the strategic direction for adult social care information and informatics

THE STRATEGIC DIRECTION FOR ADULT SOCIAL CARE

INFORMATION AND INFORMATICS

Presentation to The Social Services Research Group

November18th 2010

Robert LakeDirector for Social Care Information Strategy and

DeliveryThe NHS Information Centre for Health and Social

NHS Information Centre vision and core purpose

• Trusted, central, authoritative source of data and analysis about health and social care

• Provide the information critical to improving quality of care and productivity

• Deliver information and analysis services to support systematic improvements in care quality and efficiency, and reduce duplication

•600 Data Collections

•Distribution of information/data

•Benchmarking, comparison and analysis tools

•Trusted Authoritative Source-Information quality and standards-Analysis and reporting-Linking and aggregating data-National indicators and comparators-Access and presentation

•Over 1,000 Parliamentary Questions

• 200 Key Product/Services inc:-National/Official Statistics inc. Social Care-Health/lifestyle surveys - alcohol, drugs, obesity-Population and public health -Clinical indicators-Healthcare Resource Groups for Payment by Results-Hospital Episode Statistics/NHS Comparators- NHS Workforce-Prescribing and Quality Outcomes Framework-Estates and facilities - NHS Central register - Southport

NHS IC role and functions: now

White Paper 2.15 “We will ensure the right data is collected by the Health and

Social Care Information Centre to enable people to exercise choice. We will seek to centralise all data returns in the Information Centre, which will have lead responsibility for data collection and assuring the data quality of those returns, working with other interested parties such as Monitor and the Care Quality Commission. We will also review data collections with a view to reducing burdens, as outlined in chapter 5. The forthcoming Health Bill will contain provisions to put the Information Centre on a firmer statutory footing, with clearer powers across organisations in the health and care system”.

6.7 “Placing the Health and Social Care Information Centre, currently a Special Health Authority, on a firmer statutory footing, with powers over other organisations in relation to information collection;…”

Information implications

As is…

A&E

Outpatients

Inpatients

Primary Care

Independent Sector

Mental

Health

AdministrativeRetrospectivePaper driven

Social Care

Future Information Implications• Requirements and support for GP commissioning

consortia; NHS Commissioning Board; Public Health Service; Regulators; Local Authorities and DPH

• Information gaps – primary care, community care, outcomes, social care

• Assessing quality – safety, effectiveness and patient experience

• Standards – data, information and indicators • Payment by Results development and flows• Information intermediaries and www.data.gov• Information linkage• New national Information Strategy

Future Role of NHS IC (White Paper & ALB review)Standards

Data Collection Hub/Depository

Providing Linkage & Rules about Linkage

Custodian of national methodologies

Data Quality, Assurance,Accreditation

Reducing Burden

Access-Easy open, Syndication,

Sharing of Data

National & Official Statistics

PQs & Information for policymakers and ministerial briefing

NHS IC Customers

Future State??

NHS Information Centre

Regulators:Monitor, CQC

Public Health Service

ParliamentDept of Public Health

Other national & international agencies

NHS Commissioning Board

NICE

GP Commissioning Consortia

Patients and the public

Landscape

Local Government

Adult Social Care• A Strategic Programme for Adult Social Care Information

– A programme to consolidate Social Care Information requirements for Local Authorities and other stakeholders

– Linking all of the Information Programmes for Social Care– Supporting change in Social Care– Linking to other care agencies Information Programmes

• Aim – To provide a consistent approach to development of an Adult

Care Support Record (the aSCR)– To review and update Social Care Information Guidance– To listen and support– To undertake a “zero-based” review of data/information needs

The Strategic ProgrammeA

DA

SS

Dep

artm

ent

Of H

ealth

Info

rmat

ion

Cen

tre

NH

S C

FH

Cou

ncils

IT S

uppl

iers

NHS Choices

Data standards

NHS Number

Data quality

Use of PDS

Information for public

Social care record

NASCISNIS

Workforce Care record

guarantee

Common Assessment Framework

Outcomes

Sta

keho

lder

s

Transition

..supports transformation and personalisation of care services..

Infrastructure Intelligence

Adult Care Support RecordWorkforce

Standards

National Policy

E.g. PPF

Five Key Themes

Work in progress• Development of the Adult Care Support Record guidance• Social Care Standards workstream (on hold)• Engagement with the CAF projects and the Putting

People First Team• The National Adult Social Care Intelligence Service

(NASCIS) and Business Intelligence• TRIPS• Supporting Data Quality • Looking at information for the Public • Information Governance – supporting implementation of

the SCRG

Work in Progress ..cont.• Working with:

– ADASS S&P and ADASS IMG – Suppliers– Connecting for Health– DCLG– And others

• Developing areas of work related to: - Children and Young People - Transition - Young Carers - Family records

• A ‘Zero Based’ Review of Social Care Information and Intelligence Needs (implementation 2012 onwards)

Looking to the Future

• Increasing involvement of the client/customer will change focus of requirements (and solutions delivered)

• Focus on outcomes and personalised services will impact on measures and metrics

• Challenges in commissioning new market places and new services• Increasing use (and development) of technology will bring new ways of

working• Opportunity to use emerging technology to address tensions between

coding and narrative• Need to find ways to engage with self funders• Personalised health budgets will bring new challenges• Creation of an aCSR will lead to a Social Care NMDS and a Data

Dictionary (leading to ‘Quality Indicators’)

Citizens Access and Control Public Knowledge basesAnd services

Local/communityBusinessIntelligence

National Business IntelligenceMonitoring and Research

Interface with

Health

Interfaces With

Other Agencies

Core Adult Care Support Record

Advocacy, Carers’ access Social Networks

Adult Care Support Record Framework

Transition

TRIPSCAF

NHS Record

Persons Care

Record

Universal Services Record

Sum

mar

y

Persons Access (Portal)

Sharing Protocol

Persons R

ecord Control

Care S

upport Record

Business A

ccess

Business Control

GCSX

N3

MAKING IT HAPPEN AT A LOCAL LEVEL

• Will need national/regional support from DH, ADASS & LGA;

• Suppliers must be fully engaged;• Essential to en-skill the local workforce to use

up-to-date communication/recording methods• Build on experience from CAF Demonstrator

Projects

MAKING IT HAPPEN…continuedEssential local partnerships:• With service users and carers• With the local NHS• With the wider local authority and

associated services• With the Third Sector• With “Knowledge Bases” – Advisory

Services, Service Catalogues etc.

TRIPS: Proof of Concept

Transforming Raw Informationin Public Services

Michele Chew’s Presentation to follow

SUMMARY

The effectiveness of Social Care Informationand Intelligence is moving forward rapidly

…….and more is yet to come!!

THANK YOUANY QUESTIONS?

Robert.lake@ic.nhs.uk