community information data set user group for providers and suppliers 24 th may 2013 1

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Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

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Page 1: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

1

Community Information Data SetUser GroupFor Providers and Suppliers

24th May 2013

Page 2: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

2

Welcome and Introductions

Morning Session

Presented byNicholas Richman

Page 3: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Agenda

AM – Community

• General Update & Principles Behind Data Set Design – Nicholas Richman

• Community Information Data Set (CIDS) – Nicholas Richman

• CIDS Reporting – Tony Childs

• Lunch

PM – Children and Young Person’s Health Services (CYPHS)

• General Update & Principles Behind Data Set Design – Nicholas Richman

• CYPHS Data Set Overview & Changes – Nicholas Richman

• CYPHS Data Set Reporting – Paul Niblett

Page 4: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

4

General Update & Principles Behind Data Set Design

Presented byNicholas Richman

Page 5: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

New Role of HSCIC

• One of five surviving Arms Length Bodies – NHS England, NICE, MONITOR, CQC

• Previous roles of NHS IC plus central CfH (plus some SHA) = New HSCIC

• National safe haven

• National data repository

• Data Quality

• Data linkage – Acute inpatients, A&E, Mental Health, IAPT

• New data sets in 2013/14 – CAMHS, Maternity, CYPHS

• New data sets in 2014/15 – Community (CIDS)

Page 6: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Principles Behind Data Set Design

• Collect once, extract once

• Linked data, CDS and others?

• Move to care.data platform

• Reporting across multiple care settings

Page 7: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

7

Community Information Data Set (CIDS)

Presented byNicholas Richman

Page 8: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

CIDS – Current Version

Page 9: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

CIDS – New VersionCID001 Person

PK Local Patient Identifier

Organisation Code (Local Patient Identifier) NHS Number NHS Number Status Indicator Code Person Birth Date Person Death Date Postcode of Usual Address Person Gender Code Current Ethnic Category Language Code (Preferred) Death Location Type (Preferred) Death Location Type (Actual)

CID002 GP Practice Registration

FK1 Local Patient Identifier General Medical Practice Code (Patient Registration) Start Date (GMP Patient Registration) End Date (GMP Patient Registration) Organisation Code (Code of Commissioner)*

Patient Demographic Details

Referral Details

Referral To Treatment (RTT) Details

Contact Details

COLOUR KEY

CID101 Service Referral

PK Service Request Identifier

FK1 Local Patient Identifier Referral Request Received Date Referral Request Received Time NHS Service Agreement Line Number Organisation Code (Code of Commissioner) Service Type Referred To (Community Care) Source of Referral for Community Referring Organisation Code Referring Care Professional Staff Group (Community Care) Priority Type Code Primary Reason for Referral (Community Care) Referral Closure Date (Community Care) Referral Closure Reason (Community Care) Discharge Date (Community Health Service) Discharge Letter Issued Date (Community Care)

CID103 Care Contact Activity

PK Community Care Contact Identifier

FK1 Service Request Identifier Care Contact Date Care Contact Time Organisation Code (Code of Commissioner) Administrative Category Code Clinical Contact Duration of Care Contact Care Contact Type (Community Care) Care Contact Subject Consultation Medium Used Activity Location Type Code Site Code (of Treatment) Attended or Did Not Attend Code Care Professional Staff Group (Community Care) Earliest Reasonable Offer Date Earliest Clinically Appropriate Date Care Contact Cancellation Date Care Contact Cancellation Reason Replacement Appointment Booked Date (Community Care) Replacement Appointment Date Offered (Community Care)

*

CID104 Activities

FK1 Community Care Contact Identifier Community Care Activity Type Code Group Therapy Indicator (Community Care) Clinical Contact Duration of Care Activity

*

CID106 Group Session

PK Group Session Identifier (Community Care)

Group Session Date Organisation Code (Code of Commissioner) Clinical Contact Duration of Group Session Group Session Type Code (Community Care) Number of Group Session Participants (Community Care) Activity Location Type Code Site Code (Of Treatment) Care Professional Staff Group (Community Care)

CID102 Other Reason For Referral

FK1 Service Request Identifier Other Reason for Referral (Community Care)

*

CID105 Referral To Treatment

FK1 Service Request IdentifierFK2 Community Care Contact Identifier Unique Booking Reference Number (Converted) Patient Pathway Identifier Organisation Code (Patient Pathway Identifier Issuer) Waiting Time Measurement Type Referral To Treatment Period Start Date Referral To Treatment Period End Date Referral To Treatment Period Status

*

*

Group Session Details

1..*

Page 10: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

General Update

• New ISN is being developed that will include:– Additional data items– Removal of some data items where they can be derived – Additional data values to support provider mapping– Updated definition of Community Services– Updated AHP RTT guidance

• Community Currencies/Payment by Results development underway

• Submission format is still XML although the flow will be directly to HSCIC not BT SUS. Updated XML schema will be published with ISN

Page 11: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

New Data Items

• Primary and Foreign Keys

• File header included in specification

• Service Referral

– NHS Service Agreement Line Number

• Care Contact Activity– Administrative Category Code

Page 12: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

New Data Values

• Service Referral– Service Type Referred To

– Source of Referral for Community

– Referring Care Professional Staff Group

– Primary Reason For Referral + Other

• Care Contact Activity

– Activity Location Type Code

– Care Professional Staff Group

Page 13: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Defining Community Services

• Old definition referred to services funded through the community contract

• Community contract replaced by standard NHS Contract in April 2012

• Services cannot be defined by what they aren’t

• Maintaining the ‘status quo’ is the objective

Page 14: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Updated Definition for Community Services

• “All services defined in ‘Service Type Referred To’ that are delivered by Community Care Professionals in community premises are classified as Community Services. Community Services that are funded and/or provided by the NHS are required to include their clinical activity in the Community Information Data Set.”

Page 15: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

AHP RTT

• Update to AHP RTT definition and guidance to bring in line with AHP RTT definition in Commissioning Data Set (CDS) v6.2

• CDS AHP RTT data started flowing in April 2013

• CDS AHP RTT data will be extracted and combined with CIDS data centrally

• AHP RTT data will also be captured in MHMDS, CAMHS and CYPHS

Page 16: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (1 of 3)

• Submission format is XML. HSCIC looking to provide tools

and guidance in order to support this

• XML schema to be published along with the Information

Standards Notice

• Submission sent directly to HSCIC via a web based portal.

Possibly SSD (Exeter) which is used for MHMDS and

CAMHS

• XML accreditation will not be required

• Reporting period is one month

• Submission window is two months long and opens as soon

as the reporting period ends

Page 17: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (2 of 3)

• Submission window will overlap for subsequent reporting periods

• Submission files can be submitted multiple times during the submission

window

• Data quality reports will be generated and made available after each

submission

• Once the submission window is closed there will not be a further

opportunity to submit data for that reporting period

  Apr May Jun Jul Aug SepReporting Period            

April Submission Window          

May Submission Window          

June Submission Window          

July Submission Window          

Page 18: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (3 of 3)

• Data is required to start flowing for a patient when their referral is

received by a Community Service, which includes new birth notifications

• Data stops flowing once the patient/baby has been discharged from

service

• All submissions have to include an entry in the CID001 ‘Patient’ table and

the CID101 ‘Service Referral’ table. Other conditions also apply and are

detailed in the output specification

• First submission must include all referral and activity data for referrals

received in March 2014 or after. Data for referrals that are ‘open’ in April

2014 must also be included but only the initial contact and referral data is

required. Follow-up contacts prior to April 2014 can be excluded

Page 19: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Timescales

• Information Standards Notice (ISN) updating the local collection is planned to be going to the Information Standards Board for approval in September 2013. For publication early October 2013

• Additional ISN mandating the central flow aiming for publication in Summer 2014

• Voluntary submissions were planned to be available from November 2013 now not possible

• Mandation of central flow aiming for end of 2014

Page 20: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Any questions?

Page 21: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

21

CIDS Reporting

Presented byTony Childs

Page 22: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Background

1. Me & role

2. Examples

3. Questions – what do you want?

• Business Case

• Appendix F – Quality Benefits Assessment14

• Outputs – audience

Page 23: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Role

Section Head for CIDS

“Community Services represent 10% of the National Health Service annual spend, a total yearly investment of approximately £11 billion, yet a common understanding of the Community landscape – vital if the goals outlined by the government are to be realised. The key to meeting the goals and continuing to improve Community Services is the availability of information in the form of locally and nationally comparable data, informing commissioning decisions and management of services.”

Page 24: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Local Level Information

Accident and Emergency (HES)http://www.hscic.gov.uk/article/2021/Website-Search?productid=10477&q=a%26E+HES&sort=Relevance&size=10&page=1&area=both#top

Innovation Scorecardhttp://www.hscic.gov.uk/article/2021/Website Search?productid=10385&q=innovation+scorecard&sort=Relevance&size=10&page=1&area=both#top

Page 25: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Data Quality

Number of A&E attendances

PercentageNumber of A&E

attendancesPercentage

Other 10,661,588 65.6% 11,824,739 67.1%

Other accident 3,913,915 24.1% 3,911,951 22.2%

Not known 763,110 4.7% 883,275 5.0%

Sports injury 352,899 2.2% 400,822 2.3%

Road traffic accident 245,913 1.5% 278,321 1.6%

Assault 186,276 1.1% 186,060 1.1%

Deliberate self-harm 112,669 0.7% 118,935 0.7%

Firework injury 6,173 0.0% 13,130 0.1%

Brought in dead 2,391 0.0% 2,475 0.0%

Total 16,244,934 17,619,708

2010-11 2011-12

Page 26: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Data Quality

Page 27: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Data Quality

Page 28: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Quality Benefits Assessment

• Ability to benchmark across services• Commissioning according to demand• Availability of data on local patient requirements (complexity and number)• Ability to monitor service uptake by age, ethnicity, disability• Provides ability to monitor improvements/areas of concern in Community

outcomes• Provides ability to monitor levels of service and outcomes related to the

safeguarding of children and vulnerable adults in the Community• Provides the ability to monitor the management of routine care (e.g. asthma,

or gestational diabetes in pregnancy) towards improving outcomes and reducing unnecessary/emergency admissions from Community care

• Increased ability to focus national Community services through targeted commissioning

Page 29: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Quality Benefits Assessment (cont)

• Provides clear pathway to national aggregated data within acceptable timelines

(investment objective)

• Provides the ability to inform development of professional guidelines (e.g.

NICE) through the widespread aggregation of detailed clinical information

• Provides the ability to contribute to national research and government studies

through widespread aggregation of detailed clinical information

• Provides full support for monitoring of Community policy and spend

• Provides full support for key ambitions and commitments identified in

Government policy ('The Coalition: our programme for government')

• Provides ability to monitor provision of 'early intervention' which has been

proven to improve patient outcomes/care

• Solutions tailored according to local needs and providing local support rather

than central-focused

• Fully compatible with existing strategic approaches

• Leverages existing infrastructure for maximum reuse and efficiency

Page 30: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

What would you like?

Page 31: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

31

Lunch

Page 32: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

32

CYPHS Data SetUser GroupFor Providers and Suppliers

9th May 2013

Page 33: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

33

Welcome and Introductions

Afternoon Session

Presented byNicholas Richman

Page 34: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Agenda

AM – Community

• General Update & Principles Behind Data Set Design – Nicholas Richman

• Community Information Data Set (CIDS) – Nicholas Richman

• CIDS Reporting – Tony Childs

• Lunch

PM – Children and Young Person’s Health Services (CYPHS)

• General Update & Principles Behind Data Set Design – Nicholas Richman

• CYPHS Data Set Overview & Changes – Nicholas Richman

• CYPHS Data Set Reporting – Paul Niblett

Page 35: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

35

General Update & Principles Behind Data Set Design

Presented byNicholas Richman

Page 36: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

New Role of HSCIC

• One of five surviving Arms Length Bodies – NHS England, NICE, MONITOR, CQC

• Previous roles of NHS IC plus central CfH (plus some SHA) = New HSCIC

• National safe haven

• National data repository

• Data Quality

• Data linkage – Acute inpatients, A&E, Mental Health, IAPT

• New data sets in 2013/14 – CAMHS, Maternity, CYPHS

• New data sets in 2014/15 – Community (CIDS)

Page 37: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Principles Behind Data Set Design

• Collect once, extract once

• Linked data, CDS and others?

• Move to care.data platform

• Reporting across multiple care settings

Page 38: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

38

Children & Young Person’s Health Services (CYPHS) Data Set

Presented byNicholas Richman

Page 39: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

CYPHS Data Set – Current Version

CYP001 Demographics

PK NHS Number

Local Patient Identifier NHS Number (Status Indicator) Sex (At Birth) Organisation Code (Local Patient Identifier) Date of Birth Postcode (Main Permanent Residence) Organisation Code (PCT of Main Permanent Residence) Language Name Ethnicity

CYP002 Child's Death Details

FK1 NHS Number Date and Time of Death

CYP003 GP Practice Registrations

FK1 NHS Number Registered GP Practice Start Date (Registered GP Practice) End Date (Registered GP Practice) Organisation Code (PCT of GP Practice)

CYP101 Accommodation Types

FK1 NHS Number Effective Date Accommodation Type

CYP102 Looked After Child

FK1 NHS Number Effective Date Looked After Child Indicator

CYP103 Educational Assessment Outcomes

FK1 NHS Number Date of Educational Assessment Educational Assessment Outcome Special Educational Need Type

CYP104 Educational Assessment Special Needs Identified

FK1 NHS Number Date of Educational Assessment Special Educational Need Type

CYP105 Child Protection Plans

FK1 NHS Number Child Protection Plan Reason Child Protection Plan Indicator - Date Placed on Plan Child Protection Plan - Date Removed from Plan

CYP106 Safeguarding Vulnerability Indicator

FK1 NHS Number Effective Date Safeguarding Vulnerability Factors Indicator

CYP107 Safeguarding Vulnerability Factors

FK1 NHS Number Effective Date Type of Safeguarding Vulnerability Factor

CYP301 Main Carer

FK1 NHS Number Effective Date Relationship (Main Carer)

CYP302 Mother's NHS Number

FK1 NHS Number NHS Number (Mother) NHS Number Status Indicator (Mother)

CYP401 Breastfeeding Status

FK1 NHS Number Observation Date (Breastfeeding Status) Breastfeeding Status

CYP501 Care Activity

FK1 NHS Number Referral Received Date Care Activity Date Care Contact Type Care Contact Service Type Consultation Medium Used Organisation Code Site Code Location Type Location Postcode Attended or Did Not Attend Care Activity Child Not Brought Follow Up Indicator Outcome of Attendance Interpreter Required Indicator

CYP502 Immunisations

FK1 NHS Number Care Activity (Immunisation) Care Activity (Immunisation Date) Care Activity (Immunisation Organisation Code)

CYP503 Newborn Hearing Screening Audiology Referrals

FK1 NHS Number Referral Date (Newborn Hearing Audiology Referral) Screening Outcome Newborn Hearing Screening Newborn Hearing Audiology Testing Outcome

CYP504 6-8 Week Physical Examination

FK1 NHS Number Screening Date (6-8 Wk Physical Examination) Gestational Age at 6-8 Week Physical Examination 6-8 Week Physical Examination (Hips) 6-8 Week Physical Examination (Heart) 6-8 Week Physical Examination (Eyes) 6-8 Week Physical Examination (Testes) 6-8 Week (Feed Type)

CYP505 Urgent Care Activities

FK1 NHS Number Date and Time Urgent Care Service Accessed Urgent Care Service Accessed Type of Incident Type of Injury

CYP506 Blood Spot Results

FK1 NHS Number Test Date Blood Spot Result (PKU) Blood Spot Result (SCD) Blood Spot Result (CF) Blood Spot Result (CHT) Blood Spot Result (MCADD)

CYP601 Inpatient Admissions

PK Hospital Provider Spell Number

FK1 NHS Number Organisation Code (Hospital Admission) Admission Date Admission Time

CYP602 Inpatient Discharges (Primary Diagnosis)

NHS Number Organisation Code (Hospital Admission)FK1 Hospital Provider Spell Number Inpatient Discharge Date Primary Diagnosis (ICD)

CYP603 Inpatient Discharges (Secondary Diagnosis)

NHS Number Organisation Code (Hospital Admission)FK1 Hospital Provider Spell Number Secondary Diagnosis (ICD)

CYP604 Care Procedures

NHS NumberFK1 Hospital Provider Spell Number Date of Procedure Procedure Code

CYP701 Observations

FK1 NHS Number Observation Date Time Observation (Weight) Observation (Height) Observation (BMI)

All Services

Community Services

Primary Care Services

Acute Services

Community and Primary Care Services

COLOUR KEY

Page 40: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

CYPHS Data Set – New Version

CYP001 Master Patient Index and Risk Indicators

PK Local Patient Identifier

Organisation Code (Local Patient Identifier) Organisation Code (Residence Responsibility) NHS Number NHS Number Status Indicator Code Person Birth Date Person Death Date Postcode of Usual Address Person Gender Code Current Ethnic Category Preferred Communication Language Organisation Code (Residence Responsibility) Death Location Type (Preferred) Death Location Type (Actual) Looked After Child Indicator Safeguarding Vulnerability Factors Indicator Educational Assessment Outcome (Children and Young People's Health Services)

CYP003 GP Practice Registration

FK1 Local Patient Identifier General Medical Practice Code (Patient Registration) Start Date (GMP Patient Registration) End Date (GMP Patient Registration) Organisation Code (Code of Commissioner)

CYP203 Accommodation Type

FK1 Local Patient Identifier Accommodation Status Code Accommodation Status Date

CYP301 Special Educational Need Identified

FK1 Local Patient Identifier Special Educational Need Type

CYP303 Child Protection Plan

FK1 Local Patient Identifier Child Protection Plan Reason Code Care Plan Start Date (Child Protection Plan) Care Plan End Date (Child Protection Plan)

CYP302 Safeguarding Vulnerability Factor

FK1 Local Patient Identifier Safeguarding Vulnerability Factor Type

CYP201 Main Carer

FK1 Local Patient Identifier Person Relationship (Main Carer)

CYP202 Mother's NHS Number

FK1 Local Patient Identifier NHS Number (Mother) NHS Number Status Indicator Code (Mother)

CYP405 Breastfeeding Status

FK1 Local Patient Identifier Breastfeeding Status Observation Date (Breastfeeding Status)

CYP501 Immunisation

FK1 Local Patient Identifier Childhood Immunisation Type Immunisation Date Organisation Code (Immunisation Responsible Organisation)

CYP403 Newborn Hearing Screening Audiology Referral

FK1 Local Patient Identifier Service Request Date (Newborn Hearing Audiology) Newborn Hearing Screening Outcome Newborn Hearing Audiology Outcome

CYP404 6-8 Week Physical Examination

FK1 Local Patient Identifier Screening Date (6 - 8 Week Physical Examination) Gestation Length (at 6 - 8 Week Physical Examination) 6 - 8 Week Physical Examination Result (Hips) 6 - 8 Week Physical Examination Result (Heart) 6 - 8 Week Physical Examination Result (Eyes) 6 - 8 Week Physical Examination Result (Testes) Breastfeeding Status (6 - 8 Week)

CYP402 Blood Spot Result

FK1 Local Patient Identifier Blood Spot Card Completion Date Newborn Blood Spot Test Outcome Status Code (PKU) Newborn Blood Spot Test Outcome Status Code (SCD) Newborn Blood Spot Test Outcome Status Code (CF) Newborn Blood Spot Test Outcome Status Code (CHT) Newborn Blood Spot Test Outcome Status Code (MCADD)

CYP401 Observation

FK1 Local Patient Identifier Person Observation Date and Time Person Weight Person Height in Metres Length In Centimetres (Baby) *TBC*

*

*

*

*

*

*

*

*

*

*

*

Patient Demographics

Tests and Observations

Social Circumstances

Immunisations

COLOUR KEY

CYP101 Service Referral

PK Service Request Identifier

Local Patient Identifier Referral Request Received Date Referral Request Received Time NHS Service Agreement Line Number Organisation Code (Code of Commissioner) Service Type Referred To (Community Care) Source of Referral for Community Referring Organisation Code Referring Care Professional Staff Group (Community Care) Priority Type Code Primary Reason for Referral (Community Care) Referral Closure Date (Community Care) Referral Closure Reason (Community Care) Discharge Date (Community Health Service) Discharge Letter Issued Date (Community Care)

CYP103 Care Contact

PK Community Care Contact Identifier

FK1 Service Request Identifier Care Contact Date Care Contact Time Clinical Contact Duration of Care Contact Care Contact Type (Community Care) Care Contact Subject Consultation Medium Used Activity Location Type Code Site Code (Of Treatment) Attended or Did Not Attend Code Care Professional Staff Group (Community Care) Earliest Reasonable Offer Date Earliest Clinically Appropriate Date Care Contact Cancellation Date Care Contact Cancellation Reason Replacement Appointment Booked Date (Community Care) Replacement Appointment Date Offered (Community Care)

*

CYP104 Activity

FK1 Community Care Contact Identifier Community Care Activity Type Code Group Therapy Indicator (Community Care) Clinical Contact Duration of Care Activity*

CYP106 Group Session

PK Group Session Identifier (Community Care)

Group Session Date Organisation Code (Code of Commissioner) Clinical Contact Duration of Group Session Group Session Type Code (Community Care) Number of Group Session Participants (Community Care) Activity Location Type Code Site Code (Of Treatment) Care Professional Staff Group (Community Care)

CYP102 Other Reason For Referral

FK1 Service Request Identifier Other Reason for Referral (Community Care)

* CYP105 Referral To Treatment

FK1 Service Request IdentifierFK2 Community Care Contact Identifier Unique Booking Reference Number (Converted) Patient Pathway Identifier Organisation Code (Patient Pathway Identifier Issuer) Waiting Time Measurement Type Referral To Treatment Period Start Date Referral To Treatment Period End Date Referral To Treatment Period Status

*

*

Referral

* *

1..*

FK1

CYPHS INPATIENT STAYS & URGENT CARE

CDS ITEMS NOT FOR DATA FLOW WILL BE LINKED TO THE CYPHS DATA BY THE HSCIC

Contacts and Activities

Group Session

Referral To Treatment

Page 41: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

CYPHS Data Set Changes

• Removal of items relating to inpatient stays

• Replacement of the Clinical Activity group with the new Community Information Data Set (CIDS) data structure

• Addition of date fields within tables to enable the inclusion rules to work

• Renaming of data items to conform to the NHS Data Dictionary

• Move from segment structure to XML as the submission format

Page 42: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (1 of 3)

• Submission format is now XML. HSCIC looking to provide tools and

guidance in order to support this

• XML schema to be published along with the Information Standards

Notice

• Submission sent directly to SSD (Exeter) which is part of the HSCIC via

a web based portal. This service currently receives the MHMDS and

CAMHS data sets

• XML accreditation is not required to use this portal

• Reporting period is one month

• Submission window is two months long and opens as soon as the

reporting period ends

Page 43: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (2 of 3)

• Submission window will overlap for subsequent reporting periods

• Submission files can be submitted multiple times during the submission

window

• Data quality reports will be generated and made available after each

submission

• Once the submission window is closed there will not be a further

opportunity to submit data for that reporting period

  Apr May Jun Jul Aug SepReporting Period            

April Submission Window          

May Submission Window          

June Submission Window          

July Submission Window          

Page 44: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Submission Method (3 of 3)

• For new births data starts flowing once the baby is referred to the service

• Data stops flowing once the baby/child/young person has been

discharged from service

• All submissions have to include the CYP001 ‘MPI’ table. All clinical

activity relating to a referral needs to include an entry in the ‘Service

Referral’ table. Other conditions also apply and are detailed in the output

specification

• First submission must include all referral and activity data for referrals

received in April 2013 or after. Data for referrals that are ‘open’ in April

2013 must also be included but only the initial contact and referral data is

required. Follow-up contacts prior to April 2013 can be excluded

Page 45: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Timescales

• Information Standards Notice (ISN) is planned to go to the Information Standards Board in September 2013, for publication early October 2013

• Mandation expected to be March 2014, with the first submission window opening in March 2014 for data going back to April 2013

• This timeframe is based on an implementation period of six months

Page 46: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Any questions?

Page 47: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

47

CYPHS Reporting

Presented byPaul Niblett

Page 48: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Reporting Update

• Following slides give an overview of what will be available with the specifics still to be determined

• Reporting plans being fleshed out before data is collected

• More detail available at future meetings

Page 49: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Outline of Reporting Roadmap• Validation and data quality reports produced on submission of data –

“day 1” reports

• At end of submission window, metric reports and more sophisticated data quality reports will be available via reporting tool– Accessed via Open Exeter system– 2 provider reports

• Static report for benchmarking with other providers – restricted access i.e. national or other provider data can not be released until HSCIC publishes

• Interactive/drill down for own data only

– 1 commissioner report – own data only– Note that population of metrics will be heavily dependent on data quality.– They will evolve over time, i.e. won’t all be there initially

Page 50: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Outline of Reporting Roadmap (cont)

• Solution for access for ad hoc requests/PQs being considered

• Members of the wider health system (e.g. NHS England, PHE, Monitor, CQC etc.) will have controlled access to on-line interactive reports where they can also access the non-identifiable underlying data

– For non-standard or more complex reporting access to the underlying data may need to be off-line via the HSCIC data extract service

• The general public will have access to publicly available non-interactive reports on HSCIC website

Page 51: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Reporting Requirements

Child Health Uses

Breastfeeding at 6-8 weeks PHOF, CCGOIS, Benefits

Safeguarding - Child Protection Plan Policy Monitoring

Care contacts Benefits

Urgent care activity PHOF

Immunisations PHOF

Obesity PHOF, Benefits

Mortality NHSOF, Benefits

Page 52: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Options for further analysis

• List of reports will be adjusted depending on policy developments and additions to outcome frameworks.

• Requests for additional reports can be submitted to the HSCIC and will be prioritised by project board.

Page 53: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Data Duplication

• New datasets could reduce need for aggregate returns to support outcomes frameworks.

– Dependent on data quality.

– Period of dual running needed for assurance.

Page 54: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

54

Summary and Close

Presented byNicholas Richman

Page 55: Community Information Data Set User Group For Providers and Suppliers 24 th May 2013 1

Mailboxes/Web pages

Enquiries

All enquiries should go to: [email protected]

HSCIC web pages

Community Information Data Set (CIDS):http://www.hscic.gov.uk/comminfodataset

CYPHS Data Set:http://www.hscic.gov.uk/maternityandchildren/CYPHS