Newcomb Library & Information Service - Homerton University Hospital

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also outline our business plan for 2014-2015. We rely on ..... “Allow people to bring coffee in! I can't fault ... Loo
Newcomb Library & Information Service Annual Report 2013-2014

87% rated the library as “very good” or “good” (Annual survey 2013)

9,876 loans from our collection

14,532 e-resource accesses (via OpenAthens)

Mission statement The Newcomb LIS aims to contribute to the delivery of high quality health care by all staff and students by supporting their clinical effectiveness, education, training, professional development and research needs.

Incorporating hospital and community health services, teaching and research

Introduction We hope you find our Annual Report interesting and readable and that it answers the questions you want to ask. It is intended to inform users and stakeholders of our successes and activities during 2013-2014. We will also outline our business plan for 2014-2015. Reconfigured Library space

Newcomb Learning Hub

Contact Us: Newcomb Library Homerton University Hospital Homerton Row London E9 6SR  020 8510 7751  [email protected]  http://tinyurl.com/NewcombLibrary

Library staff

We rely on feedback to enable us to develop your library service, so please let us know what you think. Our contact details can be found in the margin of this page. 2013-14 was a year of considerable change. At the end of November 2013, after over 28 years of service at the Newcomb Library and before that at the Hackney Hospital Library, Isabel Cantwell, Library Manager took early retirement. Amongst Isabel’s many achievements were:  the development of the library service over more than 30 years  the setting up of the first computer network in the Hospital  one of the first departments to have internet access in the Hospital (1995)  the establishment of the Newcomb Learning Hub (2013) We would like to thank Isabel for all she has done for the Newcomb Library.

Library Manager Isabel Cantwell BA MCLIP (until 30 November 2013)

Kaye Bagshaw BA Dip Lib (from 2 December 2013)

Assistant Librarians Heaather Mills BA Dip Lib MCLIP Ronan Hegarty BA Hdip MLIS (from 6 January 2014)

IT Skills Trainer & Outreach Librarian Kaye Bagshaw BA Dip Lib (until 30 November 2013)

Library Assistant Deborah Lamb BA

Isabel Cantwell, Kaye Bagshaw & Ronan Hegarty in the Newcomb Learning Hub

Key Achievements 2013-2014  Opening of the Newcomb Learning Hub: external funding from the former London Deanery enabled the development of a Learning Hub in the main hospital, allowing 24/7 access to computers, Wi-Fi and study space for Homerton staff and students. The Learning Hub opened in September 2013 and feedback has been extremely positive.  Library space reconfigured: following the change from print to e-only journals, we removed the current journal display shelving and created a casual reading area with wallmounted shelving for the remaining print journals. 

Promotion of resources/services: our poster, Increasing e-resource usage through innovation, won a prize at the London Health Libraries NHS/HE Conference in November 2013. Knowledge Awareness Week in May 2014 resulted in increased awareness of eresources and attracted new service users.

 Contract signed with East London NHS Foundation Trust (ELFT) for the provision of library services to ELFT staff.  New e-resources funded: individual e-book titles purchased in March 2014 following a successful trial of EBL (E-Book Library); Clinical Key purchased in September 2013 following a well-received and successful trial.  Library Quality Assurance Framework (LQAF) 2013 submitted.

Our Values In January 2014, the Homerton Values were published, setting out the four core values that underpin service provision and engagement with both patients and colleagues. Within the library, we recognise that an active and responsive library service has a key role to play in the development of a positive learning environment. We strive to ensure that the services and resources we provide support our values. Our pledges On NHS Change Day in March 2014, Newcomb library staff made the following pledges: to promote Twitter as a tool for sharing information and best practice to benefit patient care

to provide and promote services and resources to support evidence-based care

Did you know?  Hospitals that use UpToDate report shorter hospital stays, lower mortality rates and improved quality of care1. You can access UpToDate via the Quick links on the Intranet and via OpenAthens.  A recent study reported the value placed on libraries and information services by clinical staff and their impact on patient care2. 1: Isaac T, Zheng J & Jha A (2011) Use of UpToDate and outcomes in US hospitals. Journal of Hospital Medicine, 7 (2), 85-90. 2: Marshall JG et al (2013) The value of library and information services in patient care: Results of a multi-site study. Journal of the Medical Library Association, 101 (1), 39-46.

Service Users In 2013-2014 the information needs of the following groups of users were served by the Newcomb LIS:  all staff of the Homerton University Hospital NHS Foundation Trust  all staff of the NHS City & Hackney  all staff of the East London NHS Foundation Trust (ELFT)  medical students from Barts and the Royal London School of Medicine & Dentistry, Queen Mary University, London  nursing students from City University  other students on placement

Library Services The Newcomb LIS:  maintains a collection of core materials on healthcare in paper, electronic and A/V formats  provides a loan service  provides a photocopy and printing service  provides an inter-library loan service  provides a current awareness service  provides an enquiry and information searching service  ensures the utilisation of services and resources by promoting them and providing user education

Staff Isabel Cantwell retired from her post as Library Manager at the end of November 2013. Kaye Bagshaw was appointed to this post and started in December 2013. Following a review of our staffing requirements, Ronan Hegarty was appointed as a full time Assistant Librarian in January 2014. In April 2014, our volunteer, Mpilo Siwelo left to take up a post in the library at Ashford and St Peter's Hospitals NHS Foundation Trust. Another volunteer, Ambreen Yaqoob, joined us in April 2014 and left to take up a post in Clinical Coding, also at Ashford and St Peter's Hospitals NHS Foundation Trust. Development and Training Over the course of the year, all members of the library team have attended in-house training to ensure they meet mandatory training requirements. Additionally, they participated in relevant courses and events organised by London Health Libraries (LHL) affording the opportunity to network whilst updating professional skills.

Key Partnerships Working with London Health Libraries and Health Education North Central & East London area (HENCEL) Sector Group, with particular responsibility for HENCEL OpenAthens domain administration. Membership of Working Groups: Health Education North Central & East London area (HENCEL) Library group representative on:  Clinical Librarian and Information Skills Trainers (CLIST)  Information & Learning Resources Working Group (ILRWG)  Library Council  Service Development Group  Staff Development Group  LENDS (London & Environs Network Document Supply)

New Resources Clinical Key is an Elsevier product that provides access to over 600 e-journals and over 1190 e-books on all medical specialties from this major publisher. The Google-style search box on the homepage also allows users to search for guidelines, multimedia resources, drugs information and patient information, as well as performing a Medline search. We organised a trial of Clinical Key in early 2013 and following positive feedback, growing usage statistics and a favourable negotiation on pricing, purchased an 18 month subscription starting in October 2013. Although Clinical Key is an expensive resource costing £27,358 for the 18 month period, usage figures so far show that it is well-used and this subscription has allowed us to cancel many of the most expensive of our print journal titles, thus aiding one of our objectives to have e-only journals by 2014.

In early 2014, we trialled a number of e-book platforms and chose to subscribe to the E-book Library (EBL) platform. At the end of the financial year 300 e-books were purchased and we are now actively promoting the use of e-books and closely monitoring their usage. Our purchase of 4 Nexus tablets allows the use of e-books within the library. Over the course of the coming year, further e-books will be added to this collection.

Training, Outreach & Marketing Training, outreach and marketing form a key part of our day-to-day activity, ensuring that all users are aware of our services and resources and that they develop skills in the use of both physical and electronic resources. We know from user responses to our training evaluation questionnaire and annual survey that our work contributes to the quality of frontline services and patient care at Homerton. Using the electronic resources has helped me learn more about the trust policies which has improved my patient management on wards

Inductions Throughout the year we continued our twice-monthly “Library drop-in” sessions on Monday afternoons, organised to coincide with the “Welcome to the Homerton” induction programme for new staff, but open to all. In addition, a “Welcome to the Newcomb library” e-mail is sent to all staff attending the Trust induction informing them of our resources and services and inviting them to join the library. We deliver a monthly half-hour induction session with a demonstration of e-resources for new junior doctors, as part of their Trust-wide programme, with expanded sessions in August 2013 for the F1 and F2 doctors. We also run induction sessions for new cohorts of medical, nursing and midwifery students on placement at the Trust. Formal Training During 2013-14 we ran a full programme of group sessions supplemented by one to one training for those requesting a more individual approach. In addition, we delivered more tailored sessions for various departments:  Band 6 Development Nurses (April 2013)  OpenAthens and Literature search training for Anaesthetists (September & October 2013)  Literature search training as part of the Clinical Effectiveness course (March 2014)

 

OpenAthens and Literature search training – 4 sessions of each for ELFT doctors (Winter 2013 and Spring 2014) Dan McGarry of anatomy.tv visited us twice: a general session in May 2013 and a session for F1 doctors in October 2013

Training Evaluation The feedback from trainees (via an online feedback form) is extremely positive, with 98% of those who filled in the form agreeing that the course has been a worthwhile investment of their time and 98% stating that they would recommend the training to a colleague. Outreach & Marketing Always keen to attract new users and promote our services and resources, we have been out and about with our pop-up library stall. Knowledge Awareness Week, held in May each year, is an enjoyable (for us, at least!) week of promotional activities, including our ever-popular quiz, which, in 2014, focussed on e-books. Our library stall also featured at Nurses & Midwives Day in May 2013, the Clinical Audit conference in October 2013, the R&D conference in November 2013 and the Simulation conference in December 2013. Does your team/department want to know more about the library’s resources, both physical and electronic? We can attend inductions, study days, departmental meetings and offer training tailored to your needs, at a time and place to suit you. We can also bring our display stand to your events. Please contact us if you’d like to know more. In November 2013, the library team submitted a poster to a competition being run at the London Health Libraries NHS/HE Conference. Our poster highlighted the many methods we use to increase e-resource usage and was awarded one of the prizes.

User Feedback We rely on feedback from our users to evaluate and develop our services. Throughout the year, we received feedback by e-mail, on our comments forms and via the library survey, held November-December 2013. “Great stock of useful books! Better than Uni library” Comment form

“Thank you for all your help and support over the years. Having a resource like the Newcomb is so essential if staff want to pursue further learning and all the staff have been incredible.” E-mail

“I love the 24 hour computer room, great resources, well-equipped, comfortable and computers working well – thanks” Comment form

“Allow people to bring coffee in! I can't fault the services, however. I really think the library and resources made available to us are brilliant.”

“just wanted to thank you for distributing the Eyes on Evidence. Very handy!” E-mail

Library survey

We received 160 responses to our survey, which is considerably down on last year, perhaps due to “survey fatigue”! Of these, 140 were by Homerton staff, the remainder from QMUL (11), ELFT staff (3), City & Hackney CCG (2), City University (2), and others (2). The majority of respondents are pleased with the library service: Overall opinion of the library

Very good 43% - Good 44%

Helpfulness of library staff

Very good 75% - Good 17%

Support for answering questions / finding information Very good 67% - Good 29% As expected, the most respondents used the library and its resources for teaching or learning:

Most are also satisfied with the library resources, although we may have further work to do on the promotion of e-books and our HealthWorks collection.

We asked for examples of where information provided by the library had made a positive impact, either directly on patient care, or on another aspect of people’s work. It helped me in organizing a teaching programme which helped in the improvement of patient care

Helped to produce a booklet for staff on ECU on how to position dependent patients better

Broadening and deepening my knowledge which has enabled me to develop my practice.

We also asked for suggestions as to how we might improve our services and extend them to those who do not currently use the library. What you said “Extending the opening hours” “provide access on Saturdays even if it's only 4 hours” “the library could be open 24/7” “I think environment would benefit from a facelift, I know space is limited and freshen up would be good for the patrons and staff” “Create online renewal for borrowed items” “as an occupational therapist there are not that many OT specific resources for my profession” “More therapy books, more therapy journals” “We would need journals focussing on psychological therapies” “The library predominately has healthcare information and l have not seen books or journals covering other areas (i.e. management, strategy, HR, etc.)” “Allow people to bring coffee in!”

What we are doing The Newcomb Learning Hub is available to all staff and open 24/7 – recently publicised on the intranet and about to feature in Homerton Life The library space was reconfigured in early 2014, now investigating new tables to allow more flexible working The new Library Management System allows on-line renewals New therapy titles (e-books and physical books) added to library, 1 new therapies journal purchased Jan 2014, greater engagement with therapies staff (e.g., Library Manager attended Heads of Therapies team meeting) Books and e-books on HR, leadership and management recently added to our collection We now allow users to bring drinks into the library, provided their cup/bottle has a lid

Looking forward: Library Business Plan 2014-2015 Strategic Goals  To ensure that equitable access to services and the knowledge base is available to all users and potential users in accordance with service level/learning development agreements with stakeholders  To strengthen resource collections and enhance availability and accessibility of resources  To provide relevant library services which support clinical decision-making, commissioning decisions and policy making, life-long learning and research  To market resources and services to users and potential users  To optimise the environment for study and research  To ensure an adequate technical infrastructure is in place  To develop partnership and collaboration  To ensure support from high quality staff  To ensure adequate financial resources are available to fulfil this plan  To ensure governance and quality assurance You can read the Business Plan for 2014-2015 in full on our website at: http://www.homerton.nhs.uk/choosing-homerton/education-and-training/newcomb-library-andinformation-service/about-us-and-our-services/

Financial, Resource and Usage Data Budget Income Medical and Dental Education Non-medical education and training (NMET) Undergraduate Medical and Dental Clinical Own NHS organisation ELFT* Total Income

93210 15750 32522 56536 19941 £217, 959

*We received funding from ELFT after the end of the financial year and were unable to spend this or carry it forward

Expenditure Staff (gross costs) Print books and other print materials e-books Print journals Print and e-journals Electronic databases Electronic journals Inter-library lending Marketing and promotion Other Total Expenditure

136577 602 5172 5783 900 20718 24683 470 16 10225 £205,146

We have also benefitted from successful bids to HENCEL in conjunction with other departments in the Trust and have been able to purchase a number of physical and e-books to support leadership and nurse education, a laptop-charging trolley and a year’s subscription to Virtual Ashridge, an online resource for leadership and management. Resources and Usage 2013-14 Total bookstock* 5654 Books added to stock 387 e-books (purchased by Homerton) 621 Journals (print) 16 Journals (electronic) 658 Loans from stock** 9876 Document Supply – obtaining articles for our users 168 Inter-loan Service – obtaining books for our users 295 Articles supplied by download 1162 User education – number of sessions 275 User education – numbers of users educated 1151 Induction – staff hours 158 Induction – numbers of users educated 1158 OpenAthens resource accesses*** 14532

2012-13 6621 481 323 21 617 10943 266 307 1018 331 1119 197 984 13288

2011-12 6017 759 323 50 718 11640 381 390 1740 449 620 242 841 15540

*Our bookstock has decreased due to systematic weeding of the books to remove out of date material. **Loans continue to fall, probably as more users are accessing e-resources. In addition, we have fewer 7-day loan items and consequently, fewer renewals. ***These figures do not include accesses of IP-enabled resources, which are growing in number.

FAQs Why do we need a library? Couldn’t that space be better used? Homerton University Hospital is a teaching hospital serving medical students from QMUL, nursing students from City University, postgraduate doctors in their early years plus students on placement from other universities. We provide the required access to a professional library service including textbooks, journals and e-resources. In addition, the importance of continuing professional development (CPD) for all staff in the NHS was highlighted in the findings of the Francis Enquiry. The Newcomb Library provides resources to support your CPD and to ensure that the care we provide to our patients is of the highest quality. Many of our users visit the library to make use of a PC or to access Wi-Fi. All staff and students registered with the library can access computers and Wi-Fi 24/7 via the Newcomb Learning Hub. We also provide printing and photocopying facilities. Both the Newcomb Library and the Learning Hub provide a much-needed breathing space away from your often-hectic working environment. We want our spaces to be well-equipped, comfortable and are currently working on ways to “future-proof” the library space with more flexible furniture and added power points to enable easier use of mobile devices. Isn’t everything available via Google & Wikipedia? Sometimes, it can seem that way, but as Neil Gaiman, the science fiction author, famously said, “Google can bring you back 100,000 answers. A librarian can bring you back the right one”. As the amount of information on the Internet continues to increase exponentially, finding good quality peer-reviewed information becomes harder. Using Google or Wikipedia to get a grasp of a subject is a good starting place, but using that as your final source is likely to put your patient at risk. The library provides access to resources which are not always freely available on the Internet. These are often from learned journals which have been peer-reviewed to ensure the validity of their contents. In addition, by attending one of our training courses in how to find and use these resources, you can become more confident in your own searching and evaluating skills. I thought it was all about Kindles and eBooks! Although the number of e-books and e-journals available has grown massively, a lot of our users still prefer physical books, so we try to cater for both. In the past year, we have increased the number of e-books to which you have access and will be continuing to split our book purchasing between physical and electronic books. Moving to e-only journal provision by 2014 was a strategic objective for all LHL libraries and at a recent Londonwide meeting the majority of libraries reported that they were “e-mostly”. At the Newcomb Library we are down to only 16 printed journals that we purchase – we also have a number of donations. Of the 16, most are popular weekly titles and we know that our users enjoy coming into the library to browse through them.

Produced by: Newcomb Library & Information Service Homerton University Hospital NHS Foundation Trust Homerton Row, London E9 6SR T: 0208 8510 7751 W: www.homerton.nhs.uk E: [email protected] Date produced: September 2014