NeLH Development :

NeLH Development: content, technology, services

Colin GordonHead of Development, NeLH

Ian McKinnell

Knowledge Manager, NeLH

What is ‘development’

• 2 connected themes– content development [e.g. pathways database]– technical development [e.g. VBLs toolkit]

• inter-working with 3 other teams– communications and communities [e.g. CoPs]– service delivery [technical; content buy-in]– administration [staffing and contracting]

• 1.5 FTE now scheduled to grow to 4-5

Content development / know-how collections

• NSF zones and supporting content on modernisation, improvement, quality

• Guidelines

• Care Pathways

• Audit : CLIP database; NICE ebook special commissioned resources - Diabetes

NSF Zones

• Quality and quantity - NSFs on the kitchen scales

• 2001 - NeLH created CHD NSF zone and produced web editions of CHD and Diabetes NSFs

• now - creating web resources for Cancer and Mental Health NSFs

• in 2002/3 - 1 zone established for each NSF

Guidelines database (1)• 7 national guidelines currently being uploaded:

– RCOG - 4 guidelines including NICE induction of labour

– RCN - acute pain in children– CSP - 2 physiotherapy guidelines

• Uploading shortly: 4 NICE diabetes guidelines (660 pages of text)

• Due to add in 2002-3 : 13 other new NICE guidelines

Guidelines database (2)

• Contract issued to create searchable national guidelines index

• support for NICE guidelines authoring

• SIGN interested in contributing content and sharing technology

• Contract with CSW Ltd to internalise XML search technology on NeLH site

Care Pathways Database• Restyled database access• 200+ pathways from 200+ sites; 81K visits to date• New contract with Royal College of Nursing• subcontracts to upload local content, create CoP resources• dialogue with Workforce Modenisation work on protocols• inputs from NHS Scotland and BUPA• mapping to RCN classifications• study of XML web formats• discussions to involve national modernisation stakeholders

more closely in governance of this resource

New strands of activity 1

• Unified Medicines Information Resources– Commission following report from

Pharmaceutical Press, Dec 2002– BNF, Clinical Evidence, Drugs Information

Zone and others– single portal and index to NHS medicine

knowledge– pilot due May 2002

New strands of activity 2

• Working with VBLs: tools and interoperability• more flexible common tools• migration to single content platform• working with VBLs on single content model -

with Ann Brice, Communications Team• delivering core resources to VBLs and portals• VBLs budget levy for shared technical

development

New strands of activity 3

• ‘push services’ for NeLH users (with Phil Vaughan, Service Delivery Team)

• users register and identify needs and interests

• users receive periodic and event-driven news feeds (e.g. medicines alerts)

New strands of activity 4

• NeLH and the Rapid Access Chest Pain Clinics Project

• - separate project in NHSIA-KM• - commisioned by NHSIA for CHD NSF and

Information Strategy (Anne Fletcher, Simon Pearson)

• - pilot for emebedding national knowledge in EPRs• - 5 pilots reporting June 2002

Technical strategy development

• Content Management in the NeLH Programme

• option 1: OJEC, specify and buy a service• option 2: specify and progressively

develop using neLH team and third party tools, skills

• Team awayday review recommended option 2...

Content Management in NeLH: what is involved?

• 4 essential functions: authoring - workflow - storage - presentation

• key techniques and services: metadata, indexing, tagging; joined-up search and navigation

• linking 3 interoperable domains: NeLH central - vbls/communities - 3rd party content (CL, CE*, BNF)

• content bridges with NHSDOL, nhs.uk, DoH• [ *Clinical Evidence benefits realization project]

Content management and search - some issues

• NeLH resources contain multiple indexes and local search functions - how should they connect?

• delivering full text site search capability - asap

• defining a quality search service - sensitivity, specificity, granularity

• evaluation and usability testing• scoping what we can afford to do this year

Proposals to NHSIA New Initiatives Fund

• 1. ‘Spoonful of Sugar’ project - medicines knowledge to enable safe, effective medication. [with BNF, UKMI et al]

• 2. ‘Smart pathways’ project. XML care pathways formats for linkage to EPR [with RCN et al]

• 3. ‘Smart content management’ - making adequate preparations for the NeLH programme [with NHSDOL et al]