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Hi Jonathan, Happy to try and provide some clarification on this. NHS access to online resources has improved in recent years but staff still do not have the same range of resources available to them to that’s available to their University counterparts. There are three “tiers” of resources available via NHS Athens to NHS staff in England : 1) Nationally purchased “Core Content” datasets and e-journals. Examples include AMED, BNI, CINAL with full text (lots of which is embargoed), EMBASE and the BMJ online journals collection. A full list is attached. 2) Regionally (SHA level) purchased resources. 3) Resources purchased at a Trust level. As your respondents indicate, in some cases staff will also have access to local University resources – either via walk-in access to libraries (as here at the Cairns and the KC) or via honorary University contracts. My ideal locally would be to ensure that our NHS clients have access to as wide a range of resources as our University users, particular within the context of closer ORH/MSD joint working, the BRC and a future AHSC development. However, cost/restricted budgets have always been the sticking points on this. There is an on-going pilot organised by the JISC between several major publishers and the libraries within the English AHSCs that is providing all NHS staff within the AHSC with free access to the e-resources already purchased by the University partner. Publishers/resources involved include Elsevier, Nature and Web of Knowledge. It runs to December 31st 2011. We weren’t allowed to participate as we are not an AHSC but we await the evaluation with interest. All NHS staff in England get access to the same Core Content resources, but what other resources are available will vary from SHA to SHA and within SHAs from Trust to Trust depending on what is purchased locally. So here at the ORH for example all Trust staff have access to : 1) All the Core Content resources listed above. 2) South Central purchased resources – e.g. BMJ Learning, the ProQuest Hospital Collection (1200 journal titles) and the MyiLibrary e-books collection. A full list is available at http://www.workforce.southcentral.nhs.uk/libraries__elearning/library__knowledge_resources/for_library_staff/athens_and_e-resources.aspx 3) Locally purchased resources (i.e. by HCL) – includes UpToDate (available via ORH network not Athens), MD Consult (over 80 ejournals and many ebooks), Sci59, The Royal Marsden Manual, many e-books, InterNurse/InterMid, Clinical Evidence, 123Doc Question Banks, and many more. Seehttp://www.bodleian.ox.ac.uk/nhseresources for information and links Individual variation within a Trust would surprise me. Reasons for this could be contracts with more than one NHS organisation or possibly some confusion over what resources they have access to via different routes (e.g. Uni v NHS). In regard to the document supply query – it will depend on the individual set up of the library and the Trust and on copyright legislation and licences. In our case it depends where the items are sourced from. If the item is sourced from the local regional network, the BMA or our own stock then it comes on paper. Not ideal but a lot cheaper than sourcing from the British Library. If it’s sourced from the British Library then we can arrange for delivery via Secure Electronic Delivery. This is electronic but is still fairly restrictive due to copyright restrictions – e.g. it has to be viewed online and then printed within 30 days and can’t be saved as a PDF or similar. Lot of info there so hope that it’s not too dense! Happy to have a chat about this if that would help. In regard to local NHS trainees, if there are key titles that local trainees need then it would be useful to have a list of these. More generally (especially in the context of things like Modernising Scientific Careers), my team would be happy to organise a session for them on what is available and how to make best use if that would be helpful. Regards Donald Donald M Mackay Head of Health Care Libraries The Bodleian Health Care Libraries > On 20 Jun 2011, at 11:38, Jonathan Kay wrote: > Thanks for all the responses. They are very consistent. > > I don't need any more at the moment, unless it adds something to the summary below. > > 1 It's a widespread problem and many of us are frustrated. (All the English responses and one from Wales.) > > 2 Access seems to be defined on a Trust by Trust basis. I'm trying to get the official line on this. > > 3 "Very good" in Scotland: two responses > > 4 Lots of us use University-based access and interlibrary loans to compensate. > > 5 Nearly everyone receives interlibrary loans on paper, but one person gets them as time-limited PDFs. > > 6 Some organisations block access by blocking SSL access at the firewall. > > Thanks > > Jonathan > > > > > > On 17 Jun 2011, at 17:14, Jonathan Kay wrote: > >> I've just been giving a talk on Evidence-Based Laboratory Medicine to some NHS trainees. I'd assumed that NHS Athens etc gave access to nearly everything needed, but apparently that's not the case. Most of them were using University-based access to get round the deficit. >> >> Please could others tell me how big a problem this is, and the solutions they have found. >> >> Is access the same across England, Wales, Scotland and Northern Ireland? >> >> Thanks >> >> Jonathan > ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/