1. Nailing down the numbers: whole system mapping for health and social care integration Carolyn Hunter-Rowe NHS Highland Jenny Bruce, Lindsay Grainger NHS Dumfries and Galloway

2. The Plan Background D&G approach Methods Whole system maps Next Steps

3. “Information and intelligence plays a vital role in producing high quality care outcomes for citizens and for effective and efficient decision making across health and social care services.” National Information and Intelligence Framework for Health and Social Care for Scotland: 2012-17 Background

4. Health and Social Care Integration Joint strategic plans: Past, current and future resource use Plan nature, range and quality of future services Link investment to outcomes Joint data for decision making

5. Whole System Mapping in D&G High level overview pre-integration Map patient flows across health & social care system Explore regional variations in services Examine resource use across specific pathways Identify information gaps

6. Setting – D&G

7. Services in Scope General practice Emergency care Acute services Tertiary services Maternity Community care Social care Mental Health

8. Methods Multiple routine administrative data 2012/13 and 2013/14 financial years ‘Best fit’ data sources Patient level - aggregate - cost book Service contacts Flows within & between services Regional and locality estimates

11. Challenges Nailing down the numbers Significant data gaps  GP data  Care in the community  Social care Referral sources and outcomes Data linkage Timeliness

12. Further Work Integration datasets  care at home  care homes  third and independent sector Mapping pathways  End of life care  Complex discharges Integrated Resource Framework ‘Qlikview’

13. Conclusions Comprehensive approach to mapping health and social care pathways Baseline pre integration Using whole system maps to inform commissioning and service planning Need to address significant data gaps at local and national level a

14. Acknowledgements: Jenny Bruce, Lindsay Grainger Health Intelligence Unit NHS Dumfries and Galloway Carolyn Hunter-Rowe Service Planning Department NHS Highland c.hunterrowe@nhs.net Further Information: