1. Data tools to support the RCSEng Right Care Commissioning Guidance

2. Copyright 2014 Right Care Simon Swift Methods Director of Insight Analytics Commissioning for Value Data tools to support the RCSEng Right Care Commissioning Guidance Online Learning Series Right Care for Populations

3. Our role Created and maintaining web tools and technical documents Working with each GDG to: Understand scope of guidance Agreeing procedures Creating hierarchy Drafting technical definition Creating draft data Review Finalise Publish

4. Mantra Data Information Actionable Knowledge Actionable Knowledge Change Analysis Interpretation Decision Evidence

5. Are you different? Do you know why? What does it mean? Are you comfortable being different? Approach: Questioning variation

6. Bullet charts Spine charts for the indicators have been created using statistical process control (SPC) principles and use control limits to indicate variation from the national mean, suing standard deviation (SD)

7. SPC sparklines i ncrease the amount of relevant information presented contain national mean, variation and trend over time The full technical guidance is available on the web page: Methodology

8. Interpretation A value that lies outside of the two SD (95%) control limits can be considered as an ‘alert’. Values that lie outside 3SD (99.8%) can be viewed as ‘alarms’. A dashboard is the tin opener for a conversation, it is not a test. The data is the starting point and should not be arbitrarily used for performance management without local interpretation.

9. The data is wrong DENIAL It does not apply to me ANGER I will get the correct data BARGAINING There is nothing I can do about it DEPRESSION Acceptance and action RESOLUTION Adapted from Elisabeth Kübler-Ross 5 stage model (Though more modern grief theories such as that of John Bowlby described as ‘ebb and flow of processes such as shock and numbness, yearning and searching, disorganization and despair, and reorganization’ have some attraction) The five stages of grief

10. DATA TOOLS

11. Dashboards Purpose – Initial view by CCG of a core set of activity and output measures for each group in the guidance hierarchy Structure – Standard layout using SPC rules showing value, mean, national control limits and trend Accessibility – Public http://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools

12. Procedures Explorer Tool Purpose – Enable users to interact with the data to ask questions and understand both commissioner and provider variation Structure – Standard tool for all guidance sets, with the same metrics as dashboards Variation view Commissioner view Provider view Accessibility – Public http://www.rcseng.ac.uk/providers-commissioners/nscc/data-tools

13. 13 Online Learning Series Right Care for Populations Follow Right Care online Subscribe to get a weekly digest of our blog alerts in your inbox, Receive occasional eBulletins Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre Commissioning Guidance and Tools on RCS website http://www.rcseng.ac.uk/healthcare-bodies/nscc