1. Data Services for Commissioners Presented by Ming Tang ming.tang@nhs.net

2. Future state solution designing and implementing national solutions for data collection, processing and dissemination of data to commissioners Legally compliant identifying sustainable legal gateways for data to be disseminated, so that commissioners can undertake their statutory duties Operationally relevant deploying a solution that is effective and efficient and allows commissioner access to consistent, timely and quality assured data linked to support person centric commissioning Data Services for Commissioners (DSfC) – a programme to deliver… 2

3. Current access for commissioners is complex, inconsistent, inflexible and not sustainable… 3

4. Future state… All commissioners can access the data they need using sustainable legal gateways Data sharing protocols are consistent and simplified s251 support is no longer required as the norm, and only used in exceptional circumstances to provide temporary cover HSCIC provides a national service, that is effective, timely, quality assured and responsive DSCROs are no longer required Local and national data can be accessed, linked and used locally with consistent pseudonym Focus on improving healthcare outcomes through better insights and intelligence Strategic programmes are enabled - ability to make use and share commissioning information to improve services 4

5. Data Services Stakeholders Users directly consume data or services Data Providers provide data sets to HSCIC for processing. System Vendors included as there is a dependency on them for changes. HSCIC Data Services deliver, manage and assure the provision of Data Services, managing the stakeholder relationships on behalf of users and customers. Customers manage programmes to deliver capability to their business function using our services. Users often work for customers. Heathcare industry vendors may act as Data Processors and take advantage of APIs and data exposed by DSP. Vendors supply organisations with providing systems.

6. Introducing New and Improved National Data Services Data Services 6

7. Data Development

8. Aim Commissioning data can be… difficult to find hard to access difficult to benchmark services due to different definitions and collections misinterpreted if not considered along with its data quality insufficiently frequent or timely sent to the wrong organisation for payment doesn’t always capture the right patient nationally defined How the Data Development team can work with providers and commissioners to enable legal data access and improve data quality and standardisation locally defined 8

9. How data quality impacts patient care and commissioning Data activities impacting quality of care and commissioning Poor data quality Data going to wrong commissioner for payment Recording the wrong patient on systems / CDS Inability to link data Sufficient legal basis to access data Direct Care Clinical care  Care co-ordination  Provide discharge summaries to GP  Commissioning and Supporting National Analysis Risk stratification  Contract management and payment  Identify savings  Service development  Monitor access, pathways and outcomes  Develop allocations & Policy  Benchmarking  A combination of issues with data are influencing ability to make commissioning decisions At a time when commissioning is changing to be more patient focused requiring greater precision to support more patient specific and tailored models of care 9

10. Data Development Delivery Areas To improve access, coverage and quality of health data for better patient care Working with the system, we are… This will enable… Commissioners can access data needed for commissioning Decreased burden from reduced local flows Increased benchmarking and analysis Improved data quality and awareness of data limitations Simplified, consistent topic based analysis Critical commissioning data directed to the correct commissioners 1.Defining the legal basis for commissioners’ access to data 2.Conforming local data flows, enhancing & gaining greater access to existing national data flows 3.Increased validation of patient identifiers 4.Designing data marts to support analysis 5.Implementing a consistent process for commissioner assignment 10

11. Information provided to National Data Guardian Review Reports end January 2016 11 Access to Data Identified activities which need ongoing access to PCD or be able to re-identified by appropriate professionals Identified the data completeness of NHS no and its need to improve to enable use of common pseudonym Fields to be anonymised requested limited to NHS no, DOB, Postcode Identified commissioners need for data to undertake statutory duties Majority commissioning activities require anonymous in context data using a common pseudonym Identified need for PCD based derivations to be pre-calculated in datasets

12. 12 Conforming Local Flows Community Mental Health Urgent Care 111 and 999 conformed data set specifications – available for local use A&E+, specification available to incorporate data from A&E MIU, UCC, OOH: All align with future ECDS development 21 40 44 Recommend adherence to new MHSDS national flow. HSCIC to enable commissioner access Recommend adoption of Local Community Dataset Specification – aligned to national CYPHS and local CIDS flows Work being fed into establish new national community dataset DATA SPECIFICATIONS AVAIABLE

13. 13 Data Quality  Increased level of patient traces in providers  Secondary trace nationally  Flagging of patient identifiers to alert to their quality  Investigating creation of data confidence factors

14. Contact Us www.hscic.gov.uk dscmailbox@hscic.gov.uk 0300 303 56 78 @hscic www.england.nhs.uk england.dsfc@nhs.net 0300 311 22 33 @NHSEngland 14