Tag Archives: quality and impact

Quality and Impact in 2020: The Value of Knowledge and Library Services

Knowledge and Library Services take the “heavy lifting” out of getting evidence into practice and give the “gift of time” to healthcare professionals. (key message 2, The Value Proposition)

As we reflect on 2020 within the Quality and Impact Group, the first thought might be that it was the year when not everything quite went to plan… However, a tremendous amount has been achieved and we have really been able to demonstrate the impact and value of our NHS knowledge and library services and specialists. In this blog we would like to highlight some of successes over the last 12 months and ongoing developments. We would also like to say a big THANK YOU to all those involved in workstream activities and for the knowledge and library staff continuing to identify and share stories of their impact and innovation.

On 2nd November we launched our Value Proposition; the gift of time at an All Party Parliamentary Group (APPG) meeting. The report explains how knowledge and library specialists in the NHS give the gift of time to busy healthcare professionals, taking the heavy lifting out of getting evidence into practice.

Jacque Mallender of Economics by Design, who led the research, will be hosting two webinars to present the report in the new year. This is an opportunity to listen to the presentation provided at the APPG and to ask Jacque any questions.

“The core value proposition is simple: The service provides healthcare professional staff with time-saving accelerated access to better quality evidence. This enables the NHS to meet its statutory obligations to utilize evidence from research. It enables healthcare professionals to use their time more effectively to drive improvements against the NHS quadruple aims” (key message 5, The Value Proposition

The full report can be found on the HEE website

“Informed decisions improve outcomes, quality of care, patient experience, resource utilisation and operational efficiencies. This is best achieved when healthcare professionals are supported by the right knowledge services, with the right resources and with the right teams and roles” (Key message 3, The Value Proposition)

We have continued throughout the year to receive your impact case studies, and over 100 of these have been approved. Working with our HEE communications team we have started to promote these more widely to stakeholders through twitter and LinkedIn, HEE Innovation and Transformation page. We are also now showcasing an impact case study on a monthly basis. Look out for the new format for the impact vignettes

Case studies of high performing NHS Library and Knowledge Services demonstrate two key enablers for benefits realization: that the service has a clear strategic leadership role in knowledge management and mobilisation and is integrated with service delivery” (Key message 6, The Value Proposition)

Although we had to change the submission dates, in the light of your work pressures during the pandemic, we are grateful to you all for completing the workforce and activity statistics this year. We are working to collate and analyse these and will be producing an infographics report of the key headlines. We are also working with our Business Intelligence team within HEE to develop a benchmarking dashboard based on a few key metrics. Again we plan to share this with you once completed.

When supported by high-performing Library and Knowledge Services, NHS provider organisations are able to demonstrate how they are meeting their statutory obligations to use evidence to inform practice and hence improve their CQC rating (Key message 4 The Value Proposition)

As we move into 2021, we anticipate that the baseline self-assessment of the new Quality and Improvement Outcomes Framework will go ahead. We are currently reviewing the timelines and dates for submission whilst also looking at the longer-term process.

Working with Amanda Stearn, we are in the process of updating High Profile Health Libraries, our toolkit to support advocacy. The newly updated toolkit will provide support materials, and hints and tips, to assist in positioning your service as business critical to your organisation(s).

“Assuming findings from the international literature are applicable to the NHS, the service is potentially already generating an overall economic benefit of £132m per annum for the NHS, delivering a net economic benefit of £77m per annum. This could increase to £106m per annum were targe staff ratios for librarians achieved” (Key message 9, The Value Proposition)

One of the outcomes for the quality and impact workstream is to promote knowledge and library service innovation and good practice. This year we were really pleased to see the outcome of our partnership working with CILIPs Library and Information Research Group (LIRG) to publish a special of the LIR Journal on good practice in NHS-funded library and knowledge services. Please do have a look at the good practice research and case study articles.

“There is growing and consistent body of robust international evidence to support this Value Proposition.” (Key message 7, The Value Proposition)

“Recently published research from the NHS suggests similar benefits may exist for the NHS” (Key message 8, The Value Proposition

We have also been reflecting on the achievements of the Quality and Impact workstream over the last five years. Our case study article on the outcomes of the workstream Quality Outcomes in NHS Library and Knowledge Services has just been accepted by the Performance, Measurement and Metrics Journal. Please do look out for this in the new year.

We would like to end by wishing you all a Merry Christmas
Clare Edwards and Dominic Gilroy

LKS Quality Improvement Standards Pilot 2018 

We are pleased to announce that the pilot of the new Library and Knowledge Services Standards launched at the beginning of May. 

To find out more about the pilot and to view the documentation we have uploaded on to the Knowledge for Healthcare blog the Pilot LKS Quality Improvement Standards documentation and the supporting LKS Quality Improvement Standards Handbook.   

Although we are making the documents available they are still currently in pilot form and through testing over the next few months things may change before introduction of the final Standards in 2019. 

To provide an overview of the standards a recorded presentation is also available for you to listen to at your convenience.  You will need to download this file to your local device before attempting to play. 

We will be keeping you up to date on the progress of the pilot via the blog and at local network meetings. 

If you have any questions please do add a comment on the blog or send through to the contact details provided below


HEE LKS Quality Improvement Standards Project Group: 

Clare Edwards  Deputy Head Library and Knowledge Services and Technology Enhanced Learning, Midlands and East 
Linda Ferguson  Deputy Director of Health Library and Knowledge Services, North 
Dominic Gilroy  Library and Knowledge Services Manager: Y&H, North 
Holly CaseWyatt  Library and Knowledge Services Development Lead, London and Kent, Surrey and Sussex 
Sue Robertson  Knowledge Services Development Lead, South 

Hello from the Metrics Task and Finish Group

Metrics are the second task and finish group in the Quality and Impact work stream of the Knowledge for Healthcare programme.  Our remit initially is to consider how we should define metrics for the programme and in Library and Knowledge Services for the NHS more generally.  We want to ensure that we measure our services in ways that are valid, unambiguous and effective.  Building on this we will look at the use of balanced scorecards for gathering and reporting performance indicators.  The group will then consider the NHS LKS annual statistics return.

Each piece of work should inform the others building our understanding and options.  One potential scenario is to end up with widely acceptable and replicable performance indicators, presented consistently and reporting simply at year end or when required.  Clearly this is an ambitious vision and a certain amount of work away!

The group has been meeting virtually since the summer following a change of Chair.  We have been busy on preparatory research, literature searches and assembling the framework for our metrics report.  We are looking at past work in this area in the NHS and at ongoing developments elsewhere.

At the heart of the report will be an exploration of principles for good metrics.

To help us establish those principles we need to have a clear picture of what current practice looks like.  To that end we are asking you to complete a brief survey tool.  The tool invites you to present and explain the metrics you are currently finding most useful.  This could be in terms of understanding your service or in making the case with your stakeholders.  There is space for three but if you have fewer that you really like then just give us those. Equally you can offer more by just completing it again.  There are very few other questions.  If you can provide an email address for us to check any details that would be appreciated but it is not mandatory.

As good metrics will underpin all aspects of Knowledge for Healthcare we need to move on with this work quickly.  Accordingly the closing date for the survey has been set for the 31st of October.  We will analyse the data in November and then push on with the report to ensure it is complete before the end of the year.


Members of the Task and Finish Group

Angela Clifford, Nottinghamshire Healthcare FT
Dorothy Curtis, Gloucestershire Hospitals FT
Alan Fricker, King’s College London (Chair)
Richard Parker, Heart of England
Lorna Wilson, Norfolk & Norwich UHT

Previous members –

Andrew Brown, Frimley Health NHS Foundation Trust
Steve Glover, Central Manchester University Hospitals NHS Foundation Trust