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Suppliers Forum Dave Roberts – Programme Head non-acute care
Content • General Practice Extraction Service (GPES) • Mental Health update • Primary Care Prescribing Data • Social Care update
General Practice Extraction Service (GPES) The NHS Information Centre for health and social care, in collaboration with NHS Connecting For Health, are discussing the possibility of procuring a centrally managed data extraction service from GP practices in England. We are expecting an announcement to be made in the next few weeks following ministerial approval.
History of MHMDS • Created to monitor the implementation of the Mental Health National Service Framework • First submissions 2003/04 • Raw data is received from mental health trusts and ‘assembled’ to produce longitudinal records for each patient incorporating all care settings • Submitted quarterly and annually • Each submission is ‘assembled’ so annual does not equal the sum of quarterlies
Current position • Producing the MHMDS through the Secondary Uses Service: • Implementation started in late 2006 • Initial issues with the data schema • Further issues with data flowing to SUS • Problems in testing – loading and extraction • All data collected so there will be no gaps • Information Centre Mental Health team created in September 2007 • Publication including all historic data is due in the first half of this year
Future • Review of all Mental Health information – April to September 2008 (via website) • Independent sector submissions to support standard contract • Team expanding to support changes
Primary Care Prescribing Data • Most common NHS intervention- last year: • 750 million items dispensed • Cost over £8b • Position for 07/08: • 1% growth in cost over 06/07 • 6% growth in items over 06/07
National top 5 BNF sections by cost, April – December 2007 % nat total: % of national drug costs % growth: growth over the same period last year
Practice level prescribing data • Currently provided, via PPD • To NHS via password protection • Both raw and contextualised • Soon: NHS comparators • - Practice items monthly on PPD website • Other practice level data from IC • QOF publicly available • HES via controlled access
Review and consultation • Currently: • We have conducted a review, with the BSA and the DH of the current situation concerning the release of prescribing data • We have produced a data sharing agreement that covers all three organisations • We have produced a consultation document outlining future proposals which will be on the NHS Information Centre website shortly
Options for consideration • We are NOT recommending at this time the public release of practice level prescribing data: • Data Protection Act, Exemptions from FOI Act and DH Policy • We are proposing to publish PCT level prescribing data: • On request, published on the NHS IC website • We are proposing to publish practice level data for specific NHS purposes through an appropriate approval process and strict re-use policy • Require consultation, Board for approval
Stakeholders • Stakeholders include: • DH, PPD, NHS organisations • Pharmacy related organisations (PSNC, CCA, RPSGB,) • Medical related organisations (BMA, RCGP, DDA) • Nursing related organisations (RCN) • Employers: NHS Confederation • Patient related organisations (Long term Conditions Alliance, Patients Association) • The Information Commissioner
Improving and developing social care • Review of The NHS Information Centre’s national social care Collections and Publications • Development of a social care National Adult Social Care Intelligence Service (NASCIS) • Development of social care standards • Integrated services for older people • Strategic Planning report
Review of collections and publications • The new National Indicator Set (NIS) replaces all previously required local government performance indicators/targets from 1st April 2008 (major part of ‘reducing the burden’) • All twelve of the current IC collections (and publications) reviewed, line by line. • A red/amber/green approach adopted: • - Red indicating those collections and data items which • might cease (subject to specific and • separate consultation) • - Amber indicating those data items that • could/should be retained • - Green indicating those data items which • directly support/feed into the new NIS • The IC consulted on these proposals Jan-Feb 2008 • Next steps – IC report on outcome of consultation by end of April NB. The IC will collect (and publish) 2007/08 returns during 2008/09.
Development of a social care National Adult Social Care Intelligence Service (NASCIS) • NASCIS Information and Intelligence will: • Be more reliable/transparent at source • Become more timely/available on line • Have added value to knowledge
Development of social care standards • The NHS IC has conducted a feasibility study into developing social care information standards. This links to the agreement to extend remit of Information Standards Board (ISB) to cover social care information • Feasibility study looked at: • A review of existing information standards • Examination of the current information standards development process and to what extent it could be applied to Social Care • A review of information governance and assurance process that may support or hinder the development of information standards for Social Care. • Recommendations were: • The development process currently used for information standards relating to health care can be readily applied to the development of information standards for social care. • The NHS Information Centre is well placed to develop information standards for social care
Integrated services for older people • Objectives are to produce: • An integrated health and social care publication presenting information on older people • A wider toolkit, encompassing a range of information products • Work to date: • Internal report on Falls including case studies to clarify cost of falls and ways information is used in the local health economy • Analysis of data existing within IC on falls and identified gaps • Next steps: • Publish Older People’s publication on falls • Develop similar publications in other areas like dementia and intermediate care
Strategic Planning report • Objective is to; • produce a publication proposing the strategic direction of the NHS IC’s social care work in light of current developments in social care information needs and possibilities • Based on: • Outcome of the review of collections and publications • Proposals to develop NASCIS • Next steps: • Produce publication by end of April