Guidance for NHS trusts and foundation trusts: assessing the well-led key question

What does this mean for libraries?

The key section for libraries is the section on ‘learning, improvement and innovation’ where it states under the ‘research’ sub-heading:

‘Having proactive healthcare knowledge and library services is vital to improve education, lifelong learning, research, the spread and adoption of innovation and evidence-based practice. These resources supply the evidence base to the NHS workforce to make decisions on treatment options, patient care and safety, service delivery and policy.’

When it comes to what good looks like for learning, improvement and innovation the guidance says, among other criteria, that staff work together to improve services by ‘using research evidence’.

The guidance also suggested that there should be plans to ‘build capacity and capability for developing the behaviours and skills needed to facilitate and nurture research, innovation and improvement.’ This is another area that library and knowledge services can support through, for example, providing training in information skills, support for writing for publication, and the provision and promotion of knowledge resources on how to carry out research and improvement work.

Source: Care Quality Commission (CQC) and NHS England

Link to main document

Date of publication: April 2024

Summary of driver: This new guidance is applicable to all Trusts from 2024 and brings together the approaches of the CQC and NHS England into one well-led framework and helps NHS trusts and foundation trusts understand what good leadership looks like. The well-led question is one of five that form part of the CQC single-assessment framework.

There are eight parts to the well-led guidance, namely: ‘shared direction and culture’, ‘capable, compassionate, and inclusive leaders’, ‘freedom to speak up’, ‘workforce equality, diversity and inclusion’, ‘governance, management and sustainability’, ‘partnerships and communities’, ‘learning, improvement and innovation’, and ‘environmental sustainability’.

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