Tag Archives: Sustainability

The Sustainability and Evidence Mobilisation (STEM)Club

Background:

The STEMClub is an informal group of NHS and public health colleagues working cooperatively to support the mobilisation of evidence at the system-wide level in the north east of England.

We are trying to achieve this aim in two ways:

    • By making links to system-level work streams within the North East and Cumbria Partnership, and potentially beyond.
    • By providing both virtual and real, in person, opportunities to connect as a group and understand who is working on what, making effective use of our collective knowledge and insights.

The founding members of STEMClub have been enthused by the level of interest and commitment among colleagues from commissioning, public health and library and knowledge services (LKS) to a collaborative, system-wide approach.

Work to date:

The working model so far has been to identify work streams within the Sustainability and Transformation Partnership (STP) with an evidence need and match these to NHS library and knowledge services (LKS) staff who have volunteered to support with evidence searches. LKS staff are currently supporting work in the following areas:

    • Development of a frailty framework
    • Maternal choice in perinatal care
    • Mental health

There have also been two community-of-practice events attended by colleagues from across the NHS. The main themes emerging from these events are:

    • This is a bottom up “movement” which needs to be led by its members.
    • It needs input from policy-makers, decision-makers to help members to understand the priorities and shape the offer.
    • The Club offer needs to be defined and articulated
    • The question of “how to sustain momentum and keep moving forward?” is a recurring theme.

What will success look like?

There is evidence to show that commissioners are currently ad hoc users of research evidence and that interventions tried so far to improve uptake and use of research have had little or no impact. The ambition of STEMClub is to change the NHS decision-making culture:

At every decision-making table, there will be someone with the skills, experience and knowledge to ensure that decisions are informed by relevant evidence.

What are the next steps?

    • Club members need to broaden the network and work more closely with colleagues from the AHSN and other academic partners.
    • Most of the resource and expertise required to achieve the aims of STEMClub will be in kind. In order to reach out to more work-streams, we need to scale up the activity and make it sustainable. This may require funding.
    • There will be a need for coordination of activity and some infrastructure to support the sharing of evidence and searches. This is being explored currently.
    • NHS LKS staff are going through additional skills development to support this work and ongoing development will be required. Opportunities for mentoring support will also be explored.

 

Shona Haining Head of Research & Evidence North of England Commissioning Support s.haining@nhs.net

Tom Hall Director of Public Health, South Tyneside tom.hall@southtyneside.gov.uk

Mark Lambert Consultant in Specialised Services Public Health (North East and Cumbria) mark.lambert2@nhs.net

Joanne Naughton Library and Knowledge Services Development Manager, HEE joanne.naughton@hee.nhs.uk

David Stewart Director of Health Library and Knowledge Services, North, HEE david.stewart@hee.nhs.uk

Paul Wilson Senior Research Fellow, Manchester University paul.wilson@manchester.ac.uk

STPs and Patient Information

Having read the recent blog from Imrana Ghumra and Sue Lacey Bryant on “10 big questions for STPs. One big question for LKS” I decided to email my trust’s lead on the local STP.

Using the key themes from the 10 big questions I outlined how I felt the library could support him and the wider team. I was keen to emphasis how the library could support the team with evidence and current awareness . I ended with a section on how NHS libraries are supporting patient and public information to tie in with the STP health and wellbeing agenda.

To my surprise I got a request by return email for a meeting.

My next surprise was his main interest: patient and public information. He had little interest in our other key skills and offers but focussed the whole conversation on how the library could contribute to the local preventative medicine and health and wellbeing strategies.

For those of us already engaged in PPI this may be another avenue to explore. The STP may enable your service to have collaboration with the wider healthcare community, the public library health offer and also have direct input into patient and public health information at a trust and local level.

Further to the PPI work I am already engaged in, I have already started a conversation with the Lead on Patient Information on how we might use patient letters for health information.

My experience is not an isolated one as I discovered in a conversation with Natasha Howard. Natasha said “I seem to be having more and more conversations about provision of patient and public information, and how the library team can support this work. In the last few weeks it has come up in conversations and emails with clinicians and one of the public health teams that we are contracted to provide services to. I’m due to speak to colleagues in Procurement about how we might contribute to reducing spending on print information for service users. Our accountant has also picked up on our potential in this area. Following discussion of the role of information in prevention and improving outcomes, she suggested that we could write a good business case for funding to recruit a Patient Information Librarian.”

Carol-ann Regan, Library and Knowledge Services Manager, Taunton and Somerset NHS Foundation Trust

Natasha Howard, Library Manager, Aubrey Keep Library, North East London NHS Foundation Trust

 

 

10 big questions for STPs. One big question for LKS.

You’re thinking “What? More acronyms?”

Don’t worry, all is explained. The NHS Five Year Forward View Shared Planning Guidance required every local health and care system in England to create a Sustainability and Transformation Plan (STP). These will be place-based, multi-year plans built around the needs of local populations. STPs will drive transformation in health and care outcomes between 2016 and 2021.

To deliver these plans, NHS providers, CCGs, Local Authorities, and other health and care services have come together to form 44 STP ‘footprints’ (maps). The majority of STP Chairs have been appointed. Local Workforce Action Boards will be responsible for delivering four key pieces of work in the coming months including an action plan that proposes the necessary investment in workforce required to support delivery, and identifying sources of funds to enable its implementation.

Time is of the essence. STPs are working to a deadline of 30 June for submission of their full plans but before submitting the plans will have to go through local governance approval processes e.g. a health and wellbeing board or a Trust board.  This means the deadline for creating the plans is looking more like early June.

The 10 big questions for STPs are:-

  • How are you going to prevent ill health and moderate demand for healthcare?
  • How are you engaging patients, communities and NHS staff?
  • How will you support, invest in and improve general practice?
  • How will you implement new care models that address local challenges?
  • How will you achieve and maintain performance against core standards?
  • How will you achieve our 2020 ambitions on key clinical priorities?
  • How will you improve quality and safety?
  • How will you deploy technology to accelerate change?
  • How will you develop the workforce you need to deliver?
  • How will you achieve and maintain financial balance?

For more detail see The Big Question briefing.

The Big Question for Library and Knowledge Services to ask is “How can we help?”

  • What evidence, best practice and data is required by the STP?
  • Where do you need to focus to best support the health and care system?
  • How can we work together with neighbouring library and knowledge services to provide the best support, efficiently and effectively?

Sometimes several library services serve the organisations within a footprint. Some services span more than one STP. So, it’s important to discuss how to work and collaborate more closely to make Library and Knowledge Services an essential resource for the STPs.

The clock is ticking.  For colleagues just getting started this presentation, briefing and action planning grid, from a recent workshop in Cambridge is shared, simply as an introductory resource. We see that to make a difference, Library and Knowledge services need to act fast, making contact to offer and provide support to the STPs before plans are finalised.

 

Imrana Ghumra                                            Sue Lacey Bryant
Professional Advisor, LKS                       Senior Advisor, Knowledge for Healthcare
@imrana_g                                                    @SueLaceybryant