The Pennine Acute Hospitals NHS Trust · Average number of hits per month for Library intranet site...
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The Pennine Acute Hospitals NHS Trust Library and Knowledge Services Annual Report 2016 - 2017
Transcript of The Pennine Acute Hospitals NHS Trust · Average number of hits per month for Library intranet site...
The Pennine Acute Hospitals NHS Trust
Library and Knowledge Services
Annual Report 2016 - 2017
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Library and Knowledge Services Annual Report 2016-2017
1. Introduction The Library and Knowledge Service works at embedding evidence based patient care by providing high quality services to ensure all staff, students and partners have access to the right information at the right time to improve the delivery of patient care and to support education, training, development and research needs. The service delivers this by:
Providing an expert Literature Searching Service Managing access to over 6,000 e-journals and over 2,000 e-books Delivering a suite of training, induction and resources to support educational programmes for a wide variety of staff groups Providing access to dynamic point of care decision making tools Access to three fully stocked Library sites providing quiet study and reflection space together with open access computer suites for all Full document delivery service Information consultancy via the outreach service
2. Highlights of the Year Ensuring quick and easy access to relevant evidence based resources and information is available to all staff within the Trust by: Embedding a clinical librarian in the project team responsible for updating the Trust’s Wound Care Formulary. This provided the project team with
tailored literature searching and the provision of the evidence base to support the project outcomes.
Working in partnership with the Greater Manchester Health Care Librarians to set up a collection of oncology e-books to be shared across the region.
This collaboration worked at securing funding, choosing a supplier and scrutinising licence terms and conditions and providing value for money.
Developing a tailored area of online resources to support nursing staff undertaking mentorship training.
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Mobilising knowledge within the Trust by introducing knowledge management principles and tools to improve the organisation’s capturing, sharing and managing of knowledge by:
Holding a number of events to promote the point of care e-resources Clinical Key and UpToDate including training sessions, information stalls and
talks to groups of staff within the Trust.
Providing support into the development of the V-Care (Validate Your Care) an e-learning resource for all adult nursing workforce by embedding quality e-resources into the programme and ensuring expert literature searches provided an evidence base for the content. Applying knowledge management techniques together with web design skills to redesign the Trust’s Appraisal Zone and to support the End-Of-Life e-learning programme. Running the popular Christmas Advent Calendar competition, in which a different library resource was promoted each day.
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Providing staff with the skills to use knowledge effectively by delivering training and induction to groups and individuals across the Trust. This has included: Providing a suite of training for the FY1, FY2 and GPSTS programme on critical appraisal techniques and interpreting statistics. Delivering training sessions to nursing staff undertaking the Mentorship course, to enable them to make best use of the library’s resources and services. Providing 1-2-1 training sessions on in literature searching and critical appraisal skills. Developing the Library and Knowledge Services team: As part of service restructure two new posts were created. Jane Roberts was recruited to the post of Library and Information Specialist: Outreach and
Evidence Search Service. Patrick Glaister was recruited to the post of Library and Information Specialist: Systems and e-Resources.
Lead for Library and eLearning Services – Gill Earl has been providing support and leadership to the Library and Knowledge Services team within
Salford Royal.
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3. Quality and Performance External Accreditation As part of the NHS Library Quality Assurance Framework (LQAF) England the Library and Knowledge Service undergoes an external accreditation each year, carried out by the Health Care Libraries Unit (HCLU). The service is assessed against 48 quality standards within the five domain areas of:
Strategic Management Finance and Service Level Agreements Human Resources and Staff Management Infrastructure and Facilities Library and Knowledge Services Delivery and Development In 2016 Pennine Acute achieved 94% compliance.
Key Performance Indicators Table 1 summarises the results of our annual key performance indicators. Only one indicator was not met: mean average e-journal download cost was
£13.50, exceeding the target maximum of £5.00. However it represents an improvement on last year’s figure of £27.00. Low usage journals have
been cancelled and it is expected that future cancellations will further reduce the mean average e-journal download cost. It was also felt that the
target of £5.00 or less should be reviewed in the light of increasing subscription costs; following discussion at the Trust Library & E-Learning Forum this
target will be modified next year to a mean average e-journal download cost of £8.00 or less.
85%
90%
95%
100%
2014 2015 2016
Year
PAHT LQAF Compliance
Pennine Acute
North West Average
5
KPI Apr-17 Target met?
Target Actual
Library stays within budget Budget Balanced Budget Balanced
For renewable electronic journal subscriptions, mean document download cost is less than £5.00
mean cost <£5.00 per download Average of £13.50
Number of new library members joining during last 12 months is equal to or greater than number joining during previous 12 month period.
equal to or greater than last 12 month period
940 new library members (greater than 730 in previous 12 month period)
LQAF score remains >90% >90% 94%
95% of requested literature searches completed within requested timeframe
95% completed within requested timeframe
97% completed within requested timeframe
Average number of hits per month for Library intranet site remains above 1500
>1500 hits per month Average of 1,744 page views per month
90% of documents requested by other libraries in co-operative interlibrary loan schemes supplied within one working day of request
90% 99%
90% of document supply requests by Trust staff to be initiated within one working day of receipt
90% 100%
General queries to library staff responded to within one working day within one working day within one working day
Table 1.
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Finance
The Library and Knowledge Service has delivered services within budget. The service successfully received a total of £10,000 from Health Care Library Unit North as part of Library Development Fund process This funding is for library refurbishment of the TROH office and computer suite and new laptops to support the teams outreach work. Income generation was achieved from producing eLearning packages for external NHS Trusts and providing Library Services to Pennine MSK.
Statistics for Core Activities In summary the number of logins to e-books has increased dramatically whilst the loans of print books has reduced year on year. The increased
uptake in e-resource usage is also demonstrated by a rise in the number of Athens logins, currently 43% of Trust staff have registered for an Athens
username and password.
The number of UpToDate topic downloads of evidence summaries of clinical conditions designed to be used to aid decision making has again
increased. Access to the e-journals has decreased slightly.
Document delivery services, reference enquiries answered and number of staff trained have all increased whilst Literature searching has decreased
slightly.
The series of graphs below present activity trends over the last three years.
PAHT Library and eLearning Expenditure
Staff Costs
eBooks
Print Books and Reports
eJournals - Consortiumand eJournal bundlesDocument Supply
eLearning Software
UpToDate
Stationery
Staff Training
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16,420
12,064
13,676
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Number of enquiries
9,860
8,379
6,620
0
2,000
4,000
6,000
8,000
10,000
12,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Number of book loans
529
389
311
0
100
200
300
400
500
600
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Number of literature searches conducted
8,630
1,039
5,160
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Number of documents delivered
8
649
491
617
0
100
200
300
400
500
600
700
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Numbers of staff trained
26,523
30,783
36,705
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Athens logins
20,401
23,398
22,820
18,500
19,000
19,500
20,000
20,500
21,000
21,500
22,000
22,500
23,000
23,500
24,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Ejournal logins
26,297
29,430 32,099
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
UpToDate number of topic downloads
9
2,300
4,370
11,323
0
2,000
4,000
6,000
8,000
10,000
12,000
Apr 2014 - Mar2015 Apr 2015 - Mar2016 Apr 2016 - Mar2017
Ebook logins
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4. Having an Impact
Your information need? Literature and evidence based information relating to leadership and also dementia care
What was provided? Literature searches and subsequent research papers, facilitation of UptoDate evidence based toolkit; books and e-books and on-going support by staff members
How did you use the information?
Developing trust pathways Developing and extending dementia care in Oasis Dementia Unit Informing local staff about evidence based dementia care
What was the outcome? Development and subsequent extension of Oasis Dementia Unit – improving dementia care throughout the Trust Information obtained informs patient care
Did the information contribute to corporate priorities?
Yes, the development and extension of the Oasis dementia unit impacts positively on all Trust corporate priorities
The library service and librarians have always been brilliant in helping obtain articles and conduct literature searches. A valuable cog in the PAHNT
machine! (Customer Comment)
I have used the library services on a few occasions recently due to further study and courses attended through my current role. It has been particularly useful to find resources to complete assignments but particularly the literature search support and assistance to then further this has been excellent and I have and will continue to recommend the service to my staff peers. (Customer Comment)
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Your information need? I wished to improve my knowledge of statistical concepts encountered in research papers and how these can be applied in evidence-based practice. I needed a refresher on this before undertaking the MRCGP AKT (Applied Knowledge Test) exam.
What was provided? Classroom revision session run by a member of library staff on aspects of statistics likely to come up in the MRCGP AKT exam
How did you use the information?
I was able to apply the knowledge gained when answering questions on statistics in the AKT exam
What was the outcome? The teaching session was very useful in providing revision in statistical concepts. The explanations were really good, and also the examples of how it could be used in practice. The training session gave me increased confidence when I sat the exam. I got 100% for the section of the exam concerned with statistics!
Did the information contribute to corporate priorities?
This is in line with the Trust’s corporate priority “support our staff to deliver high performance and improvement”
To monitor the impact of our literature searching service we conduct quarterly surveys. Our customers who have requested a recent literature search
are asked to complete a short anonymous online questionnaire.
The benefits most frequently reported were:-
The search results informed service development, improved patient experience, improved patient safety and changed clinical practice.
100% of respondents said the service saved them time in gathering information.
36.4% said it informed decisions which saved time in patient care or service delivery.
18.2% said that additional further time savings were achieved.
The combined results of the surveys for the 2016-17 period are presented below
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41.7%
0.0%
0.0%
8.3%
8.3%
50.0%
0.0%
33.3%
33.3%
0.0%
33.3%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%
Improved patient experience…
Reduced length of inpatient stay…
Reduced treatment period…
Enabled faster/more accurate diagnosis…
Avoided unnecessary tests…
Informed Service Development…
Prevented unnecessary treatment…
Improved patient safety…
Changed clinical practice…
Altered patient treatment plan…
Other (please specify)…
Did the evidence we supplied help you to change the way in which patients are treated, or modify the way your department is
organised?
33.3%
33.3%
16.7%
16.7%
0.0%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
None…
Up to 100…
More than 100 but less than 1000…
More than 1000 but less than 10000…
More than 10000…
How many patients a year might be affected by this change?
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100.0%
36.4%
18.2%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
The evidence suppliedsaved me time in gathering
information
The evidence informeddecisions which saved time
in patient care/servicedelivery
The evidence enabled othercost savings
Were there any time savings or other cost savings?
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5. Key Priorities for 2017-2018 Provide high quality information to aid Trust staff, students and partners in providing evidence based treatment, diagnosis and service development decisions. Ensure the Library and Knowledge Service meets all key performance indicators for 2017-2018 and demonstrates an increase in all service usage by 10%. Develop a Library and e-Learning Strategy 2017-2020 to provide clear strategic direction for library and eLearning services across all four Care Organisations. Introduce knowledge management principles and tools to improve the organisations’ capturing, sharing and management of organisational knowledge by implementing an organisational knowledge repository of published research, case studies, and best practice and Quality Improvement projects. To deliver all services within budget and identify contributions to the organisations’ Cost Improvement Programmes (CIP). Investigate options for the funding of Up-to-Date within the organisations and review further options for providing alternative point of care resources.
Ensure access to all services and e-resources are as easy and convenient as possible through the development of online delivery, working towards
‘digital and mobile by default’. Explore the opportunity to develop a new Library website with the inclusion of a new discovery tool.
In line with the Corporate Shared Services Review explore opportunities to work in partnership with Salford Royal Foundation Trust Library and Knowledge Services team. For further details please contact:-
Gill Earl - Lead for Library and E-Learning Services [email protected] 0161 656 1953
Sue Steele – Library Services Manager [email protected] 0161 778 2725
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