Suppliers Forum Dave Roberts – Programme Head non-acute care

Mental Health and Community Care programme Update on prescribing issues Social Care development programme General Practice Extraction Service (GPES) Content

To support data collection and extract in providers of mental health or community care services To be first point of contact for queries on mental health and community care To support Commissioners in their use of relevant data sets To work with relevant government departments to ensure that information repercussions of policy initiatives are understood and communicated to the providers of NHS funded care To work with anyone with an interest in the collection or analysis of mental health or community care data Work of Mental Health and Community Care team

Producing the MHMDS through the Secondary Uses Service: Will commence in 2009 Data fed back to providers and commissioners Extracts and reports Publication date, including all historic data, on 29 th October. Please log onto the NHS IC website for details. Current position on Mental Health

Review of all Mental Health information – April to September 2008 (via website) Independent sector submissions to support standard contract Mental Capacity Act Improving Access to Psychological Therapies Mental Health Act changes Care Programme Approach changes Adult Psychiatric Morbidity Survey Home Office review of Criminality Information Clinical Dashboards for Mental Health Quality Indicators for Mental Health Mental Health indicators in NHS Comparators Other initiatives

Project to review current position to complete end of September Lack of data a significant problem Links to Department of Health projects on Community Care (Possible funding for dataset developments in CSR) Community Care

Most common NHS intervention- last year: 780 billion items dispensed in 2007/08 Cost over £8b Position for 07/08: 1% growth in cost over 06/07 6% growth in items over 06/07 Primary Care Prescribing Data

National top 5 BNF sections by cost, April – June 2008 BNF NameActual Cost% cost growthTotal Items% item growth Drugs Used In Diabetes £133.8 m m7.1 Corticosteroids (Respiratory) £131.8 m m4.0 Lipid Regulating£127.2 m m10.4 Hypertension & heart failure £102.9 m m8.2 Analgesics£96.2 m m6.0 % growth: growth over the same period last year

Currently provided, via PPD (NHSBSA) -To NHS via password protection Both raw and contextualised Soon: NHS comparators (6 clinical areas) - Practice items monthly on PPD website Other practice level data from IC QOF available on web site (2007/08 published on the 30 th September) HES via controlled access Practice level prescribing data

We have conducted a review, with the BSA and the DH of the current situation concerning the release of prescribing data We have produced a data sharing agreement that covers all three organisations We ran a public consultation June to August 08 on two proposals: Publication of ‘raw’ PCT level prescribing data Supply of ‘raw’ practice level data for specific NHS purposes through an appropriate approval process and strict re-use policy Review and consultation

This proposal was generally supported: Publication of ‘raw’ quarterly PCT level prescribing data at BNF chapter and section level on IC website This can be implemented soon Supply of PCT data on request Further discussion required on release of lower level data and for supply outside the NHS, around re-use and dissemination For discussion with IC and NHSBSA Consultation – PCT level data

In general, commercial companies would like to see release of this data and NHS organisations feel it is not appropriate to release data outside the NHS We are NOT recommending public release of practice level prescribing data: Data Protection Act, Exemptions from FOI Act and DH Policy, etc Release of practice level data for specific NHS purposes Requires Review Board for criteria & approval Clear purpose and benefit to NHS required Sensitive clinical areas Information Governance issues Consultation – practice level data

Improving and developing social care Review of The NHS Information Centre’s national social care Collections and Publications Development of a social care National Adult Social Care Intelligence Service (NASCIS) Integrated services for older people Strategic Planning report

The new National Indicator Set (NIS) replaces all previously required local government performance indicators/targets from 1st April 2008 (major part of ‘reducing the burden’) All twelve of the current IC collections (and publications) initially reviewed, line by line. A review identified: - data items which relate to NIS and must be retained - data items which are of particular benefit for local policy and practice implementation and review, but which have added value if collected and collated nationally - data items which are now outmoded or of questionable accuracy and should no longer be collected Final phase of consultation on these proposals will end 24 Oct 2008 Exclusions to final consultation – expenditure, disability registers, user surveys Next steps – IC report on outcome of consultation by mid Nov Review of collections and publications NB. The IC will collect (and publish) 2007/08 returns during 2008/09.

Development of a social care National Adult Social Care Intelligence Service (NASCIS) Work to date: Developed the understanding and vision of NASCIS with key national stakeholders Quicker access to data by early publication in Oct 2008 of provisional council level activity and expenditure data Developed proposals to improve dissemination of existing social care information and intelligence Developing a prototype service for NASCIS with existing data by end of Feb 2009 Recruited additional resources to take forward NASCIS work

Objectives are to produce: An integrated health and social care publication presenting information on older people A wider toolkit, encompassing a range of information products Work to date: Internal report on Falls including case studies to clarify cost of falls and ways information is used in the local health economy Analysis of data existing within IC on falls and identified gaps Development of local indicators on dementia Next steps: Publish Older People’s publication on falls Develop similar publications in other areas like dementia and intermediate care Integrated services for older people

Produced a report proposing the strategic direction of the NHS IC’s social care work in light of current developments in social care information needs and possibilities – endorsed by IC board Proposals agreed: Support from IC board and key stakeholders to undertake further work to develop NASCIS Agreement on proposals arising from review of collections Further development work on existing and new National Indicators Assist in development of effective equalities information Continue to play an appropriate part in the creation of a national system for electronic social care records Next steps: Working with DH to develop information strategy for adult social care Responding to social care issues identified in DH Informatics Review Strategic Planning report

What? Total scope of service (Authority and Contractor) GPES scope Extraction Query Customers All GP Practice systems Data management Analysis

Gateway review successfully completed. Significant support received Project Assurance Group – documentation reviewed, recommendations submitted and amendments made 10 th September, final approval of all documentation from the Project Board Final high level requirements gathering exercise completed today.16 customers interviewed in total NHS IC GPES team significantly expanded to meet increasing demands of the service General Practice Extraction Service (GPES)

Stakeholder engagement initiated: Series of information sharing events and the first Communications Group meeting completed in September speeches at conferences/meetings (PRIMIS+, British Computer Society, Primary Care Consortium, Pan User Group) press and media coverage (e-health insider; Pulse; HSJ and Primary Care Today) Key stakeholders being consulted re: communication requirements GPES continued

Enquiries: quoting GPES Further information