1. Emergency Care Data Set (ECDS)
Healthcare Provider Show and Tell February 2017
Tom Hughes, ECDS clinical lead (Royal College of Emergency Medicine)
Aaron Haile, ECDS engagement lead (Royal College of Emergency Medicine)
Peter Sherratt, ECDS implementation lead (NHS Digital)
Version: v0.1.2
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. Next webinar focused on Providers is 7th March @ 2pm.
Before we start
We are recording the webinar for the benefit of others
The Provider webinar on 7th Feb is available at:
Streaming recording link:
Download recording link:
We’ll be going through a very similar slide deck to last week
We had over 100 people on the last call – really good attendance
Most people will be muted – please send your comments and questions via the WebEx chat function
We’ll be running a simple poll a bit later
Let us know if you think this format works – we do, especially for large numbers of people
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
Next webinar focused on Providers is 7th 2pm.
Send your comments to :

3. Why do we need ECDS? Apologies for using C word
To understand why we are in our current situation, you have to understand what our world was like 40 years ago
‘Casualty’ = sprained ankles, occasional major trauma – data set ok for this
Using data set designed more than 30 years ago,
work has changed completely, data set hasn’t, still looks like we are seeing sprained ankles. Trauma centre = really bad sprains

4. Health Select Committee: ‘flying blind’
In 2013 the Health Select Committee said Emergency Care was ‘flying blind’ – were they right?
Let’s look at why people come to Emergency
These graphs of NHS data from 2013 shows that only 5% of all patients have any sort of believable reason they turned up
What was actually wrong with these patients – what was their diagnosis?
For a start, 40% - nearly half did not have a diagnosis filled in at all!
Then of that 60% that a diagnosis was filled in, a nearly half of these were either vague ‘unspecified’ diagnoses OR symptoms e.g. back pain, leg pain
And even then, nearly 2% of pregnancy related problems occur in men, if you believe current data, so it is possible that data quality in this area may not be perfect.
So yes – we are flying blind and while we know what the problems are, unless we can collect better data to show the people with the resources to fix it what is wrong, we will continue to go round in circles.

5. ECDS main changes Tidy existing data items
Chief complaint
Acuity
Diagnosis
Discharge details
Injury data – new - clerical collection
Data collection (weekly >> daily)
Not asking you to collect more data
Tidying up what is there so that everyone collects the same things in the same way.
Injury only new data

6. Benefits
Clinical - patient / GP patient should receive copy of GP letter Research / audit Commissioners / understanding casemix Better / smarter payment mechanisms IMPLEMENT BY OCTOBER 2017
GP letter standardised

7. Type 1 & Type 2 Emergency Departments (approx. 190 sites)
Scope of Deployment
In scope
Timescale
Type 1 & Type 2 Emergency Departments (approx. 190 sites)
From October 2017 (early adopters sooner)
Type 3 & 4 Emergency Departments & UCC’s (approx. 240 sites)
Any time from October 2017, must complete by Oct 2018
Out of scope currently: Ambulatory Emergency Care (AEC)

8. Key points about ECDS implementation
The target for all Type 1 and Type 2 ED’s (major A&Es) to collect the ECDS from 1 October 2017 and make the first return by 9 October.
Advanced notification of ISN – 25th Jan 2017.
ISN to be published – April 2017.
Type 3 and Type 4 ED’s don’t have to go live at the same time as Type 1 or 2 ED’s.
Data should flow at least weekly from October 2017, then daily from April 2018 or sooner.
Daily means recent data covering at least the previous 24 hours.
BULK and NET will still be permitted – but frequent, large BULK files will be limited.
Data should improve as time passes – doesn’t have to be perfect for yesterday, but should be good after a week.
Very recent data won’t be used for Tariff – there will be at least a month to get data right.
Incentivisation is provided by the 2017/2019 CQUIN scheme (see target 8a).
ECDS will introduce a new CDS Type – CDS Type 011 ECDS.
There will be a new CDS schema 6.2.1, headers and trailers – draft XSD file released in Feb 2017.
ECDS will flow into SUS+ via MESH – so it will flow in a different way to the rest of CDS6.2.
CDS Type 010 A&E will remain active until at least 2019 to allow for cut-over of all ED’s.
ECDS will introduce SNOMED for the first time, allowing some code sets to evolve.
Validation will be more sophisticated than provided by the current system (EDT etc.).
HRGs / Tariff and mapping
ECDS timescales and the Community data set

10. In summary: we want your feedback
How many of your ED’s do you think you could have up and running for October 2017?
Assume for now that your IT suppliers are ready, willing and able
On the next call we expect to have more detail about the early adopters scheme
Consider: how much can be done with configuration
Tell us what’s driving your timescales and what could potentially be done to help if necessary
Discussions with your IT suppliers about ISN timeframes?
Let us know who we might need to influence in your organisation
Practicalities of system deployment / staff support / training
What can we provide nationally that will help the 200 trusts to implement it?
2. We are looking to identify early adopter sites which would start collecting ECDS locally from early August 2017, and make first submissions during September.
Come back to us if you’re interested in the ECDS early adopters scheme
You will have to contract for development to complete before the end of July 2017 to allow deployment as early as possible
3. Are there any particularly difficult parts of the spec you’re struggling with?
4. Do you see any differing issues for Type 3 and 4 departments?
5. Have you been discussing this with your suppliers already?
Send your comments to :

11. Next webinar focused on Providers is 7th March @ 2pm.
Future webinars….
We plan to hold a webinar every 2-3 weeks
We’ll enable “PC Audio” in future (thanks for the feedback)
They’re totally open – invite anyone you want
Future topics will include:
A focus on the early adopters scheme
The CQUIN scheme
Implementation support – materials that will be available
ECDS and the Tariff system
Benefits case studies
Let us know anything particular you’d like us to cover again or in more detail
A final point about the Emergency Care to GP Discharge Summary
Next webinar focused on Providers is 7th 2pm.
Send your comments to :