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Making a positive IMPACT
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Making an IMPACT
UHMLG Spring Forum1 March 2010
Helen Bingham and Mark Bryant
Lies, damn lies, statistics, and impact
• NHS libraries better at collecting data relating to inputs and outputs, than outcomes
• Need evidence to demonstrate that library/knowledge services are enabling the organisations that they serve to meet their objectives
• People – especially politicians and senior managers - respond to story – need narrative and rich qualitative data to augment the statistics
www.nesc.nhs.uk
The NHS Quality & Productivity Challenge – QIPP• Need to measure and demonstrate value
NHS Library Quality Assurance Framework England - LQAF• 1.3c “The positive impact of library/knowledge services
can be demonstrated”
• Full compliance = a variety of methods are used to systematically gather information about the impact on organisational objectives/patient care.....
Focusing our efforts
www.nesc.nhs.uk
• To support clinical decision making• To support commissioning decisions and policy making• To support lifelong learning by all NHS staff• To support research
(Report of a national review of NHS health library services in England – Peter Hill – March 2008)
Reminding ourselves of our key purposes
The evolution of the Impact Toolkit
www.nesc.nhs.uk
2003-5
•Systematic review of published studies on the impact of libraries on patient care (HILJ 2005)
2006-9
•Design and pilot of a survey of impact
•Development of good practice guidance (HILJ 2009)
2009
•Simplification and modification of survey tools, learning from guidance, and further testing (NHS South Central)
The Impact Toolkit• Currently available on the NESC website (google NESC
impact toolkit) • Will appear at www.libraryservices.nhs.uk when this site
is launched• Simple, pragmatic tools plus tips on use• Four tools
1. Online survey
2. Semi-structured one-to-one interviews
3. Case studies
4. Questionnaire for recipients of literature searches
www.nesc.nhs.uk
The South Central experience to date• Online survey of staff at Buckinghamshire Hospitals
NHS Trust - 2 weeks - 195 respondents• One-to-one interviews with 8 therapists by someone
from outside the Trust• Survey of recipients of literatures searches done by
South Central libraries during March 2009 – questionnaire sent out at end of April, closing date mid May – 38 completed questionnaires
• Case studies – no South Central examples yet, but see London Alignment Toolkit at www.londonlinks.nhs.uk/
www.nesc.nhs.uk
Adopt, adapt and improve
• The online survey can be supplied to anyone with a SurveyMonkey subscription
• Regional approaches – share the workload and the evidence
• Research ethics approval not needed, but ensure that respondents are anonymous and aware of this
• Personalise requests, send reminders• Think about incentives to participate
www.nesc.nhs.uk
Tips: online surveys
• The purpose is: • To find out how staff look for information• To assess impact on patient care
• The most statistically based tool – don’t expect much rich data
• Provides management information for the library• Pointers to areas for further work• Place a link in an email, include in the body of the email or
attach - DO NOT INCLUDE IN A BULLETIN – more than one click is oblivion
www.nesc.nhs.uk
Tips: interviews• Objectives:
• To obtain rich qualitative data, illustrating the impact of information provided by and through library services
• To identify narrative that could be used to ‘tell the story’ of the services and their impact on patient care, for potential later use in marketing library services
• Most difficult part is organising the interviews• Keep informal and short - ask about specific, recent instances of
information use, rather than about library use in general• Use ‘independent’ researchers if possible• Staff time is an issue
www.nesc.nhs.uk
• Use case studies for more discursive richer information• Remember that the respondents are self selecting and
will already be users of the service• For searches, think about the time lapse between
receipt of results and use/impact• Often provide the richest data for the minimum staff
effort
www.nesc.nhs.uk
Tips: case studies and questionnaires for recipients of searches
Applying the toolkit
• Consider the audience for the data• Focus around a management event/marketing initiative
• Milton Keynes PCT – incorporated into library services SLA
• Nuffield Orthopaedic Centre – revised service – is it working?
• Ridgeway – incorporated into library strategy• Oxford Healthcare Libraries – refined questionnaire
www.nesc.nhs.uk
Contacts
Mark Bryant
Co-author of toolkit, conducted interviews
Jennie Kelson
Library Services Manager, Buckinghamshire Hospitals
Helen Bingham
Library & eLearning Lead, NHS South Central
www.nesc.nhs.uk
References
The value and impact of information provided through library services for patient care: a systematic review Weightman, A & Williamson, J HILJ 2005 22 4-25
The value and impact of information provided through library services for patient care: developing guidance for best practice Weightman, A, et al HILJ 2009 26 63-71
www.nesc.nhs.uk
