The NHS Knowledge and Library Hub - now with extra Best Practice!

The NHS Knowledge and Library Hub connects NHS staff and learners seamlessly to a range of high quality knowledge and evidence resources all in one place.

The Hub is a single point of access for finding high quality evidence, and through it you can access databases, electronic journals, ebooks (such as the Royal Marsden Manual or the Maudsley Prescribing Guidelines), evidence summary tools and more.

A new feature has been rolled out to the Hub so that whenever you do a search, if it matches a topic (or topics) in BMJ Best Practice, they will automatically feature at the top of your results.

This makes it even easier for you to quickly click through to a summary of high quality evidence on clinical topics.

BMJ Best Practice is an evidence-based point-of-care tool, structured around the patient consultation with advice on symptom evaluation, test ordering and treatment approach that also allows you to factor in co-morbidities. You can also download whole topics as a .PDF document.

You will need a Trust OpenAthens account to access BMJ Best Practice (and all the other fantastic resources on the Hub. If you don't have one of those you can register online here.

Please contact one of the libraries if you have any questions or need any help.

Co-morbidities manager tool added to BMJ Best Practice

Health Education England (HEE) has extended their national subscription to BMJ Best Practice to include the Comorbidities Manager for all NHS staff and learners in England.

In the UK alone, one in three patients admitted to hospital as an emergency has five or more conditions. This poses a significant problem for healthcare systems. Clinical guidelines only focus on single conditions, but failure to treat the whole patient leads to worse clinical outcomes, and longer lengths of stay. The COVID-19 pandemic further highlighted the problem, with over 60% of patients admitted to intensive care units having comorbidities.

The BMJ Best Practice Comorbidities Manager supports the management of the whole patient by including guidance on the treatment of a patient’s acute condition alongside their pre-existing comorbidities.

BMJ Best Practice is a practical tool to help clinicians meet the changing and more complex needs of patients and maximise NHS resources, together resulting in better care for patients.

Available on desktop or app, 24/7 on and offline, NHS staff and learners in England can use BMJ Best Practice for free via an NHS OpenAthens account. Find out more at bmj.com/hee or watch the short video.

UpToDate access for NGH staff ending 30th of April

NGH has taken the decision not to renew its UpToDate subscription when the current contract expires at the end of April, and all users will lose access from the first of May.

If you have Continuing Medical Education (CME) credits stored on UpToDate it is important you redeem them before the end of the subscription or they will be lost and there will not be any way to retrieve them.

To download a guide on how to mange and redeem your CME credits click here There are also some instructional videos on how to do it from both the app and desktop versions of UpToDate here.

Whilst not equivalent to UpToDate, you can find lots of evidence-based health resources on the NHS Knowledge and Library Hub here: http://library.nhs.uk/knowledgehub/. 

BMJ Best Practice is also available to all NHS staff here https://bestpractice.bmj.com (and if you use the link on the front of The Street, you will not need to log in).

Health Information Week day 2: BMJ Best Practice #HIW2019

Health Information Week is a national, multi-sector campaign to promote high quality information for patients and the public. High quality health information can have a huge impact on people’s ability to stay healthy and manage illnesses effectively, giving them a better quality of life.

Our campaign this year is focused on enabling clinicians to access good quality information aimed at the public which they can recommend to patients.

We have also produced Helping you to help your patients, which is a brief guide to evaluating information as well as recommendations for sites where you can find trusted information aimed at patients.

For day 2 of Health Information Week we are looking at BMJ Best Practice.

BMJ Best Practice is a point of care reference tool which also includes a good selection of patient information leaflets. 

For access go to https://bestpractice.bmj.com and login with your OpenAthens account. If you don’t have an account you can register for one here: https://openathens.nice.org.uk/ 

The first time you login to the site it will prompt you to set up a personal login as well – this will be linked to your OpenAthens account and allows you to do extra things such as to install the app on a mobile device and to collect CME/CPD credits.

Once logged in you can search for a topic or browse 

If you have searched for a topic then you can go to the “Patient leaflets” section of that topic.

You can then click on the link to download the PDF: 

If you have selected the browse option from the homepage then you can browse an A-Z list of leaflets, or select to browse by specialty. All leaflets include a publication date so you can see how recently it has been updated.

Tomorrow for Health Information Week we'll be looking at a web site to keep you up to date with research featuring in the media...

BMJ Best Practice now available

Did you know you now have access to BMJ Best Practice?

BMJ Best Practice is a trusted clinical decision support tool which provides healthcare professionals with access to the latest relevant clinical information when making diagnosis and treatment decisions.

BMJ Best Practice includes:

• A modern, fresh user interface and navigation
• Enhanced differential diagnosis and treatment algorithms
• Videos covering the most common clinical procedures
• Improved page designs with quick links to increase speed to answer
• More than 250 integrated medical calculators
• Patient discussions and nearly 400 patient leaflets
• The latest evidence and Cochrane Clinical Answers
• Plus an award-winning app that can be used offline, ensuring that you always have the information you need, when you need it. 

To access BMJ Best Practice go to: https://bestpractice.bmj.com/

Log in using your NHS OpenAthens account (if you don’t have an account yet you can register for one here). 

Once logged in you can also register for a personal account which allows you to record CME/CPD activity for revalidation and you can access it offline via a free app for Android and iOS devices.

To support you in getting started, download the user guide or visit the FAQ section. If you need any more information, please contact the library.

New national collection of electronic resources available from April 2019

Health Education England have now finished their re-procurement of the NHS National Core Content.

The core content is a selection of electronic resources that are purchased on behalf of all NHS staff in England and available via NHS Open Athens accounts.

Following the re-procurement some services have been withdrawn from the core content collection and others added. Most notable on the withdrawals is the decommissioning of CINAHL plus with full text, which means the loss of a large number of nursing journals online, as well as the Health Business Elite database.

The new core content selection will be available from April 2019 until March 2022 and consists of:

Point of Care tool ~new~
HEE have announced the provision of a point of care tool.

BMJ Best Practice provides summaries of evidence to support decision making in clinical practice and offers "step by step guidance on diagnosis, prognosis, treatment and prevention is updated daily using robust evidence based methodology and expert opinion".

Databases (available via the HDAS interface):

• AMED (Allied and complementary medicine)
• British Nursing Index
• CINAHL (Cumulative Index to Nursing and Allied Health Literature)
• Embase
• Emcare ~new~
• HMIC (Health Management Information Consortium)
• Medline
• PsychInfo

Electronic journals collections (available via My Journals and HDAS)

• BMJ Publishing e-journals collection 
• Health Research Premium Collection (formerly ProQuest Hospitals Collection)
• PsychARTICLES 
• Psychology and Behavioural Sciences Collection ~new~

Please contact the Library Service if you have any questions about the national core content or any other of our electronic resources.