Tag Archives: Clinical commissioning

Expert Patients

Title of driver: Expert patients

Source: Reform

Link to main document: http://www.reform.uk/wp-content/uploads/2015/02/Expert-patients.pdf

Publication format: PDF

Date of publication: February 2015

Summary of driver: This report recommends stronger patient engagement in the NHS as it is key for the health service to achieve savings of £22 billion by 2020-21.

Patient engagement can improve outcomes and use of resources through patients being better able to manage their conditions, and so reducing medical interventions and invasive procedures, as well as improved public health.

Key features of driver:

  • Patient engagement could achieve £2 billion savings by 2020-21 (10% of NHS England target savings).
  • These savings would come from better self-care, improved public health, and greater patient contribution to their care.
  • For the NHS to become fit for “full engagement” private providers and outside expertise will be needed.
  • Outside the NHS, apps and social networking sites are already used by the public to take control over their health and conditions, helping the expert patient to emerge more quickly outside the NHS than within it. The NHS has made limited progress in the use of social media and technologies to improve the patient experience.
  • NHS providers and commissioners should appoint a “Director of Patient Experience” at board level.
  • The NHS should measure levels of patient engagement, activation and involvement and embrace patient engagement regardless of where it originates (whether outside the NHS or within).

Primary audience: Policy-makers, managers and leaders, commissioners, and NHS providers.

Impact on library policy/practice:

Libraries are in an ideal position to provide educational materials to enable patients to learn about their health and their conditions. Public libraries hold Books on Prescription and other resources while health libraries can support staff to educate patients.

Health libraries are also increasingly asked to provide resources or information for patients.

Libraries can adapt to the use of new technologies for customer service and can share expertise with the wider NHS.

Date last updated: February 2015

Due for review: February 2016

Group member responsible: (HS)


Research and Development Strategy (Draft) 2013 – 2018

Title: Research and Development Strategy (Draft) 2013 – 2018

Source: NHS England

Link to main document

Publication format: PDF

Date of publication: Dec 2013

Summary of driver: The NHS England research strategy supports the goals set out in the NHS England business plan (NHS England 2013); supporting and developing the commissioning system to improve quality and outcomes. It seeks to develop a culture in the NHS that values and promotes research and engages staff and patients in research activities for improved healthcare outcomes.

Key features of driver:

Key Objectives:

• Working closely with Department of Health (DH) and National Institute for Health and Research (NIHR) to coordinate research into commissioning health services;

• Develop an evidence base to support effective decision making by commissioning groups;

• Enable NHS England and commissioning staff to undertake and implement research in order to help improve the quality of care and treatment in the NHS;

• Encourage patients to take part in research and to be considered when setting priorities for research;

• Better inform the public on current research and outcomes from completed research;

• Maximise outcomes from research to stimulate innovation, improve income generation, develop knowledge and achieve impact.

Key Priorities:

• Promote non-commercial and commercial research in the NHS that have the greatest impact on outcomes;

• Engage with clinical leaders across all professions, with academia, industry, and with non clinical researchers in health and social care;

• Support the NHS Outcomes Framework 2014-15 and innovative practice as outlined in Innovation, Health and Wealth, Accelerating Adoption and Diffusion in the NHS (2011)

• Develop a patient engagement and involvement in research strategy

Primary audience: NIHR, Health Research Authority, Clinical Commissioning leads, NHS Trusts.

Impact on library policy/practice:

• Opportunity to engage with clinical commissioning groups and encourage evidence-based decision making – for example, outsourcing library services to CCGs/CSUs where appropriate;

• Responsibility to support the dissemination of clinical research outcomes to wider stakeholders, including patient groups;

• Responsibility to disseminate NICE guidelines and other high quality research to clinical teams and managers to help foster research awareness, translation of research evidence into practice and the rapid adoption of innovation within local NHS Trusts.

• Good practice to identify clinical and non-clinical priorities within the Trust and provide evidence update services to assist teams / managers with health service planning (e.g. pathway re-design), clinical improvement, commissioning plans and health systems design;

• Good practice to support effective knowledge transfer pathways /systems within local Trusts by ensuring that the library service has clear relationships with key departments and effective reporting channels e.g. Chief Knowledge Officer, Team Knowledge Officers and library representative attends relevant department meetings e.g. Education, Learning and Development, Research and Development, Clinical Governance, Informatics.

Date last updated: 14/07/2014

Due for review: July 2015

Group member responsible: ME

Referrals Project

Title of project: Referrals project – NHS Cumbria

Lead libraries: University Hospitals of Morecambe Bay NHS Foundation Trust and North Cumbria Acute University Hospitals NHS Trust

Summary: The NHS Cumbria Evidence Based Referral document dated 14th July 2009 details the procedures that will not be funded by NHS Cumbria unless the patient meets the specific criteria outlined within the document. The Library services will support the revision of the existing document (due to be published in September 2010) by providing evidence summaries

Alignment to local, regional and national drivers:
NHS Cumbria Strategic Plan 2010, Page 51 http://www.cumbria.nhs.uk/AboutUs/HowWeMakeDecisions/TrustBoard/2010/03Mar/StrategicPlan2010.pdf
Evidence Based Referrals http://nww.intranet.cumbria.nhs.uk/GPZone/ReferralSupportAndPathwayEnhancement/Home.aspx
Mckinsey Report, page 37 http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_116521.pdf

Partner organisations / project team:
University Hospitals of Morecambe Bay NHS Foundation Trust: Tracey Pratchett, Clinical Librarian
NHS Cumbria: Ed Hutton, Implementation Manager
North Cumbria Informatics Service: Pippa Orr, Knowledge Support Librarian

Key Audiences: GPs serving NHS Cumbria will use the Evidence Based referral document to streamline the referrals process

“The story”:  This was a short timescale project and occurred over 2 months. Unfortunately, it was difficult to provide a complete review of all areas of the document due to timescales as there were approximately 40 different recommendations. Initial meetings with the Librarians and Ed included discussions about timescales, identification of key search criteria to be applied to all searches, resources to be searched and priorities. A short agreement was devised outlining the library staff contribution.

Benefits for the customer / organisation: Ensuring that referral decisions are evidence based, streamlining and improving the quality of the referral process, ensuring appropriate access, clarifying the boundaries and ultimately saving money for NHS Cumbria.

Benefits for the library: Raised profile within NHS Cumbria about the skills and expertise provided by library staff. Advice provided on evidence use, copyright and access to resources.

Evaluation/ feedback: Evidence based referral document is in place. Quote from Ed Hutton Project Implementation Manager, NHS Cumbria; “The contributions from the Library Services staff were invaluable. Their depth of knowledge and understanding, as well as their ability to quickly interpret the requirements of the project into practical deliverables, were absolutely integral to the delivery and success of the Evidence Based Referrals initiative. I wouldn’t have been able to pull all this together without you.”

Lessons learned: There was a lack of understanding about sources of evidence and availability of information. Also, unrealistic timescales were set in order to carry out detailed literature searches for all areas involved and unfortunately, not all areas were updated and evidence was not fully incorporated into the document. Ultimately though, the work was completed and the library profile was raised within this area. Also provided library staff with an insight into the issues faced by PCTs and Acute Hospitals and raised awareness of potential conflicts of interest.

Project output: Evidence Based Referral document http://nww.intranet.cumbria.nhs.uk/GPZone/ReferralSupportAndPathwayEnhancement/Home.aspx

Timeframe: March-May 2010

Completion Date: 13.8.2010

Contact details: Tracey Pratchett, Clinical Librarian, (01524) 516021, Pippa Orr, Knowledge Support Librarian, (01228) 814879