Tag Archives: Service Improvement

It may all be NUTS by David Law

As we rapidly approach a nadir on the Streamlining Group’s work at reviewing document delivery and supply we are gaining an integral understanding of what is a complex area. “Scratch the surface” or “opening a can of worms” are two phrases that have come to mind during the past few months, but recommendations for some key actions there will be. The potential is there to radically transform and streamline the way the NHS shares its knowledge, saves money and ultimately provides an ultra-efficient and equitable service to its end users.

The group is working towards the creation of a national policy on document supply by reviewing the existing regional policies and policies of other collaborative networks such as NULJ, PLCS and FIL (Forum for Interlending). There is a great deal of similarity amongst them, however we also need to be aware of where local practice may be “best practice” and incorporate this into our standards.

The contentious area of charging was raised in the previous blog posting from the group and elicited a number of comments. This is a difficult area to assess due to significant local variance and the reasons as to why a charge is in place. Close collaboration with other K4H workstream areas will be required to find a solution acceptable to everyone.

Nine years ago a business case was written, “NHS Interlending & Document Supply Services: Strategic Business Case”, but was never adopted as an action or a viable solution at the time. Many of the issues highlighted remain the same today and although we are not developing a new business case the group has taken on some of the recommendations from that document. A key part of the group’s work has been to scope out the practical and technical requirements of a document supply/interlending management system and this appears to have morphed into a beast of its own and there is hope that at a future date this may underpin document supply work within the NHS.

This work though is very much step-by-step and the group intends to deliver robust recommendations regarding document supply. As a first step the creation of a national union list of journals is core as this will make visible and increase accessibility to the journal resources owned by the NHS. Fundamental is the understanding that if a resource is purchased by the NHS, then it should be shared across NHS boundaries. This should reduce reliance upon external providers, often at cost, and will also in time allow for the creation of a national collection policy. At present we don’t know what we have!

What will be the impact upon regional schemes? Initially there should be minimal impact and the national union list will supplement membership of these schemes, however with the possible development of a national management system change will probably be required. Some regional schemes are already being transformed, amalgamated or have developed shared protocols. ULSERS will be no more soon and who knows what a new scheme may have as an acronym. It’s all NUTS to me anyhow….

Any comments please send to sue.robertson@thamesvalley.hee.nhs.uk

Welcome to the Quality and Impact Working Group

The group leads and is responsible for the delivery of HEE’s Knowledge for Healthcare Quality and Impact work programme

The goal of the group is to continue to drive service improvement and to demonstrate the value of knowledge services by:

  • Enhancement of the impact toolkit to enable robust evaluation of impact and development of quality case studies

To refresh the tool, promote widespread adoption and publish case studies in order to attract more decision-makers to make best use of these services

  • Ensuring meaningful measures for successes
  • Refresh of the Library Quality Assurance Framework (LQAF)

We will refresh the Library Quality Assurance Framework to ensure it continues to drive service improvement and is aligned with wider education and service monitoring processes

  • Build an LKS evidence base through development of research in LKS and support the application to underpin the spread of innovation

Knowledge teams will continue to undertake and publish research in the field, thereby building the evidence base for service improvement and sharing best practice.

For 15/16 our main priorities are the development of the value and impact toolkit and the metrics for success. Quality and impact is a running theme throughout knowledge for healthcare and there are some great case studies highlighted in the framework, we hope to develop this further by building up a collection of impact case studies.

Details of the working group task and finish group and reference group members can be found on the Knowledge for Healthcare Programme Update of NHS Library and Knowledge Services Website.

Watch out for more blogs from both the working group and the task and finish groups for more updates and progress.

Clare Edwards
Chair Quality and Impact Working Group