the nirs programme. presentation objectives… provide overview of the aims and objectives of nars...
TRANSCRIPT
The NIRS Programme
Presentation Objectives…
• Provide overview of the aims and objectives of NARS and HRSS
• Explain the current position and thinking behind the requirements for a Shared Infrastructure
• Overview of changes to NHS
What is NIRS Programme?
• NHS Information Reporting Service Programme
• The Vision for NIRS is to:– enable the collection of data from operational systems– provide reporting and analysis capability to support planning,
management, research, and auditing of public health at local, regional and national levels
What is NARS?
• The NARS project is part of NIRS Programme
• The vision for NARS is to:
Empower the NHS IC to adopt a more agile and self
sufficient approach in delivering analysis and reporting.
• The objectives for NARS are to:– enable the NHS IC to rapidly respond to the changing information
needs of the NHS and the Department of Health– provide a better and more responsive service to NHS IC
Customers– achieve productivity gains at reduced cost through a new more
“hands-on” approach
What is RCP Programme?
• Research Capabilities Programme
• The Vision for RCP is to:– enable better health outcomes for the public and patients
achieved through best value for the taxpayer– support the ambition to make the UK the preferred place to
carry out health research by building a nationwide health data and information platform that will enable health research to achieve its maximum potential
What is HRSS?
• Vision for RCP will be achieved through the Health Research Support Service (HRSS)
• The HRSS is intended to support and promote health research in the UK by:– increasing the range of data routinely available to support
health research– providing services and functions to prepare for and support
research– providing services and functions to protect personal information
when confidential processing is necessary, and to reduce the need to use data which identifies individuals
NARS vs. HRSS
• Similarities between HRSS and NARS:– Range of datasets– Data linkage and transformation– Database and data management requirements– Analysis capabilities– Data extract requirements
• Differences between HRSS and NARS:– HRSS a new service, NARS replacing and growing an
existing service (HES – Hospital Episode Statistics)– Different customer groups– Record level data vs. aggregate data – Different service providers
Sim
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NIRS Shared Infrastructure
NIRS Shared Infrastructure will:
• reduce duplication
• reduce cost
• reduce burden on data providers
• ensure consistency of data use
…while still:
• fulfilling the individual data requirements of HRSS and NARS
• allowing services to operate independently and separately
• providing a flexible platform capable of supporting additional data services
• being responsive to a changing business environment
NIRS Shared Infrastructure: Conceptual Model
NIRS Foundation Services
Develo
pm
ent
Sandpits
Data Marts
Transparency
Data investigation
Delineate services
Data access control
Different data requirements
Output design
Resource allocation
Data warehouse
Regular Processing
What’s happened?
Feb-Jun: Feasibility for NIRS Shared Infrastructure
Jun: Shared Infrastructure Requirements for review
May: Election
Jun-Jul: ICT project review
Sept: Information Strategy
Oct: Capital Spending Review publication
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Secondary CareHospital Trusts (all FTs)
Mental Health (60) Ambulances (12)
Secondary CareHospital Trusts (170, 130 FTs)
Mental Health (60) Ambulances (12)
RegulatorsMonitor (economic);
Care Quality Commission (quality);
GP Commissioning Consortia(400-600?)
NHS Commissioning Board
Changing Landscape…
Secretary of State for Health
Department of Public Health
Strategic Health Authorities (10)
Primary Care Trusts(150)
Primary and community servicesGP practices (8,000)
Dentists (22,000) Opticians
Pharmacists (10,000)Community
RegulatorsMonitor (FTs)
Care Quality Commission
Clinical Standards NICE
Co
mm
ission
Specialise
d commiss
ioning
Department of Health
The Challenge…
• Different and changing customer groups
Researchers; GP’s; Commissioners; Trusts; Regulators; Patients and public; etc…
• Changing NHS landscape– Organisations merging and changing– Roles merging and changing– Data and reporting requirements changing
• Probably not for the last time…
We need a solution that can cope in this environment…
Next Steps…
• Publish (current) NIRS Shared Infrastructure requirements for comment
• Market sounding
• Assess impact of Comprehensive Spending Review (when available)
• Review scope and requirements for HRSS and NARS