1. Emergency Care Data Set (ECDS)
General Show and Tell No.7, 6 June 2017
Peter Sherratt, ECDS implementation lead (NHS Digital)
Craig Walker, ECDS lead business analyst (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.

2. Before we start
We’ve enabled “PC audio” so you can listen on your PC speakers as well as phone
We are recording the webinar for the benefit of others
The previous webinar links are available through the transcript document
Please stay muted – please send your comments and questions via the WebEx chat function to Rozanne Addams
We’ll be running a quick poll towards the end
We’ll share the following after the meeting:
The slides
The links to the recordings
The transcript of the QA session along with written answers

3. Previous webinars have covered
Running order
Progress update
Minor update re: HRG / Tariff mapping
ECDS Technical User Guidance
Key findings and lessons learned from the Leeds pilot QA
Poll
Previous webinars have covered
General introduction
Tariff and payment
CQUIN
Transition process
Mappings
EDSSS
SNOMED FAQ

4. Progress update:
The ECDS “Directions” were accepted by NHS Digital last week – means we can legally hold the data from 1 August 2017
Purdah – as soon as purdah ends we’ll have the files on the NHS Digital web page (
Hopefully this will be around 15th June
NHS England have finalised the Tariff / HRG / contract guidance (see Technical User Guidance, see later slides)
CQUIN guidance is now released – v1.2 includes some minor updates
HES mappings will be part of the web page update
CQUIN – plans due at the end of June
Early adoption scheme
Any feedback on the SQL script we shared last session?

5. An update re: HRG / Tariff mappings:
If you submit no treatments or no valid treatments then the autogrouper will receive the value “99” = “None (consider guidance / advice option)”
If you submit no investigations or no valid investigations then the autogrouper will receive the value “24” = “None”
This will ensure generation of an HRG rather than U-grouping
You’ll need to ensure your local mapping behaves in the same way to ensure the local grouper matches the SUS Autogrouper

6. Local XML validation
We will carry out server-side XML validation and provide a report back to the submitter
It is each site’s responsibility to have carried out XML validation before submission to SUS+
It will save time to validate the XML before submission to NHS Digital (MESH)
This is straightforward – try a google of “xml validator”

7. ECDS Technical User Guidance
Presented by Craig Walker

8. ECDS Technical User Guidance
Where to find pertinent information
How to obtain SNOMED CT updates – important
Submission frequency, dates, times
Early adopter sites
MESH – changes to the submission process (EDT will not be available for CDS Type 011 submissions to SUS).
Impacts on National Tariff (HRGs)
Technical guidance on mapping
NHS England’s guidance re: contracts
Advice or how to transition from CDS Type 010 to CDS Type 011
Advice on updating CDS Type 010 records in SUS once transitioned to CDS Type 011
How will the ECDS data be used

9. Key Findings and Lessons Learned from the ECDS Pilot at Leeds Teaching Hospital Trust
Presented by Pat Carter

10. Key Findings & Lessons Learned Document
Summarises findings from the pilot
Short – 5 pages (excluding title / header pages)
Things to remember when reading about pilot:
The aim was to:
Capture any impact and burden of ECDS collection in ED
Prove some ECDS concepts & benefit enablers
Verify code sets
However …
Payments could not be affected
No double entry of data
Other services / data sets / PAS etc. could not be affected
Implemented in a way that would be easy to reverse (at end of pilot)
Not an end to end process - CDS 010 still A&E CDS
Used previous ECDS version (July 2016)

11. Some key points for Informatics / IT
Strong clinical leadership and communication is needed
Also involve nursing and clerical staff
Consider using it as an opportunity to upgrade working processes – ensure modified EDIS fits with work flow
For deployment use ‘crib sheets’ and wall charts in key places (e.g. for the new clinical code sets)
In reception area also use crib sheets to help staff collect new data items
Explaining to staff why the system is changing e.g.
Can support implementation of rapid triage (satisfying CQC requirements)
Ability to compare self with other emergency departments
Potential to get more resources to better match workload

12. Other Useful Info …
The pilot had no impact on performance - Published four hour performance indicator was not affected
LTHT chose to keep the changes made for the pilot
ECDS implementation, technical, user guidance and FAQ’s are available
Implementation Toolkit will be available

13. Next webinar is 4th July @ 2pm
Future webinars….
We plan to hold a webinar roughly every 3 weeks
They’re totally open – invite anyone
Future topics will include:
Data quality dashboards / validation
Local XML validation
A focus on the early adopters scheme
Implementation support – materials
Performance management / SitRep / 4 hour
Benefits case studies
Let us know anything particular you’d like us to cover again or in more detail
Next webinar is 4th 2pm
Send your comments to :