National Elf Service

Institutional Subscribers

André TomlinSarah Carr

Barry Holloway

What is the National Elf Service?

Elf topics1. Mental Health2. Learning Disabilities3. Social Care4. Dental5. Musculoskeletal6. Commissioning7. Child Health8. Lifestyle9. Diabetes10.Stroke

April 2015

June 2015

August 2015

October 2015

December 2015

Chief Bloggers• Mental Health: André Tomlin, Director, Minervation• Learning Disabilities: John Northfield, Associate,

Minervation• Social Care: Sarah Carr, Visiting Fellow, University of

York• Dental: Derek Richards, Director, Centre for Evidence-

Based Dentistry• Musculoskeletal: Tracey Howe, Professor, Glasgow

University• Commissioning: Caroline De Brun, Knowledge Manager,

Public Health England• Child Health: Jennifer Hanratty, Research Fellow,

Queen’s University• Stroke: Madeleine Grealy, Professor, Strathclyde

University• Diabetes: Douglas Badenoch, Director, Minervation

MENTAL HEALTH

Depression, Anxiety,Schizophrenia,Child & adolescent, Eating disorders,Early intervention, Smoking cessation, Forensic, Medication, Psychotherapy etc.

LEARNING DISABILITIES

Autism, Challenging Behaviour, Downs syndrome, Profound & multiple learning disabilities, Personalisation, Health inequalities etc.

SOCIAL CARE

Adult and Child Social care, Mental health, Dementia, Safeguarding, Family carers, Personal budgets, Later life etc.

COMMISSIONING

Primary care, public health, Mental health, Quality improvement,Integrated care, Long-term conditions,QIPP, CCGs etc.

Relevant elves

40,000 visitors per month

Over 39,000 followers on social media2011 2012 2013 2014

0

100,000

200,000

300,000

400,000

500,000

600,000

Website visits

Our audience

June 2014 survey of 340 people

Mental Elf audience

45% have been using the site for more than 1 year

On average, users rate their overall experience as 8/10 (‘very good’)

Feedback from users:• Helps me keep up to date• Relevant• Critically appraised• Expert commentaries

Mental Elf feedback

47% of press releases & 40% of abstracts contain spin

31% of press releases misinterpret trial results

58-87% of clinical questions go unanswered

In 2013, over 90,000 SRs, MAs & RCTs relevant to mental health were published

Yavchitz A, Boutron I, Bafeta A, Marroun I, Charles P, et al. (2012) Misrepresentation of Randomized Controlled Trials in Press Releases and News Coverage: A Cohort Study. PLoS Med 9(9)

Douglas Badenoch & Caroline de Brún (2011) Where’s the Evidence for Evidence?

Douglas Badenoch & André Tomlin (in press) National Elf Service white paper

Why build a National Elf Service?

• Keep up to date with research

• Connect with experts and colleagues

• Make use of evidence in practice

To help health & social care professionals

Found that people wanted:

• Ways to discuss & debate the latest evidence

• Automated CPD tracking

20% would pay subscription for these features

2013 research with users

20 in-depth interviews plus survey of 340 users. Favourite features were:

• Email alerts• Notes• Discussion forum• Online journal club• Themed pages• Gamification & CPD certificates

2014 research

We’ve had a good response from users to these proposed prices for the premium

features:

Subscriptions Paid monthly Paid annually

Individual £10 £60

Institutional (100 users)

£900 £5,400

Institutional (250 users)

£2,200 £13,200

Institutional (500 users)

£4,200 £25,200

Institutional (1,000 users)

£7,700 £46,200

Pricing

• Full access to premium features• Keep up to date with tailored

alerts• Relevant, critically appraised,

expert commentaries• Online journal clubs and

discussions• Sharpen EBM skills• Automatically track CPD

Benefits for your staff

• Bulk discount pricing• Usage reports

Benefits for your institution

• Further reductions on discount pricing

• Opportunity to steer future development

Benefits for early adopters

MENTAL HEALTH

Depression, Anxiety,Schizophrenia,Child & adolescent, Eating disorders,Early intervention, Smoking cessation, Forensic, Medication, Psychotherapy etc.

LEARNING DISABILITIES

Autism, Challenging Behaviour, Downs syndrome, Profound & multiple learning disabilities, Personalisation, Health inequalities etc.

SOCIAL CARE

Adult and Child Social care, Mental health, Dementia, Safeguarding, Family carers, Personal budgets, Later life etc.

COMMISSIONING

Primary care, public health, Mental health, Quality improvement,Integrated care, Long-term conditions,QIPP, CCGs etc.

Relevant elves