Suppliers ForumDave Roberts – Programme Head non-acute care

o General Practice Extraction Service (GPES)o Mental Health updateo Primary Care Prescribing Datao Social Care update

Content

The NHS Information Centre for health and social care, in collaboration with NHS Connecting For Health, are discussing the possibility of procuring a centrally managed data extraction service from GP practices in England.

We are expecting an announcement to be made in the next few weeks following ministerial approval.

General Practice Extraction Service (GPES)

•Created to monitor the implementation of the Mental Health National Service Framework

•First submissions 2003/04

•Raw data is received from mental health trusts and ‘assembled’ to produce longitudinal records for each patient incorporating all care settings

•Submitted quarterly and annually

•Each submission is ‘assembled’ so annual does not equal the sum of quarterlies

History of MHMDS

Producing the MHMDS through the Secondary Uses Service:•Implementation started in late 2006

•Initial issues with the data schema

•Further issues with data flowing to SUS

•Problems in testing – loading and extraction

•All data collected so there will be no gaps

Information Centre Mental Health team created in September 2007

Publication including all historic data is due in the first half of this year

Current position

•Review of all Mental Health information – April to September 2008 (via website)

•Independent sector submissions to support standard contract

•Team expanding to support changes

Future

Most common NHS intervention- last year:•750 million items dispensed

•Cost over £8b

Position for 07/08:•1% growth in cost over 06/07

•6% growth in items over 06/07

Primary Care Prescribing Data

National top 5 BNF sections by cost, April – December 2007

BNF Name Actual Cost % cost growth Total Items % item growth

Drugs Used In Diabetes

£410.8 m 5.2 23.1 m 6.9

Lipid regulating £404.9 m -6.0 36.1 m 11.8

Corticosteroids (Respiratory)

£362.2 m 10.6 11.5 m 3.9

Hypertension & heart failure

£349.1 m 0.1 40.8 m 11.8

Analgesics £309.1 m 8.5 38.7 m 6.0

% nat total: % of national drug costs% growth: growth over the same period last year

Currently provided, via PPD-To NHS via password protection

•Both raw and contextualised

•Soon: NHS comparators

- Practice items monthly on PPD website

Other practice level data from IC•QOF publicly available

•HES via controlled access

Practice level prescribing data

Currently:•We have conducted a review, with the BSA and the DH of the current situation concerning the release of prescribing data

•We have produced a data sharing agreement that covers all three organisations

•We have produced a consultation document outlining future proposals which will be on the NHS Information Centre website shortly

Review and consultation

We are NOT recommending at this time the public release of practice level prescribing data:•Data Protection Act, Exemptions from FOI Act and DH Policy

We are proposing to publish PCT level prescribing data:•On request, published on the NHS IC website

•We are proposing to publish practice level data for specific NHS purposes through an appropriate approval process and strict re-use policy•Require consultation, Board for approval

Options for consideration

Stakeholders include:

•DH, PPD, NHS organisations•Pharmacy related organisations (PSNC, CCA, RPSGB,) •Medical related organisations (BMA, RCGP, DDA)•Nursing related organisations (RCN)•Employers: NHS Confederation•Patient related organisations (Long term Conditions Alliance, Patients Association)•The Information Commissioner

Stakeholders

Improving and developing social care

• Review of The NHS Information Centre’s national social care Collections and Publications

• Development of a social care National Adult Social Care Intelligence Service (NASCIS)

• Development of social care standards• Integrated services for older people• Strategic Planning report

•The new National Indicator Set (NIS) replaces all previously required local government performance indicators/targets from 1st April 2008 (major part of ‘reducing the burden’)•All twelve of the current IC collections (and publications) reviewed, line by line.•A red/amber/green approach adopted: - Red indicating those collections and data items which might cease (subject to specific and separate consultation) - Amber indicating those data items that could/should be retained - Green indicating those data items which directly support/feed into the new NIS •The IC consulted on these proposals Jan-Feb 2008•Next steps – IC report on outcome of consultation by end of April

Review of collections and publications

NB. The IC will collect (and publish) 2007/08 returns during 2008/09.

Development of a social care National Adult Social Care Intelligence Service (NASCIS)

NASCIS Information and Intelligence will:

•Be more reliable/transparent at source•Become more timely/available on line•Have added value to knowledge

Development of social care standardsThe NHS IC has conducted a feasibility study into developing social care information standards. This links to the agreement to extend remit of Information Standards Board (ISB) to cover social care information

Feasibility study looked at:• A review of existing information standards• Examination of the current information standards development process and to what extent it could be applied to Social Care• A review of information governance and assurance process that may support or hinder the development of information standards for Social Care.

Recommendations were:•The development process currently used for information standards relating to health care can be readily applied to the development of information standards for social care. •The NHS Information Centre is well placed to develop information standards for social care

Objectives are to produce:•An integrated health and social care publication presenting information on older people•A wider toolkit, encompassing a range of information products

Work to date:•Internal report on Falls including case studies to clarify cost of falls and ways information is used in the local health economy•Analysis of data existing within IC on falls and identified gaps

Next steps:•Publish Older People’s publication on falls•Develop similar publications in other areas like dementia and intermediate care

Integrated services for older people

Objective is to;• produce a publication proposing the strategic direction of the NHS IC’s social care work in light of current developments in social care information needs and possibilities

Based on:•Outcome of the review of collections and publications•Proposals to develop NASCIS

Next steps:•Produce publication by end of April

Strategic Planning report