Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Monday, 27 January 2020

Strategy on a page Workshop

I attended the one day strategy on a page course led by Amanda Stearn. It was held at St. Chad's Court, Birmingham with 16 attendees. I wanted find a way to align the Library service strategy to that of my organisation and present it in a simple format that is succinct. Amanda steered the conversation away from the NHS to give some context to how we look to strategies as a whole. Bringing the session back to healthcare with a host of examples and exercises, she put us through our paces eliciting ideas on what we considered contributing factors from macro drivers such as the HEE, service users, host organisations to SWOT (local and external factors) such as budgets, staffing pressures, technology, and the political climate.

Aligning the vision and mission to that of the organisations ensures that the strategies and operations executed advance those of the organisation. We looked at how different segments of a strategy fit together and what they address.
Why - Vision - Why the service exists
Who - Mission - Who the service is in support of the vision
What - Priorities - What the service intends to accomplish in to meet the mission.
How - Strategies - Outline of how the priorities will be realised
How, where, when - Operational plan - More detailed practical actions that will be executed to realise the strategies.

We practiced on a whole strategy and converting it into a one page document with the use of a very helpful template. We also had the chance to identify enablers which are the things that will impact and make what we want happen such as funding and technology.

Different terminologies are often used to describe the same thing such as mission / purpose or goals / priorities. It is important to avoid the use of passive words like "support" and embrace the use of power words like enrich and strengthen to sell the service as an integral instrument for meeting the overarching goals of the organisation. We were supplied with tips on how to engage team members in the process by supplying the priorities and having them individually give their opinions on post-its on what the operational plans could entail. This gives every team member the chance to voice their thoughts and then collectively work backwards to the core strategies.

The focus of the workshop was generating a strategy on one page but it gave insight into how a template can be used to derive the summary for the service from my organisation strategy and then develop the full strategy for the service thereafter. It was useful to work with others and see how our different organisations and ways of thinking influenced our approaches to writing and structuring catchy sentences to reflect what we want. I had a wealth of ideas which I intend to implement in the hopes of enhancing the content of the service strategy.

Monday, 28 October 2019

Health Literacy Training

I attended this one day train the trainer event on Health Literacy held on the 17th of October 2019 at Queen Elizabeth Hospital, Birmingham. My knowledge of health literacy beforehand was vague at best and I attended the event in the hopes of improving my understanding of health literacy levels and how it affects patient care as well as gathering ideas on how to support health literacy within my organization. The event was facilitated by three Librarians, Anita Phul (Birmingham and Solihull Mental Health NHS Foundation Trust), Lesley Allen (Birmingham Community Healthcare NHS Foundation Trust), and Semanti Chakraborty (University Hospital Birmingham).

It started off with looking at what health literacy is and how issues and challenges surrounding it can be addressed. It was identified as being personal from a patient's point of view with aim of equipping the patient with information on their condition at a level they can understand to make decisions about their care. It was also looked at from a societal point of view which looked at the the accessibility of health information for those in need of it.

We looked at the different types of health literacy, functional - basic skills for everyday lie, Interactive - power to interpret and balance information as well as the confidence to undertake further investigation to inform decision making, Critical - ability to critically appraise and challenge information and make links with economic, social, and cultural factors. We also looked at health literacy levels across regions in England as well as the national and regional literacy of health materials which showed the information generally provided is often at a higher level than the average literacy level of the population. We looked how health literacy levels can be compromised depending on circumstances. I especially liked the activity which helped demonstrate how a professional with a high literacy level can suddenly have a low health literacy level where they or a loved one have been diagnosed with a life changing or life threatening condition.

We had an activity which helped drive home how dealing with health information you don't understand can feel. Comments made by attendees included frustrating, feeling stupid, and this helped stress the importance of providing health information at an understandable level. We looked at the population more likely to have low health literacy and this included people with learning difficulties or learning disabilities, people with low IT skills, older people. there was an activity where attendees were encouraged to discuss examples of when health literacy has had a personal or professional impact on them. The detriments and impact of low health literacy to patients and the NHS were also addressed such as unhealthy habits, high mortality, wrong usage of medication, missed appointments etc.

The areas where librarians and library services can influence health literacy were also covered.This included improving health literacy levels, ensuring information and services are accessible to all, and raising health literacy awareness. This can be done by using techniques such as Teach Back and Chunk and check to empower individuals and ensuring written information provided is at an appropriate level for the audience (i.e. simple, free of jargon, free of acronyms, conversational, use of everyday words, free of needless information etc.). We were also supplied with a list of tools that support creating health information and attendees talked about local initiatives they were aware of. The event ended with some recommendations that should be promoted such as not making assumptions about literacy or ability to speak or hear, and using different media to share health information, use of simple explanations.

The event had a good mix or presentations and activities but I found it a lot to take in and didn't have as much opportunity to share ideas with other attendees as I would have liked. It showed me that there is a varied mix of health literacy support already in place across a range of NHS Libraries and I took away some ideas on how to help my organisation create a patient information register and ensure that the information supplied are at an appropriate level. I also got the idea to support the discharge facilitators with how the information supplied to patients is provided in a way that will enable compliance. I believe the event was suitable for anyone looking to start off a Health Literacy service or looking for more ideas on how to improve an existing service.

Wednesday, 4 July 2018

GDPR and #HIW2018

I was certain that after May the 25th there would be a barrage of lawsuits arising from who did what without consent. I'm relieved that the upheaval has subsided but the question remains IS IT REALLY OVER? The answer would be no. It was never meant to be a quick fix but a change in culture and therefore a regular practice. This much was reiterated at the GDPR training session I attended at Stewart House, London on the 2nd of July. Naomi Korn was a breath of fresh air and it was a relief to have no PowerPoint slides in sight.

The session consisted of case studies, question and answer sessions and covered the interplay between data protection and the GDPR changes. This extended to the need for the speed of the regulatory framework to catch up with the speed of technological change in order to discourage the commercialization of personal data. We also discussed how to collect and process personal data and what action plans we should have in place for our services. The highlights of the session for me were the six principles of data protection and the six grounds for lawful processing.

DATA PROTECTION PRINCIPLES
GROUNDS FOR LAWFUL PROCESSING
 Lawful, fair and transparent
Contractual
Specific, explicit and legitimate
Legal basis
Adequate, relevant and not excessive
Vital interests
Accurate and kept up to date
Public interest
Kept for no longer than necessary
Legitimate interest
Processed securely
Consent

It is important to distinguish the need for consent from the other lawful grounds as it is the only one that requires the data subject to actively opt-in. An interesting note was that although individual personal emails constitute personal data, corporate emails do not so it's worth making that distinction.  If you use a system which creates a handicap to compliance, change it. It needs to work for you and not the other way around. There were handouts provided and references to other helpful sources. There's a lot of technical jargon muddying waters in some sources which in no way allays my concern of how to equip frontline staff, particularly Library Assistants, with the skills to ensure they comply with the regulations in their day to day practice. I have found some comfort in the content and straightforward language at https://naomikorn.com/blog/ which I have now shared with my team in the hopes of filling in the blanks and making the transition a gradual process.

I am in no way a GDPR expert but I did have some notions confirmed and some misconceptions  corrected. I left more confident than I arrived with an action plan sure to make me the least favourite person on my team for a few weeks. I'll need to soften 'em up with lots of chocolate and biscuits. My take home has been the need for experienced information professionals to apply a degree of reasonableness (Naomi's description) i.e. ask ourselves what we consider to be a reasonable expectation from the person who has entrusted us with their personal data. Some things will clearly be right and others will clearly be wrong whilst there will be grey areas. I say stay as far away as you can from what doesn't fall into the clearly right category and you should be fine.

It's also Health Information Week #HIW2018 and I have been tasked with organizing and promoting events. It happens to coincide with NHS70 and I used the opportunity to team up with the Trust Charity who are celebrating with Big7Tea parties. They have cake and we have sources of good quality health information. It's a match made in heaven. I also put together a looped PowerPoint for our local library to promote health and digital literacy, healthy lifestyles, mindfulness, and relaxation on their big screen. Thanks to the templates on the Knowledge for Healthcare blog, I also tailored some posters and promotional materials.

In other news, the team that brought you the Development Needs Analysis is getting back together. Yes, you heard right. Team DNA is back. Commitment, gluttons for punishment or just missing each other (I think quite a bit of the latter LOL). We'll be working together over the next couple of months to get the next survey for the development needs of the NHS Library workforce ready for next autumn. It's gonna be great.


Thursday, 14 December 2017

Network Day for Band 5 & 6 NHS Librarians

I attended this network day held on the 30th of November, 2017 at St. Chads Court in Birmingham which was originally aimed at Librarians in the Midlands but it was refreshing to see Librarians from as far away as Essex in attendance. I found myself  agreeing to facilitate a Knowledge Cafe which turned out to be a valuable experience because to be frank I had no experience as a participant or a facilitator. Within 24 hours, I read and watched everything I could on Knowledge Cafes and felt confident that I could do justice. Catherine McLaren started off the day with some housekeeping and a run through what the content of the day would be. She also introduced Clare Edwards and myself as co-facilitators for the day. Participants were asked to write their expectations from the session on post-its and put it on a board. These were put together as themes and ranged from gaining insights from others to learning about social media.
The first session was the Knowledge Cafe led by me
What went right
I started off by asking if anyone had ever participated or led a Knowledge Cafe to which I got a few hands up. I then had those with the experience to share what the concept was about and it was pretty much spot on. "A knowledge cafe is an opportunity  to bring a group of people together to have an open, creative conversation on a topic of mutual interest. It is meant to be informal, unstructured, fun, social and time-bound. It gives participants the opportunity to share ideas, observe & reflect, tease out information, and gain a deeper understanding".

With the concept thus explained, I supplied the topic for the Knowledge Cafe "What makes a good library website or intranet page?"

The participants were then asked to split into four groups and with 16 participants, there was an even split of four people per group.

I then requested for 2 volunteers from each group and informed the participants that there will be 3 rounds of 15 minutes each. At the end of each round, my volunteers would move to the next table and begin the conversation again. At the end of the 3rd round all participants would reassemble as one large group for an exchange of ideas. This worked really well and there was a real buzz in the room.

What went wrong
At the end of the first round, it became obvious the volunteers hadn't realized they needed to move in their pairs. I had to clarify this and in hindsight should have mentioned it earlier.

Despite trying to stay in the background (I remained seated as much as I could), the buzz in the room seemed to die once participants reassembled into one big group. I had to intervene and elicit contributions but when the contributions came they seemed to be directed at me rather than the group which was not the intention. In hindsight, when the group reassembled I would have reminded them that the segment was the same discussion as before but as one big group and withdrawn myself to the back of the room.

After a quick break, there was a conversation on actions participants planned to take based on what they had learnt during the Knowledge Cafe, who they might need to discuss it with, areas to be changed or developed for quick wins, and how they planned to review what they had done. Participants shared the intention to follow up on ideas such as having Library staff names and pictures on the site and minimizing discrepancies in information on the intranet and internet pages.

The next session was facilitated by Catherine McLaren and it covered how we might measure the impact of social media. She shared some basic information of the average Twitter account in the West Midlands to give a feel for what the statistics were. A very interesting conversation then ensued on what actually constitutes impact of Twitter, tweets, following, followers, likes etc. I shared that I often link tweets to the Trust Twitter handle in the hope of reaching more staff and considered it a win if it was re-tweeted on the Trust account. Although there was no consensus on what would be the answer, the session definitely got everyone thinking. It got me thinking about how many followers of the Library account were actually Library users and therefore if tweets were reaching as many people as we thought.

At this point, we broke for lunch and an opportunity to network.
We returned for a session on Mentoring & Coaching led by Catherine McLaren where the attributes of each one were highlighted and usefulness discussed. There was also a sharing stories session where Liz Askew shared about co-presenting with a student nurse at the library induction for new student nurses. The student nurse shared her positive experience on the benefits of using library services and encouraged the new student cohort to make use of it too. I shared about my experience of professional development as a personal investment. I talked about how I commit personal time to make the most of opportunities, share goals with my line manager so that expectations can be managed, identify support from outside my organization, keep informed by subscribing to blogs and mailing lists, engage in the wider profession especially via Twitter chats, join free groups such as EAHIL & Health Libraries Group and reflect on my experiences which comes in really handy when it is time to revalidate.

After a short break, Clare Edwards facilitated a discussion on what the future holds for Library and Knowledge Services in the NHS. The contributions on this topic resulted in themes such as streamlining services and the effects it would have on demonstrating impact, mergers and more. Participants were asked to feedback on what went well and what could be improved at future events. I thought the day was well put together which gave participants the opportunity to brainstorm away from the hustle and bustle of daily service demands. I learnt a lot and established new relationships.
I have also received feedback that my revalidation for 2017 has been approved so I am really looking forward to a relaxed Christmas. Feliz Navidad and see you in the new year.

Wednesday, 12 July 2017

Midlands & East Health Libraries Summer Conference 2017

This is the first conference in a collaboration between Health Libraries in the East of England and the Midlands. The conference was held at Abax Stadium in Peterborough and my motive for attending was to try and shake off my impostor syndrome. I have been in my current post for almost a year and I still feel like the new professional on the block. I hoped attending this conference would enable me get a greater understanding of services within my region, put faces to names as well as foster new and stronger relationships for future collaborative opportunities. Coincidentally, the theme for the conference was Collaboration & Partnership and there were over a hundred attendees looking to do just that.

It started off with a welcome from Ruth Carlyle, HEE Midlands and East of England Head of Library and Knowledge Services, who went through housekeeping and also requested for Regional LKS Leads who were present to introduce themselves. David Farrelly, Regional Director for the Midlands and East Health Education England, gave the keynote speech. He talked about how far services in the region have come and the need to champion what we do and what we have accomplished. He also talked about the benefits of having the Knowledge for Healthcare framework and stressed that embedded services are the life blood of everything that we do. There are various challenges across the NHS and it is important for Library Services to focus on how to provide support to meet these challenges. He discussed how connections are being made with professional bodies and supportive services as part of the A million decisions campaign and links between Library Services and Technology Enhanced Learning. I found it to be a good introduction to what can be expected from the conference.
The next speaker was Doug Knock, Library & Knowledge Services Manager at King's College Hospital NHS Foundation Trust. He talked about the Impact Toolkit from the Value and Impact task and finish group. He emphasised that it is essential to show our worth and the value of our services and the need to do this on a regular basis. He went through the content of the Impact Toolkit and the tools available on the KFH Blog. The impact toolkit was created as a metric for success that was generic enough for use by all Library services. He stressed the need to use the questionnaires as they are so that the results can be pulled together nationally. He also talked about the need to know the difference between impact and feedback as well as the importance of not just collecting evidence but making use of them. The impact toolkit is used in my service and is without a doubt one of the most important tasks within the service. I believe it is also necessary to recognise obstacles to its use such as getting service users to participate in case studies and time to collect the evidence. I don't believe this should be a deterrent but it does make it a little bit more difficult.

After a short break where attendees interacted and examined the poster submissions, Mo Hussain, Knowledge and Evidence Specialist, East of England, Public Health England,  gave a session on how they support collaboration between the public health community and NHS libraries. He talked about the difference in the support their Library Services and Evidence Services offer. He also discussed the support they give to local authority public health teams such as access to PHE e-journals, EBSCO Discovery, Annual learning and networking events, practice examples, and searching guides on the Library platform, offering training and organised a mailing list. I intend to join the mailing list as a way of keeping up-to-date with current developments relating to our Public Health counterparts.
Up next, Peter Ransome presented on a collaboration between the Hospital Library services and Dementia teams at James Paget University Hospitals NHS Foundation Trust. He talked about the embedded services they offer to the dementia team such as current awareness, research support, promoting Library services within the team and during Dementia Awareness Week. Ali Thayne shared some practical examples on how this service impacted on patient care in practice. The results received from literature searches led to the use of memory dogs for patient care and had a positive impact on staff morale. They also led to introduction of dignity gowns which reduce indecent incidents with patients.

We broke up for lunch and some networking.
We return from lunch to a session with Ruth Carlyle on working with voluntary sectors and providing public patient information. With growing pressures on NHS services, patients and the public need to be able to access quality information to improve their understanding and support decision making for their care and that of loved ones. She stressed the need for services to work in partnership with other organisations across different sectors. She discussed the Information Standard Kite Mark which identifies organisations certified for generating high quality information and Accessible Information Standard which all NHS and Social Care providers are now required to follow by law.

There were several short breakout sessions. The first I attended was the Best Practice session facilitated by Pip Divall, Clinical Librarian Services Manager, University Hospitals of Leicester.This was very interesting because it was quite interactive rather than just listening to a presentation. Participants discussed whether services were following best practice or even able to identify what is considered to be best practice. This led to a very riveting discussion on whether we as information professionals practice what we preach  which is evidence based practice. There were a lot of reasons mentioned as barriers such as time constraints. Some suggestions made by participants for overcoming obstacles to sharing best practice include blogging about experiences in real-time, setting aside downtime for discussions with colleagues, job shadowing, and tweeting about experiences. Pip has put together a summary from the two sessions she facilitated.

The next breakout session I was at was on Skills modules and led by Preeti Puligari, Deputy Faculty Knowledge Manager/Outreach Librarian, Heart of England NHS Foundation Trust. She talked about a proposed suite of e-learning modules for delivering training for NHS staff called STEP. It is due for launch in the very near future and aims to provide a platform with seven e-learning modules on tpics such as searching principles and HDAS which can be adapted by any Library service for their own use. The modules are aligned to the health sector and incorporate interactive elements e.g. 3-D. It is created in a generic format to suit the needs of staff in all sectors including Public Health and will be centrally located with no requirement for a username or password. There is an absence of screen shots to ensure that it is future-proofed so that if interfaces change, it remains relevant. I look forward to introducing it to our users as a way of refreshing their memory on searching skills. I also wonder if an element of it might be useful for users who are new to searching.

The breakout session on Revalidation for nurses was led by Jane Cooper, Librarian, Northamptonshire Healthcare NHS Foundation Trust and Catherine McLaren, Library & Knowledge Services Manager, George Eliot Hospital NHS Trust. Catherine talked about how they support nurses through writing reflective accounts of their practice or literature they have found for their revalidation. It involves small groups being engaged (no more than 4) in a confidential environment to enable positive results from the sessions. They talk to those undertaking revalidation and get them to hear from those who have completed it. The service also gathered information sources for revalidation on the Library website which has proved to be quite popular. The sessions provided by Jane involves showing ways of repackaging of existing knowledge over a two and a half hour period. Participants are required to book ahead and asked to bring a topic from their current practice as a basis of the searching they will do. They are shown how to navigate healthcare databases such as Trip, Cochrane and they conduct a search on the topic they have supplied. It is important to try and get participants to feed up to date evidence back into their day to day practice to garner continued support of the service from the Trust. At the end of each session, the participants fill in the reflective template for their revalidation.

Other sessions I was unable to attend were on CASH, Pop-Up Libraries, and the Technology Jam. The twitter comments proved a good way to catch up on these #mehln2017. The conference ended with presentation of prizes for competitions by Ruth Carlyle and Imrana Ghumra, Professional Advisor, Library & Knowledge Services Health Education England, East of England. On that note, I bid farewell to Peterborough.

Wednesday, 7 June 2017

Moving forward - a catchup post

I fear my blog has been sorely neglected in the past few months. I'm not sure if it was the exhiliaration of completing the Knowledge for Healthcare Leadership Development Programme or the prospect of dealing with the coming financial year but either way I'm back to share what I've been up to since February.

I attended a Synthesising and summarising workshop led by Tim Buckley Owen. The event covered a variety of methods for streamlining and categorising search results for users without losing valuable and relevant papers. The idea is to minimise the work the user has to do from the results received. What stood out to me was the need to scan through my results at least once to get a flavor of what my search retrieves which then puts me in a better position to select, reject and prioritise especially since my background isn't clinical. Although the concept of summarising seemed straight forward, the reality was much more daunting for me. Abstracts can be helpful but in the grand scheme of day to day tasks I find it difficult to incoporate this into my work. There was also a Finding and summarising evidence for service transformation worshop led by Anne Gray. The purpose of the course was to help librarians understand how to find and present evidence for different clientele such as commissioners and managers. I learnt about sources these clientele are normally familiar with and how it informs the decisions they make.

The Searching and beyond workshop led by Morwenna Rogers, Rebecca Abbot, Alison Bethel was a revelation for me. I have not had any direct experience in systematic reviews myself but I have often wondered how I would cope if such a request was made. This workshop put all my fears to rest. It had just the right mix of preparatory work, activities and teaching. I learnt about the various steps involved in completing a systematic revew and what each one entails. From scoping searches to protocols and data extraction, no stone was left unturned. It helped me to make sense of the process and establish questions I should be asking if supporting a systematic review. What I took away as the highlight was the need to determine who is on the systematic review team and identify my role within that team. It has led me to add support for systematic reviews as a service we offer which is currently being promoted.

I was involved in a discussion about the possibility of pursuing a Masters in Library Science without having to pay tuition. My investigation yielded results which really suprised me because apparently you can. It involves the expense of travel but I believe that is a small sacrifice. The University of Boras offers a Masters programme in Library and Information Science, Digital Library and Information Services which is free to EU citizens. It requires the completion of 120 credits over a 2 year period and never fear, the instrucion is in English.

As part of the Midlands E-Procurement Group, I am learning about the resource deals available and it is also giving me the opportunity to put faces to names within my new NHS Library Service region. I am happy to say my project work for the leadership programme proved useful for me when I needed to develop the Library survey. I am looking forward to Health Information Week #HIW2017 and the Midlands and East Health Libraries Summer Conference. I'll be keeping you informed in my next post.


Monday, 20 February 2017

Knowledge for Healthcare Leadership Programme - One year on

The pilot of the Knowledge for Healthcare Leadership Development Programme is now over and it has been a very interesting journey. It was delivered based on the model of the CILIP Leadership Programme but tailored specifically for healthcare librarians, information and knowledge specialists. It had a cohort of 24 participants split into four project groups. Participants were encouraged to complete the Leadership aspect of the CILIP PKSB to identify skills that might need cultivating or improvement both before and after the programme. We were also required to attend a number of compulsory elements which were held at various locations in England.

Discussions, Webinars, and Workshops
We used the Virtual Learning Environment (VLE) portion of the CILIP website to complete activities on leading others and one's self. Some of the topics raised in discussions include leadership, management, the impact toolkit, and networking skills. There were also webinars on leadership theories and approaches, people management, strategic thinking and planning, stakeholder analysis and engagement, project management, and elevator pitches. I found all these very fast paced especially as you try to incorporate it into your daily tasks. It helped that there were no deadlines for specific tasks and I did find it useful to come up with my elevator pitch for varying stakeholders. There were also a series of workshops all participants were required to attend which covered topics such as the introduction to leadership, different leadership styles and the situations in which they are used, communication, and change management.

Action Learning Sets (ALS)
The action learning sets were split into individual project teams. I learnt a lot about coaching and mentoring which serves me when I conduct one-to-one's with colleagues. I also learnt a lot about myself, my hopes, dreams, aspirations and most especially what I did not want for my professional career. It allowed me to share my anxieties in a safe environment and reflect on actions that I might be able to pursue to assuage them. I was also able to offer my support to colleagues and improve my listening skills. I honestly consider it to be the aspect of the course that I looked forward to the most and my team have decided to keep having them even though the programme is over.

Project
The project I was assigned to involved the preparation, distribution, collation, and analysis of a survey of the development needs of health library staff. The other projects were:
  • Collaborative working across HEE Midlands and the East
  • Identifying the skills base for innovators: a knowledge management initiative for LKS staff to enableknowledge sharing to drive innovation at the Trust level
  • LQAF Peer Review in HEE East Midlands to contribute to the development of a national approach
My team started our project by ascertaining what the expectations were and investigating existing literature and the results from previous surveys. The responsibility for managing the project was split equally between members of the team and rotated as agreed. We were spread across England but with the help of teleconferences, webex and email, we were able to maintain a smooth flow of communication.

We piloted the survey with colleagues before rolling it out in December. It was closed in January and we were able to collect 758 responses. The analysis of the results is currently being carried out. We hope the report will help inform the direction of professional development for health library staff across England. It was a good opportunity to work efficiently with others towards a common goal by sharing ideas and responsibilities.
My wonderful project team

Conclusion
The programme has brought to the forefront of my mind that leading is not just about managing people but also being productive, improving one's self, reflecting on what you learn, and most of all contributing to the wider profession. It has afforded me the opportunity to foster lasting relationships with colleagues from various geographical locations. I have learnt so much and gained more confidence in my own leadership abilities. I have finally turned to the PKSB to identify gaps in my skill set, consider future career prospects and I also consider it a useful tool when completing my Revalidation.

With the support, understanding and encouragement of my project team and our facilitator, Jo Alcock, I was able to pursue a different role and move cities with a one and seven year old during the course of the programme. I hope this post goes some way in demystifying perceptions of what is expected of participants. Whatever your situation, I strongly recommend it as a positive career move. Whether you are wondering if you are suitably qualified or you have pressing family commitments, my advice is to apply.

Friday, 16 September 2016

DAY 2: Health Libraries Group (HLG) Conference 2016

Day 2 of the conference promised to be as interesting as Day 1 as it started off with a Keynote speech by CILIP President Nick Poole on championing the role of information professionals in the future of healthcare. He stressed that we are sailing into an era in which evidence is all and we need to keep adapting and cannot afford to be complacent. He highlighted that the representation of information professionals can no longer be defined by job title, something that resonated with me from past experience completing surveys. He rounded up with the view that the future of the healthcare sector depends on harnessing the skills and ethics of Library and information professionals to deliver services that are smart, sustainable and future-proof. It is important to share the good work we do to demonstrate the value of trained professionals in the healthcare sector.
This was followed by an inspirational keynote speech by Lynn Daniel on how Expert Patient Programme Courses (EPP) helps people with long term conditions self-manage. The programme tutors and volunteers consist of ex-participants with long term condition themselves who can relate to the issues participants are facing. Some of the techniques they teach include distraction from pain, positive thinking/affirmation, action planning, problem solving, healthy eating, relaxation, mind body connection and physical activity. Some of the attributes she reported participants developing include a can do attitude, confidence, coping strategies, self-belief, positive thinking, empathy with others and an understanding that others have the same issues as they do.

David Stewart presented the first parallel session I attended on Knowledge for Healthcare: workforce planning, development and beginning the transformation. He showcased some of the achievements such as key CPD resources like the PKSB for health, Learning Zone, Leadership Programme, Talent Management Toolkit and a national CPD programme in the works. He talked about the existing criteria for the redesign of library and knowledge services and ideas such as a national library management system. I found Philip Barlow's presentation on producing introductory videos for library services interesting. It was useful to get to grasp with the real challenges they present such as finding time to record, a quiet place to do the recording and arranging with those appearing on screen. Philip stressed the need for the videos to be concise, to the point and welcoming. The video he produced covered the nature of the library service and was split into four sections on how to join, that you can borrow, electronic resources and training. It lasted 6 minutes (90 seconds per section) and took 14 weeks to complete. They introduced the video using multiple languages to make it friendly. These videos get NHS users to consider using the Library before they actually need it. It isn't always easy to get a slot for the Library at inductions or part with library staff to attend these inductions so these videos are a very useful alternative. He finished with a reference to a good presentation on online training using screencasting by Jane Cooper.

After a short break, I attended a parallel session on reviewing the NHS Library Quality Assurance Framework (LQAF) by Dominic Gilroy, Clare Edwards, and Linda Ferguson. Linda started off with the history of quality assurance in NHS Libraries and highlighted what past assurance systems have achieved which include new positions, investments, refurbishments, raised profiles, evidence, innovation and service improvement. Clare then talked about issues necessitating a review now such as the constantly changing NHS environment, meeting the KFH aims, and the HEE Quality Strategy and Framework. Dominic talked about the initial work that has been done on the revised LQAF. The emphasis is on a product that is aligned to the HEE Quality Startegy, HEE Quality Framework, and Knowledge for Healthcare. A non-restrictive product which is outcomes focused. Completion time and effort required needs to be minimised and it should be applicable across the NHS in England. They have agreed on the aims of the Task and Finish Group, engaged in a literature review, gathered feedback from library services and are awaiting outputs of the evaluation framework sessions. There was a hands-on exercise requiring attendees to consider a quality assurance exercise they have taken part in and complete the sentence, LQAF would be even better if ..... Recurring themes included the need to be less time intensive, more focussed, less frequent, common understanding, more friendly, also a visual board for the financial year where feedback and evidence collected can be added for collation when LQAF is due.

We broke up for lunch which gave me the opportunity to catch up with members of my project team on the Knowledge for Healthcare Leadership Programme. This was followed by the Bishop and LeFanu Memorial Lecture where Triathlon coach Gareth Allen presented on how exercise can have a positive effect on mental health. It linked well with the earlier speech by Lynn Daniel. He talked about the benefits of physical exercise on mental wellbeing and gave case studies with practical examples on how exercise has helped some patients with mental health issues alleviate their condition. Some implemented solutions for mental wellbeing include Fieldhead Fit, Parkrun, Running / Sports Club and Low intensity exercise for those with less mobility.

There was a Question Time panel where thought provoking questions were both asked and answered from the floor and the panel. It was all quite intense. They covered what the single most important priority for Knowledge for Healthcare is (Patient and Public agenda), linking Knowledge for Healthcare to the Higher Education sector, issues with HDAS, succession planning, role reclassification from Admin/Clerical to Scientific/Technical, affordability of accredited courses, loss of the wealth of knowledge and existing skills from NHS Direct and pro-rata CILIP membership fees for part-time staff.
The last session I attended was on practical tools to collect evidence of impact using the online toolkit by Susan Smith & Doug Knock. There was a great exercise which encouraged us to arrange our evidence in order from feedback to impact as a way of identifying what is most relevant for submission to demonstrate the value of the service being offered. It is also important to consider whom the measures are being done for. The conference closed with Sarah Hennessy thanking speakers, sponsors, attendees and giving out the prizes for competitions including exhibition posters.

A lot of the conversations I had steered me towards how much the conference content centred on NHS work and how attendees from other health sectors would probably feel left out. This is something that would need to be rectified if we are to foster partnerships for Knowledge for Healthcare. I had a great time at my first HLG Conference and learnt a lot that can be implemented in my own service. Looking back, I feel like I could have done more but I was quite wiped out by the end. There was a lot of content and not quite enough time to process them. It left me wondering if an annual one day conference supplemented by frequent workshops might be an option. It would probably make it more affordable for those willing to self-fund and might make it easier to convince organisations to sponsor. It could result in boosted attendance and perhaps more paraprofessional attendees. Food for thought.

Friday, 11 March 2016

Knowledge for Healthcare Leadership Development Programme

The launch of the Knowledge for Healthcare Leadership Development Programme #kfhleadership was held today at Stewart House in London and I consider myself lucky to have been able to attend as one of the 24 participants for the 2016-17 cohort. The programme is a pilot initiative based on the model of the CILIP Leadership Model with the Knowledge for Healthcare Framework in mind. It is aimed at librarians, information specialists and knowledge specialists in the healthcare sector who wish to develop their leadership skills. The one year programme has been funded by Health Education England and participants will take part in a project and are required to attend four workshops and three action learning sets. We are also encouraged to attend the CILIP and Health Libraries Group conferences (This is not a compulsory component of the programme).

I was glad to see participants from different aspects of healthcare (not just the NHS), different parts of the country and different job roles (not solely managers). Jo Alcock did a good job of mixing everyone up so that we were forced to engage with one another not just people we already knew. We were joined by the Director of National Programmes for the HEE, Patrick Mitchell, and he noted how the launch itself is a testament to how far the Knowledge for Healthcare framework has come. Jo gave an overview of the programme and stressed how candidates are likely to gain as much from it as they are willing to give of themselves. Everyone had the opportunity to introduce themselves and share a bit about their current roles and what they aspired to gain from the programme. We also shared individual hopes and fears with common themes including the desire to build confidence, establish new relationships, learn about leadership skills, tips and tools whilst the most common fear was time constraint.

The next activity involved participants highlighting what they consider as the traits of a good/effective leader and high on the list was being passionate, impartial and inspiring. This led on to participants matching themselves to one of eight leadership quotes provided and then matching the quotes to those who had said it. The exercise made me realize that knowing who said each quote changed what some of the quotes meant to me. Jo also highlighted some of the things we should have noticed during the exercise and what they could mean such as who led the task, was quick to make suggestions or held back. We were introduced to leadership styles/approaches which was quite a bit to process. Some of them I was familiar with, others not so much. Senior Advisor, Knowledge for Healthcare, Sue Lacey Bryant pointed out that the transformational approach forms the basis for the Knowledge for Healthcare Framework due to the need to make a significant change.

We broke for lunch and some networking after which we had a learning from leaders session which involved hearing the leadership stories of others. Patrick Mitchell shared how in a bid to gain power, control and responsibility he realized it can only be gotten by giving it up. He also encouraged us to sell or stories and not to take no for an answer (within the right scenarios of course), stressing that there is always an honest way to achieve your goal. He pointed out that it is difficult to get others enthused about a plan of action when you don't believe in it yourself and stressed the importance of chance meetings and serendipity which was a common theme from all the speakers. National Programme Manager for Library and Knowledge Services at the HEE, Louise Goswami, emphasized the need to be confident in applying skills and lessons learnt in different sectors as well as pursuing opportunities when they arise. Director of Health Libraries North, David Stewart, raised the need to create opportunities, seize opportunities and know one's limitations.

We were then split into our group projects and I am working with my team of the training needs on NHS Library staff. We were able to plan some of the activities needed and identify preferred methods of communication for the project. To conclude the day, Jo told about what the next steps of the programme would be and what the tasks we are expected to do before then one of which is completing the leadership element of the CILIP PKSB. The PKSB was introduced after I obtained Chartership status and to be perfectly honest, I have shied away from it. This programme has forced me to face the gaps in my skill set and consider them by order of priority. I also consider it a useful tool as I complete my Revalidation for this year.

It was a packed workshop and many thanks to Jo for facilitating it. I look forward to communicating with participants especially as my group moves forward with our project. It will be interesting to learn from the experiences and perspectives of others and I look forward to doing just that.

Thursday, 6 August 2015

Off I go on a study tour

So I've been lucky enough to be sponsored by The Chartered Institute of Library and Information Professionals (CILIP) and The English-Speaking Union (ESU) to conduct a study tour on the Knowledge for Healthcare framework for NHS Library and Knowledge Services in England published by Health Education England. I will be gathering intelligence from health libraries in the Greater Midwest Region of the USA on how service provision is cascaded from national to regional and local levels. I leave next week and my visits, flights and accommodation have been sorted. I will be blogging about my adventures so do follow me. I am so grateful for this opportunity.

In the meantime, I have been busy conducting training and literature searches. I have also been visiting wards to offer support in a clinical setting. I spent the last few days familiarizing myself with our new current awareness system KnowledgeShare. It will allow us to provide users with personalised bulletins on the latest evidence and will be a base for all literature searches. It is web-based which is a relief as it makes working from home easier and it is NHS OpenAthens password protected.

I'll be focusing on my study tour and revalidation so it may be a bit quiet for a while.

Wednesday, 25 March 2015

Clinical Librarianship

Image (c) Creative Commons - Susan Smith
Embedding the librarian role in the clinical setting is now an area of impact assessment for NHS libraries. As my role evolves to extend our outreach services to clinical teams, I find myself slightly overwhelmed. I shadowed the Clinical Librarian at a clinical meeting before gathering the courage to attend one in the Endocrinology department. I found it very interesting as the case study resulted in discussions on a paper to be written and I was asked to assist in the literature searches. I was also on hand to answer questions on assessing Athens as well as any clinical information resources we might currently have access to. I have worked in health libraries for a little while but this experience made me realise that as librarians, it is easy to cut ourselves off from the reality of the services we render. It has brought home the realities of individual patients. No longer do I deal with a scenario but I am performing a task to help a specific person who I know by name even if I never meet them.

I shadowed a cardiology ward round today which I found very tasking. Needless to say that after 4 hours straight on my feet I had a new appreciation for what ward rounds involve. I found I had to remind myself why I was there as each patient's situation left me somewhat sad. The ward round did result in two literature search requests as well as a request for help registering for Athens. I feel I am now able to attend a ward round on my own and plan to do so at the earliest opportunity. I am following the University Hospitals of Leicester Clinical Librarian Service Blog to keep abreast of new developments and I have been invited to attend grand round on my hospital site.

My other duties have not suffered though. I have been updating presentation and training materials. I trained a few nurses over the past week and represented the KLS at an induction for student nurses. I have also been able to make some headway with the pop-up library. I will be piloting the service once a week between 12pm and 2pm every Wednesday in April. I have been able to book a location and will pick up a display banner next week. I am now looking at how to obtain feedback to improve impact.

Thursday, 12 March 2015

University Health & Medical Librarians Group Spring Forum 06/03/15 #UHMLGSF15

 Survival of the fittest: changing environments, evolving roles, and new skills for librarians in healthcare

The UHMLG 2015 Spring Forum was held at the Royal Society of Medicine and I was fortunate enough to attend as it was paid for by my department. There were about 100 delegates and sponsors including Dynamed, Oxford University Press, Mark Allen, BMJ, Wiley and more. I had the opportunity to re-establish connections with library colleagues and service providers I have not been in contact with since I went on maternity leave. It was a one day event which centered on how roles, services and staff skills need to change to meet changing needs and expectations in healthcare. It started off with a welcome address from Donald Mackay, Head of Health Care Libraries, Bodleian Libraries.

The first speaker introduced was Jason Briddon, Director of Library Services, University of West of England. His talk covered how librarians with the Higher Education sector are developing skills to meet changes in how services are rendered and what needs to be done to meet user expectations. He raised the lego four horsemen of the library apocalypse:
  • unsustainable costs as the need for the library existence is constantly challenged by finance
  • variable alternatives as sources of information
  • decreasing demand for physical stock as engagement with digital content increases and there is increased use of the library space and chat support
  • views of the library as not meeting user demands
He also referred to the NMC Horizon Report emphasizing the challenges of embedding the librarian within the curriculum working with academic staff. We need to rethink library roles and skills and see people trained in different fields as assets to the Library and use it to our advantage. He went on to discuss the OCLC Report: At a tipping point which explores students perspectives and future expectations of the library. We need to embrace the need for radical changes in anticipation of changes to the library in future and embed ourselves in the e-learning environment to ensure online learners see us as facilitators and engage more with us. There will be a need for evolving partnerships and collaborations, flexibility, agility, innovation and an increasing number of library staff from different professional backgrounds.

The next speaker was David Stewart, Director or Health Libraries North West. His talk focused a published document strategy for NHS Knowledge and Library Service for 2015-20, Knowledge for healthcare. This document was requested when Health Education England LKSL asked for £2m for recurrent national core content to cover a three year period. It's importance cannot be overemphasized as previous similar documents were never published and it also provides resources to support its implementation. There are four strategic themes focusing on transforming service.
  • Proactive customer-focused services
  • Quick and easy access to evidence
  • Effective leadership, planning and development of the healthcare library and knowledge services workforce
  • Optimising funding for best value
It invites information professionals to help take its themes forward and achieve its aims. We need to be asking ourselves three questions.
  • What is working well with the current LKS provision?
  • What part of the vision resonates with us?
  • What can we do together?
This is a working document and we need to consider what our key priorities should be for implementing the recommendations in the long term.

Ruth Murphy, Library Learning and Teaching Manager and Sonya Lipczynska, Library Liaison Manager, both from Kings College London were next and their talk covered how librarians perceive their roles as teachers. They referred to a 1979 Pauline Wilson article and her thoughts on the fact that librarianship and academia should be kept separate. Wilson stated "it is a fiction that librarians are teachers. The fiction is used by librarians to provide a more comforting self-image, to bolster a status claim, and to relate the profession to the world outside it". Needless to say, the statement caused an uproar but then it raised the question, Is there a difference between teachers and trainers? To answer this, the pair looked to the KCL mission statement and determined that the library is central to the student learning journey. Sonya highlighted that she progressed through peer support, experience, trial and lots of error. She obtained a Certificate in Academic Practice which helped her reflect on what she was doing and how she could make small but positive changes. Ruth employed practice from experience and peer support. She also obtained certificates in learning and development activities and more. How practice was impacted was discussed as they moved from surface to deep learning. It had longer term benefits to the students as they were engaged by giving scenarios and asking them to teach each other what they learn. Their online environment is Keats but they also use Libguides to bring content together for groups and use Pollseverywhere to confirm understanding of what is learnt. They expanded their portfolio to include academic writing and maths & statistics support but find that there is a need to standardise language used, clarify academic departmental expectations (just ask them what they want), set clear learning objectives and knowledge outcomes, and distinguish between awareness, instructional training and knowledge development sessions.

We were joined next by Janette Colcough, Research Support Manager, University of York and Pat Spoor, Scholarly Communications and Research Skills (SCoRes) Team Leader, University of Leeds. They discussed how their university libraries have been restructured to take on new roles and responsibilities highlighting that neither of their roles have the term library or librarian in it. The new teams were created from the old and reorganised by function which created a need for change management and staff reallocation. It also meant that not everyone had the job they wanted but at least everyone had a job. Teams focused on collection development, research support and teaching and learning. The restructuring provided a more dedicated support to service provision and increased support to meet research needs. The session highlights the need to change how we perceive our roles in libraries. There should be librarians for new roles and not new roles for librarians.


Next up was Erica Rae, Public Health & Commissioning Librarian, Western Sussex Hospitals NHS Trust. She discusses the WSKL merged library service and how rather complicated NHS changes turned her into a hotdesking outreach librarian with just a laptop and a mobile phone. The print collection was moved back to parent libraries and all journals provided were now in electronic format. All correspondence is also via email. Her role made her less visible and started on a six month trial basis. This meant if she could not get funded, she'd end up jobless. Three years on found her fully embedded with a full contract taken on by the City Council. The physical challenges she faced include loss of contact with colleagues, loss of a physical library collection, travel issues and associated admin expenses, technological challenges such as network issues. Practical challenges included the need for new skills, requirement for new sources and resources and funding issues.

The next speaker was Rosalind Francis, Health and Social Care Librarian, University of Greenwich and she talked about participating in the going for GOLD programme (Greenwich Opportunities in Learning Development).  She wanted to obtain acknowledgement for her efforts so pursued becoming an Associated Fellow of the Higher Education Academy using the UK Professional Standards Framework. The AF is the most common level for librarians as it applies to those who support student learning. She found the criteria similar to Chartership but more straightforward and confided that she gained a greater sense of achievement through this process than through Chartership. It enabled her tailor sessions in response to enquiries thereby gaining an idea of information needs of different users, gain professional recognition for learned skills, reflect on teaching and boost departmental and institutional reputation. The process does not require much evidence as the referees supplied by the candidate are there to observe and support the claims of what has been achieved.

At this juncture, we broke for a well deserved and enjoyable lunch. It gave me the opportunity to network and visit exhibition stands. The next speaker was Fiona Ware, Academic Liaison Librarian, University of Hull,  who discussed her role supporting systematic reviews. She highlights the issue of being asked for help with systematic reviews which turn out not to be systematic reviews and the need to re-educate academics on what constitutes a systematic review. She helped PhDs with a systematic review which got her an authorship mention but took an entire year to complete and requires an update within one year. All this does not come without its challenges and they include time, the need to refresh skills, the amount of repeated work required and the weight of responsibility. There is an organisational review taking place which does not include an Academic Liaison Librarian role so she is providing a service that may cease to exist leaving her without a job.

Laura Wilkes, Library and Knowledge Services Manager, West Suffolk Hospital, then joined us for a very interesting talk about her role as an Innovation Scout. It is a voluntary role which helps identify new innovations within the NHS to the Health Enterprise East for development. She raises awareness of innovation in her organisation, promotes the adoption and diffusion of new ideas and targets the corporates to raise the profile of the library and ultimately obtain funding. This has enabled her achieve a revised Intellectual Property policy to include the innovation scout, get an Intellectual Property lead, set up meetings quarterly with the DCEO, promote the role with an innovation webpage on the library website, register a trademark for a tray developed called Rosevital which delivers wipes and earplugs and helped reduce noise complaints at night from 85% to 15%. She was Runner up in the Sally Hernando Awards and an Innovation award has now been added to the annual Shining Lights Awards sponsored by the HEE. One of the great challenges for her is time as she does this on top of her day job. The ideas provided need to be seen from the perspective of the Executives and hard questions need to be asked such as what impact will it have and how much will developing the idea cost? The good thing is that all ideas are filtered by the library first, literature searches are then carried out to support the ides and test its viability.

Next was the Panel discussion with roving mics chaired by Betsy Anagnostelis. Sue Lacey Bryant, Senior Development Advisor, Health Education England, came on to talk about career portfolio and how she has navigated a range of roles within the NHS over the years. She advised new professionals to invest in management skills and play to their strengths. Do what you're good at, steer your own development, learn from experience and from others, learn to adapt and test your personal resilience. I was struck by her candor and it made me realise that most times we do not think we have the knowledge and experience for a role but with the network of support in the profession and by learning on the job, we can achieve a lot more than we give ourselves credit for.

Donald Mackay thanked sponsors and speakers and I got a tour of the Royal Society of Medicine Library. This was my first time at a UHMLG Forum and it was a day well spent with a lot of information obtained and good relationships fostered. That's the currency you need in this profession so I'm feeling very wealthy.

Thursday, 19 February 2015

Return to work

After 10 months away on maternity, I return to find myself almost completely cut off from anything library related. Thankfully I had kept my professional memberships and subscriptions and the steady receipt of bulletins kept me up to date with what was going on in the wider professional network. Needless to say, it has been a shock to the system although it is nice to finally have some routine back in my daily life. My first week was full of all the trials of lost passwords, blocked keycards and other access issues which was topped off by the news that there will be changes to the interface for NHS Evidence as well as changes to HDAS.

There is a lot for me to catch up on and I am making participation in the wider professional network my focus for 2015. I have joined the European Association for Health Information and Libraries (EAHIL) and I will be attending the University Health & Medical Librarians Group Spring Forum on the 6th of March kindly funded by my department. The forum focuses on the evolving roles and skills for librarians in healthcare which is the exact situation I find myself in. I am convinced that the programme of events which deals a lot with the NHS framework will serve well in bringing me up to speed on all I have missed as well as help me generate ideas on how best to adapt to my role as it evolves. I look forward to giving a report on how the event goes and all I learn there.
(c) Image Creative Commons - laura redburn