Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries Group 2010 Shannon Robalino – National Library for Public Health Gordon Watson – County Durham and Darlington Health Improvement Service

Delivering independent intelligence for health and wellbeing Knowledge for public health “Applying what we know already will have a bigger impact on health and disease than any drug or technology likely to be introduced in the next decade.” Sir Muir Gray, NHS Chief Knowledge Officer “…Web 3.0 will ultimately be seen as applications which are pieced together… the applications are relatively small, the data is in the cloud, the applications can run on any device, PC or mobile phone, the applications are very fast and they’re very customizable.” Eric Schmidt, CEO, Google

Delivering independent intelligence for health and wellbeing Participants in the evidence project National Library for Public Health (NHS Evidence – specialist collection) Health Promotion Library, part of County Durham and Darlington Community Health Services

Delivering independent intelligence for health and wellbeing National Library for Public Health library.nhs.uk/PUBLICHEALTH

Delivering independent intelligence for health and wellbeing What the NLPH does Provide high-level evidence-based public health information Systematic reviews / meta-analyses Guidelines Policies & strategies Other relevant information (e.g. news, events) Annual Evidence Updates Monthly newsletters

Delivering independent intelligence for health and wellbeing Public Health Language List of standardised terms to describe information AKA thesaurus or taxonomy Used by PHOs, some PCTs, public health / health promotion libraries and many others

Delivering independent intelligence for health and wellbeing History of Public Health Language Merging of Public Health Information Tagging System (PHITS) and Government Classification Language (GCL) Part of SNOMED (Systematised Nomenclature of Medicine Clinical Terms) which incorporates 1000s of terms from MeSH and other standarised medical languages

Delivering independent intelligence for health and wellbeing Why is it important? Terms and concepts standard across a discipline Hierarchy not that important!

Delivering independent intelligence for health and wellbeing Health Promotion Library Uses a Discovery to Delivery model Serving commissioner and provider services staff in a large geographical area with a population of about 600,000 in NE England Other NHS staff – primary and secondary care Local authority staff – community and social services Education sector – primary, secondary, FE, HE Community and voluntary sectors

Delivering independent intelligence for health and wellbeing HPAC Library Management System Library catalogue at Web-based, using open source components Dublin Core – online interoperable metadata standards NLPH metadata harvested daily from NHS Evidence repository Open Archives Initiative Protocol for Metadata Harvesting (OAI-PMH) Public Health Language

Delivering independent intelligence for health and wellbeing Users reviews and recommendations Review function in context of other web 2.0 features, such as personalised RSS feeds, favourites Based on knowledge management model of After Action Reviews In addition to rating the resource, users asked to share how the resource has been used, context and setting Users who borrowed this also borrowed….

Delivering independent intelligence for health and wellbeing How it works Youth worker searches for a resource suitable for brief intervention on alcohol with young people User review of the resource and users who borrowed this also…. User finds a suitable resource in the library catalogue A systematic review on alcohol and young people from the National Library for Public Health Search Linked to

Delivering independent intelligence for health and wellbeing How it looks in practice

Delivering independent intelligence for health and wellbeing NLPH Evidence in HPAC Clicking on the evidence link displays the evidence data in the same space and style as local resources with links directly to the original document and to the NLPH.

Delivering independent intelligence for health and wellbeing Direct link to the original document

Delivering independent intelligence for health and wellbeing Library user behaviour Library users are frontline public health practitioners, not researchers or academics 90 percent of all our requests for resources come through catalogue Evidence is linked to resources they use in their everyday practice - one click away with no password in between Maximum information for minimal effort

Delivering independent intelligence for health and wellbeing Survey results and LMS logs 550 registered library users – 25 percent response 87 percent said they would find it useful in their work 85 percent who had used it said they found it ‘very useful’ 90 percent said they would find a resource recommendation feature useful LMS logs show an average of 300 ‘clickthroughs’ to the evidence and guidance each month

Delivering independent intelligence for health and wellbeing Outcomes Integrating locally held resources with user experience (reviews), recommendations and expert knowledge (evidence) is providing a rich user experience and increasing the value of library content Frontline practitioners are accessing the evidence and finding it useful in the context of their everyday work “It ties all the information, resources and stats together” – survey respondent

Delivering independent intelligence for health and wellbeing Contact information Shannon Robalino Lead Information Specialist National Library for Public Health Gordon Watson Knowledge Manager County Durham and Darlington Health Improvement Service