Emergency Care Data Set (ECDS) General Show and Tell No.13, 13 December 2017 Peter Sherratt, ECDS implementation lead (NHS Digital) Netta Hollings, HES Secondary Care Team (NHS Digital) Dominic Gair, HES Secondary Care Team (NHS Digital) Pat Carter, ECDS Business Analyst (NHS Digital) 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.

This includes all webinars and downloads Before we start We are recording the webinar for the benefit of others Please send your comments and questions via the WebEx chat function to “everyone” Slide and all the supporting documents are available on the ECDS web page (www.content.digital.nhs.uk/ECDS) (This page for the ISN) This includes all webinars and downloads Next general show and tell is TBC Send your comments to : ECDS@nhs.net

On this afternoon’s call: Dual counting / dual submission (Pete, Netta, Dom) Case Studies (next webinar) DQ feedback (Netta, Dom, Pete) ECDS documentation (Pat Carter) DSCRO update (Pete) General QA

Quick progress update: Over 50% of the NHS is now live with ECDS Over 37% have made a submission Crib sheets – email ecds@nhs.net

ECDS animation for ED staff - See digital. nhs ECDS animation for ED staff - See digital.nhs.uk/ecds - Also available via Vimeo (link on same page) Peter Sherratt, NHS Digital

Dual counting / dual submission Peter Sherratt, NHS Digital

ECDS Golden Rules Refreshes of data MUST be in same format as original Please don’t cross the streams (Crossing the streams is bad) Don’t Submit CDS 010 and ECDS (CDS 011) for the same activity Once you’ve submitted in one format, don’t submit the same activity in the other format

Dual counting / dual submission If you have submitted the same data to both CDS010 and CDS011 then please delete one set of records as soon as possible Duplicate data causes serious problems for all data consumers and is likely to result in payment problems for your ED Mapping “forwards” from CDS010 is impossible and will not count as ECDS implementation It will be possible to tell if this has been done via e.g. a histogram of the diagnosis submissions You will be contacted if we suspect you have duplicated data

DQ feedback (including CQUIN DQ) Netta Hollings, NHS Digital Dominic Gair, NHS Digital

DQ feedback (including CQUIN DQ) We are running behind schedule on this We understand how important this is to success We will get the initial CQUIN DQ reports to Trusts as soon as possible There will be a period to allow DQ issues to be resolved There will then be a “final” report which we recommend that CCGs will base CQUIN payments on Attendance ID… We’ll use a similar report to confirm Early Adopter status

Secondary Care Analysis ECDS Update Early DQ and CQUIN Analysis Will be available via SharePoint (like the current SUS DQ dashboard). All providers and CCGs currently have access to this. If you do not have access to this and need it please email inputdq@nhs.net with subject title “ECDS DQ Dashboard Analysis Access”. Actual release date TBC but users will be notified when available.

Secondary Care Analysis ECDS Update Current Reporting Tomorrow NHS Digital publish first A&E CQI that utilises mapped ECDS data into our traditional statistical outputs. https://digital.nhs.uk/article/6679/2017 A methodology change paper outlining some of the impacts this may have on these statistics will be available via http://content.digital.nhs.uk/pubs/methchanges on the same day. For M7 we are aware that some organisations have chosen to submit both ECDS and A&E CDS10 data for the same activity for the same reporting period. We would like to highlight again please that providers should not do this as it may adversely impact reporting of data.

Secondary Care Analysis ECDS Update Publication of Early Experimental Analyses Intended to include additional analyses as part of HES on 11 January 2018. Initial focus on DQ and the range of chief complaint, diagnosis, investigations and treatments in the first few months and also total comparisons against historical data volumes as well. Discussing with key stakeholders nature of longer term reporting requirements from April 2018 onwards when transition of Type 1 and Type 2 units is complete. We would welcome any feedback on particular measures that you would be interested in seeing in these future reports please email ecds@nhs.net using “Future reporting of ECDS data” in your subject title.

ECDS Information Standard Subsets (TOS) vs SNOMED CT Subsets on TRUD Pat Carter, NHS Digital

Background Information Standard published in April 2017 Aug / Sep – first ‘live’ use of ECDS New SNOMED codes requested Some of these added to the TRUD in Oct 17 (as part of the SNOMED CT (biannual) update) Also, the update included the replacement of some SNOMED codes used in the TOS (e.g. If a SNOMED CT code is retired / replaced) BUT … We can’t update the TOS as it is part of the Information Standard So ….TOS and TRUD are out of sync lots of confusion and unhappiness

Key Points for ECDS In an attempt to make everyone happier we agreed that: All SNOMED codes in the TOS will be accepted by SUS and remain ‘valid’ for SUS+ / HES and CQUIN analysis, i.e. The Information Standard remains Additionally, all SNOMED CT codes in the TRUD (new and replaced codes) will be accepted by SUS and be added to the ‘valid’ list for SUS+ / HES and CQUIN analysis The mappings document (ECDS to CDS 010) has been updated to allow for the new codes If you use the TOS for implementing ECDS, there is no requirement to change anything although if you wish you can use some / all the new SNOMED CT codes on TRUD If you use the TRUD to download ECDS subsets, then you can continue to do so, you will automatically have the new SNOMED codes And hopefully, everyone is happy

Web Page By end of the week, we are publishing a web page to explain this: https://digital.nhs.uk/ECDS-SNOMED-CT-October-updates Includes a spreadsheet of the updates to TRUD that occurred in October. For example: Note: Most of these updates will be included in the next Information Standard update (TOS V2.0) in April 18 or beyond …. EMERGENCY CARE DIAGNOSIS (SNOMED CT) New   33629003 Drusen of optic disc (disorder) 430887001 Dysfunction of sphincter of Oddi (disorder) Replaced 812531000000102 724940003 Injury of muscle at forearm level (disorder) 1 812471000000101 724905004 Injury of muscle at shoulder level (disorder) 812511000000105 724908002 Injury of muscle at upper arm level (disorder) 14357004 Ischemic optic neuropathy (disorder) 424669003 Optic disc edema associated with retinal disorder (disorder) 423488006 Papilledema - optic disc edema due to raised intracranial pressure (disorder) 371073003 Postural orthostatic tachycardia syndrome (disorder)

DSCRO update Peter Sherratt, NHS Digital

DSCRO update The IGARD / governance process is moving forwards Letters will be going out soon to CCGs One to those with valid DSFC (data sharing framework contract) and where their data protection registration with ICO is up to date (they will get a letter informing them of next steps) If they have an issue with their DSFC and/or ICO registration they'll get a different letter(s) saying those things would need to be sorted before they could proceed. All DSCROs have got early access so they can begin preparations for data release, except the three in the South West

General QA – your questions

Send your comments to : ECDS@nhs.net Future webinars…. They’re totally open – invite anyone Future topics will include: Lessons learned and case studies The maintenance of ECDS Let us know anything particular you’d like us to cover again or in more detail Next webinar is TBC Send your comments to : ECDS@nhs.net