NHS Information Centre Brian Derry Director of Information Services

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NHS Information Centre Brian Derry
Director of Information Services
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Role of the IC (Health Informatics Review July
2008)

• Maximise the value of data collected in the NHS
  and social care systems
• Promote standardisation, improve data quality and
  encourage data re-use
• Promote access to information resources
• Encourage information analysis markets
• Be the source of data for official statistics
  published by DH, CQC and other bodies, for the
  purposes of accountability, etc.

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Some achievements in 2007-08

• Launched NHS Comparators service - helping
  commissioning decisions for over 4,700 users
  since June 2007
• Improved the quality of information in the annual
  NHS Workforce Census using data from the
  Electronic Staff Record
• Development of HRG4 to support DHs Payment by
  Results policy
• Delivered range of clinical audits, e.g. National
  Diabetes Audit based on over 1 million patient
  records
• Delivered and improved over 20 data directories
  for NHS Choices to help the public make better
  decisions about their care
• Published 120 statistical reports in health and
  social care to support public health policy and
  service planning
• Provided material to answer more than 2,000
  parliamentary questions
• Provided prescribing information to support NICE
  guidelines to manage the drugs bill more
  effectively
• Appointed new Medical Director (Dr Mark Davies)

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Information usage - a continuum
Increasingly remote, less timely, sophisticated
analytical / comparative processes data
Increasingly front-line, timely, less
sophisticated operational processes data
Direct care
Research
Audit Practice Improvement
Regulation and Monitoring
Performance Management
Commissioning
Patient Perspective
Analytical purposes, aggregated data
Comparison
Data supporting abstracted business processes
Primarydata use
Operational data captured at source (SNOMED),
classified (ICD10, OPCS4) and grouped (HRGs)
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Our products and services

• The NHS Information Centre provides a wealth of
  products and services
• to help commissioners and providers improve
  patient and client care
• in the following areas

Managing finance and performance
Workforce
Commissioning
Our products and services
Public Health
Social care
Clinical
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Our products and services Clinical

• Clinical audits in many areas including heart
  disease, diabetes, cancer and renal
• Secondary Uses Service (SUS) / Hospital Episode
  Statistics (HES) to inform healthcare planning,
  support clinical audits, performance monitoring
  and research
• Support and advice to Primary Care Trusts on
  managing the primary care drugs bill
• Medical Research Information Service to provide
  health information to support medical researchers

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Our products and services Public Health

• National statistics on alcohol, drugs, smoking,
  obesity and health inequalities
• Support area based assessments with robust data
  from a range of sources, e.g. Compendium of
  Public Health Indicators (NCHOD), Hospital
  Episode Statistics
• National Health Survey for England
• Online GP Quality Outcomes Framework (QOF)
  database
• NHS Central Register of all NHS patient details

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Our products and services Prescribing

• Customer need
• NICE requires information on patterns of care
  delivery to estimate the potential costs of
  recommendations in national guidance and to
  monitor implementation Our response
• The NHS IC manages the database which holds
  details of all prescriptions dispensed in the
  community in England and publishes two national
  statistics publications each year, summarising
  trends in prescribing and listing drugs dispensed
  in the previous year

The opportunity to access both high quality data
and the professional expertise of The NHS
Information Centre has been invaluable in
producing and assessing the impact of NICE
guidance that are related to pharmaceutical
products Nicola Bent, Associate Director of
Implementation Systems at NICE
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NHS Choices

• Customer needPublic need for information
• about health and healthcare
• Provision
• Our responsePlayed a significant role in
  developing NHS Choices bydelivering over 20
  data directories
• giving people relevant and timely information to
  help them make better decisions about their care
  and helping produce clinical indicators

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Our products and services Social Care

• Information that reveals how adult social care is
  delivered across the country, including details
  of adults going through the community care
  assessment process, and the services they receive
• Development of a National Social Care
  Intelligence Service (NASCIS), an online
  one-stop-shop for social care information, which
  will allow users to benchmark and analyse trends
  against other organisations, and over time
• Support to the Commission for Social Care
  Inspections star rating for social services by
  collecting information for the performance
  assessment framework and producing council
  profiles

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Health Informatics Review Information Actions

• Filling gaps
• clinical metrics
• Community
• Mental health
• Social care
• Access and use
• Syndication Signposting
• Strategic reporting solution
• Streamlining data collections
• Data quality

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Data Quality Programme
Stakeholders Regulators Healthcare Commission,
Monitor, UK Statistics Authority, NAO,
NICE Users DH, Commissioners, SHAs, PCTs,
researchers Data suppliers SHAs, PCTs, NHS BSA,
care providers Data quality mediators Clinical
Back Office, National Back Office, Local Back
Offices, SHAs, PCTs System providers CFH, LSPs,
system suppliers
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NHS Analysis and Reporting Service (NARS)

• Part of the current SUS programme
• Comparative analysis of service quality,
  efficiency and effectiveness
• Replace Hospital Episodes Statistics Service
  (current contract ends with 2008/9 processing)
• Supports NSR goal Empowering frontline staff to
  lead change that improves quality for patients.

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Information reporting programmes
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GP Extraction Service (GPES)

• Currently no single managed system that allows
  extraction of GP data on a national basis
• GPES designed to enable
• improved disease surveillance
• clinical audit
• support for commissioning patient services
• improvements in managing public health
• allocation of NHS resources
• GPES will
• co-ordinate approved extractions
• provide high quality analyses
• follow very strict governance guidelines to
  protect patient interests - data only to be used
  for purpose for which approved
• GPs will have the option to opt out of individual
  extracts
• Openness, transparency and engagement with
  stakeholders

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Service Components
IC GP Extraction Tool (GPET)
Contractor / supplier responsibility
CfH Infrastructure made available eg RBAC, N3,
PDS, Pseudonymisation etc
Honest Broker
IC data handling and analysis tools technologies
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Health Informatics Review Information Standards

• Fundamental review of the (1970s) NHS data model
  to create one suitable for a 21st century NHS
• Short- term improvements
• to meet immediate needs - community, mental
  health, private sector care measures of
  clinical quality
• reduce unnecessary bureaucracy
• Scope of the NHS Care Records Service to cover
  independent voluntary sector providers,
  social care
• Technology standards to allow high quality
  local products to be integrated within hospitals
  full integration of products across care settings
  providers
• Robust process to ensure widespread adoption of
  existing standards (e.g. NHS number, SNOMED)

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CFH IC Information Standards Programme -7
elements

• Logical Health Record Architecture
• logical structure for an Electronic Health Record
• definitions for key clinical concepts
  associated coding
• Commissioning Data Sets Futures community,
  children maternity, long term conditions
• Streamlining the end-to-end standards process
• Social Care
• Pathways Groups maternity, long term
  conditions
• Metrics for measuring Care Outcomes
• Analysis and Currencies outputs units of care
  activity

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Questions?