Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk

How we support the implementation of careKey facts and figures

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.nhs.uk

NHS ChoicesNHS Choices is the website for the National Health Service in the UK, providing health and lifestyle advice, information about local services and the latest health news.

visits per monthIt’s the UK’s most popular health website accounting for a quarter of health related web traffic including over 200 NHS organisations,

Boots, Mumsnet and Microsoft

have taken up running as a result of the information and support available from NHS Choices>5x number of people who run the London marathon

Social media is a significant part of the NHS Choices service, reaching up to 3 million people a month via Facebook, Twitter and video channels; equivalent to the population of Wales

NHS Choices monthly visits have increased by 39% over the previous year

48 millionover 600websites

Approximately

200,000people per year

1.7p cost per visit

YOUTUBE LOGO SPECS

WEB on dark backgroundson light backgrounds

main red

#CD332DR205 G51 B45

gradient bottom

#6E0610R110 G6 B16

white gradient top

#CD332DR205 G51 B45

whitegradient bottom

#D5D5D2R213 G213 B210

blackgradient bottom

#231F20R35 G31 B32

blackgradient top

#3D3C3CR61 G60 B60

standard

watermark

stacked logo (for sharing only)

standard

watermark

stacked logo (for sharing only)

3 millionpeople a month

NHS Choices shares its content with

39%increase in visits

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015

Ministry of Defence patient records have been integrated into NHS IT systems through the Defence Medical Services Project – the equivalent of three times the capacity of the London Olympic stadium.

www.hscic.gov.uk/xgp

Cross Government Programmes

The Female Genital Mutilation (FGM) Prevention project is delivering information systems to support the eradication of FGM within a lifetime.

FGM impacts girls a year – this equates to one girl from every sixth primary school in England.

The HSCIC is delivering Cross Government Programmes that facilitate the provision of care and information sharing across government, and support the delivery of Ministerial priorities. The HSCIC has led and delivered a number of high visibility and innovative projects with our partners across government.

Our partners across government: – Ministry of Defence – Ministry of Justice – Home Office – Department for Education – Department for International Development – Department for Work and Pensions

In 2013, the HSCIC Adapter project won a leading industry efficiency award for “Efficiency in Administration and Clerical Services”. The Adapter seamlessly shares patient admission and discharge information across health and social care.

Work is underway to enable

patients within the residential Health and Justice system to move their patient record between NHS and prisons. This better supports the often complex health needs of offenders.

250,000

80,0004,000

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015http://systems.hscic.gov.uk/cpis

Child Protection – Information Sharing (CP-IS)CP-IS connects local authorities’ children social care IT systems with those used by NHS unscheduled care settings (e.g. A&E) to provide better care and earlier intervention for children who are considered ‘vulnerable and at risk’.

“Not having prompt access to the details of the local authority responsible for such a child has been a long-standing problem for the NHS. What CP-IS does for the first time is share such information between health and local authorities at a national level.” Consultant Paediatrician

Within one weekof the first system go-live, an “at risk” child was identified and appropriate action was taken

CP-IS will cost £6.78million to implement across England once fully delivered in 2018. This is 0.56% of the annual cost of all child abuse in England (£1.2 billion)

£6.78Mto implement

CP-IS is expected to generate cost savings of £20.9 million and more importantly, provide earlier identification of potential harm for over 118,000 children. Record uploads will significantly increase throughout 2015

118,000children

In 2015 so far, across four local authorities 6,681 childrens’ records who are considered to be ‘vulnerable and at risk’ (some not yet born) have been uploaded onto the national CP-IS system. The equivalent of 36.6 children being added every day

36 per day

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk

N3 The N3 national broadband network connects NHS organisations by enabling information to flow efficiently through the system – placing key data at the fingertips of clinicians and patients.

N3 Awards

– Government Commerce Award

for Innovation, Best Project -

Government to Government (2008)

– e-Government National Awards -

e-Government excellence - Innovation

in strategy on a national level (2008)

– e-Government National Awards -

e-Government excellence - for

sustainable, ‘green IT’ or ‘Carbon-

efficient’ (2009)

– BCS and Computing UK IT Industry

Awards

– IT project demonstrating most

effective use of collaborative

technology (2012)

46,000 connections, which is more than the capacity of Liverpool FC’s home games at Anfield, across 15,000 sites

600 terabytes of data pass through its internet gateway every month, which is the equivalent of 150 billion printed A4 pages every second

The network has more than 12,000 miles of fibre – enough to stretch to San Francisco and back

The network connects staff at every GP, hospital and clinic in England and provides access to the one million x-rays and scans created every day

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/spine

The SpineThe Spine supports the NHS in the exchange of information across national and local NHS systems. It connects clinicians and patients to essential national services including the Electronic Prescription Service, Summary Care Record and Choose and Book.

In peak periods the Spine handles 1,500 messages per second – nearly four times the number of debit and credit card transactions that take place per second in the UK.

The UK Cards Association,Card Expenditure Statistics, Jan 2015

Handles 6 billion messages every year, about five times the annual number of London Underground passengers

Holds over 500 million records and documents

900,000 registered users – which equates to approximately 70% of the total NHS workforce. Typically has 250,000 people accessing the Spine at any one time

Connects and services over 28,000 health care IT systems in 21,000 organisations

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015

NHSmailNHSmail is the secure email service available for use across organisations commissioned to deliver health and social care. More than 750,000 NHS staff use NHS mail across England and Scotland. The service underpins clinical care by securely connecting health and social care professionals, enabling the delivery of more efficient patient care.

NHSmail is endorsed by the British Medical Association (BMA) and the Royal College of Nursing (RCN) for the safe transfer of patient information.

Equivalent to the total number of passengers passing through Gatwick airport between 2010 and 2015

169Mmessages a month

10%per annum

79%satisfaction

Current user satisfaction is over 79% – higher than any leading consumer email providers

User numbers are growing at 10% per annum

Currently 150,000 users wish to join the service: That’s double the capacity at a Manchester United home game

Over 1,100 organisations have access to NHSmail – which is approximately the number of Sainsbury’s supermarkets in the UK

In March 2015 over 169 million email messages were processed by NHSmail

www.hscic.gov.uk/nhsmail

1,100+ organisations

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk

IT services for GPsFrom £1.6 billion in payments to GPs, through to helping patients to switch GPs quickly and efficiently and an open market of IT services to help equip GPs to deliver better patient care; HSCIC plays an essential role in the development and management of a range of systems and services that support GPs in England.

“GP2GP provides rapid access to a patient’s electronic health record for their first consultation and gives the clinician key medical information such as the patient’s medication history, allergies, and investigation results.”

Louise Johnston Practice Manager, Unity Health

£1.6 Billion

73%

1.2 Millionin quality payments processed for GPs using data collected by the General Practice Extraction Service and calculated by the Calculating Quality Reporting Service

of general practices procure their main clinical system via the HSCIC framework (GPSoC). The framework gives GPs access to a list of robustly accredited systems at nationally negotiated prices

are transferred between GP practices in England using GP2GP annually; that’s about the same number of people who switch their current account every year in the UK

by transferring patients records electronically using the GP2GP service rather than on paper. That’s enough to fund 460 new practice nurses

GPSoC is driving up standards in GP IT –improving patient care through serviceslike appointment booking online, repeatprescriptions and patient access to records.

HSCIC’s GP IT programmes are instrumental to delivering a paperless NHS by 2020.

electronic patient records

(5,976)

million saved£12

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/eps

Electronic Prescription ServiceThe Electronic Prescription Service (EPS) enables prescriptions to be sent electronically from a GP surgery to a pharmacy of the patients’ choice and then on to NHS Prescription Services for payment.

prescriptions are issued in England every day and 70% of them are repeat prescriptions

EPS delivered

£115Mof benefits in 2014/15

200M+ items dispensed

“Patients love being able to choose their most convenient pharmacy. It has really improved efficiency at the practice.” Dr Donya Young,GP, Bromley>12.8M

patients

nearly a quarter of the population, have chosen a pharmacy so they can use EPS

1.7million

Over 200 million prescription items have been dispensed via EPS since 2009 - a number equivalent to the combined populations of the UK, France, and Italy

Proportion of GPs and pharmacies that offer EPS to their patients:

55% 97%

GP practices(4421)

Pharmacies(11,449)

that’s enough to train 230 GPs or 1,642 nurses

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/ers

are referred through Choose and Book – that’s 2,000 more people than took part in the 2015 London marathon

The NHS e-Referral Service Choose and Book is the national NHS service which combines electronic booking with a choice of place, date and time for first hospital or clinic appointments. Patients can choose their initial hospital or clinic appointment, book it in the GP surgery at the point of referral, or later at home on the phone or online.

The NHS e-Referral Service is replacing the current Choose and Book system.

“I think it is wonderful! I got an appointment there and then. It was very reassuring and there was no anxious wait for a letter from the hospital. I had a choice of what time and date would suit me.”

Breda Calenti, Cambridgeshire,Choose and Book patient

referrals have been made using Choose and Book since 2004 – the equivalent of one referral for every member of the UK population

Electronic referrals has reduced missed appointments from

of referrals were electronic, hospitals could save over £50m per year – enough to pay for 2,272 more nursesChoose and Book is available to all GPs in the NHS. In May 2015, 92% of GPs used Choose and Book to make a referral

Evidence shows a patient is more likely to attend a first outpatient appointment booked through Choose and Book, compared to a first outpatient appointment booked through a traditional paper process

40k

If100% 10% 5%

patients a day 60Million

OverOver

annually

to

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/scr

Summary Care Record The NHS in England uses an electronic record called the Summary Care Record (SCR) to support patient care. The SCR is a copy of key information from a patient’s GP record, such as medication, allergies and adverse reactions. It provides authorised healthcare staff with faster, more secure access to essential patient information.

“The SCR represents a major resource for improving patient safety. There is no doubt that physicians should use it when needed.”

Professor Iain Carpenter,Royal College of Physicians

million people

Over

Up to

54in England (95% of the population) have a Summary Care Record created from over 7,500 GP practices

29 min

which is over 2.3 million views per year

£7M

An SCR is viewed

15secevery

of benefits realised through SCR use every month in hospital pharmacies and GP Out of Hours services

the amount of time a hospital clinician can save by looking at a patient’s SCR

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015

Local Service Provider DeliveryThe HSCIC manages the delivery and support of electronic patient record systems and services to GPs, hospitals and other NHS care providers in England. The HSCIC also supports NHS organisations to safely exit the national contracts by 2015/16 and to advance productivity, care quality and care integration through their use of information and technology.

1.3

66%

1,900

140

In London the HSCIC has stored and migrated the largest volume of patient data in Europe

Equivalent to the population of London having 139 images each.

Petabytes(2.4 billion X-rays/scans)

of all NHS organisations in England use a patient record system delivered by the HSCIC. The number of staff using these systems would fill London’s O2 Arena 26 times.

Digital X-ray and scan systems from the HSCIC have reduced

image waiting times from

Weeks to Days

clinical systems delivered to GP practices

clinical systems delivered in prisons – that’s every prison in England.

http://systems.hscic.gov.uk/lsp

“I am thrilled ... by the success of the Trust in improving patient care by implementing the Cerner Millennium system… our patients are benefitting from it every day. Staff both in hospital and the community can make more informed decisions and instantly access all of the information recorded for each patient at the touch of a button.”

John Goulston, Chief Executive,Croydon Health Services NHS Trust

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015

NHS PathwaysNHS Pathways is a clinical assessment tool used by urgent and emergency care teams for direct patient care. It triages calls from the public made to NHS 111, 999 and GP out-of-hours services.

up to 15% of 999 calls are now closed without an ambulance being sent – previously this was just 1%

Since its introduction, NHS Pathways has halved the cost of an urgent call to around £12.

Millioncalls a year are triaged that’s every call to NHS 111 and over half of all 999 calls14

Unnecessary ambulance despatches reduced

of callers to NHS 111 are directed to the right care, first time, on the first call. The rest are transferred to or called back by a clinician.

Right care, first call: 80%

“The (NHS Pathways) system itself is brilliant – I can’t fault it. It’s a better way of handling calls all round. Better care for the patient means we have more ambulances free to deal with the more serious and potentially life-threatening emergencies.”

Ann Barnstable, Senior Emergency Call Operator, SE Coast Ambulance Service NHS Trust

!www.hscic.gov.uk/pathways

Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/sus

Secondary Uses ServiceThe Secondary Uses Service (SUS) is the single, comprehensive repository of healthcare data for hospital services in England. It enables healthcare activity to be analysed and reported on, locally and nationally.

In February 2015, SUS was successfully transitioned from an external provider to an in-house HSCIC managed service. The transition is part of a strategy to deliver a more responsive service that fits the long term needs of the NHS.

“We produce a significant number of reports and extracts for our commissioners. We need to provide these quickly, under tight deadlines. I have been impressed with the improvement since HSCIC transitioned the service [in-house]. Data extracts run in about half the time it used to take, and the downloads are taking about a quarter of the time. We are able to provide a better level of service to our customers.” Mark Bridges, Data Manager, Midlands and Lancashire Commissioning Support Unit

terabytes of data stored (recently compressed to 49). In comparison, the Hubble telescope collected 45 terabytes of data in its first 20 years.

£30 billion worth of NHS services each year, with £197.4 billion processed to date.

SUS enables the payment of

NHS activity records submitted to date

6billion

80

records processed per day, on average

3.6 million