AHP Data Project – Counting Matters! June Wylie (Scottish Government) & Felicity Naughton (Information Services Division)

“If we cannot name it, we cannot control it, finance it, research it, teach it, or put it into practice”. Clark J, Lang N (1992) Nursing's next advance: an internal (international) classification for nursing practice. International Nursing Review 39:109..

“The economic crisis was caused by poor management decision making…a lack of knowledge about risk and flawed assumptions were basic to the economic problems” Dr. John T. Whiting http://www.prlog.org/10213881-information-technology-as-solution-to-the-economic-crisis.html

Approximately 40% of the nation's fluid intake today will be tea The UK remains the world's No 1 export market for champagne with nearly 36m bottles (35,984,574 to be precise) shipped last year! Cheers! The overall cost of the National Programme for IT (England) is £12.4 billion over 10 years. The overall cost of the National Programme for IT is £12.4 billion over 10 years. The cost of overweight and obese individuals to the NHS is estimated to be £4.2 billion and is forecasted to more than double by 2050. The cost to the wider economy is £16 billion, and this is predicted to rise to £50 billion per year by 2050 if left unchecked Smoking costs NHS Scotland £200 million annually – and the Scottish economy as a whole £837 million a year Information helps us to identify activity – eg champagne shipped! Or identity a problem, for example the costs of obesity, or smoking. Once we have identified our activity or our problem we can think about how we are going to address it – does France have the capacity to supply all this champagne? Is there an over demand? What impact do interventions have on obese individuals? Does it reduce the strain on the service?

INFORMATION is POWER! Information is evidence… For change Of best practice To demonstrate a problem To demonstrate success!!! Information gives you… The power to demonstrate your impact!!! What differences are you making now? What changes could you make for the better? How can you prove that to others?

Data has the potential to save lives! Swine Flu If information on disease and deaths was not recorded, we would not have become aware of the scale or even the existence of this potential pandemic. Smoking and Lung Cancer Coronary Heart Disease CHD is a priority area for the Scottish Government and there is a national target of a 60% reduction in premature deaths from coronary heart disease in the 15 years up to 2010. The chart below shows progress against this target, suggesting that the target looks set to be achieved How has the CHD information made an impact.

Current AHP National Data ISD(S)1 Data www.isdscotland.org/isd/4452.html?text-size=1 Currently, the only national AHP data Issues around data quality Non national statistics Basic numbers Anyone use?

Maximising the potential of AHP Data! – the AHP Data Project Aim: to develop high quality data for and with AHPs in NHSScotland Working with you to develop high quality information for AHPs throughout Scotland Building on the work of the AHP Census & NCDDP Standards For example, ‘Expected Waiting Times’ AHP Census http://www.isdscotland.org/isd/data-development-dev-info.jsp?pContentID=1359&p_applic=CCC&p_service=Content.show& AHP Census data was an invaluable exercise and provided lots of really useful information. Build on this and hope, in time, to provide you with accurate information on your real waiting times

Phase 1 – National AHP Dataset A high-level management dataset looking at Referrals – e.g. ‘new referrals’ Activity – e.g. new contacts Discharge – number of patients discharged Work with services to establish regular high quality Data collection Recording Submission Usage Working with AHPs, plus Information and eHealth Departments Dataset out for consultation shortly If you would like to an opportunity to comment email felicitynaughton@nhs.net Limited timeframe for comments, 3 weeks from…

Clinical Data (the holy grail!) National clinical datasets developed for some of the professions But – need good eHealth systems to collect these data Firstly establish regular collection of accurate and good quality management data (‘Phase 1’) Provide reliable data that can be used confidently locally and nationally Clinical data developed in line with national eHealth systems, such as PMS, over time. Later phases of the project

Developing national definitions for all fields Absolutely essential! Developing national definitions for all fields Will require national agreement on all of the definitions So the data will mean the same for AHPs throughout Scotland Means that data are comparable between services, NHS Boards and across the country Need your feedback and support! Will be sending out definitions for consultation also

Uses, benefits and demonstrating your impact! How you can use your data to illustrate the difference that you make Accurate, high quality data allows you to Monitor success Monitor interventions and change to your service, and its impact Monitor your impact! How you and your colleagues affect your service Once you start collecting your data it has the potential to tell you What your service does now And what it needs to do to Expand capacity Meet demand Reduce waiting times expand

Apples with Apples! Information is the evidence of the hard work that you, and your colleagues do - without good quality data you have no reliable evidence of your practice, your resource, or your capacity Through the national AHP Data Project we can work to ensure that the dataset and its definitions are comparable throughout Scotland – comparing apples with apples Unleash your energy! Good quality data provides information on how your service works and its processes. Using data to refine or fix your processes will allow you to concentrate on what you do best! Take ownership of the data

Impact & Policy Use information to show managers just how important you are What you can do to shape change in the health service You can change services for the better and improve the patient experience – but only data can prove that 18 Weeks RTT Shifting the Balance of Care AHPs can provide massive input and impact Eg MSK Pathway, Lanarkshire

Drivers for Change Data provides the evidence to demonstrate that you can significantly affect these policy priorities for the better These, and other, policies are huge drivers for change and improvement Improve your service Improve patient care Understand the problems, the jams and the performance issues It’s not just a box ticking exercise! Information can really make a difference – from management to patient

AHP Data Project Developing dataset, data definitions and standards Feasibility and Usability Pilot in September 2009 One months data collection using dataset and data collection form By area – inpatients, outpatients etc Plan to begin incremental implementation from April 2010, by profession The project will offer support and advice throughout the process, from pilot all the way through implementation to ensure that the dataset can be implemented successfully and can be sustained in the long term

National Data Return Monthly data return to ISD Limited number of fields to return Data will be interpreted and published by ISD on a regular basis. Trend analysis and benchmarking Working to improve data quality and completeness over time More data and better quality than currently available Garbage in, Garbage out!

Project Support Regular contact Briefings Meetings Updates Help manuals Data collection Recording Analysis Advice & support on use of the data – for example, for those who are less familiar with using data on a regular basis Regular, national reports.

Contact Any Questions? Felicity Naughton, Project Manager Email: felicitynaughton@nhs.net Tel: 0131 275 7148 Mobile: 07795 452287 Any Questions?