One Patient One Record

NCDDP Board NCDDP Support Team Ministerial e- Health Programme Board National Clinical Information Steering Group (CMO) Information Standards Group NCDDP Board NCDDP Support Team

National clinical data standards will: Support direct patient care being informed by prevailing best practice guidance Facilitate effective communication between health care professionals Incorporate agreed national clinical definitions and implement national terminology

HEIGHT Definition: Height in metres - measured without shoes Format: n.nn metres (to the nearest centimetre) Codes and values: N/A Sub data items: Verification level 0 Unverified 1 Verified Further information: If height cannot be measured, record recently documented or self-reported height (if reliable and realistic) as ‘unverified’. In certain groups or diseases, measurement of height may not be straightforward, e.g. infants, wheel chair/ bed bound, scoliosis, kyphosis. Guidance for such specific circumstances will be included in specialist data standards as appropriate.

What we have done… Generic 1 Generic 2 Generic 3 CHD Core Acute Coronary Syndromes Cardiac Rehabilitation A & E Core Allied Health Professions Core Cancer Generic Child Health Generic Phase 1

Stroke Dataset Development CHD and Stroke Programme working with NCDDP Developing a package of stroke standards and datasets Data produced will allow improved care of stroke patients

Stroke Dataset Development Stroke programme launched on 22 February 2005 1. Stroke Core Data Standards Now in final stages Consultation early December for 5 weeks 2. Stroke Inpatients Dataset 1st ‘extension’ to stroke core standards Finalised data items Encompasses the stroke core standards More specific piece of work – a particular area of stroke care

Stroke Dataset Development Implementation? Implementation of the data standards after their development is an integral part of the e-Health programme in Scotland Anticipate that implementation will take place through Generic Clinical System facilitated by the CHD and Stroke Programme

Stroke Data Standards Core Inpatients Outpatients Stroke Nursing Primary Care Core Stroke Post Discharge Sub Arachnoid Hamorrhage Stroke Data Standards Stroke AHP Cartoid Endarterectomy Pharmacy

Stroke Timescales 2005 - 2006 2006 – 2007 Jan 06 Stroke Core Mar 06 Stroke Inpatients Jun 06 Stroke Outpatients 2006 – 2007 Currently business planning for next year We would welcome any of your suggestions

Where to find National Clinical Data Standards Health & Social Care Data Dictionary www.datadictionary.scot.nhs.uk

Key to Success Develop for Clinical Care Through Clinical Engagement Actively Implement