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This paper focuses on work underway in England, to design and deliver a programme of professional development for all library staff in the National Health Service (NHS). This work is a partnership between various stakeholders. It is widely recognised that the role of the librarian in twenty-first century healthcare is changing. The new coordinated programme of professional development will provide a range of training opportunities based on nationally agreed learning objectives, with a commonly agreed structure and delivery mechanisms that connect and build on existing work. The programme will address various levels of delivery including national, regional and local. The programme will be informed by an examination of the training and professional development needs of library staff, within the wider context of a changing health service. This early work (September 2004 – January 2005) will result in an overview of the key training and professional development needs of library staff including priority areas for development. Examples of training successfully delivered across the country, which may provide valuable models will be identified. There will be a review of other work relating to training needs within the wider library community. Recommendations for future work will be made. The presentation of this paper will share results from this initial work. Introduction 2004 has been a year of significant change for library staff in the National Health Service (NHS). Within the library sector itself, there is a programme to develop the National Library for Health (NLH), a hybrid network of physical libraries and digital resources and services. Within the health service, new initiatives that will have a great impact include: the NHS Knowledge and Skills Framework; national competencies for NHS library and knowledge management staff; and Agenda for Change, a new pay system. Within the wider

UNDERSTANDING THE BIG PICTURE: WHAT IS NEEDED FROM A PROFESSIONAL DEVELOPMENT PROGRAMME TO SUPPORT HEALTH SERVICE LIBRARIANS IN ENGLAND?