Making sense of integrated care systems

February 21, 2018 Comments Off on Making sense of integrated care systems

Title: Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • Share this resource with colleagues who are involved in the creation of integrated care systems, integrated care partnerships, accountable care systems and accountable care organisations.
  • There may be an opportunity to deliver evidence and knowledge to managers, commissioners and transformation teams as health care services undergo this change.
  • As organisational boundaries blur and take a ‘whole population’ approach, LKS may be required to adapt their service delivery models accordingly.
  • If healthcare moves away from a competitive structure and towards a collaborative one, there will be many opportunities relating to knowledge management that could support the sharing and dissemination of good practice, innovation and organisational knowledge.
  • LKS will have to consider how the negotiation and procurement of resources needs to adapt to reflect the changes in organisational structures.
  • There is a clear role for technology in supporting the emergence of integrated care systems and Accountable Care Organisations that presents an opportunity for digitally enabled LKS.

Source: King’s Fund

Link to main document 

Date of publication: February 2018

Summary of driver:  Crucially, this document indicates that the first wave of 10 “shadow accountable care systems” being supported by NHS England have been renamed Integrated Care Systems. This name describes more accurately the work being carried out. The long read outlines that integrated care is being tackled differently in different places and a variety of terms are being used. For the purpose of this document, the following are defined as being the main 3 approaches to integrated care:

  • Integrated care systems (ICSs)
  • Integrated care partnerships (ICPs)
  • Accountable care organisations (ACOs)

The document also outlines the new care models, provides an update on the 10 integrated care systems, discusses the controversy around ACOs and privatisation, future developments and concludes by providing support for the approach.

Leading change, adding value

February 16, 2018 Comments Off on Leading change, adding value

Title: Leading change, adding value: A framework for nursing, midwifery and care staff

What does this mean for libraries? 

There are a number of commitments (page 13) which libraries could hook into and could directly support when delivering services to staff:

Commitment 7 We will lead and drive research to evidence the impact of what we do.
Commitment 8 We will have the right education, training and development to enhance our skills, knowledge and understanding.
Commitment 10 We will champion the use of technology and informatics to improve
practice, address unwarranted variations and enhance outcomes.

Source: Health Education England

Link to main document 

Date of publication: May 2016

Summary of driver:

This framework builds upon Compassion in Practice and outlines how nursing, midwifery and care staff will meet the challenge of delivering the “Triple Aim” of better outcomes, better experiences for people and better use of resources outlined in the Five Year Forward View.

The framework will help to close gaps in health & well-being, care and quality and funding and efficiency. On page 13 of the document, there are 10 aspirational commitments which can be implemented locally at any level.

MAP Improvements – Survey Results 2017

February 16, 2018 Comments Off on MAP Improvements – Survey Results 2017

Here at MAP Towers we are always interested in how people use the toolkit and what they think, so late last year we surveyed library staff about the toolkit. Thanks to everyone who took the time to respond.

The results are in! The drivers were the most accessed resource closely followed by the stories template, examples from other organisations and the policy briefings. The discussion list updates and the workshops/events that Tracey and Victoria led, were the most popular in terms of raising awareness of the toolkit.

Key suggestions for improving the toolkit included:

  • Improve the speed with which national policy is identified and added as a driver
  • Improve the range of drivers included, e.g. Scottish and Welsh policy
  • Provide information on impact away from a traditional acute setting
  • Clearer linking to resources on Knowledge for Healthcare to avoid duplication of effort
  • Less jargon and clearer presentation of the platform
  • Use RSS feeds for hot topics , policy briefings and drivers for sharing with Execs
  • Use a different system as some people cannot access WordPress
  • Introduce a star rating system for useful documents
  • Include excerpts of text from the driver that people have used in their reports / business cases
  • Add more case studies about how to use the toolkit

These results were discussed at our annual face to face meeting in November last year (in Shrewsbury, just before the snow arrived!) and we came up with our action plan for 2018-2019 which is summarised below:

  • Rebranding the project from MAP toolkit to MAP Community; a non-hierarchical, collaborative and informal voluntary learning network
  • Streamlining the drivers’ template to improve responsiveness
  • Reviewing the platform with a view to clearer presentation, removal of jargon and inclusion of example of how people have used the resources
  • Identifying additional volunteers to assist with the workload, particularly from non-acute settings, NHS Scotland and public libraries
  • Improving navigation of the MAP and review other options for hosting
  • Considering a shift in focus to prioritise drivers and move away from gathering impact stories to avoid duplication with Knowledge for Healthcare

All of this should help make the toolkit more useful – in fact there has been a frenzy of editing and rebranding on the back of the survey results and our November meeting.  So thank you to everyone who took time to complete the survey and to everyone who used the toolkit in 2017.

The MAP community produce the resources voluntarily and we are always on the lookout for people to join our merry band.  We are looking to broaden our horizons, so if you are from NHS Scotland and Wales or work in a public/educational library with an interest in health then please email Tracey at tracey.pratchett@lthtr.nhs.uk  for more information.

If you didn’t want to commit to the toolkit but have used it for something brilliant and want to share it then please let us know and we will upload onto the toolkit for you.

Thank you.

Engaging local people

February 15, 2018 Comments Off on Engaging local people

Title: Engaging local people: A guide for local areas developing Sustainability and Transformation Plans

What does this mean for libraries? 

  • LKS can be an information hub on STPs for patients/carers on site, as well as connecting with public library colleagues.
  • LKS staff could provide support for public consultation events with a view to identify challenges and providing information services to support these.
  • Opportunities to showcase how LKS can support innovation and change, such as knowledge management skills and running simple KM events to encourage knowledge sharing, e.g randomised coffee trials and knowledge cafes

Source: NHS England

Link to main document

Date of publication: September 2016 (updated June 2017)

Summary of driver: This document is aimed at the teams developing Sustainability and Transformation Plans (STPs). Local statutory bodies are responsible for engaging and consulting on their proposals, and this document recommends a shared approach across the STP footprint. It outlines the expectations about stakeholder involvement, in particular patient and public participation. It suggests a process for engagement and highlights key principles for engagement and consultation. The document will be useful for STP communication and engagement leads and will help governance teams.

Using Hot Topics for searches

February 14, 2018 Comments Off on Using Hot Topics for searches

Recently I was asked to conduct a quick search to provide some information on Accountable Care Organisations and Accountable Care Systems.

File:Love heart decorated cappuccino (milk coffe cocoa decoration).jpg

Image Source:Love heart decorated cappuccino (milk coffe cocoa decoration).jpg by Yannick Bammert

Luckily I remembered the Hot Topics that we have been adding to the MAP over the past year. The hot topic about Accountable Care Organisations, provided a great starting point for the search highlighting some of the key reports and including a useful summary which I could use in my search report.

 

If you have any ideas for any new hot topics  to be added to the MAP, email us at map@libraryservices.nhs.uk 

 

Books supporting Patients, Carers and Family

February 13, 2018 Comments Off on Books supporting Patients, Carers and Family

Project team:
Library Manager, Project lead
Enquiry Services Librarians
Living with Cancer Manager
Chaplaincy Coordinator
Macmillan Cancer Information and Support Centre
Macmillan Dementia Nurse Consultant

Resources required: Initial funding for books: £2000; Staff time to collate book lists & order books; Monitoring system using feedback forms; Timeframe – 8 months to get it fully running.

“The story”
The Christie has a Cancer Information Centre (CIC) which supports patients, families, friends and the general public with finding cancer information and services to meet their needs. The Library team began talking with the CIC in September 2016, discussing ways in which we could work together. We began by offering to supply information and carry out searches for patients and in passing mention the provision of some books.

A small bid opportunity arose and we discussed it with the service and put in a bid for £2000 to the Healthcare Libraries Unit which was successful. We felt that we could extend the offer to include the chaplaincy, dementia services and offered an opportunity to satellite Christie services. Oldham@Christietook up the offer.

The Enquiry Services Librarians put together some lists of books based on the Macmillan and Cancer Research UK lists, books on prescription lists plus recommended books by project members and patients. This was priced up and 4 collections of books were purchased.

Simultaneously we contact the Lead Nurse for Infection Control as it was suggested the chaplaincy might want to use the books on wards. Would there be an issue? Luckily, a pragmatic approach was taken and every book has a sticker reminding people to wash their hands after using the book.

Once the books arrived, they were divided up, stamped, return stickers and infection control stickers were added. Where possible books were covered with wipeable covers. We created a small impact sheet that could be added to the book when loaned or used and sent back to us as part of our monitoring of how successful the project was.

We discussed if the books should be on our catalogue. The chaplaincy books were going to be used by volunteers and a number were colouring books so we decided not to. There were only a relatively few dementia books which again would be used with patients by volunteers rather than borrowed, so likewise they were not catalogued. We decided that the books supplied to Christie@Oldham would be given to them to manage however they wanted, with the proviso that they would let us have any feedback.

The CIC books did go on the library catalogue as a discrete collection and they simply send a weekly report of books borrowed and returned, which we then transfer to the catalogue giving us usage data.

On the day we delivered the books to the Cancer Information Centre, the first book went out and we received the following excited message
“Just to let you know that the first book has gone out!! The patient thought it was a fab idea and she took one of the nutrition books”

Alignment to local, regional and national drivers:
One of the key drivers for the Library service was the Knowledge for Healthcare requirement to support public and patient information needs which feeds into LQAF
Core criteria 5.3l for 2017: ‘LKS are developed to support information provision for patients and/or public’

Within the Trust itself we refer to The Christie Experience and anything that enhances the patient experience helps meets this strategic goal of the organisation.

Impact of this project/service for the customer/organisation/library: 
Currently we only have detailed information from the Cancer Information Centre.
Customer: the following quotes have been fed back to us
“what a great idea – I would just like a book to read whilst I am having my chemotherapy today”
“Can I really borrow these books and take them home to look at? That is a good idea as I wanted to read more about nutrition and diet so that I can help myself during treatment”
“I’m an inpatient at the moment and borrowed this book to read in the garden, I really liked it and will buy my own copy!’
“I have never really enjoyed poetry anthologies but this was different – I engaged emotionally with so many of the poems”
“A very inspiring book – excellent recipes to try and an all-in-one book giving handy tips which saves carrying a lot of booklets. A good bedtime read”
Statistics borrowed from the CIC:
1/5/17 – 1/8/17 – 39 loans (total titles = 98)

Organisational impact: Patients are better informed, with a feeling that the Trust supports their broader needs, not just their clinical needs.

Impact on the Library Service: It has helped develop our relationship with the Cancer Information Centre and helped us fulfil the broader aim of the service to improve patient care. This project is to be highlighted to the Board by the Medical Director as an example of the impact of the Library Service. It has also given us the opportunity to develop connections with the Christie Oldham staff.

Lessons learned:
Early contact with Infection Control: We were lucky that Infection Control saw the benefits of the project. In some hospitals books are not allowed on wards. It is important to have this group on board for a project like this

Problems with Chaplaincy: The Chaplaincy has not been able to get the project launched yet. After discussion with the Library Manager, they are going to look to use a volunteer in the Teenagers and Young Peoples group to start the project off. This will be helped by a talk on books on prescription to this group by the Library Manager

Dementia: Unfortunately, we have one person who does all the development around dementia in the Trust and she has been off long term sick so we have been unable to launch this collection. Currently there is little that we can do to move this forward

Catalogue and Library Thing: Initially we looked at using Library Thing so the CIC could issue the books via this but we quickly realised that it would involve a lot of work on their behalf and it was easier to do a weekly report to us to mark up books as being on loan.

Sustainability / next steps? We want to expand our offer to the other @Christie sites using the Oldham@Christie experience. We will need to source funding but feel that this will be possible as this has already proven to be a success

Contact details: Mary.hill@christie.nhs.uk
0161 446 3456

Date case study completed: 21/8/17

The Future of Jobs: Employment, Skills and Workforce Strategy for the Fourth Industrial Revolution

February 7, 2018 Comments Off on The Future of Jobs: Employment, Skills and Workforce Strategy for the Fourth Industrial Revolution

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • LKS teams may be affected by changes to organisational structures.
  • The way LKS teams work may change
  • LKS staff need to ensure they are up to speed with new technology and utilise it when appropriate

Source: World Economic Forum

Link to main document 

Date of publication: January 2016

Summary of driver: This report provides an insight into how technology is moving towards a Fourth Industrial Revolution. Changing shifts and workforce trends are likely to produce new challenges. Governments need to ensure that education is supporting and preparing people for work via reskilling and upskilling

Rising pressure: the NHS workforce challenge

February 7, 2018 Comments Off on Rising pressure: the NHS workforce challenge

A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • There may be an opportunity to deliver evidence and knowledge to teams experiencing issues with recruitment
  • Opportunity to link in with GP surgeries to support staff
  • Support transformations teams with evidence on staff retention/recruitment

Source: The Health Foundation

Link to main document 

Date of publication: October 2017

Summary of driver: This report looks at the trends of the NHS workforce and concludes that the NHS workforce has a high staff turnover. Issues of concern include the drop in GP recruitment and the impact of the removal of the NHS bursary on student nurse numbers. Other key themes around the issues of staff retention include the following:

  • Workforce stability is falling in NHS Trusts down to a median of 85% in 2016/17 from 89% in 2010/11
  • There needs to be a sustained and nationally-focused approach to workforce policy and planning
  • There is an ongoing disconnect between identified staffing-groups’ needs and funding decisions

The Department of Health and Social Care mandate to Health Education England

February 7, 2018 Comments Off on The Department of Health and Social Care mandate to Health Education England

Optional wording for policy briefings ONLY: A policy briefing is available for LKS staff to share in their organisations.  Produced by the JET Library at Mid Cheshire Hospitals NHS Foundation Trust.  Feel free to reproduce it (with acknowledgement).

What does this mean for libraries? 

  • Increase in community and primary care staff provides opportunities for library services to deliver services to these staff.
  • Greater integration may mean libraries working across organisational boundaries.
  • Providing services to ensure that improvement, innovation and learning opportunities are enhanced.
  • Ensure that the entire workforce has access to the right evidence at the right time.

Source: Department of Health and Social Care

Link to main document 

Date of publication: 17 January 2018

Summary of driver: This mandate from the Department of Health and Social Care sets out their objectives for Health Education England to deliver health education and training. The mandate also discusses workforce planning requirements to provide compassionate healthcare for patients. The mandate includes the following 6 key objectives:

  • Develop the workforce to improve out of hospital care
  • Create the safest, highest quality health and care services
  • Deliver value for money
  • Prevent ill health and support people to live healthier lives
  • Build the workforce for the future
  • Improve services through the use of digital technology, information and
    transparency

MAP update!

February 7, 2018 Comments Off on MAP update!

Visit the toolkit today and discover a wealth of resources to help you demonstrate the value and impact of your service to the wider organisation (altogether now LQAF 1.3c).

HOT OFF THE PRESS ! We had a MAP meeting in November and rebranded ourselves from “toolkit” to “community”.  The book “Strategic collaborations in health sciences libraries” is published later this year and Chief MAPpers Tracey and Victoria are the authors of Chapter 5 “Finding the Way Without a Road MAP: Cultivating a UK-wide Community of Practice”.

The JET Library have been keeping us super busy with the policy briefings. New content includes Quality improvement in mental health and Community Hospitals and Their Services in the NHS and Accountable Care Organisations .Feel free to reproduce any of the policy briefings (with acknowledgement to JET Library) for your own purposes. Thank you JET Library, Mid Cheshire Hospitals NHS Foundation Trust.

Under Ideas Capture you will find templates to help you put together project plans and case studies. Click on the MAP stories link and share how your service is making a positive impact on your organisation .

Recently added content to the toolkit includes:

Drivers

If you have any questions about the toolkit or how you can get involved in the project please contact Tracey Pratchett (Tracey.Pratchett@lthtr.nhs.uk). You can also follow us on Twitter (@Map_community).

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