Sue Lacey Bryant (Senior Advisor, Knowledge for Healthcare, Health Education England) and Louise Goswami's (Head of Library and Knowledge Services Development, Health Education England) presentation to the CILIP 2017 Conference in Manchester #CILIPConf17 Health Education England (HEE) is driving the implementation of Knowledge for Healthcare which articulates an ambitious vision for healthcare library and knowledge services funded by the NHS. These services supply the evidence base to the NHS to make #AMillionDecisions a day. HEE is taking a strategic approach to mobilising evidence and organisational knowledge through policy and advocacy initiatives, by introducing new resources, tools and techniques and by empowering our workforce. Partnership working across all sectors, and including CILIP, is central to our success. The speakers will outline their approach, share experience and invite ongoing dialogue.

1. #CILIPConf17
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Managing
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2. #CILIPConf17
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Mobilising Evidence and
Organisational Knowledge in
the NHS
Sue Lacey Bryant, Senior Advisor Knowledge for
Healthcare, Health Education England
Louise Goswami, Head of Library and Knowledge
Services Development, Health Education England, Kent,
Surrey and Sussex

3. Mobilising Evidence and
Organisational Knowledge in the NHS
Sue Lacey Bryant
Senior Advisor, Knowledge for Healthcare, HEE
Louise Goswami
Head of Library and Knowledge Services and TEL
across London and the South East
@NHS_HealthEdEng #HEELKS #AMillionDecisions

4. The National Health Service
Relative to other countries:
• the UK ranks as the best overall health provision out
of 11 western nations (Commonwealth Fund, 2014)
• the NHS provides highly equitable care. It performs
well internationally on measures of patient experience
and access. More could be done to prevent ill health.
For some conditions, there is significant room for
improvement (Berry, 2015)
David, K. et al. Mirror, mirror on the wall. The Commonwealth Fund, 2014
Berry, N. How does the NHS compare with health systems in other countries? The Health Foundation,2015

5. The Challenge: quality and productivity
Lord Carter identified the need for:
• national capability and capacity to
help Trusts identify opportunities to
improve operational productivity and
the quality of patient care and
realise efficiency savings .
• “Greater use of evidence to engage
business managers and clinical
leaders” and to “Improve the
decision making process using
factual data and evidence”
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/499229/Operational_productivity_A.pdf

6. Health Education England
HEE’s purpose is to improve the health and wellbeing of
the people of England by developing a workforce with
the right skills and values to always deliver outstanding
healthcare:
• We deliver workforce reform
• We support workforce transformation
• We commission new staff
• We develop existing workforce through reskilling
and upskilling

7. NHS funded library and
knowledge services
• Financial investment and strategic leadership comes
from HEE, through four regions
• Funding for the 200 NHS funded healthcare Library
and Knowledge Services in England comes from HEE
via four regions
• Their mission is to play a pivotal role in helping the
NHS to improve the quality of patient care and
become more productive and efficient

8. How far is healthcare evidence-based?
There is often a large gap between evidence-based treatment
guidelines and current practice. (Nolte and McKee, 2008)
In a cohort of 16,000 patients in England aged 50+, with one or more
of four common Long Term Conditions, the researchers viewed quality
by looking at the % of quality indicators for healthcare received by
patients. (Hardcastle et al, 2015)
Cardiovascular disease 84.2%
Diabetes ‘care bundle’ indicators 70.9%
Depression 59.8%
Osteoarthritis 35.6%

9. Knowledge for Healthcare
“NHS bodies, their staff, learners, patients and the public
use the right knowledge and evidence, at the right time, in
the right place, enabling high quality decision-making,
learning, research and innovation to achieve excellent
healthcare and health improvement.”

10. Professor Ian Cumming OBE
Chief Executive
Health Education England

11. HEE
CILIP
PHE
HEIs
SCL
NIHR
NICE
The
Reading
Agency
Our aim is to mobilise the
knowledge of healthcare
staff and organisations as
well as to ensure the use of
evidence from research
across the Service

12. Mobilise evidence
and organisational
knowledge.
Enable healthcare
systems and
organisations to meet
their responsibilities and
objectives by Applying
and use evidence in
decision making, Building
know-how and
Continuing to learn.
Enable healthcare staff
to use key tools and
techniques to share their
knowledge within their
organisation.
PRIMARY
DRIVER
SECONDARY
DRIVERS
INTERVENTIONS
Senior stakeholders champion the expertise of
librarians and knowledge specialists in mobilising
evidence to improve quality and productivity.
Introduce a Board self -assessment tool for
organisations to identify further ways to mobilse
evidence and knowledge.
Devise a programme of learning for knowledge
specialists. [With the workforce planning and
development group]
Launch, promote, monitor use and further develop
the Knowledge Management toolkit for librarians.
Commission and promote technology enhanced
learning to spread understanding and encourage
use of knowledge management approaches.
Launch and promote a core suite of knowledge
management tools and resources, partnering with
NHS Digital.
Promote role redesign to embed knowledge
specialists within wider healthcare teams. [With the
workforce group].
Increase the confidence
and capability of
librarians and knowledge
specialists to assess
organisational needs and
introduce knowledge
management solutions.
Establish a community of practice of healthcare
knowledge management specialists.
Using driver
diagrams as
a strategic
planning
tool
HEE policy to champion the responsibility of NHS
bodies to use evidence from research and the
positive role of librarian and knowledge specialists.
Joint HEE/ CILIP campaign to highlight the role of
librarians and knowledge specialists in delivering
evidence.
January 2017

13. Library and Knowledge Services Policy
To ensure the use in the health service of evidence
obtained from research, HEE is committed to:
• Access: enabling all members of NHS workforce to
freely access library and knowledge services
• Workforce development: developing NHS librarians
and knowledge specialists to use their expertise to
mobilise evidence to underpin decision-making
• Service development: developing proactive NHS
library and knowledge services - coherent national
service focussed on needs and priorities
NIHR
https://hee.nhs.uk/our-work/research-learning-innovation/healthcare-library-knowledge-services/our-policy

14. NHS England Research Plan

15. • Across the NHS and healthcare sector more than a million
decisions are made every day which affect all our lives
• Encourage decision-makers to utilise the skills of librarians to
help them meet the duty under the Health and Social Care Act
2012 to use evidence from research across the Service
• Policymakers and providers need to ensure decisions are
evidence-based
• Librarians and knowledge to deliver evidence to the Board and
the ward, to learners and to health professionals
@NHS_HealthEdEng #HEELKS #AMillionDecisions

16. Engaging with policy-makers, partners,
opinion leaders, employers
• Parliamentary engagement:
All Party Parliamentary Group,
House of Lords January 31; MPs;
the Libraries Minister
• Department of Health, Secretary of
State, The Rt Hon Jeremy Hunt MP
• Partnerships: NIHR and NICE
• Breakfast Briefing tba - NHS
England, PHE, NHS Digital, NICE,
NIHR, CPOs, Carter Team, NHS
Confederation, NHS Clinical
Commissioners

17. Reach
• Thunderclap: the official launch was extremely wide-
reaching with over a million impressions for the
#amilliondecisions hashtag
• Helped to open doors for face to face meetings
• Approx 100 Healthcare library staff have requested
campaign news or assets including logos
• Campaign page in CILIP's Top 3 pages since launch
• #EvidenceInformedHealthcare - Republic of Ireland
• #NHSSTheRightDecision - Scotland
• Wales keen to run similar campaign

19. 85.7%
47.8%
45.3% 45.3%
40.4%
23.6%
19.3%
How East Lancashire Hospitals Library & Knowledge
Service supports staff & patients
(% of respondents selecting options n= 161)

20. Mobilising organisations
Enabling NHS
organisations to
make better use of
knowledge as an
asset
With thanks to Rachel Cooke, SASH and acknowledging her work with Chris Collison
Board self-assessment tool

21. “
Using the Board tool

22. Mobilising the knowledge of healthcare
professionals
Tools and techniques elearning
http://www.ksslibraries.nhs.uk/elearning/km/

23. Mobilising librarians
Increase the confidence and capability
of library and knowledge specialists to
assess organisational needs and
introduce knowledge management
solutions
Signposting resources

24. Workforce development
www.libraryservices.nhs.uk/pksb
http://kfh.libraryservices.nhs.uk/learning-zone/
http://kfh.libraryservices.nhs.uk/knowledge-management

25. Making a positive impact on healthcare
• £500,000 saved: clinical librarian crucial
to success of Nursing Supplies Group
• Reduced cost of treating LTCs in acute &
10 care (psychological interventions)
• Rapid response to clinical supply problem
relative efficacy of two agents –MRSA
• Reduced Length of Stay and improved
care for critically ill patients - Vitamin D
deficiency
• Saving of £48,500 to Trust and improved
diabetes care for prisoners nationally

26. @NHS_HealthEdEng #HEELKS #AMillionDecisions
Follow our progress
You are welcome to contact:
Sue Lacey Bryant sue.lacey-bryant@hee.nhs.uk
@SueLaceyBryant
Louise Goswami louise.goswami@nhs.net
@GoswamiLouise
Knowledge for Healthcare blog:
http://kfh.libraryservices.nhs.uk/