.
Talking of skills
Graduate evidence analyst pilot evaluation - the Assistant comments on the range of practical skills she had gained since taking on the role as well as knowledge of public health, epidemiology, evidence-based healthcare, local authority structure, local and national NHS and public health structure. This role encouraged evidence based commissioning and gave commissioners confidence in evidence questioning and gathering skills.
KfH opportunities
Don’t forget that there are knowledge staff sitting outside NHS library services.
Bearing in mind the developments which are coming as a result of STPs and the new standards as result of Carter review on procurement librarians have a lot to offer to help managers by bringing together the important stuff they need to do their job.
Every trust will be involved in these discussions, and every nHS library could be supporting the development of the new services.
Build on existing relationships, knowledge, resources
Work with other libraries – eg across your STP footprint, region
Start asap, STP plan are due go out to consultation at end of October, we should be ready to answer the questions as they arise.