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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.
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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
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
NHS IC role and functions: now • 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 • 600 Data Collections • Distribution of information/data • Benchmarking, comparison and analysis tools
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;…”
As is… Mental Health Primary Care A&E Independent Sector Outpatients Administrative Retrospective Paper driven Inpatients 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 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
Landscape NHS Commissioning Board GP Commissioning Consortia Parliament Dept of Public Health Other national & international agencies Information Intermediaries NHS Information Centre NHS IC Customers Future State?? NICE Public Health Service Information Intermediaries Patients and the public Local Government Regulators: Monitor, CQC
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
..supports transformation and personalisation of care services.. Transition Outcomes NIS NASCIS Common Assessment Framework Care record guarantee NHS Choices Information for public Workforce Social care record Data standards Use of PDS NHS Number Data quality The Strategic Programme Stakeholders IT Suppliers NHS CFH Councils Information Centre Department Of Health ADASS
Five Key Themes Standards Adult Care Support Record Workforce National Policy E.g. PPF Infrastructure Intelligence
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’)
Adult Care Support Record Framework Citizens Access and Control Public Knowledge bases And services Social Networks Advocacy, Carers’ access Interfaces With Other Agencies Transition Local/community Business Intelligence Core Adult Care Support Record Interface with Health CAF TRIPS National Business Intelligence Monitoring and Research
Persons Access (Portal) Persons Care Record NHS Record N3 Summary Care Support Record Business Access Persons Record Control GCSX Sharing Protocol Universal Services Record Business Control
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…continued Essential 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 Information in Public Services Michele Chew’s Presentation to follow
SUMMARY The effectiveness of Social Care Information and Intelligence is moving forward rapidly …….and more is yet to come!!
THANK YOU ANY QUESTIONS? Robert.lake@ic.nhs.uk