assuring transformation transfer of data collection to hscic, january 2015
TRANSCRIPT
Assuring TransformationTransfer of Data Collection to HSCIC, January 2015
Presenters
• Andy Tookey – Data & Information Lead, NHS England Learning Disability Programme
• Robert Cavalleri – Specialist Learning Disabilities Project Lead, HSCIC Community and Mental Health Team
• Catherine Faley – Section Head, HSCIC Data Collection Team
• Judith Ellison – Higher Information Analyst, HSCIC Data Collection Team
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Introduction
Background:• The Department of Health published Transforming Care: A national response to
Winterbourne View Hospital and the Concordat: Programme of Action in December 2012. The review of services indicated that failings were widespread within the operating organisation but importantly also evident across the wider care system. The Concordat and 63 actions detailed within the review seek to address poor and inappropriate care and achieve the best outcomes for people with a learning disability, or autism, who may also have mental health needs or behaviour that challenges.
• The purpose of this data collection is to ensure that the public awareness of the NHS commitments in the Winterbourne View Concordat is transparent and robust. It will also be used to triangulate with the Learning Disability Census completed by providers on 30 September 2014. This process is important for informing and influencing The Winterbourne View Joint Improvement Programme.
• It is an accepted principle that services should be local, care and treatment should be appropriate and there should be a substantial and sustained reduction in hospital placements for this group of people. Taking part will help monitor progress towards these goals.
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Introduction
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Introduction
Why are we holding these engagement events?• The Assuring Transformation quarterly data return is
transferring to a new collection system hosted by HSCIC.
• This is a ‘live’ system – a completely new way of running the data return.
• Commissioners and CSUs need to understand how the system will run, how to keep their data accurate and up-to-date, how to validate historic and current data, and how to access and register on the new system.
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Purpose
Aims of the new collection:• Provide a low burden mechanism to collect these data• Provide high quality assured data at a higher frequency• Provide data to NHS England to drive and monitor
improvement• Enable more frequent publication of base data• Provide data to inform 4 national ONS reports• Provide visualisation via HSCIC platform for
commissioner comparisons• To support goals set out in ‘Transforming Care’.
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Purpose
Why change?
• Data quality• Data security• Data reliability, accuracy and validity• Data linkage and triangulation (LDC / MHLDDS)• Timeliness• Reporting• Utility / value• Appropriateness
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Introduction
Legality and IG issues:
• Directions• Section 251• SCCI 2007 Information Standards Notice
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Purpose
Legality and IG issues:• Directions
The Health and Social Care Information Centre (Establishment of Information Systems for NHS Services: Assuring Transformation Data Collection) Directions 2014
The National Health Service Commissioning Board gives the following Directions to the Health and Social Care Information Centre in exercise of the powers conferred by sections 254(1), (3) and (6), 262(3)(a) and (b), 262(7) of the Health and Social Care Act 2012.
In accordance with section 254(5) of the Health and Social Care Act 2012, the National Health Service Commissioning Board has consulted the Health and Social Care Information Centre before giving these Directions.
http://www.hscic.gov.uk/media/15942/200772014directions/pdf/200772014directions.pdf
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Purpose
Legality and IG issues:
Section 251 approval
• Section 60 of the Health and Social Care Act 2001 as re-enacted by Section 251 of the NHS Act 2006 allows the Secretary of State for Health to make regulations to set aside the common law duty of confidentiality for defined medical purposes. - See more at: http://www.hra.nhs.uk/about-the-hra/our-committees/section-251/
http://www.hra.nhs.uk/documents/2014/12/cag-6-november-2014-minutes.pdf
• CAG 8-02 (a)/2014 Assuring Transformation: Data collection by Clinical Commissioning Groups to populate patient registers and reporting
• CAG 8-02 (b)/2014 Data collection by NHS England Area Teams responsible for commissioning secure mental health and child and adolescent mental health services to populate patient register and reporting.
• CAG 8-02 (c)/2014 Assuring Transformation: Enhanced Quality Assurance
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Purpose
Legality and IG issues:
SCCI 2007 Information Standards Notice
• This information standard is published under section 250 of the Health and Social Care Act 2012.
• http://www.hscic.gov.uk/media/15941/200772014isn/pdf/200772014isn.pdf
• You must comply with this new information standard by the full conformance date.
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Coming Soon
Fair processing and patient objection:• NHS England is developing a patient leaflet
which will explain why we are using the patient’s data, and what they should do if they object to their data being used.
• A Fair Processing notice is also being developed.
• These materials will be provided centrally by NHS England.
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Purpose
Expected improvements in data quality:
Commissioner centric data:• Ambition to reduce the number of people
‘accommodated’ as inpatients• 1680/2600 have a planned community discharge
date• 50% discharge ambition of the March 2014 cohort.• http://www.england.nhs.uk/wp-content/uploads/2014/12/item6-board-1214.
• Of the March cohort the 2014 Q1 collection identified 264 uncoded or duplicate records
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Purpose
Expected improvements in data quality:• Collection will address all commissioners of services• 1680/2600 have a planned community discharge date• LD census recorded 3250 inpatients - data from the
two sources will be aligned• Of the March cohort the 2014 Q1 collection identified
264 uncoded or duplicate records• The live system will not permit duplicate records- fields
are mandated• Maintaining the system will indicate movement within
time period- monthly
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Purpose
What has the data told us to date?• AT data collection has now been run for four quarters.• NHS England analysts publish Primary and Secondary
(cross-tab) information on NHS England website.• The data has shown significant improvements in the
proportion of inpatients undertaking care reviews, having a care co-ordinator and having a planned discharge date.
• We have an improved understanding of the care settings and Mental Health Act status of inpatients, and the reasons preventing their discharge to a community setting.
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Purpose
What has the data told us to date (cont.)?• Data quality is improving but there are still quality
issues – for example, patients (NHS number) being reported by more than one commissioner.
• Data flow – the inpatient stock has remained static at around 2600 inpatients, but reported admissions are significantly higher than reported discharges.
• We need to be able to identify readmissions – currently this cannot be done in Assuring Transformation with any confidence.
• Data and analysis published as static reports.
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New Process, System and Questions
Catherine Faley
Judith Ellison
Data Collection Team
HSCIC
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New Process, System and Questions
• Overview of new process• Registration• Data Cleansing• Guidance• HSCIC Data Collection system• Validation• Question set
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Process Overview
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New Process - Registration
HSCIC
DATA SUBMITTER
REGISTRATION EMAIL
CALDICOTT GUARDIAN
HSCIC
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New Process – Data Cleansing
- What we’ll do:- Make code changes (eg Data Dictionary compliance)- Highlight any DQ issues- Send data back to you
- What you’ll do:- Liaise with Providers- Update records- Add new records- Prepare data to upload to CAP- Be responsible for uploading data to CAP
KEY MESSAGE: HSCIC ACTIONS IN FIRST MONTH ONLY
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New Process – Sending Data to Submitters
HSCIC
Upload data
DATA DEPOT
DATA SUBMITTER
Log on using SSO and
Download data
First Month ONLY
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New Process - Guidance
• Lots of it!!• www.hscic.gov.uk/assuringtransformation:
• Operational guidance • Question guidance• Videos
• Mailbox: [email protected]
• People at end of phone
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New Process – Live System
• Clinical Audit Platform (CAP)• Secure, tried and trusted• Live System
KEY MESSAGE: csv FORMAT for BULK UPLOAD
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New Process – Live System
SUBMITTER
CAP
Update existing records and upload any new records
Data Depot
First month only
PROVIDERS
S251 approval
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New Process – Live System
SUBMITTER
CAP
Update existing records and upload any new records
Each subsequent
month
PROVIDERS
S251 approval
KEY MESSAGE: MONTHLY DATA CUT BY HSCIC
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New Process – CAP Overview
KEY MESSAGE: CAP WILL CONTAIN NO DATA AT BEGINNING OF PROCESS
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New Process – CAP Overview
Add/Search for Patient Record
• If small numbers to upload• When adding additional records• When amending individual records
File Submission Dashboard• Bulk uploads• csv format
KEY MESSAGE: GUIDANCE VIDEOS
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New Process - Validation
• Data will be validated upon submission
• All errors will need to be corrected before submission will be accepted
• FORMAT (N or AN; DD-MM-CCYY)
• “DUPLICATE” RECORDS
• If no changes from previous month,
KEY MESSAGE: INSTRUCTION AND GUIDANCE NOTES
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New Process – Questions: Old and New
Some:• coding changes, • question changes, • new questions
KEY MESSAGE: SEE HANDOUT
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New Process – Timeline
COMMISSIONERS RECEIVE DATA FROM HSCIC
[ONCE REGISTERED]
5 FEB
COMMISSIONERS LIAISE WITH
PROVIDERS AND AMEND / UPDATE / UPLOAD TO CAP
DATA CUT BY HSCIC
27 FEB
COMMISSIONERS LIAISE WITH
PROVIDERS AND AMEND / UPDATE / UPLOAD TO CAP
DATA CUT BY HSCIC
31 MARCH
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New Process - Summary
• Registration required• Data will be made available from HSCIC for first
month only• Commissioners update or confirm data each month
prior to HSCIC cut at month end • Commissioners are responsible for updating
system, following liaison with Providers
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New Process – HELP!
www.hscic.gov.uk/assuringtransformation
Information analysts:Bridget EvansClare Burgon
Tim Underwood
David Fisher: 0113 8665676Sarah Freeman: 0113 8665646Glenda Fozzard: 0113 2547064
Judith Ellison: 0113 2547283
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New Process
QUESTIONS?
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How the Data Will Be Used
Tableau visualisation:• Data will be presented in Tableau• https://public.tableausoftware.com/profile/community.and
.mental.health.team#!/vizhome/MentalhealthCurrencyandPaymentreports-Aug2014/Home
• Current analysis and data will continue to be available.• Monthly management information published and made
available to NHS England operations staff.