Marketing and campaign materials for use in promoting the library and advocating for your service.



#AMillionDecisions is an ongoing joint initiative from Health Education England (HEE) and The Chartered Institute of Library and Information Professionals (CILIP).

The NHS in England interacts with one million patients every 17 hours, making decisions with them and on their behalf.

These decisions have a profound and lasting impact on people’s lives, influencing both the quality of healthcare and the cost of services.

“Evidence does not speak for itself but needs to be mobilised at the right time, and through the right people, to make a difference in decision making.”

National Institute for Health research, 2013

The #AMillionDecisions initiative calls for all decisions on health care  to be  evidence-based and for all healthcare organisations to ensure that their workforce can use knowledge services and draw upon the expertise of library and knowledge specialists, to meet their statutory obligations to

“Promote research and innovation and the use of research evidence in decision making.”

The Health and Social Care Act 2012


#AMillionDecisions aims to:

  • demonstrate and promote the skills, role and positive impact of health librarians and knowledge specialists in supporting health priorities
  • work with influential champions  ensure, that, as a matter of practice, all healthcare organisations harness the expertise of health librarians and knowledge specialists to inform evidence-based policy and patient care
  • create advocacy materials which can be used by all

Visit the CILIP website to find out more and support the campaign #AMillionDecisions.

What do senior leaders say?

Senior leaders from across the health sector are championing the positive impact of NHS knowledge specialists.

Interview with Dr Jonty Heaversedge, Chair of NHS Southwark CCG and Medical Director for Primary Care and Digital Transformation in London.

Video: Dr Jonty Heaversedge

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Dr Jonty Heaversedge: M name is Jonty Heaversedge and I'm a GP I'm the chair of NHS Southward CCG and I'm also the Medical Director for Primary Care and Digital Transformation in London.

I guess from my point of view as a chair of a commissioning organization, it's incredibly important that we use best evidence to inform the decisions that we make. If I'm honest, in Southwark I'm not sure that we've always done that, and I'm not sure we've always understood what it is that library services have to offer. So I think one of the opportunities we need to recognize is that it's a particular in a time of significant financial constraint it's more important than ever that the decisions we make are based on very best evidence that there is at the moment.

I think far too many of our decisions are based on anecdotes or assumption and one of the reasons for that is that I'm not sure I've ever felt I have access to the capacity, capability and expertise that I need to form those decisions with best evidence in understanding what library services have to offer.

I've come to realise actually we do have access to that opportunity and it's really important that we increase awareness of the services that are there to support us make best decisions particularly as we go forward because of course we're moving into an era of integrated cases, and at the heart of those integrated care systems it's going to be quality improvements. Really QI is the engine room of integrated care systems and it's essential that that quality improvement again is informed by the best evidence that we have to inform the decisions that we need to make to improve outcomes for populations. Library services are going to be an absolutely key component of that quality improvement process and it's incredibly important again that as we think about the future we understand the roles of library services have to play in that.

So I would very much encourage people to find out more about what library services have to offer and then to think about how it could play an important role in the work that you do in the NHS.

Media last reviewed: 5 September 2022

Our impact

Health librarians and knowledge specialists ensure that decisions are based upon the best available evidence and encourage knowledge to be captured, shared and re-used.

Take a look at these examples of the work carried out by health librarians and knowledge specialists.

Create your own impact case studies and add to our collection.

Video: Why work with Librarians and Knowledge Specialists?

Every day across the healthcare sector in England more than a million decisions are made that have a profound and lasting impact on people's lives and which influence the quality of healthcare and the cost of services. Librarians and Knowledge Specialists use their expertise to work with healthcare teams to ensure that knowledge and evidence are used effectively to inform these decisions, helping teams to build upon best practice and share know-how, bringing the power for change.

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In historical times, the secret of literacy was jealousy guarded because knowledge is power.

By the time the NHS came along literacy was widespread there was still an imbalance of power between the people with medical knowledge and their patients

Now, the world has been historically transformed!

The Internet has freed access to knowledge and enabled the easy exchange of information

For the health service this has meant greater transparency and a more equitable partnership with the public. But, the free flow of information has also  made healthcare decision-making harder.

There's so much information we can't make good use of it. What we need is someone to make sense of it all.

Call for the NHS Librarians and Knowledge Specialists! 

Our service filters the information from reports and studies and journals and the internet plus the information that's right under our noses.

The knowledge that's locked up inside people's heads and we convert this into knowledge that powers change.

We help teams to use knowledge more effectively  using best practice and sharing know- how.

All this saves time and money.

More importantly, it improves healthcare outcomes 

Health Librarians and Knowledge Specialists: bringing you the power for change

Media last reviewed: 7 December 2023

Next review due: 7 December 2024


Use these resources to promote #AMillionDecisions:

Twitter message

Health librarians bring the evidence for #amilliondecisions in #healthcare #NHS

Social card templates

Use social card templates to gather endorsements from your own local health and care leaders. 

Make sure you explain how the card and quotation will be used (e.g. published on websites, social media, used in reports and promotional materials).


Marketing material

Nationally purchased resources

Banners, social media cards, guides, logos, flyers, and campaign posters and artwork, are available for these resources:

  • NHS Knowledge Hub
  • BMJ Best Practice
  • NHS OpenAthens
  • OUP ebooks
  • Royal Marsden Manual and Maudsley Prescribing Guidelines
  • National Core Content databases and ejournal collections

All located on the NHS Knowledge for Healthcare promotional resources FutureNHS workspace.  Register for Future NHS and the login and join the workspace.

Knowledge for Healthcare

Contact the Knowledge for Healthcare team on [email protected] for any of the resources in an accessible format.

Page last reviewed: 5 September 2022