1. Emergency Care Data Set (ECDS)
Commissioner Show and Tell No.3, 23 June 2017
Peter Sherratt, ECDS implementation lead (NHS Digital)
Tom Hughes, ECDS lead clinician (Royal College of Emergency Medicine)
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 Next webinar focused on Commissioners is 21st July
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 QA document
Most people will be muted – please send your comments and questions via the WebEx chat function to Peter Sherratt (host)
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
All these documents are now available on the ECDS web page (
Next webinar focused on Commissioners is 21st July
Send your comments to :

3. On this afternoon’s call we will be covering:
“ECDS champions” scheme
Benefits for commissioners
CQUIN reminder
Quick progress update:
The ECDS web page has been updated to hold:
User Guidance (primarily for ED users)
FAQs (useful for all)
Technical user guidance (primarily for provider informatics / info management)
CQUIN guidance v1.2 (mainly for providers and commissioners)
ECDS to A&E CDS 010 mappings
Webinar docs:
Links to recordings
PPT files (slides)
QA sessions

4. ECDS Champions scheme
Presented by Peter Sherratt

5. ECDS Champions Scheme
Champions will be responsible for supporting up to 20 EDs in their region:
This will include:
• A site visit
• Assess site progress
• Helping medical, nursing and clerical staff ensure a smooth implementation.
• Working with clinicians and other ECDS Regional Champions to solve practical problems and share best practice.
• Presence at go-live.
• ECDS Regional Champions will receive training and support for their role.
How to apply:
For informal enquiries and to find out more about ECDS and the role, please contact EDCS Clinical Lead Tom Hughes.
To express interest in one of the ECDS Regional Champion posts, please contact RCEM Quality Manager Sam McIntyre by 14 July Please ensure your personal statement covers your relevant experience and how you meet the person specification

6. “Nobody knew healthcare was so complicated”
Tom Hughes MSc MBA MRCP FRCS FRCEM
Consultant in EM
Clinical Lead ECDS

7. What do we need to comission?
We start with a quote from the most profound philosophers and health economists of our age
But it’s true
What does good quality look like

8. We don’t know what good looks like
5 years ago

9. We don’t know what good looks like
‘inappropriate’ patients in ED
‘Breach analysis’
Everyone can do ED’s job better than we can

10. Why do patients come to ED? What is their diagnosis?

12. Flying Blind No good evidence = no certainty
We cannot agree model of service

13. Where is the value? Low value Medium value High value
Fever post vaccination
Cut to forehead
Cough in recent migrant
Ulcer on foot
Medium value
Greenstick fracture
Pubic ramus fracture
High value
Displaced fracture
Arrhythmia
Multi-trauma

14. ED as gatekeeper to acute care

15. CQUIN reminder
Presented by Peter Sherratt

16. The ECDS part of the 2017-19 CQUIN
Intro
Incentivisation for the ECDS is provided by the 2017/2019 CQUIN scheme (see target 8a).
CQUIN Part 1 (Q1 17/18) (demonstrable & credible plans)
Plans should be submitted by the end of June (next week)
Have any trusts shared their plans?
The CQUIN guidance document contains a model plan template

17. A few final points…. DSCRO readiness
Have you received a project plan from a trust? Can you share high level dates so we can plan deployment resources?

18. Future webinars…. Next webinar focused on Commissioners is 21st July
We plan to hold a commissioner webinar roughly every 4 weeks
They’re totally open – invite anyone
Future topics will include:
A focus on the early adopters scheme
Implementation support – materials
Performance management / SitRep / 4 hour
Benefits case studies / lessons learned
Let us know anything particular you’d like us to cover again or in more detail
Next webinar focused on Commissioners is 21st July
Send your comments to :