sharing data: improving outcomes stuart macdonald

Sharing Data:Improving Outcomes

Stuart MacDonald

Sharing data: improving outcomes

Vision for the future Making it happen

What works? Working in partnership


Vision for the future - National strategy Single ISP and consent framework Effective and efficient solutions Reduced bureaucracy Better outcomes for citizens Trust

Sharing data: improving outcomes: Vision for the future

National strategy Policy driven - align with public service reform agenda Strategy board in Scottish Executive – national standards and

targets 14 areas, each with MAS Implementation committee in each area representing partners Committee chairs form national policy forum Implementation manager in each area Package of support tailored to job to be done Monitoring; QA; evaluation; reporting


Single ISP and consent framework National data sharing requires a national approach Executive will work with partners towards a:

Single ISP for Scotland Single consent regime

Detailed proposals on taking this forward by March 2006 Consultation and final proposals by June 2006 Implementation by end 2006


Effective and efficient solutions Global and national standards Security Proven robust technologies Effective procurement Low cost Working with suppliers – innovation and development Supporting lean processes


Reduced bureaucracy Data entered once Better quality data Reduced transaction times Support for minimal intervention


Better outcomes for citizens Quicker access to more appropriate services Reduced risk Better practitioner decisions Earlier interventions

and… Better use of public funds


Trust Respect for privacy Robust and well understood framework of

consent Access to citizens’ data Visible improvement

Sharing data: improving outcomes: what works?

Evaluation results

Technical Dr John Mullin (ACS (UK) Ltd.)

Outcomes David Frame (Imera Consultants Ltd.)

ProcessProcess

22 technical eCare documents 22 technical eCare documents were provided by the Scottish were provided by the Scottish ExecutiveExecutive

The documents cover The documents cover architecture, architecture, design, data, security, risk design, data, security, risk management, implementation etc.management, implementation etc.

We are asked:We are asked: Do the documents meet their objectives and Do the documents meet their objectives and

scope?scope? Is the solution adequate and based on sound Is the solution adequate and based on sound

principles and good practice?principles and good practice?

FindingsFindings

The quality of the documentation The quality of the documentation ranges from good to excellentranges from good to excellent

The documentation is clear, The documentation is clear, concise and meets its objectivesconcise and meets its objectives

The architectural + technical The architectural + technical challenges have been successfully challenges have been successfully metmet

Now, focus on more detailed Now, focus on more detailed design and overview design and overview documentationdocumentation

Evaluation of eCare projects

2 pilot projects evaluated Older People’s Services

Perth & Kinross eCare Single Shared Assessment Children’s Services

Lanarkshire eCare messaging

Structured interviews Not a formal project audit Evaluation against

National eCare objectives National eCare frameworks National policy priorities

Perth & Kinross Pilot delivery

Improved information sharing Data standards Organisational development

Benefits Reduction in time for assessment

Reduction of number of inappropriate referrals Learning outcomes

Lanarkshire Pilot delivery

Improved information sharing Data standards Organisational development training roll out using CCSF

Benefits Out of Hours & crisis service Time saving in finding information

Learning outcomes

Sharing data: improving outcomes: Working in partnership

Scenario for 2007 and Beyond

Child on Child Protection Register

Becomes Adult with alcohol misuse problems

Commits crime – receives custodial sentence

Becomes Older Person with mental health problems

Agency Interventions

Social Work, GP, Health Visitor, Teacher, School Nurse, Educational Psychologist, SCRA

Social Work, Community Nursing, Alcohol & Addiction Services, Police, Courts, Prison, Medicine

Social Work, Community Psychiatric Nurse, Old Age Psychiatrist, GP, Health Visitor, Service Providers e.g. Home Care, Day Care, pharmacy

Sharing data: improving outcomes: what works?

Person at the centre Data gathered evolves with person Data collection becomes complementary and

not contradictory Dynamic, living record emerges Data accessible & shareable within eCare

Framework where appropriate

Data Standards & eCare Websitewww.scotland.gov.uk/datastandardsandecare


Thanks to: Local Authority & NHS partners Vendors & providers of IT infrastructure External Consultants Data Standards and eCare Division staff (past and

present) Policy colleagues within & beyond Scottish Executive Meeting Point Inchyra Grange

sharing data: improving outcomes stuart macdonald

Documents

ecare division staff

technical documents

health visitor

scrasocial work

medicinesocial work

service providers

community psychiatric

community nursing