ASSIST National Conference 2009 “Quality Informatics: your role in delivering the NHS Next Stage Tim Straughan, Chief Executive tim.straughan@ic.nhs.uk

The big three - across the world Quality of care Economic downturn Information to help address 1 and 2!

NSR Review Set out ambitious commitments for making quality the organising principle of the NHS We can only be sure to improve what we can actually measure" Lord Darzi, High Quality Care for All, June 2008

Informatics Challenges Clinical quality World Class Commissioning Payment by Results Improving efficiency Audit, inspection and assurance For which we need to: Measure the right things Measure them right Use the measures right…

The NHS Information Centre for health & social care Vision: To be the recognised source of relevant health and social care information Mission: To drive the use of information to improve decision making and deliver better care The Information Centre has a primary aim to become a key enabler of improved patient care

Information management programmes 2009/10 NHSIC Programmes Data Sources Information for Commissioning Clinical programme Finance & Performance Information for Workforce Planning and Productivity Social Care Services Information for Patients NHS Choices content NHS Information Reporting Service ( include. GPES) Data Quality Programme Syndication of Information Honest Broker Signposting of Information Information Services and Analysis NHS IC Organisational Development & Capacity Building frontline information management capacity/professional development NHS Spine Data Care outcomes data Research Data Finance Data Workforce + ESR Data Primary Care Other Data Sources Data Standards Programme Frontline Programmes enabling better care Information management programmes Streamlining Data Collections Communications Programme

Measure the right things – NHS IC Programmes Clinical: Indicators for Quality Improvement, Public Health, Clinical Audit & research

Indicators for Quality Improvement (IQI) What details of over 200 quality of care indicators – see www.ic.nhs.uk/mqi Purpose resource for local clinical teams providing a set of robust indicators which they can use as the basis for local quality improvement source of indicators which can be used to benchmark and compare providers Criteria for indicators clear evidence base clear, unambiguous definition robust calculation methodology (appropriately defined, standardised and risk-adjusted to avoid perverse incentives, gaming and misinterpretation) support from professionals

Measure the right things – NHS IC Programmes Clinical: Indicators for Quality Improvement, Public Health, Clinical Audit & research Information for Patients – NHS Choices Information for Commissioning

Commissioning Cycle http://www.ic.nhs.uk/commissioning Joint strategic needs assessment (JSNA) JSNA core dataset focussing on a list of indicators, cross-tabulated against Vital Signs and the National Indicator Set. Social Care publications and statistics How much is being spent on social care services locally? Healthcare Resource Groups (HRGs) Supports determining of service provision based on measuring current and future treatments. Neighbourhood Statistics Service Understand the factors involved in reducing neighbourhood deprivation levels. Lifestyle Publications Insight into alcohol consumption, obesity, smoking, drug misuse, and specialist surveys relating to young people. NHS Comparators Local in/outpatient disease area activity, costs, outcomes, and identifying prescribing activity. Quality and Outcomes Framework Resourcing healthcare based on practice-level prevalence data. Health Poverty Index Compare the indicators that influence health inequalities between different areas. Health Survey for England Annual snapshot of the nation’s health and health needs. Hospital Episode Statistics (HES) Records of all admissions to NHS hospitals in England. Clinical Audit Compare clinical conditions and treatment received for cancer, heart disease, diabetes and renal services. General Practice & Dentistry Statistics providing insight into earnings, expenses, levels and types of activity iView Workforce Online resource enabling NHS workforce planning, using statistics on NHS staff numbers, earnings, turnover, and vacancies. Over 120 health and social care publications Comprehensive insight into disability, older people, child health and measurement, screening, eye care, maternity, general practice, and mental health. http://www.ic.nhs.uk/commissioning

Measure the right things – NHS IC Programmes Clinical: Indicators for Quality Improvement, Public Health, Clinical Audit & research Information for Patients – NHS Choices Information for Commissioning Information for Social Care

National Adult Social Care Information System (NASCIS) Here is a screenshot of the proposed NASCIS dashboard.

Measure the right things – NHS IC Programmes Clinical: Indicators for Quality Improvement, Public Health, Clinical Audit & research Information for Patients – NHS Choices Information for Commissioning Information for Social Care Information for Workforce Planning and Productivity Information for Finance and Performance: new performance regime: operational standards and targets, quality and safety, User experience & Board capability Data Standards: Community, Social Care, Maternity… Streamlining Data Collections

Measure things right: NHS IC Programmes NHS Information and Reporting Services (NIRS)

NHS Information Reporting: Future Vision Landing Staging Data Collation and Processing NHS Analysis and Reporting Service Data submitted by all providers of NHS “acute” and Mental Health Care Extracts for Non NHS organisations User access Clinical Audit Data from primary care GP Extract Server reports Dashboards National Applications (e.g. PDS, CAB, EPS, ESR etc.) QMAS NHAIS Research Capability Programme Analysis and Presentation Data Sources Universal Data Warehouse

Analysis & Reporting Services within NIRS – “NARS” Framework for the processing datasets for analysis and reporting Construction and presentation of indicators, across datasets, to NHS-wide standards Information presented via multiple channels Three phases: National PbR Analysis & Reporting HES Replacement & NHS Comparators Future additions, e.g. Patient Reported Outcome Measures, other datasets etc

Objectives for NARS: to focus on analysis and presentation reports GP Extract Service User access Objectives for NARS: to focus on analysis and presentation Research Capability Programme User access NHS Analysis and Reporting Service User access Extracts for Non NHS organisations User access Clinical Dashboards User access

Use measures right: NHS IC Programmes Honest broker Syndication Signposting Building frontline IM capacity Shared solutions to shared problems Providing practical guidance and advice Supporting skills development

For further information Attend today’s workshops Visit the NHS IC stand Talk to NHS IC staff here today Visit our website