INFORMATION AND PERFORMANCE JO WORSWICK

Content Why we need to record activity data What is it used for and by whom Nationally Locally (commissioners) Locally (LCFT) Generally and specifically to EIS

What is activity data used for? Clinical Purposes Part of clinical record Research Purposes To improve clinical services Management Purposes Nationally Locally externally (commissioners) Internally within LCFT

National Requirements Monitor Compliance Framework Healthcare Commission Annual Healthcheck Governance / Quality

Healthcare Commission requirements for EIS Number of people on the caseload LCFT share of the national target is 727 people in receipt of EI services Recovery Plan National target to have 7500 new patients in receipt of EI services each year LCFT share of this is 228

National Requirements Monitor Compliance Framework Healthcare Commission Annual Healthcheck Governance / Quality Department of Health Reference Costs Payment By Results

Reference Costs requirements for EIS Annual activity and costs Number of contacts – face to face and non-face to face National definitions to enable comparisons between organisations Calculated to give a cost per activity

Payment By Results National programme to develop PbR for mental health DH committed to making a ‘currency’ available for use in 2010/11 – less than 13 months from now. ‘currency’ = common set of units (across England) for contracting for mental health services Currency based on Care Pathways and Packages methodology which has been developed by 6 MH trusts in Yorkshire, Humber and North East SHAs Groups service users into 21 different clusters based on needs or characteristics More information on this is available on DH website

Local Requirements (PCTs) 3 Main Functions of PCTs Improving the health of the community by assessing health needs and preparing plans, commissioning a comprehensive and equitable range of high quality, responsive and efficient services, within allocated resources, across all service sectors; and developing primary and community health services by managing and integrating all medical, dental, pharmaceutical and optical primary and community services, as well as ensuring their quality

PCTs need information to fulfil their statutory duties Public health needs assessment Availability of services service specifications quantity and quality pathways of care & flows through the system

What do PCTs need from EIS Number and source of referrals to the service Number and source of inappropriate referrals Number of people on caseload Number of discharges from caseload and where are they discharged to Length of time people stay in service

Local Requirements (LCFT) Monitoring the external requirements Achieving the national requirements gives a level of autonomy Value and efficiency What are we doing with our money? Service line reporting Measuring income and expenditure at service level

What do you need to do Collect accurate, timely information on patient ’events’ Input into relevant IT system (NCRS/ECPA) – to enable ease of retrieval Follow national guidelines for recording activity to enable consistency across the country