NHSScotland Librarians’ National Meeting

Collaboration and Coordination:

Building the National Knowledge Broker Network

4th November 2014 Teacher Building St Enoch Square

Meeting aims

1. Explore the Knowledge into Action aim of developing a coordinated, multi-agency national knowledge broker network to provide equitable support across the whole system for translation of knowledge into better health and better care.

2. Reflect on progress to date in building this network – achievements and areas for improvement.

3. Agree key actions to build this network with greater pace, scale and strength over the coming 18 months.

ProgrammeMorning: Collaboration and coordination across

NHSScotland Knowledge Broker Services

1. Producing national evidence summaries.

2. Defining a business model for coordinated national evidence search and summary services.

3. Developing an online knowledge broker gateway.

Afternoon: A multi-agency knowledge broker network.

1. Partnership with public library and voluntary agencies.

2. Knowledge broker capability mapping – combining complementary skills across the network.

National Evidence Summaries Project

Knowledge into Action

Supports all partners in care - practitioners, policymakers – to find, share and apply knowledge to improve health and wellbeing and deliver best quality of care.

Exploits the power of knowledge to improve and transform delivery of health and care, as set out in the Quality Strategy, 2020 Vision, public services reform and health and social care integration.

This means supporting…..• Health and social care integration.• Integrated working across public services • Strengthening the role of community-based services,

and primary care.• Self-management, shared decision-making,

personalisation and self-directed support.• Support workers and other new roles central to service

transformation.• Improving health and reducing health inequalities.• Effective resource use.

Translating Knowledge into Action

Knowledge Broker Services

Evidence Search & Synthesis

Actionable Knowledge

Social

& Relational Knowledge

KM Skills & Culture

National Evidence Summaries Project:3 Aims

1. Produce 10+ national evidence summaries on service transformation issues selected by national stakeholder groups, e.g:

• Developing primary care contractor roles• Health inequalities• Service and workforce integration• Person-centred care• Co-production• Quality improvement• Service redesign

2. Present these summaries in actionable formats sto support decision-making by the target audiences.

3. Produce guidance on methods for future production of evidence summaries on key topics relevant to service transformation.

Who is involved?Sponsors: NES, Evidence Search and Synthesis Working

Group.

Supplier: Higher Education Partner (via tender) – support, coaching, collaboration, production of guidance.

Partners: Funding to support participation by Knowledge Services in:

• NHS Greater Glasgow and Clyde• NHS Ayrshire and Arran• NHS Fife• NHS Grampian• NHS Lanarkshire• Health Manaqement Library, NHS National Services Scotland• Healthcare Improvement Scotland• NHS Education for Scotland.• Health Scotland

Why is this project important?1. Evidence search and synthesis is:• The essence of the librarian role in NHSScotland.• A unique and valued contribution we make to the service –

we need to profile and strengthen it.• The backbone of other knowledge broker services.

2. Shows we can work beyond traditional boundaries to support new needs emerging from service transformatio.

3. Supports development of coordinated knowledge broker network by showing how a funded model can enable local services to achieve national reach.

Role of Evidence Search and Synthesis Working Group

Defining a Coordinated National Business Model for

Evidence Search and Summary Services

- for NHS Boards and Health and Social Care Partnerships

Project aimDefine and cost a business model which will enable NHS Board

Knowledge Services to deliver the Knowledge into Action vision of:

A single online gateway available to all health and care staff to access a national evidence search and summary service.

To be delivered through: • Collaboration across NHS Boards• Triage processes, common standards and methods

- to pool available expertise so that all users benefit through equitable access to high quality evidence search and summary support.

Demand and Capacity Studies2011 survey• 112 NHSS library staff (tbc)• Wide variation in volume and type of search services across

Boards

2013 survey• Most but not all NHS Boards provide evidence search

services.• Limited collaboration around search and summary services.• Limited support for community, primary care and social care

staff.• Volume, quality and confidence in evidence searches vary

from Board to Board.• A minority of services have so far engaged in production of

evidence summaries, though there is a general motivation to build this role as part of Knowledge into Action.

Building on strengths

• Evidence Search and Synthesis Group• National Evidence Summaries project• CLEAR

Territorial and special Boards with advanced expertise in search and synthesis – e.g. Health Scotland, HIS, HML, NHS GGC.

Demand and Capacity Dilemma

Boards with high capacity – Concern that engaging in a national approach will:

• Diminish the service to their own users.• Subsidise low capacity Boards.

Boards with low capacity – • Do not have sufficient resource to

contribute to a national approach.

Need a model that benefits all partners.

Project objectives

Commission partner to:• Define current and future demand and

capacity for evidence search and summary services.

• Define, cost and evaluate business models to meet future demand – including exploration of funding to facilitate participation.

• Define transition plan to move from current to future state.

Discussion

1. To offer this coordinated service what do we need to do?

2. What needs to happen to operate as a network?·

3. Identify practical elements required to deliver coordinated services e.g. achieving consistency, quality, efficiency & ease of use for service users·

Defining a Coordinated National Model for Evidence Search and Summary Services

- for NHS Boards and Health and Social Care Partnerships