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NHS Evidence – provided by NICE
NHS EvidenceAlison TurnerAssociate Director: Commissioned Content
14 July 2009
NHS Evidence – provided by NICE
The Darzi report: ‘High quality care for all’stated:
‘NICE will manage the synthesis
and spread of knowledge through
NHS Evidence – a new single
portal through which anyone will be
able to access clinical and non-
clinical evidence and best practice,
both what high quality care looks
like and how to deliver it’
NHS Evidence – provided by NICE
Launched on 30th April 2009 NHS Evidence Release 1 is:
• A single portal which provides clear and easy access to valuable information to develop new services; treatments; knowledge bases; service models
• Built around a powerful search engine – ‘Microsoft FAST’
• Underpinned by a quality based accreditation scheme for multiple content sources
• Is open to all – but the public should visit NHS Choices
• A developing resource involving health and social care staff in its design and development
NHS Evidence – provided by NICE
Informed by user testing
Process• Over 25 users selected to
represent all target groups• Controlled testing process
environment• Testing completed over a total
of 6 days during a 3 week period
• Involved pre-defined search scenarios as well as user-generated scenarios
• Feedback captured on video, audio and written reports
Feedback• Specific comments received
about the use of navigators, search ranking and returns
• Overall feedback confirms that the design succeeds in communicating our intention to provide a ‘simple search’ service (Google) for health and social care professionals and that the search will provide access to authoritative content.
• User testing will be undertaken as a core and ongoing activity.
NHS Evidence – provided by NICE
What are the benefits?
• Provides easy, fast, free, single access to trusted, high quality comprehensive clinical and non-clinical sources of information
• Offers support to healthcare staff in accessing and using best practice
• Accredits sources of information, driving up the quality of evidence produced
• Contributes to increased quality of care due to high quality evidence
• Covers both health and social care • Sorts, sifts and prioritises search results
NHS Evidence – provided by NICE
Sorting, sifting and prioritising
Exclusion - only those sources likely to present significantly biased opinions
Sorting, sifting and prioritising - three approaches:• A formal system for accrediting producers of
‘guidance’, to enable the best, most trusted sources to be easily recognisable through an accreditation mark
• A process for regularly reviewing new publications across a range of topic areas, to highlight significant new evidence on a monthly and annual basis
• An effective approach to searching for information and ranking search returns by relevancy and quality.
NHS Evidence – provided by NICE
NHS Evidence accreditation scheme
NHS Evidence Accreditation
Scheme
Transparent and based on standardised criteria and processes
Unbiased with oversight by an independent Advisory Board
Initially focused on ‘guidelines’ sources of evidence
Based on the process used to develop evidence
Kitemark will become well-known and recognised
Sources will be accredited, rather than individual articles
Key aim: to identify trusted sources of
information and set best practice
standards
NHS Evidence – provided by NICE
Accreditation criteria
• Based on AGREE
• Assesses six domains of guidance
production process:
Scope and purpose
Stakeholder involvement
Rigour of development
Clarity and presentation
Applicability
Editorial independence
NHS Evidence – provided by NICE
Next steps for accreditation
• Accreditation process manual updated and made available following public consultation
• Target of ten guidance producers through the accreditation process by 31 Dec 2009
• First accreditation applications received• First draft accreditation decisions made at Advisory
Committee meeting 18 June• Subsequent accreditation decisions at Advisory Committee
meetings in September, October and December• Increase number of accreditation applications received• Investigate demand and accreditation methods for other
types of content
NHS Evidence – provided by NICE
Categories of information in NHS Evidence
Clinical
• Guidelines
• Systematic Reviews
• Other synthesises content (summaries & overviews)
• Primary research and ongoing trials
Drug & Technologies
• Prescribing & safety information
• Technology appraisals
• Significant new drugs
• Devices, diagnostics & IP guidance
Commissioning
• Service guidance
• Tools & models
• Care pathways
• Indicators & metrics
• Improvement information
Public Health
Social care
• Social care information – assured by SCIE
Education & Learning tools
• On-line learning modules
• Public Health guidance
• Systematic reviews
• Primary research
NHS Evidence – provided by NICE
Num
ber
of o
ur s
ourc
es
Areas of interest
To prepare for going live we ingested and allocated 93 sources of content against our six
areas of interest
Some sources have been allocated across more than one area of interest
Nu
mb
er o
f so
urc
es p
er a
rea
of in
tere
st
NHS Evidence – provided by NICE
We are continually identifying new sources of content based upon user needs
• Understand search behaviours and results from currently available sources of content
• Web-forms to identify new sources of content• Work with organisations that are sharing content to
understand their users and their requirements• Creating user panels with representatives from each
area of interest to identify and prioritise proposed sources of content
• Understand and share information we already hold within NICE and within our 34 Specialist Collections
We are still developing the structures, processes and people we need to support our
goals
NHS Evidence – provided by NICE
Effective searching
Principle objective - to present the user with the most relevant results on the first page.
Relevancy of the information returned is largely informed by the search engine – produces results as close a match as possible to the user’s requirements.
Ranking policy – to promote certain records higher within the list of search returns and improve the searching experience.
NHS Evidence – provided by NICE
Basic Search on NHS Evidence
NHS Evidence – provided by NICE
Sample Search on NHS Evidence
NHS Evidence – provided by NICE
Search results
NHS Evidence – provided by NICE
Additional health information resourcesvia the dropdown menus
Conduct a Specialist Search has a link to Search Specialist Databases HDAS (Healthcare Database advanced search), a link to the Athens authentication system and to the Specialist collections (formerly known as Specialist Libraries).
NHS Evidence – provided by NICE
Access to the 34 Specialist Collections via the conduct a specialist search tab
NHS Evidence – provided by NICE
Access to Healthcare Databases Advanced Search via the conduct a specialist search tab
NHS Evidence – provided by NICE
Further information via About Us
The About Us drop down menu includes information on:
• Selecting Information Sources,
• Sources by interest area,
• Specialist Collections, Accreditation,
• How the search works and a Contact us link
NHS Evidence – provided by NICE
Outline road map for 2009/10
Schedule Release Key features (from R1 TBC)
April 30th 2009 R1 (launch) • Launch NHS Evidence Search Portal V1 (FAST)• Integrate legacy NLH sites & services• Ingest P0, P1 and 50% of P2 sources
Mid June 2009 R1.1 • Refine web service/ feeds• Ingest new P0 and P1 sources•Static content additions
Mid October 2009
R2 • Personalisation•Identity management, •My saved searches, my alerts•My search profile
• Search development•Synonym expansion •Rating quality of results
•Accreditation – boost results
TBC 2010 R3 •Developing new infrastructure/hosting•Community features (local evidence)•Third party syndication •Advanced search developments
NHS Evidence – provided by NICE
Release 2 – Key IT deliverables
DescriptionPersonalisation: users will be able to register online and receive a range of personalised services including a customised home page, alert services, saved searches
Alerts and feeds: Users will be able to subscribe to receive ‘push’ services such as alerts on home page, email alerts – about new content or developments to NHS Evidence for example
Search Development : Users will be provided with a more intelligent search through with an ability to rate results
NLH Transition: Transfer of content and appropriate services to NHS Evidence site. Specialist Collections Evidence Updates Highlighted on NHS Evidence
Accreditation: Implementation of accreditation system – issuing accreditation marks and boosting search returns
NHS Evidence – provided by NICE
Future Developments :highlighting new publications
Alerts through RSS feeds
Significant new information highlighted by topic experts (Specialist Collections) via:
- Web alerts
- Monthly newsletters, in context
- Annual evidence updates
NHS Evidence – provided by NICE
Key functions of NHS Evidence
In summary, NHS Evidence:• Provides comprehensive access to information in
health and social care via a web-based portal• Commissions the development and collation of
evidence-based information from external agencies• Provides a central purchasing function for content • Provides a formal accreditation scheme • Identifies evidence reflecting best practice• Engages with users and stakeholders to support the
use of evidence in decision-making, and to provide feedback to develop the service
NHS Evidence – provided by NICE
Contacting NHS Evidence
If you have an enquiry for NHS Evidence you can contact us at [email protected] or ring us on 0845 003 77 44