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A Million Decisions

Health librarians and knowledge specialists help to inform a million decisions a day across health care.

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.

A Million Decisions is an ongoing initiative jointly-led by CILIP Health Libraries Group and Health Education England supported by CILIP. It calls for all decisions in the healthcare sector to be fully evidence-based, and for government and health service providers to employ and make use of the expertise of librarians and knowledge specialists in meeting their obligations under The Health and Social Care Act 2012.

Dr Heaversedge endorsing the #AMillionDecisions campaign


A Million Decisions was launched at the All Parliamentary Party Group for Libraries in 2017. A social media campaign followed and conversations held with senior leaders at key health events. It aimed to:

  • Demonstrate and promote the skills, role and positive impact of health librarians and knowledge specialists in supporting key health agendas
  • Recruit key advocates from the health sector who will be influential champions
  • Secure a change in senior management practice in utilising the expertise of specialist librarians to inform evidence-based care
  • Create advocacy materials which can be used by all health librarians and knowledge specialists
  • Develop CILIP’s understanding of the complex and shifting nature of the Health Service eco-system in England

A Million Decisions has been successful to date by:

  • Expressing a common purpose that all librarians and knowledge specialists can get behind.
  • Articulating to employers that the role of health librarians and knowledge specialists is business critical
  • Opening doors to senior decision makers
  • Raising the profile of health librarians and knowledge specialists

Take a look at our impact

Librarians and knowledge specialists have a real impact on the cost and quality of healthcare services, working with clinicians, service managers and those commissioning healthcare services.

They ensure that decisions are based upon the best available evidence and encourage knowledge to be shared, captured and re-used to continually improve healthcare outcomes.

Read more of our impact case studies or submit your own.

Tweet your impact stories and add this message:

Every day health librarians and knowledge specialists add real value across the NHS and healthcare sector #amilliondecisions.

See what our champions have to say

"Librarians and knowledge specialists are a valuable asset"

Dr Eric Topol MD

Senior leaders across the health sector have supported our message.

Watch Dr Jonty Heaversedge, Chair of NHS Southwark CCG and Medical Director for Primary Care and Digital Transformation in London talking about use of evidence and encouraging colleagues to make use of the expertise of librarians and knowledge specialists.

Join them and share your message by contacting a Regional Library and Knowledge Services Lead.

Pledge your support

Share this message:

Health librarians & knowledge specialists bring the evidence to inform over #amilliondecisions a day in #healthcare #nhs

Downloads and resources

A Million Decisions postcard

Infographic illustrating the contribution made by health librarians

Add the auto signature to your accounts

Knowledge for Healthcare blog post about impact case studies

A4 poster template

A4 flyer template

Health Education England, Knowledge for Healthcare

CILIP Health Libraries Group

CILIP Health Libraries Group 2018 Conference Keynote Address #AMillionDecisions

Further resources for employers

CILIP Health Hub

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