the strategic direction for adult social care information and informatics
DESCRIPTION
THE STRATEGIC DIRECTION FOR ADULT SOCIAL CARE INFORMATION AND INFORMATICS. Presentation to The Social Services Research Group November18th 2010 Robert Lake Director for Social Care Information Strategy and Delivery The NHS Information Centre for Health and Social. - PowerPoint PPT PresentationTRANSCRIPT
THE STRATEGIC DIRECTION FOR ADULT SOCIAL CARE
INFORMATION AND INFORMATICS
Presentation to The Social Services Research Group
November18th 2010
Robert LakeDirector for Social Care Information Strategy and
DeliveryThe NHS Information Centre for Health and Social
NHS Information Centre vision and core purpose
• Trusted, central, authoritative source of data and analysis about health and social care
• Provide the information critical to improving quality of care and productivity
• Deliver information and analysis services to support systematic improvements in care quality and efficiency, and reduce duplication
•600 Data Collections
•Distribution of information/data
•Benchmarking, comparison and analysis tools
•Trusted Authoritative Source-Information quality and standards-Analysis and reporting-Linking and aggregating data-National indicators and comparators-Access and presentation
•Over 1,000 Parliamentary Questions
• 200 Key Product/Services inc:-National/Official Statistics inc. Social Care-Health/lifestyle surveys - alcohol, drugs, obesity-Population and public health -Clinical indicators-Healthcare Resource Groups for Payment by Results-Hospital Episode Statistics/NHS Comparators- NHS Workforce-Prescribing and Quality Outcomes Framework-Estates and facilities - NHS Central register - Southport
NHS IC role and functions: now
White Paper 2.15 “We will ensure the right data is collected by the Health and
Social Care Information Centre to enable people to exercise choice. We will seek to centralise all data returns in the Information Centre, which will have lead responsibility for data collection and assuring the data quality of those returns, working with other interested parties such as Monitor and the Care Quality Commission. We will also review data collections with a view to reducing burdens, as outlined in chapter 5. The forthcoming Health Bill will contain provisions to put the Information Centre on a firmer statutory footing, with clearer powers across organisations in the health and care system”.
6.7 “Placing the Health and Social Care Information Centre, currently a Special Health Authority, on a firmer statutory footing, with powers over other organisations in relation to information collection;…”
Information implications
As is…
A&E
Outpatients
Inpatients
Primary Care
Independent Sector
Mental
Health
AdministrativeRetrospectivePaper driven
Social Care
Future Information Implications• Requirements and support for GP commissioning
consortia; NHS Commissioning Board; Public Health Service; Regulators; Local Authorities and DPH
• Information gaps – primary care, community care, outcomes, social care
• Assessing quality – safety, effectiveness and patient experience
• Standards – data, information and indicators • Payment by Results development and flows• Information intermediaries and www.data.gov• Information linkage• New national Information Strategy
Future Role of NHS IC (White Paper & ALB review)Standards
Data Collection Hub/Depository
Providing Linkage & Rules about Linkage
Custodian of national methodologies
Data Quality, Assurance,Accreditation
Reducing Burden
Access-Easy open, Syndication,
Sharing of Data
National & Official Statistics
PQs & Information for policymakers and ministerial briefing
NHS IC Customers
Future State??
NHS Information Centre
Regulators:Monitor, CQC
Public Health Service
ParliamentDept of Public Health
Other national & international agencies
NHS Commissioning Board
NICE
GP Commissioning Consortia
Patients and the public
Landscape
Local Government
Adult Social Care• A Strategic Programme for Adult Social Care Information
– A programme to consolidate Social Care Information requirements for Local Authorities and other stakeholders
– Linking all of the Information Programmes for Social Care– Supporting change in Social Care– Linking to other care agencies Information Programmes
• Aim – To provide a consistent approach to development of an Adult
Care Support Record (the aSCR)– To review and update Social Care Information Guidance– To listen and support– To undertake a “zero-based” review of data/information needs
The Strategic ProgrammeA
DA
SS
Dep
artm
ent
Of H
ealth
Info
rmat
ion
Cen
tre
NH
S C
FH
Cou
ncils
IT S
uppl
iers
NHS Choices
Data standards
NHS Number
Data quality
Use of PDS
Information for public
Social care record
NASCISNIS
Workforce Care record
guarantee
Common Assessment Framework
Outcomes
Sta
keho
lder
s
Transition
..supports transformation and personalisation of care services..
Infrastructure Intelligence
Adult Care Support RecordWorkforce
Standards
National Policy
E.g. PPF
Five Key Themes
Work in progress• Development of the Adult Care Support Record guidance• Social Care Standards workstream (on hold)• Engagement with the CAF projects and the Putting
People First Team• The National Adult Social Care Intelligence Service
(NASCIS) and Business Intelligence• TRIPS• Supporting Data Quality • Looking at information for the Public • Information Governance – supporting implementation of
the SCRG
Work in Progress ..cont.• Working with:
– ADASS S&P and ADASS IMG – Suppliers– Connecting for Health– DCLG– And others
• Developing areas of work related to: - Children and Young People - Transition - Young Carers - Family records
• A ‘Zero Based’ Review of Social Care Information and Intelligence Needs (implementation 2012 onwards)
Looking to the Future
• Increasing involvement of the client/customer will change focus of requirements (and solutions delivered)
• Focus on outcomes and personalised services will impact on measures and metrics
• Challenges in commissioning new market places and new services• Increasing use (and development) of technology will bring new ways of
working• Opportunity to use emerging technology to address tensions between
coding and narrative• Need to find ways to engage with self funders• Personalised health budgets will bring new challenges• Creation of an aCSR will lead to a Social Care NMDS and a Data
Dictionary (leading to ‘Quality Indicators’)
Citizens Access and Control Public Knowledge basesAnd services
Local/communityBusinessIntelligence
National Business IntelligenceMonitoring and Research
Interface with
Health
Interfaces With
Other Agencies
Core Adult Care Support Record
Advocacy, Carers’ access Social Networks
Adult Care Support Record Framework
Transition
TRIPSCAF
NHS Record
Persons Care
Record
Universal Services Record
Sum
mar
y
Persons Access (Portal)
Sharing Protocol
Persons R
ecord Control
Care S
upport Record
Business A
ccess
Business Control
GCSX
N3
MAKING IT HAPPEN AT A LOCAL LEVEL
• Will need national/regional support from DH, ADASS & LGA;
• Suppliers must be fully engaged;• Essential to en-skill the local workforce to use
up-to-date communication/recording methods• Build on experience from CAF Demonstrator
Projects
MAKING IT HAPPEN…continuedEssential local partnerships:• With service users and carers• With the local NHS• With the wider local authority and
associated services• With the Third Sector• With “Knowledge Bases” – Advisory
Services, Service Catalogues etc.
TRIPS: Proof of Concept
Transforming Raw Informationin Public Services
Michele Chew’s Presentation to follow
SUMMARY
The effectiveness of Social Care Informationand Intelligence is moving forward rapidly
…….and more is yet to come!!
THANK YOUANY QUESTIONS?