Tag Archives: informatics

The Topol Review: Preparing the healthcare workforce to deliver the digital future.

Impact on library policy/practice: 

  • The review makes a strong assertion that effective knowledge management is essential for a digitally ready NHS, with a specific recommendation (OD5 p.70) that “NHS Boards take responsibility for effective knowledge management to enable staff to learn from experience (both success and failures) and accelerate the adoption of proven innovations.”
  • It makes clear that the adoption of digital healthcare technologies should be based on evidence, of both clinical and cost-effectiveness, and knowledge of new technologies needs to be spread throughout the NHS (p.20). Librarians are well-placed to help access the evidence-base, to encourage the development of the knowledge base (for example through support for research and writing for publication) and to help ensure knowledge is disseminated (OD6, p.68)
  • LKS staff are ideally placed to train, support and engage healthcare professionals in engaging with the technology (OD3, p.66, E6 and E8, p.78)
  • Knowledge management opportunities are abundant – the review specifies that an increase in knowledge specialist posts to support healthcare professionals is required (DM4/AIR5, p.49 and 57)
  • LKS can provide support via digital and healthliteracy/needs based targeted education and support upskilling of current workforce (OD3, p.66 and E6 and E8, p.78)
  • LKS are well positioned to link up with local community via GP surgeries and community events/local libraries/education to support both patient/public and healthcare professional education (P2, p.25 and HI1, p.25)
  • There’s an opportunity for LKS staff to be the champions and create the collaborative networks required to support workforce with lifelong learning/continuing professional development
  • A culture of learning is recommended as an educational recommendation to support a digitally enabled health system, something that LKS enhance in multiple ways across NHS Trusts (E1, p.74)
  • As training and educational programmes evolve to address digital technologies; to adequately support these programmes LKS may need to review and / or expand on their provision of resources covering the areas of genomics, artificial intelligence, robotics, and digital technologies. Or should see how they can facilitate access to such resources e.g. via inter library loans.

Source:  An independent report on behalf of the Secretary of State for health and Social Care

Link to review

Publication format:  PDF

Date of publication: February 2019

Summary of driver:

The Topol Review, is based around the following three principles which support the implementation of digital healthcare technologies across the NHS.

  • Patients should be suitably informed about health technologies, with particular  focus on vulnerable groups to ensure fair access
  • The healthcare workforce needs knowledge and guidance to evaluate new technologies
  • The adoption of technology should be used to give healthcare staff more time to care and interact directly with patients

Key features of driver: 

  • Patients need to be included as partners and informed about healthcare technologies, with a particular focus on vulnerable/marginalised groups to ensure equitable access
  • NHS is to invest and upskill existing workforce  
  • The healthcare workforce needs expertise and guidance to evaluate new technologies
  • The gift of time, adoption of new technologies should enable staff to spend more time to care
  • The review covers the implications of these changes for both healthcare professionals and patients. New technologies will bring stronger patient-clinical relationships as well as improved accuracy of diagnoses and treatment and the efficiency of care and workflows for the healthcare professional.
  • Although the workforce is changing, automation should improve efficiency but not replace human interaction
  • Emphasis on that to deliver this change, investment in people is as important as the investment in technology. NHS organisations are expected to develop learning environments in which the workforce is encouraged to learn continuously.
  • NHS Boards to take responsibility for effective knowledge management to support innovation and change
  • Core training and lifelong training
  • NHS IT will have to be updated to support the training resources and educational opportunities in digital healthcare technologies
  • Apps and wearables – patient becoming more involved with self-management

Primary audience: Healthcare workforce, national and local government, educational institutions

Related document: CILIP response to the Topol Review of Technology in the Healthcare Sector https://www.cilip.org.uk/page/TopolReview

Date last updated: February 2019

Due for review:  February 2020

Group member responsible: LK


The Topol Review: Preparing the healthcare workforce to deliver the digital future: Interim Report June 2018 – A Call For Evidence

What does this mean for libraries? 

The interim report specifically talks about the need for evidence to support the introduction of new healthcare technologies, and library staff can support the accessing and use of the evidence-base, as well as providing support to healthcare staff that wish to publish evidence.

There will be an increasing demand for knowledge resources on the topics covered by the review, to support the education of new as well as existing healthcare staff.

Some of the technologies are some years away, but there are some such as wearable technologies (for example Fitbits) that are becoming commonplace and there may be an argument for library staff to become familiar with them, or to provide loanable devices so healthcare staff can try them out. Although in most NHS organisations the IT infrastructure is not always conducive to new technologies, where it is, library staff could argue the need to support initiatives such as Skype or other video communications (such as is being done at the Mid-Cheshire Hospitals NHS Trust), or other digital technologies.

At the moment, the interim review is seeking evidence to inform the final review, and once this is published the implications for libraries may become clearer but the overall thrust of the review is that new technologies will become more dominant in the NHS, and there is a case for library staff to be given the support to become more tech-savvy so they can support the wider workforce.

Source: Health Education England (HEE)

Link to main document

Date of publication: June 2018

Summary of driver: This is an interim report of a review commissioned by the Secretary of State for Health and Social Care to look at technological developments and how they impact on the future workforce.

In particular, the review will be looking three themes: genomics, digital medicine, and artificial intelligence (AI) and robotics. These are likely to change the roles of healthcare staff, and the report is concerned with the skills required to use these technologies, and which professions will be most impacted by the changes. It is also concerned with the education and training needs of current and future NHS staff.

The review proposes three key principles to govern the future workforce strategy. Firstly, patients should be empowered to use new technologies to be more actively involved and engaged in their care. Secondly, the introduction of any new technology needs to be supported by robust evidence. Thirdly, new technologies should free up more time for care and enhance the patient-clinician relationship.

Evidence and comments are being sought from those interested in workforce education and development, with a view to informing the Final Report which is planned to be presented in December 2018.

Improving Digital Literacy

Impact on library policy/practice: 

Libraries are well-placed to support digital literacy, and some already do for instance by supporting e-learning, providing training in social media or other new technologies, or having access to mobile devices for people to try. This doesn’t need to be just the technical aspects, but might include aspects of copyright, information governance or online security.

Library staff may need to be educated in how to use new technologies such as wearable devices (e.g. fitness trackers), or voice controlled devices (such as the Amazon Echo) and this may involve purchasing examples for library staff or users to try out. We may need to provide training on areas outside of the traditional information skills, and branch out into areas such as Twitter or LinkedIn.

We should if possible position ourselves as the ‘digital champions’ in the Trust, and this driver could be used to argue the necessity of such a role.

Although this document is focused on healthcare professionals, there may be scope for providing digital healthcare literacy support for patients as part of the KfH Patient and Public Information work, perhaps in collaboration with public libraries.

Source: Health Education England and the Royal College of Nursing

Link to main document

Publication format: PDF

Date of publication: July 2017

Summary of driver:

This report is focused on the digital literacy skills of healthcare professionals, and the definition of digital literacy that HEE has developed is

‘Digital literacies are the capabilities which fit someone for living, learning, working, participating and thriving in a digital society’.

The six domains included in this definition are:

  • Digital identity, wellbeing, safety and security
  • Communication, collaboration and participation
  • Teaching, learning and personal/professional development
  • Technical proficiency
  • Information, data and media literacies
  • Creation, innovation and scholarship

This report is part of HEE’s digital literacy project that aims to ensure health and care staff have the widest range of digital skills to provide the best possible patient outcomes and ensure effective personal and professional development.

This report is also part of the RCN’s ‘Every nurse an e-nurse’ project that identified an aim that by 2020 every UK nurse should be an e-nurse. The impact of technology and the potential that it has to transform care is a professional issue touching on care delivery, practice, education and research, and includes the involvement of nursing and midwifery staff in the design and implementation of information technology, increasing access to education and training, and using data to improve care.

Key features of driver:

The digital literacy work by Health Education England is includes supporting awareness-building about those capabilities that make up sound digital literacy across professions and disciplines, increasing individual motivation to develop those capabilities supporting individuals in accessing and using digital tools and resources, unlocking some of the barriers to accessing technology in healthcare.

The report does recognise there are challenges and barriers (which are further addressed in another paper) including attitudes to technology, lack of time to explore new technologies, lack of confidence, technical factors (such as patchy WiFi or blocked websites), and organisational policies (such as discouraging staff from using smartphones to access learning at work).

The report also looks at some potential solutions to improving the digital literacy of their workforce, including:

  • Leaders need to clearly express the importance of digital literacy, which also needs to be built into the vision and strategy of the organisation
  • There needs to be an open and trusting culture, with an ethos of information sharing
  • Allowing time for the development and improvement of digital capabilities
  • Developing ‘digital champions’ whether formally or informally

Primary audience: Senior leaders in healthcare, education and training staff, nurse leaders.

Date last updated: November 2017

Due for review: November 2018

Group member responsible: JC

National Information Board – Patient Carers and Service User Vision

Policy Briefing aimed at healthcare professionals is available for LKS staff to share in their own organisations. This has been produced and shared by the JET Library, Mid Cheshire Hospitals NHS Foundation Trust. Please feel free to reproduce it (with acknowledgement to JET Library) for your own purposes.

Impact on library policy/practice: 

These plans do not directly apply to libraries, but some of the vision has implications for information libraries may wish to make available through their activities for providing information to patients or the public; or to NHS /social care staff that need to know of or share this information with the public and patients.

As these plans are intended for local development and implementation – which aspects of the plans are developed will vary from one place to another.

If locally the plans are taken forward to highlight access to good quality information online via NHS Choices, or for the NHS to help patients understand what mobile apps and wearable devices for tracking/monitoring their health can be safely trusted – libraries may wish to include this information their provision/signposting of information to the public and patients.

If organisations focus on the implementation of more telehealth or telemedicine solutions for providing service to patients or for the sharing of patient data, test results and information between organisations e.g. hospital and GP, there may be an interest in resources around these topics from staff to raise their awareness of these technologies and see what good/existing practice is already in place.

Source: National Information Board

Link to main document: https://www.gov.uk/government/publications/personalised-health-and-care-2020-service-user-vision

Supporting documentation: The Clinical version: Information and Digital Technologies Clinical Requirements 2020 http://www.aomrc.org.uk/publications/reports-guidance/information-digital-technologies-clinical-requirements-2020/

 Publication format: PDF

 Date of publication: October 2017

Summary of driver: Patient Carers and Service User Vision: Personalised Health and Care 2020.

This vision document states what the Government’s and national health and care organisations’ current digital technology programmes will enable health and social care services to deliver for people in England; through improved use of information technology.

These plans are to be implemented locally, with local decision making, so how they are achieved may different from one area to another. The plans may mean doing things differently, doing new things or just doing existing things better.

Key features of driver:

  • It will be easier to find reliable online information and advice to maintain fitness and wellbeing
  • Online support through NHS 111 will help people if they have a health problem
  • NHS 111 will signpost people to the right help
  • It will be easier to find information at nhs.uk
  • The NHS will help people understand which apps they can trust
  • People will be able to link information from wearable and devices to their own health records
  • There will be free wi-fi in all NHS premises
  • People will be able to book and change appointments online
  • People will be able to track their test results online
  • People will be able to talk to their doctors via phone or Skype
  • GPs will be able to use remote consultation more quickly and easily
  • GP and hospital systems will link up more effectively
  • Children’s red books will become electronic
  • People will have a choice about where, when and how medicines are delivered
  • The accuracy of prescriptions will be improved
  • Test results will be available more quickly and easily
  • It will be easier for different health-care teams to work together
  • It will be easier to find out what social care support people are eligible for and how to access it
  • Carers will find it easier to get hold of the information and support they need
  • Data from gene testing will be linked to other information and analysed in new research hubs
  • Health and care services will have more reliable, joined-up and secure systems

 Primary audience: Public, NHS and social care organisations.

 Date last updated: November 2017

 Due for review: November 2018

 Group member responsible: FG


End of Year Learning Guidance

Title of driver: End of Year Learning Guidance

Source: NHS Improving Quality

Link to main document http://www.nhsiq.nhs.uk/capacity-capability/knowledge-and-intelligence/iq-handbooks/learning-handbook/end-of-year-learning-guidance.aspx

Publication format: Interactive Prezi slideshow with hyperlinks to supporting documentation. Also available as a PDF.

Date of publication: 2014

Supporting documentation: NHS Improving Quality, (2014), Learning Handbook http://www.nhsiq.nhs.uk/capacity-capability/knowledge-and-intelligence/iq-handbooks/learning-handbook.aspx

Summary of driver:

Outlines the need for teams to conduct end of year, or end of project, lessons learned reviews.

Provides information on the recommended style of learning activity – retrospect review.

The guidance highlights the benefits of conducting lessons learned reviews and capturing the knowledge acquired during the team’s work.

Key features of driver:

  • This guidance focuses on documenting tacit knowledge, through learning activities and the production of a lessons learned report.
  • Capturing and sharing this knowledge is seen as key to ensuring that NHS organisations are resilient, and positive outcomes can be repeated.
  • The benefits of end of year, or end of project, learning activities include: sharing knowledge throughout the organisation; and identifying positive and negative actions so that they can be repeated or avoided in the future for similar projects.
  • Recommends using the retrospective review method.
  • The guidance acknowledges there are other possible learning activity methods. The guidance includes hyperlinks to the appropriate pages of the NHS Improving Quality’s Learning Handbook for further details of the methods.
  • Stresses that learning activities should focus on the ‘how’ and ‘why’ projects progressed in the way they did; and why they were successful or not successful compared to the team’s expectations prior to the work.
  • Learning activities should include all members of the team involved in a project – NHS staff and any external members, to ensure that everyone’s learning points and knowledge are included.
  • The lessons learned reports should be produced in an appropriate format, and stored and distributed in a way that makes them accessible to all staff within the organisation.
  • Includes links to a suggested lessons learned report template in the Learning Handbook.
  • Document also includes a link to a YouTube video explaining the concept of tacit knowledge.

Primary audience: Anyone working in the NHS

Impact on library policy/practice:

  • Although the guidance focuses on end of the financial year learning activities, the method could be used at the end of any project.
  • Library or information service staff could use learning activities to review their own work and projects.
  • Library staff may be able to facilitate lessons learned activities for other teams, or provide training on the use of various lessons learned activity methods.
  • As a contribution towards knowledge management, libraries may take on the task of storing and making available the lessons learned reports from departments throughout the organisation – using the library’s cataloguing system, other document storage system or Trust intranet.

Date last updated: March 2015

Due for review: March 2016

Group member responsible: FG


Personalised Health and Care 2020: Using Data and Technology to Transform Outcomes for Patients and Citizens: A Framework for Action

Source: NHS National Information Board

Link to main document

Publication format: PDF

Date of publication: November 2014

Summary of driver: 

Better use of data and technology has the power to improve health, transform the quality and reduce the cost of health and care services.

It can:

  • give patients and citizens more control over their health and wellbeing
  • empower carers
  • reduce the administrative burden for care professionals
  • support the development of new medicines and treatments

This document is a framework for action that will support frontline staff, patients and citizens to take better advantage of the digital opportunity, and the newly created National Information Board (representing a number of national bodies) will report annually on progress made against the priorities. The ambition is to make the NHS a digital pioneer.

All NHS funded care services are expected to have digital and interoperable systems that remove the limitations of paper records by 2020.

Technology will play a vital role in helping contribute to the £22 billion in efficiency savings needed to sustain the NHS, as set out in the NHS Five Year Forward View.

Key features of driver: 

Some of the specific priorities are:

  • Online access to personal GP records by 2015
  • Online access to all personal health and social care records by 2018, including the ability for patients to add their own comments.
  • National digital standard for people at the end of life – building on the success of Co-ordinate My Care in London – so their care preferences are respected.
  • Digitisation of the Personal Child Health Record (the red book) to offer new mothers personalised mobile care records for their child
  • NHS ‘kitemarks’ for trusted smartphone apps which will help patients access services and take more control of their health and wellbeing
  • Patients will only have to tell their story once – with consent, care records will be available electronically across the health system by 2018 for urgent care services and 2020 for all services – improving coordination of care, particularly for those with complex conditions
  • ensuring the NHS remains a leader in fight against disease and as a hub for genomics research
  • developing innovative personalised medicines so treatment is right first time

Primary audience: All NHS organisations

Impact on library policy/practice: 

The report does not mention library and knowledge services, and is mainly concerned with data about patients.

However, there are a few areas that may impact on us:

  • Healthcare workers will be expected to use mobile devices much more in future, and library staff may be able to provide some support and training on using these.
  • In 2015 NHS England will develop proposals for Code 4 Health, a programme to support health and care professionals to develop apps and other digital services. Library staff could get involved to write their own apps, or support health and care staff to do so.
  • Health Education England and the Health and Social Care Information Centre are introducing a new knowledge and skills framework in 2016 that will embrace digital technology. Library services may be able to demonstrate how our services, particularly training, can contribute to staff meeting the requirements.
  • There are proposals to create a federation of health informatics professionals. Some librarians are already members of UKCHIP, which will become part of this, and CILIP are also represented. This could be an opportunity to demonstrate the role that library and knowledge have in health informatics.
  • Digital services are to be delivered in line with the Government Service Design Manual, and this may impact on future library website or e-resource developments, or indeed on the way library services operate as ‘digital by default’ becomes more widespread.

Date last updated: Dec 2014

Due for review: Dec 2015

Group member responsible: JC


Knowledge strategy: Harnessing the power of information to improve the public’s health

Title of driver: Knowledge Strategy: Harnessing the power of information to improve the public’s health

Source: Public Health England

Link to main document: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/248820/PHE_Knowledge_strategy_October_2013.pdf

Publication format: PDF. Other formats available on request; email james.freed@phe.gov.uk

Date of publication: October 2013

Summary of driver:

The document is a response from whole public health system under PHE, to the Department of Health information strategy, The Power of Information: Putting all of us in control of the health and care information we need.
The PHE strategy outlines the strategic approach that the public health system will take around information and knowledge, in order to improve and protect public health and reduce inequalities. It is an illustration of how PHE will meet the knowledge and information requirements of public health practitioners across the public health system via a framework to support change across the public health system resulting in PHE becoming ‘an information-led knowledge-driven organisation’.

Key features of driver: Eight priorities for public health knowledge were identified by PHE which in turn led to the creation of 12 commitments which will be used to support business planning cycles over the next five years. Those eight priorities are:
Understand and meet the needs of users, particularly local government and local NHS
Assess priorities for the support, conduct and translation of public health research
Work with others to build and manage linked datasets that are safe and available for use
Bridge the current gap in translation of knowledge into action
Build and develop health intelligence networks
Extend the use of surveillance to inform health responses
Connect people to share experience
Develop a web portal to report and provide access and evidence
Each of the eight priorities has an example of the priority in practice and the metrics used to evaluate it.
This document is to be used by PHE as a tool to inform of immediate needs and to close the gaps where the way forward is less clear.

The 12 commitments
Support openness and innovation
Provide the tools to let public health professionals do their jobs
Understand and meet public health requirements for knowledge
Develop a strategy for research
Make data more useful and more accessible
Work with others efficiently
Work with knowledge and data safely and securely
Ensure everything we do has a positive impact and provides value for money
Develop cross-system networks to share intelligence and expertise
PHE to deliver the national health surveillance strategy for England
Share and learn from experience
Development of a digital strategy

Primary audience: Public health workers/local authorities/other stakeholders

Impact on library policy/practice: With the push towards evidence based practice this highlights the possibility of targeting the public health workforce with detailed current awareness bulletins if not doing so already. Some public health organisations might not have specialised library information professionals available to them-so there is an opportunity here for other NHS LKS staff to close the gap. There is the possibility of collating more general public health current awareness information for other health organisations-to alert them to changes/drivers in public health. Priority 4- Bridge the current gap in the transition of knowledge into action- is more or less what we do every day as PHE move to develop a
‘minimum standard’ of knowledge services and the skills required to deliver them.
The knowledge services required include evidence synthesis, mediated literature searching and filtering, information skills training and training in knowledge management tools. Involvement in journals clubs is listed in priority 7 (connecting people to share experience).

Date last updated: June 2014 (Consultation responses published)

Due for review:

Group member responsible: LK