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Health System Reforms and the future of NHS IC Tim Straughan

Health System Reforms and the future of NHS IC Tim Straughan. White Paper – Structure overview. White Paper - Core principles. White Paper key elements - structural. DH becomes (smaller) Department of Public Health

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Health System Reforms and the future of NHS IC Tim Straughan

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  1. Health System Reforms and the future of NHS IC Tim Straughan

  2. White Paper – Structure overview

  3. White Paper - Core principles

  4. White Paper key elements - structural • DH becomes (smaller) Department of Public Health • Resources allocation and operational management devolved to (lean) NHS Commissioning Board • Commissioning managed by GP Commissioning Consortia • Local Authorities take over PCT responsibilities for public health improvement • SHAs and PCTs wound up • Monitor economic regulator • CQC quality inspectorate across health and social care

  5. White Paper key elements – operational • Increased choice and “voice” for patients – “no decision about me without me” • Focus on outcomes; “NHS Outcomes Framework”; end to process targets • Quality standards from NICE underpin commissioning and payment • Money will follow patients; providers paid for performance • Transparency and “information revolution”

  6. White Paper key elements - financial • £20bn efficiency savings by 2014 • NHS management costs cut by 45% by 2014/15 • De-layer and simplify NHS Bodies and DH; abolish quangos

  7. Review of DH Arms Length Bodies • 18 down to 8 -10 • Deliver savings of over £180m by 2014/15 Clear future roles for: • CQC (with new “HealthWatch England”) • Monitor • Health & Social Care Information Centre • Medicines & Healthcare Products Regulatory Agency • NICE • NHS Blood & Transplant

  8. 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;…”

  9. Key aspects of future HSC IC Role as highlighted in White Paper & ALB review Standards Reducing Burden Data Collection Hub/Depository Providing Linkage & Rules about Linkage Custodian of national methodologies Data Quality, Assurance,Accreditation Access-Easy open, Syndication, Sharing of Data National & Official Statistics PQs & Information for policymakers and ministerial briefing

  10. Changed CustomerLandscape NHS Commissioning Board Proposal August GP Consortia Information Centre Dept of Health NHS IC Customers Future State?? Public Health Service. Local Government. Forum 17th Sept Information Intermediaries EDG Mtgs Sept Regulators Monitor/CQC and NICE Providers Patients and Public

  11. Indicative Timetable

  12. Our VisionThe national source of Health and Social care informationHow • National Data Repository • To be the nationalrepository for data • across health care, • public health and adult social care • To enable linkage of • data within strong information governance • Better Access • To make data widely available, for use by third • parties, and to meet theneeds of a multiplicity • of customers • Data Collection and Quality • To have lead responsibilityfor data collectionand assuring the dataquality of those returns

  13. Workforce Data (+ESR) Finance Data Tools SUS Database Value Added Information Services Research Data Other Data Sources Transactional Services NHS IC Data & Information Access Model Tier 3 Tier 4 Tier 1 Tier 2 Services Operated by IC Services Operated by Information Intermediaries End Users Core Information presentation Managing input from NHS Sources NHS Spine Data (PDS) (but could be PSIS, Medication Record Etc) PREPARATION PACKAGING LINKING EXTRACT SERVICES MakingPublic DataPublic

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