Emergency Care Data Set (ECDS) Commissioner Show and Tell No.3, 23 June 2017 Peter Sherratt, ECDS implementation lead (NHS Digital) Tom Hughes, ECDS lead clinician (Royal College of Emergency Medicine) Version: v1.0 The ECDS project is a collaborative project between the Department of Health, the Royal College of Emergency Medicine, NHS England, NHS Digital, NHS Improvement, NHS Providers and Public Health England. This document has been produced on behalf of the ECDS Project Board in collaboration with the organisations listed above.

Before we start Next webinar focused on Commissioners is 21st July We’ve enabled “PC audio” so you can listen on your PC speakers as well as phone We are recording the webinar for the benefit of others The previous webinar links are available through the QA document Most people will be muted – please send your comments and questions via the WebEx chat function to Peter Sherratt (host) We’ll be running a quick poll towards the end We’ll share the following after the meeting: The slides The links to the recordings The transcript of the QA session along with written answers All these documents are now available on the ECDS web page (www.content.digital.nhs.uk/ECDS/ECDS-supporting-documentation) Next webinar focused on Commissioners is 21st July Send your comments to : ECDS@nhs.net

On this afternoon’s call we will be covering: “ECDS champions” scheme Benefits for commissioners CQUIN reminder Quick progress update: The ECDS web page has been updated to hold: User Guidance (primarily for ED users) FAQs (useful for all) Technical user guidance (primarily for provider informatics / info management) CQUIN guidance v1.2 (mainly for providers and commissioners) ECDS to A&E CDS 010 mappings Webinar docs: Links to recordings PPT files (slides) QA sessions

ECDS Champions scheme Presented by Peter Sherratt

ECDS Champions Scheme Champions will be responsible for supporting up to 20 EDs in their region: This will include: • A site visit • Assess site progress • Helping medical, nursing and clerical staff ensure a smooth implementation. • Working with clinicians and other ECDS Regional Champions to solve practical problems and share best practice. • Presence at go-live. • ECDS Regional Champions will receive training and support for their role. How to apply: For informal enquiries and to find out more about ECDS and the role, please contact EDCS Clinical Lead Tom Hughes. To express interest in one of the ECDS Regional Champion posts, please contact RCEM Quality Manager Sam McIntyre by 14 July 2017. Please ensure your personal statement covers your relevant experience and how you meet the person specification www.rcem.ac.uk/docs/About/ECDS%20Champion%20JD%20and%20person%20spec%20-%20June%202017%20v3.pdf

“Nobody knew healthcare was so complicated” Tom Hughes MSc MBA MRCP FRCS FRCEM Consultant in EM Clinical Lead ECDS

What do we need to comission? We start with a quote from the most profound philosophers and health economists of our age But it’s true What does good quality look like

We don’t know what good looks like 5 years ago

We don’t know what good looks like ‘inappropriate’ patients in ED ‘Breach analysis’ Everyone can do ED’s job better than we can

Why do patients come to ED? What is their diagnosis?

Flying Blind No good evidence = no certainty We cannot agree model of service

Where is the value? Low value Medium value High value Fever post vaccination Cut to forehead Cough in recent migrant Ulcer on foot Medium value Greenstick fracture Pubic ramus fracture High value Displaced fracture Arrhythmia Multi-trauma

ED as gatekeeper to acute care

CQUIN reminder Presented by Peter Sherratt

The ECDS part of the 2017-19 CQUIN Intro Incentivisation for the ECDS is provided by the 2017/2019 CQUIN scheme (see target 8a). CQUIN Part 1 (Q1 17/18) (demonstrable & credible plans) Plans should be submitted by the end of June (next week) Have any trusts shared their plans? The CQUIN guidance document contains a model plan template

A few final points…. DSCRO readiness Have you received a project plan from a trust? Can you share high level dates so we can plan deployment resources?

Future webinars…. Next webinar focused on Commissioners is 21st July We plan to hold a commissioner webinar roughly every 4 weeks They’re totally open – invite anyone Future topics will include: A focus on the early adopters scheme Implementation support – materials Performance management / SitRep / 4 hour Benefits case studies / lessons learned Let us know anything particular you’d like us to cover again or in more detail Next webinar focused on Commissioners is 21st July Send your comments to : ECDS@nhs.net