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Milton Keynes experience Taunton 20 May 2008

Milton Keynes experience Taunton 20 May 2008. Ann Skinner Anne Gray. Knowledge and library support for the delivery of PCT commissioned evidence-based care pathways. Anne Gray Milton Keynes PCT. Quality: MK ( April 2007). Evidence based service redesign .

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Milton Keynes experience Taunton 20 May 2008

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  1. Milton Keynes experienceTaunton 20 May 2008 Ann Skinner Anne Gray

  2. Knowledge and library support for the delivery of PCT commissioned evidence-based care pathways Anne Gray Milton Keynes PCT

  3. Quality: MK (April 2007)

  4. Evidence based service redesign Process is supported by Task & Finish Group(s) whose role is to: • facilitate discussion on the technical aspects of the new care pathway and the review process as a whole • provide support to the contract and commissioning teams in developing a new care pathway for the service in MK WHO? HOW? Quality:MK

  5. Evidence based service redesign:WHO is round the table? • Public health • Patients / voluntary sector • Clinicians (primary care, secondary care, ambulance, social care) • Commissioners • PCT contracts service • Librarian

  6. Evidence based service redesign:HOW? • Review the evidence base • Identify what practice already exists and does not exist • Identify what prevents this happening • Describe what needs to happen locally in order to deliver the optimal pathway • Create a service specification which can be used to commission new service

  7. Evidence based service redesign :What is the evidence base? • Health intelligence • Existing pathways • Existing guidelines • Primary evidence (“peer reviewed” jnls) • Tools/organisations/websites • Other service models/services/contacts • …..

  8. Evidence based service redesign: Diabetes • Changing the way that Diabetes services should be provided across Milton Keynes • Commission new services • Produce new patient pathways (Map of Medicine) • Involve wide range of organisations/ services/ people

  9. Evidence based service redesign: Diabetes • “This is just a quick note to remind you that I am part of your Diabetes Pathway review team, willing and able to provide information support where I can…..” • “I Iook forward to hearing from you – please don’t forget to let me know about meetings so I can put these in my diary.”

  10. Examples from work with Diabetes Review pathway: Questions asked • What is the evidence behind the Diabetes QOF indicators? • Recent evidence for psychological support in DM type 2 • Benefits of using structured education in DM type 2 through a team approach • Copy of the ABCD algorithm for hypertension from the BHS • Benefits of physical activity for peripheral neuropathy • Increased risk of fall with diabetic foot problems

  11. Examples from work with Diabetes Review pathway: Questions NOT asked • Examples of models of service for Diabetes • Existing commissioning support resources • Recent evidence • But I gave them the evidence anyway!

  12. Examples from work with Diabetes Review pathway: Resources • Map of Medicine / NICE / SIGN • DynaMed • Diabetes Specialist Library (NLH) • Clinical databases/Cochrane (Core Resources in Toolkit) • National data from PHO • Google / Yahoo

  13. Google / Yahoo • Google (Advanced search) model specification diabetes OR diabetic "service“ • Yahoo (Advanced search) diabetes "model of service"

  14. Examples from work with Diabetes Review pathway: Evidence synthesis • Synthesis of the evidence which can be scanned quickly • NOT a list of references • Short informative narrative • Categorise items • Highlight relevant sections of each item • Links to FT wherever useful • Stay within my competence

  15. Under development • Ways to gather/present relevant new information RSS feeds or other Web 2.0 tools?

  16. Things to remember: • These people are very busy • Short deadlines • Bullet points, highlight important points • Has someone already done it? • You can sometimes provide information they do not know to ask for • We are professionals too!

  17. Questions? • For further information contact • Anne Gray, Outreach Librarian, MKPCT • Outreach.librarian@mkpct.nhs.uk • Ann Skinner, Information Specialist, Quality:MK • Ann.skinner13@btinternet.com • Sue Lacey-Bryant, Project Manager, Quality:MK • Sue.lacey-bryant@mkpct.nhs.uk • Quality: MK website http://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359 17

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