A Million Decisions

Aims What do Senior Leaders Say? Impact Get Involved Resources


#AMillionDecisions is an ongoing joint initiative from Health Education England (HEE) and The Chartered Institute of Library and Information Professionals (CILIP).

The NHS in England interacts with one million patients every 17 hours, making decisions with them and on their behalf.

These decisions have a profound and lasting impact on people’s lives, influencing both the quality of healthcare and the cost of services.

“Evidence does not speak for itself but needs to be mobilised at the right time, and through the right people, to make a difference in decision making”

National Institute for Health research, 2013

The #AMillionDecisions initiative calls for all decisions on health care  to be  evidence-based and for all healthcare organisations to ensure that their workforce can use knowledge services and draw upon the expertise of library and knowledge specialists, to meet their statutory obligations to

“Promote research and innovation and the use of research evidence in decision making”

The Health and Social Care Act 2012


#AMillionDecisions aims to:

  • demonstrate and promote the skills, role and positive impact of health librarians and knowledge specialists in supporting health priorities
  • work with influential champions  ensure, that, as a matter of practice, all healthcare organisations harness the expertise of health librarians and knowledge specialists to inform evidence-based policy and patient care
  • create advocacy materials which can be used by all

What do senior leaders say?

Senior leaders from across the health sector are championing the positive impact of NHS knowledge specialists.

Interview with Dr Jonty Heaversedge, Chair of NHS Southwark CCG and Medical Director for Primary Care and Digital Transformation in London.

Join them and share your message knowledgeforhealthcare@hee.nhs.uk 

Our Impact

Health librarians and knowledge specialists ensure that decisions are based upon the best available evidence and encourage knowledge to be captured, shared and re-used.

Take a look at these examples of the work carried out by health librarians and knowledge specialists.
Create your own impact case studies  and add to our collection.

Getting Involved

Visit the CILIP website to find out more and support the campaign #AMillionDecisions.


Use the resources to promote #AMillionDecisions.

A selection of resources and templates for use in promoting #AMillionDecisions. 

Twitter message

Health librarians bring the evidence for #amilliondecisions in #healthcare #NHS www.cilip.org.uk/amilliondecisions 

Social card templates

Use to gather endorsements from your own local health and care leaders. 

Make sure you explain how the card and quotation will be used (e.g. published on websites, social media, used in reports and promotional materials).