NHS Education for Scotland New and Developing Roles for NHS Librarians Communicators’ Meeting 29 July 2003
Opening the debate Time of transformation Social, economic, technological change Industrial age to information age Hierarchical to network organisation Value embedded in knowledge rather than mechanical process.
Internet as a vehicle for change Liberating force Dissemination of knowledge Transformation of service industries Elimination of boundaries: Who Where When Who with Role of the intermediary
E-Library as a vehicle for change Liberating force Dissemination of knowledge Elimination of boundaries: –Who –Where –When –Who with –Role of the intermediary Vision Statement “Transformation of NHS Library Services in the light of new technology, supported by a network of proactive, skilled information practitioners and managers, empowered to deliver centrally funded information resources to point of need on an equitable, integrated, nationwide basis.”
New paradigms in the NHS Breaking down boundaries “Networks” (MCN’s, e-Healthcare) “Partnerships” (Joint Futures, CHP’s) Single system working (unification) Patient focus and public involvement (Health Improvement, PFPI)
NHS Library Services: information support for new paradigms? Service processes Service balance 90% of visits in the NHS are to GP s not hospitals Majority of visits are patients presenting with chronic, self- managed conditions – arthritis, diabetes 6.4% of GP’s Cf 50% of hospital doctors registered for e-Library “As an NHS patient, interested in a service supposedly devoted to the best interests of the patient, can you please tell me why I am barred access to certain areas of the e- Library Service ……”
Towards co-management of the knowledge base? No-one has a monopoly on knowledge Knowledge is not merely delivered to consumers: it is co-produced by them.
We are all being asked to change Central challenge……… Not systems Not strategy Not policy Not culture Barriers in the mind
The Change Curve 1. DENIAL The change won't affect me. 2. RESISTANCE I really don't want to deal with this. 3. EXPLORATION How might I cope with this? 4. COMMITMENT I can see how I can make this work for me.